Iadna Chlamydia Trachomatis Direct Probe Tq (CPT 87490)
87490 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
962 of 4255 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Posted cash | Posted gross | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Adventist Health Lodi Memorial | Lodi, CA | $1.59 | $22.75 | $22.75 | 0.1× |
| HCA Florida Oak Hill Hospital | Brooksville, FL | $3.25 | $3.25 | $22.75 | 0.1× |
| HCA Florida Lake Monroe Hospital | Sanford, FL | $3.75 | $3.75 | $22.75 | 0.2× |
| Los Robles Hospital & Medical Center | Thousand Oaks, CA | $3.75 | $3.75 | $22.75 | 0.2× |
| Oviedo Medical Center | Oviedo, FL | $3.83 | $3.83 | $22.75 | 0.2× |
| HCA Florida Largo Hospital | Largo, FL | $4.22 | $4.22 | $22.75 | 0.2× |
| HCA Florida Bayonet Point Hospital | Hudson, FL | $4.32 | $4.32 | $22.75 | 0.2× |
| HCA Florida South Shore Hospital | Sun City Center, FL | $4.50 | $4.50 | $22.75 | 0.2× |
| HCA Florida Brandon Hospital | Brandon, FL | $4.91 | $4.91 | $22.75 | 0.2× |
| Pampa Regional Medical Center | Pampa, TX | $5 | $28 | $22.75 | 0.2× |
| Adventist Health Simi Valley range across 2 matching MRF lines |
Simi Valley, CA | $5.12–$54.88 | $32–$343 | $22.75 | varies |
| North Shore Medical Center | Miami, FL | $5.45 | $5.45 | $22.75 | 0.2× |
| Pomona Valley Hospital Medical Center range across 2 matching MRF lines |
Pomona, CA | $6–$12 | — | $22.75 | varies |
| John F Kennedy Memorial Hospital range across 2 matching MRF lines |
Indio, CA | $6.47–$9 | $8.62–$12 | $22.75 | varies |
| Garfield Medical Center | Monterey Park, CA | $7.50 | $7.50 | $22.75 | 0.3× |
| Greater El Monte Community Hospital | South El Monte, CA | $7.50 | $7.50 | $22.75 | 0.3× |
| Kingman Healthcare Center | Kingman, KS | $7.58 | $15.15 | $22.75 | 0.3× |
| Mountains Community Hospital | Lake Arrowhead, CA | $7.60 | $19 | $22.75 | 0.3× |
| University Medical Center of El Paso | El Paso, TX | $8.45 | $42.24 | $22.75 | 0.4× |
| Ochsner Acadia General Hospital | Crowley, LA | $8.74 | $38 | $22.75 | 0.4× |
| HCA Florida Northside Hospital | Saint Petersburg, FL | $8.80 | $8.80 | $22.75 | 0.4× |
| Tyler County Hospital | Woodville, TX | $9 | $12 | $22.75 | 0.4× |
| Albany Medical Center Hospital range across 3 matching MRF lines |
Albany, NY | $9.89–$41.50 | $19.77–$83 | $22.75 | varies |
| Baptist Hospital | Pensacola, FL | $10.20 | $68 | $22.75 | 0.4× |
| Glendale Adventist Medical Center range across 3 matching MRF lines |
Glendale, CA | $10.50–$67.35 | $70–$449 | $22.75 | varies |
| HCA Florida Capital Hospital | Tallahassee, FL | $10.80 | $10.80 | $22.75 | 0.5× |
| Memorialcare Long Beach Medical Center range across 2 matching MRF lines |
Long Beach, CA | $11–$75 | $11–$75 | $22.75 | varies |
| Memorialcare Saddleback Medical Center range across 2 matching MRF lines |
Laguna Hills, CA | $11–$75 | $11–$75 | $22.75 | varies |
| Memorialcare Orange Coast Medical Center range across 2 matching MRF lines |
Fountain Valley, CA | $11–$75 | $11–$75 | $22.75 | varies |
| Memorial Care Miller Children's & Women's Hosp Lb range across 2 matching MRF lines |
Long Beach, CA | $11–$75 | $11–$75 | $22.75 | varies |
| Riverside Community Hospital | Riverside, CA | $12 | $12 | $22.75 | 0.5× |
| Natividad Medical Center | Salinas, CA | $12.19 | $12.19 | $22.75 | 0.5× |
| Covenant HealthCare range across 2 matching MRF lines |
Saginaw, MI | $12.36–$17.50 | $17.65–$25 | $22.75 | varies |
| Conway Regional Medical Center range across 2 matching MRF lines |
Conway, AR | $12.54–$46.02 | $57–$209.20 | $22.75 | varies |
| Central Peninsula General Hospital | Soldotna, AK | $12.75 | $12.75 | $22.75 | 0.6× |
| Little Falls Hospital | Little Falls, NY | $12.92 | $47.84 | $22.75 | 0.6× |
| Nebraska Medical Center | Omaha, NE | $13 | $20 | $22.75 | 0.6× |
| Bellevue Medical Center | Bellevue, NE | $13 | $20 | $22.75 | 0.6× |
| Coosa Valley Medical Center range across 4 matching MRF lines |
Sylacauga, AL | $13–$25 | $54–$105 | $22.75 | varies |
| Madera Community Hospital | Madera, CA | $13.30 | $22.17 | $22.75 | 0.6× |
| Singing River Gulfport | Gulfport, MS | $14 | $70 | $22.75 | 0.6× |
| Palestine Regional Medical Center | Palestine, TX | $14.70 | $49 | $22.75 | 0.6× |
| Kingman Regional Medical Center range across 2 matching MRF lines |
Kingman, AZ | $14.70–$16.10 | $42–$46 | $22.75 | varies |
| Adventist Health St. Helena | Saint Helena, CA | $14.72 | $98.10 | $22.75 | 0.6× |
| Tucson Medical Center range across 2 matching MRF lines |
Tucson, AZ | $14.84–$69.16 | $53–$247 | $22.75 | varies |
| Westfield Memorial Hospital, Inc | Westfield, NY | $14.96 | $68 | $22.75 | 0.7× |
| Monroe County Hospital range across 2 matching MRF lines |
Monroeville, AL | $15.80–$34.40 | $39.50–$86 | $22.75 | varies |
| Bradley Medical Center range across 2 matching MRF lines |
Cleveland, TN | $16.20–$71.40 | $27–$119 | $22.75 | varies |
| Hamilton Medical Center range across 2 matching MRF lines |
Dalton, GA | $16.20–$71.40 | $27–$119 | $22.75 | varies |
| Cochran Memorial Hospital | Morton, TX | $17.10 | $17.10 | $22.75 | 0.8× |
| Doctors Medical Center | Modesto, CA | $17.18 | $22.91 | $22.75 | 0.8× |
| Raleigh General Hospital | Beckley, WV | $17.20 | $43 | $22.75 | 0.8× |
| CHI St. Vincent Morrilton range across 2 matching MRF lines |
Morrilton, AR | $17.32–$40.76 | $68–$160 | $22.75 | varies |
| Ascension Seton Hays range across 8 matching MRF lines |
Kyle, TX | $18.18–$76.77 | $50.50–$213.25 | $22.75 | varies |
| Santa Clara Valley Medical Center | San Jose, CA | $18.55 | $26.50 | $22.75 | 0.8× |
| Regional Medical Center of San Jose | San Jose, CA | $18.55 | $26.50 | $22.75 | 0.8× |
| West Boca Medical Center | Boca Raton, FL | $18.83 | $25.10 | $22.75 | 0.8× |
| Ascension Seton Medical Center Austin | Austin, TX | $18.90 | $52.50 | $22.75 | 0.8× |
| Dell Seton Med Center at The University of Tx | Austin, TX | $18.90 | $52.50 | $22.75 | 0.8× |
| Ascension Seton Southwest | Austin, TX | $18.90 | $52.50 | $22.75 | 0.8× |
| Ascension Seton Northwest | Austin, TX | $18.90 | $52.50 | $22.75 | 0.8× |
| Ascension Seton Smithville range across 5 matching MRF lines |
Smithville, TX | $18.90–$76.77 | $52.50–$213.25 | $22.75 | varies |
| Niagara Falls Memorial Medical Center range across 3 matching MRF lines |
Niagara Falls, NY | $18.90–$37.27 | $27–$53.24 | $22.75 | varies |
| Northwest Florida Community Hospital range across 2 matching MRF lines |
Chipley, FL | $19.20–$20.33 | $24–$25.41 | $22.75 | varies |
| Humboldt Park Health range across 2 matching MRF lines |
Chicago, IL | $19.40–$24.99 | $69.30–$89.25 | $22.75 | varies |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $20.80 | $32 | $22.75 | 0.9× |
| Cleveland Clinic Hospital | Weston, FL | $20.80 | $32 | $22.75 | 0.9× |
| Oakdale Community Hospital | Oakdale, LA | $20.80 | $104 | $22.75 | 0.9× |
| Pascagoula Hospital | Pascagoula, MS | $21 | $70 | $22.75 | 0.9× |
| El Paso Children's Hospital | El Paso, TX | $21.20 | $106 | $22.75 | 0.9× |
| Knapp Medical Center | Weslaco, TX | $22 | $113.75 | $22.75 | 1.0× |
| Mission Regional Medical Center | Mission, TX | $22 | $170.76 | $22.75 | 1.0× |
| Dallas Medical Center | Dallas, TX | $22 | $165.91 | $22.75 | 1.0× |
| Dallas Regional Medical Center | Mesquite, TX | $22 | $165.91 | $22.75 | 1.0× |
| Harlingen Medical Center | Harlingen, TX | $22 | $230 | $22.75 | 1.0× |
| Ochiltree General Hospital range across 2 matching MRF lines |
Perryton, TX | $22–$40 | $32–$57 | $22.75 | varies |
| Arbuckle Memorial Hospital Authority range across 2 matching MRF lines |
Sulphur, OK | $22–$55 | $28–$69 | $22.75 | varies |
| Riverview Regional Medical Center | Gadsden, AL | $22 | $165.91 | $22.75 | 1.0× |
| North Vista Hospital | North Las Vegas, NV | $22 | $165.91 | $22.75 | 1.0× |
| Saint Mary's Regional Medical Center | Reno, NV | $22 | $287 | $22.75 | 1.0× |
| Paradise Valley Hospital | National City, CA | $22 | $22.75 | $22.75 | 1.0× |
| Encino Hospital Medical Center range across 4 matching MRF lines |
Encino, CA | $22 | $4.29–$12 | $22.75 | 1.0× |
| Garden Grove Hospital & Medical Center | Garden Grove, CA | $22 | $245.61 | $22.75 | 1.0× |
| West Anaheim Medical Center | Anaheim, CA | $22 | $245.61 | $22.75 | 1.0× |
| Huntington Beach Hospital | Huntington Beach, CA | $22 | $245.61 | $22.75 | 1.0× |
| La Palma Intercommunity Hospital | La Palma, CA | $22 | $245.61 | $22.75 | 1.0× |
| Centinela Hospital Medical Center | Inglewood, CA | $22 | $4.29 | $22.75 | 1.0× |
| Shasta Regional Medical Center range across 2 matching MRF lines |
Redding, CA | $22 | $4.29–$9 | $22.75 | 1.0× |
| Saint Joseph Medical Center | Joliet, IL | $22 | $127 | $22.75 | 1.0× |
| Coshocton Regional Medical Center | Coshocton, OH | $22 | $72 | $22.75 | 1.0× |
| Lake Huron Medical Center | Port Huron, MI | $22 | $245.61 | $22.75 | 1.0× |
| Garden City Hospital | Garden City, MI | $22 | $113 | $22.75 | 1.0× |
| Henry Ford St. John Hospital | Detroit, MI | $22.40 | $40 | $22.75 | 1.0× |
| Russell Medical | Alexander City, AL | $22.41 | $62.25 | $22.75 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $22.75 | — | $22.75 | 1.0× |
| Griffin Hospital | Derby, CT | $22.75 | — | $22.75 | 1.0× |
| St. Joseph's Medical Center | Yonkers, NY | $22.75 | — | $22.75 | 1.0× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $22.75 | $73.55 | $22.75 | 1.0× |
| Jacobi Medical Center | Bronx, NY | $22.75 | $70.05 | $22.75 | 1.0× |
| Elmhurst Hospital Center | Elmhurst, NY | $22.75 | $73.55 | $22.75 | 1.0× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $22.75 | $73.55 | $22.75 | 1.0× |
| Metropolitan Hospital Center | New York, NY | $22.75 | $73.55 | $22.75 | 1.0× |
| Kings County Hospital Center | Brooklyn, NY | $22.75 | $70.05 | $22.75 | 1.0× |
| Bellevue Hospital Center | New York, NY | $22.75 | $70.05 | $22.75 | 1.0× |
| Queens Hospital Center | Jamaica, NY | $22.75 | $70.05 | $22.75 | 1.0× |
| Harlem Hospital Center | New York, NY | $22.75 | $73.55 | $22.75 | 1.0× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $22.75 | $70.05 | $22.75 | 1.0× |
| Summa Health System range across 3 matching MRF lines |
Akron, OH | $22.75–$336.75 | $22.75–$336.75 | $22.75 | varies |
| Doctors Memorial Hospital | Perry, FL | $22.80 | $57 | $22.75 | 1.0× |
| Ochsner St. Martin Hospital | Breaux Bridge, LA | $22.80 | $76 | $22.75 | 1.0× |
| INTEGRIS Miami Hospital | Miami, OK | $23 | $115 | $22.75 | 1.0× |
| INTEGRIS Grove Hospital | Grove, OK | $23 | $115 | $22.75 | 1.0× |
| Glens Falls Hospital range across 2 matching MRF lines |
Glens Falls, NY | $23–$41.50 | $46–$83 | $22.75 | varies |
| St. Francis - Emory Healthcare range across 2 matching MRF lines |
Columbus, GA | $23.12–$23.38 | $46.25–$46.75 | $22.75 | varies |
| Vaughan Regional Medical Center | Selma, AL | $23.28 | $66.50 | $22.75 | 1.0× |
| Berger Hospital | Circleville, OH | $23.40 | $36 | $22.75 | 1.0× |
| Southeastern Medical Center | Cambridge, OH | $23.40 | $36 | $22.75 | 1.0× |
| Northbay Medical Center | Fairfield, CA | $24 | $24 | $22.75 | 1.1× |
| Rochelle Community Hospital | Rochelle, IL | $24 | $24 | $22.75 | 1.1× |
| Grady Memorial Hospital | Delaware, OH | $24.05 | $37 | $22.75 | 1.1× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $24.65 | $85 | $22.75 | 1.1× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $24.65 | $85 | $22.75 | 1.1× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $24.65 | $85 | $22.75 | 1.1× |
| Henry Ford River District Hospital range across 2 matching MRF lines |
East China, MI | $24.80–$112.20 | $44.29–$200.36 | $22.75 | varies |
| Ochsner Rush Medical Center | Meridian, MS | $24.85 | $71 | $22.75 | 1.1× |
| Doctors Hospital of Riverside, LLC | Riverside, CA | $25 | $25 | $22.75 | 1.1× |
| The Hospital at Westlake Medical Center | Austin, TX | $25.03 | $280.20 | $22.75 | 1.1× |
| Ascension Sacred Heart Gulf | Port Saint Joe, FL | $25.20 | $63 | $22.75 | 1.1× |
| Tanner Medical Center/Carrollton range across 2 matching MRF lines |
Carrollton, GA | $25.20–$50 | $63–$125 | $22.75 | varies |
| Higgins General Hospital range across 2 matching MRF lines |
Bremen, GA | $25.20–$50 | $63–$125 | $22.75 | varies |
| George E Weems Memorial Hospital | Apalachicola, FL | $25.90 | $37 | $22.75 | 1.1× |
| Baptist Beaumont Hospital | Beaumont, TX | $26.13 | $201 | $22.75 | 1.1× |
| Valleywise Health Medical Center | Phoenix, AZ | $26.16 | — | $22.75 | 1.1× |
| Starr Regional Medical Center | Athens, TN | $26.25 | $131.25 | $22.75 | 1.2× |
| Arrowhead Regional Medical Center | Colton, CA | $26.50 | $26.50 | $22.75 | 1.2× |
| Henry Ford Warren Hospital range across 2 matching MRF lines |
Warren, MI | $26.88–$122.64 | $48–$219 | $22.75 | varies |
| Loyola Gottlieb Memorial Hospital | Melrose Park, IL | $26.98 | $142 | $22.75 | 1.2× |
| Hurley Medical Center | Flint, MI | $27 | $27 | $22.75 | 1.2× |
| Boone County Hospital range across 2 matching MRF lines |
Boone, IA | $27.20–$54.89 | $34–$68.61 | $22.75 | varies |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $27.30 | — | $22.75 | 1.2× |
| Ascension Seton Highland Lakes | Burnet, TX | $27.72 | $77 | $22.75 | 1.2× |
| Ascension Seton Edgar B Davis | Luling, TX | $27.72 | $77 | $22.75 | 1.2× |
| Nocona General Hospital | Nocona, TX | $27.85 | $115 | $22.75 | 1.2× |
| Larkin Community Hospital Palm Springs Campus | Hialeah, FL | $28 | $40 | $22.75 | 1.2× |
| Hilton Head Medical Center | Hilton Head Island, SC | $28 | — | $22.75 | 1.2× |
| East Cooper Medical Center | Mount Pleasant, SC | $28 | — | $22.75 | 1.2× |
| Coastal Carolina Medical Center | Hardeeville, SC | $28 | — | $22.75 | 1.2× |
| Boston Medical Center | Boston, MA | $28.35 | $63 | $22.75 | 1.2× |
| Trigg County Hospital | Cadiz, KY | $28.40 | $71 | $22.75 | 1.2× |
| Memorial Regional Hospital | Hollywood, FL | $28.70 | $41 | $22.75 | 1.3× |
| Larkin Community Hospital | South Miami, FL | $28.70 | $41 | $22.75 | 1.3× |
| Memorial Hospital Pembroke | Pembroke Pines, FL | $28.70 | $41 | $22.75 | 1.3× |
| Memorial Hospital West | Pembroke Pines, FL | $28.70 | $41 | $22.75 | 1.3× |
| Memorial Hospital Miramar | Miramar, FL | $28.70 | $41 | $22.75 | 1.3× |
| Lima Memorial Health System range across 3 matching MRF lines |
Lima, OH | $28.80–$64.80 | $32–$72 | $22.75 | varies |
| Catawba Valley Medical Center | Hickory, NC | $29 | $48 | $22.75 | 1.3× |
| Reynolds Memorial Hospital | Glen Dale, WV | $29 | $58 | $22.75 | 1.3× |
| St. Mary's Medical Center range across 3 matching MRF lines |
West Palm Beach, FL | $29.17–$148.50 | $38.89–$198 | $22.75 | varies |
| Florida Coast Medical Center range across 2 matching MRF lines |
Port St. Lucie, FL | $29.17–$180.75 | $38.89–$241 | $22.75 | varies |
| Saint Francis Hospital-Bartlett range across 2 matching MRF lines |
Bartlett, TN | $29.25–$171.75 | $39–$229 | $22.75 | varies |
| OhioHealth Mansfield Hospital | Mansfield, OH | $29.25 | $45 | $22.75 | 1.3× |
| OhioHealth Shelby Hospital | Shelby, OH | $29.25 | $45 | $22.75 | 1.3× |
| CHI Health - Mercy Corning range across 3 matching MRF lines |
Corning, IA | $29.28–$70.08 | $61–$146 | $22.75 | varies |
| Summit Medical Center, LLC | Edmond, OK | $29.58 | — | $22.75 | 1.3× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $29.58 | — | $22.75 | 1.3× |
| CHI Health Missouri Valley range across 3 matching MRF lines |
Missouri Valley, IA | $29.89–$71.54 | $61–$146 | $22.75 | varies |
| Ascension Sacred Heart Pensacola | Pensacola, FL | $30 | $75 | $22.75 | 1.3× |
| Saratoga Hospital | Saratoga Springs, NY | $30 | $60 | $22.75 | 1.3× |
| Trinity Hospital Twin City | Dennison, OH | $30.26 | $61 | $22.75 | 1.3× |
| Saint Anthony Hospital | Chicago, IL | $30.90 | $103 | $22.75 | 1.4× |
| Anaheim Global Medical Center | Anaheim, CA | $31 | $31 | $22.75 | 1.4× |
| Orange County Global Medical Center | Santa Ana, CA | $31 | $31 | $22.75 | 1.4× |
| South Coast Global Medical Center | Santa Ana, CA | $31 | $31 | $22.75 | 1.4× |
| Southern Tennessee Regional Health System - Lawrenceburg | Lawrenceburg, TN | $31.24 | $124.95 | $22.75 | 1.4× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $31.40 | — | $22.75 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $31.40 | — | $22.75 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $31.40 | — | $22.75 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $31.40 | — | $22.75 | 1.4× |
| Boston Medical Center South | Brockton, MA | $31.59 | $70.19 | $22.75 | 1.4× |
| West Jefferson Medical Center | Marrero, LA | $31.84 | $199 | $22.75 | 1.4× |
| Marion General Hospital | Marion, OH | $32.50 | $50 | $22.75 | 1.4× |
| Loyola University Medical Center | Maywood, IL | $32.66 | $142 | $22.75 | 1.4× |
| Huntsville Memorial Hospital | Huntsville, TX | $33 | $132 | $22.75 | 1.5× |
| Ochsner University Hospital & Clinics | Lafayette, LA | $33.02 | $127 | $22.75 | 1.5× |
| Palo Pinto General Hospital | Mineral Wells, TX | $33.10 | $66.20 | $22.75 | 1.5× |
| Bennett County Hospital and Nursing Home - Cah | Martin, SD | $33.60 | $33.60 | $22.75 | 1.5× |
| Wiregrass Medical Center | Geneva, AL | $33.75 | $45 | $22.75 | 1.5× |
| Miller County Hospital | Colquitt, GA | $34.16 | $61 | $22.75 | 1.5× |
| Marshall County Hospital | Benton, KY | $34.20 | $34.20 | $22.75 | 1.5× |
| Fort Memorial Hospital | Fort Atkinson, WI | $34.24 | $107 | $22.75 | 1.5× |
| Hancock County Hospital | Sneedville, TN | $34.50 | $150 | $22.75 | 1.5× |
| Columbia Memorial Hospital | Hudson, NY | $34.50 | $69 | $22.75 | 1.5× |
| Bristol Regional Medical Center | Bristol, TN | $35.10 | $234 | $22.75 | 1.5× |
| Holston Valley Medical Center | Kingsport, TN | $35.10 | $234 | $22.75 | 1.5× |
| Hawkins County Memorial Hospital | Rogersville, TN | $35.10 | $234 | $22.75 | 1.5× |
| Greeneville Community Hospital | Greeneville, TN | $35.10 | $234 | $22.75 | 1.5× |
| Lonesome Pine Hospital | Big Stone Gap, VA | $35.10 | $234 | $22.75 | 1.5× |
| Logan Health Medical Center | Kalispell, MT | $35.10 | $54 | $22.75 | 1.5× |
| Boston Medical Center Brighton | Brighton, MA | $35.42 | $78.71 | $22.75 | 1.6× |
| Blue Ridge Medical Center range across 4 matching MRF lines |
Blue Ridge, GA | $35.47–$452.61 | $59.13–$754.35 | $22.75 | varies |
| Hardin Memorial Hospital | Kenton, OH | $35.75 | $55 | $22.75 | 1.6× |
| Ahs Sherman Medical Center | Sherman, TX | $35.81 | $119.37 | $22.75 | 1.6× |
| Monroe County Hospital | Forsyth, GA | $36 | $48 | $22.75 | 1.6× |
| Sharkey Issaquena Community Hospital | Rolling Fork, MS | $36 | $45 | $22.75 | 1.6× |
| Holy Cross Hospital A Div of Taos Health Systems range across 3 matching MRF lines |
Taos, NM | $36–$61.60 | $45–$77 | $22.75 | varies |
| Chicot Memorial Medical Center | Lake Village, AR | $36.50 | $36.50 | $22.75 | 1.6× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $36.56 | — | $22.75 | 1.6× |
| Dell Children's Medical Center range across 5 matching MRF lines |
Austin, TX | $36.75–$149.28 | $52.50–$213.25 | $22.75 | varies |
| Riverside Methodist Hospital | Columbus, OH | $37.05 | $57 | $22.75 | 1.6× |
| Grant Medical Center | Columbus, OH | $37.05 | $57 | $22.75 | 1.6× |
| Doctors Hospital | Columbus, OH | $37.05 | $57 | $22.75 | 1.6× |
| Dublin Methodist Hospital | Dublin, OH | $37.05 | $57 | $22.75 | 1.6× |
| Van Wert Hospital | Van Wert, OH | $38.35 | $59 | $22.75 | 1.7× |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $38.58 | $48.22 | $22.75 | 1.7× |
| Trinity Muscatine | Muscatine, IA | $38.58 | $48.22 | $22.75 | 1.7× |
| Trinity Regional Medical Center | Fort Dodge, IA | $38.58 | $48.22 | $22.75 | 1.7× |
| St. Lukes Hospital | Cedar Rapids, IA | $38.58 | $48.22 | $22.75 | 1.7× |
| UnityPoint Health Des Moines Iowa Methodist Medical Center | Des Moines, IA | $38.58 | $48.22 | $22.75 | 1.7× |
| Trinity Bettendorf | Bettendorf, IA | $38.58 | $48.22 | $22.75 | 1.7× |
| Allen Hospital | Waterloo, IA | $38.58 | $48.22 | $22.75 | 1.7× |
| Finley Hospital | Dubuque, IA | $38.58 | $48.22 | $22.75 | 1.7× |
| St. Lukes Regional Medical Center | Sioux City, IA | $38.58 | $48.22 | $22.75 | 1.7× |
| Grinnell Regional Medical Center | Grinnell, IA | $38.58 | $48.22 | $22.75 | 1.7× |
| Jones Regional Medical Center | Anamosa, IA | $38.58 | $48.22 | $22.75 | 1.7× |
| Trinity Rock Island | Rock Island, IL | $38.58 | $48.22 | $22.75 | 1.7× |
| Merit Health River Region | Vicksburg, MS | $38.70 | $215 | $22.75 | 1.7× |
| Abrazo Arrowhead Campus range across 2 matching MRF lines |
Glendale, AZ | $39–$75.75 | $52–$101 | $22.75 | varies |
| Piedmont Medical Center | Rock Hill, SC | $39 | $52 | $22.75 | 1.7× |
| Wooster Community Hospital range across 2 matching MRF lines |
Wooster, OH | $39.59–$49.35 | $39.59–$49.35 | $22.75 | varies |
| Tmc- Bonham Hospital range across 2 matching MRF lines |
Bonham, TX | $39.60–$53.90 | $134.20–$181.50 | $22.75 | varies |
| John H Stroger Jr Hospital | Chicago, IL | $39.90 | $57 | $22.75 | 1.8× |
| Provident Hospital of Chicago | Chicago, IL | $39.90 | $57 | $22.75 | 1.8× |
| Hardeman County Memorial Hospital | Quanah, TX | $40 | $40 | $22.75 | 1.8× |
| Chi St. Luke's Health Brazosport | Lake Jackson, TX | $40.35 | $115.26 | $22.75 | 1.8× |
| MultiCare Auburn Medical Center | Auburn, WA | $40.40 | $101 | $22.75 | 1.8× |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $40.40 | $101 | $22.75 | 1.8× |
| MultiCare Tacoma General Hospital and MultiCare Allenmore Hospital | Tacoma, WA | $40.40 | $101 | $22.75 | 1.8× |
| MultiCare Covington Medical Center | Covington, WA | $40.40 | $101 | $22.75 | 1.8× |
| Mary Bridge Children's Hospital | Tacoma, WA | $40.40 | $101 | $22.75 | 1.8× |
| Washington Regional Medical Center range across 3 matching MRF lines |
Fayetteville, AR | $40.50–$255.75 | $54–$341 | $22.75 | varies |
| Byrd Regional Hospital | Leesville, LA | $41.25 | $137.50 | $22.75 | 1.8× |
| Good Samaritan Hospital | San Jose, CA | $41.44 | $41.44 | $22.75 | 1.8× |
| Andalusia Health | Andalusia, AL | $41.53 | $118.65 | $22.75 | 1.8× |
| North Canyon Medical Center | Gooding, ID | $41.60 | $52 | $22.75 | 1.8× |
| St. Bernards Medical Center | Jonesboro, AR | $42.25 | $65 | $22.75 | 1.9× |
| Dignity Health - St. Rose Dominican, North Las Vegas Campus | North Las Vegas, NV | $42.32 | $141.08 | $22.75 | 1.9× |
| CommonSpirit Saint Joseph Hospital - London | London, KY | $42.47 | $119 | $22.75 | 1.9× |
| Owensboro Health Muhlenberg Community Hospital | Greenville, KY | $42.69 | $65.68 | $22.75 | 1.9× |
| OhioHealth O'Bleness Hospital | Athens, OH | $42.90 | $66 | $22.75 | 1.9× |
| Park Nicollet Methodist Hospital | Saint Louis Park, MN | $43.16 | $166 | $22.75 | 1.9× |
| Ochsner Laird Hospital range across 2 matching MRF lines |
Union, MS | $43.31–$46.97 | $71–$77 | $22.75 | varies |
| Torrance Memorial Medical Center range across 22 matching MRF lines |
Torrance, CA | $43.46–$7,209.44 | $53–$8,792 | $22.75 | varies |
| Sierra Medical Center range across 2 matching MRF lines |
El Paso, TX | $43.50–$63.75 | $58–$85 | $22.75 | varies |
| The Hospitals of Providence East Campus | El Paso, TX | $43.50 | $58 | $22.75 | 1.9× |
| The Hospitals of Providence Transmountain Campus | El Paso, TX | $43.50 | $58 | $22.75 | 1.9× |
| Colorado River Medical Center | Needles, CA | $43.75 | $125 | $22.75 | 1.9× |
| Our Lady of the Lake Assumption Community Hospital | Napoleonville, LA | $44 | $88 | $22.75 | 1.9× |
| Harlan County Health System | Alma, NE | $44.14 | $55.17 | $22.75 | 1.9× |
| Ochsner Scott Regional range across 2 matching MRF lines |
Morton, MS | $44.73–$48.51 | $71–$77 | $22.75 | varies |
| Pacifica Hospital of the Valley | Sun Valley, CA | $45 | $45 | $22.75 | 2.0× |
| Community Memorial Hospital, Inc | Hamilton, NY | $45.68 | $57.10 | $22.75 | 2.0× |
| Hillcrest Hospital Pryor | Pryor, OK | $45.90 | $153 | $22.75 | 2.0× |
| Vanderbilt University Hospital | Nashville, TN | $45.90 | $85 | $22.75 | 2.0× |
| Livingston Regional Hospital | Livingston, TN | $46.15 | $162.50 | $22.75 | 2.0× |
| University Medical Center New Orleans | New Orleans, LA | $46.20 | $210 | $22.75 | 2.0× |
| Dayton Children's Hospital | Dayton, OH | $46.20 | $66 | $22.75 | 2.0× |
| The Physicians' Hospital in Anadarko | Anadarko, OK | $46.21 | $77.01 | $22.75 | 2.0× |
| Rural Wellness Stroud Hospital | Stroud, OK | $46.21 | $77.01 | $22.75 | 2.0× |
| Rural Wellness Fairfax Hospital | Fairfax, OK | $46.21 | $77.01 | $22.75 | 2.0× |
| Harney District Hospital | Burns, OR | $46.40 | $58 | $22.75 | 2.0× |
| Fairbanks Memorial Hospital | Fairbanks, AK | $46.58 | $49.03 | $22.75 | 2.0× |
| St. Luke's Patients Medical Center | Pasadena, TX | $46.62 | $133.20 | $22.75 | 2.0× |
| Nacogdoches Memorial Hospital range across 2 matching MRF lines |
Nacogdoches, TX | $47–$56 | $158–$185 | $22.75 | varies |
| Ohio County Hospital | Hartford, KY | $47 | $94 | $22.75 | 2.1× |
| Columbus Community Hospital | Columbus, TX | $47.25 | $63 | $22.75 | 2.1× |
| Manning Family Children's | New Orleans, LA | $47.25 | $175 | $22.75 | 2.1× |
| Garnet Health Medical Center | Middletown, NY | $47.25 | $189 | $22.75 | 2.1× |
| Ochsner Watkins Hospital range across 2 matching MRF lines |
Quitman, MS | $47.57–$51.59 | $71–$77 | $22.75 | varies |
| Avoyelles Hospital | Marksville, LA | $47.70 | $159 | $22.75 | 2.1× |
| Seiling Municipal Hospital | Seiling, OK | $47.97 | $117 | $22.75 | 2.1× |
| Owensboro Health Twin Lakes Medical Center | Leitchfield, KY | $48.42 | $74.50 | $22.75 | 2.1× |
| UP Health System - Marquette range across 2 matching MRF lines |
Marquette, MI | $48.60–$93.66 | $81–$156.10 | $22.75 | varies |
| Duncan Regional Hospital, Inc | Duncan, OK | $48.74 | — | $22.75 | 2.1× |
| Ochsner Stennis Hospital range across 2 matching MRF lines |
De Kalb, MS | $48.99–$53.13 | $71–$77 | $22.75 | varies |
| Lackey Memorial Hospital range across 2 matching MRF lines |
Forest, MS | $49–$74 | $49–$74 | $22.75 | varies |
| Cox Medical Center Branson | Branson, MO | $49.03 | $216 | $22.75 | 2.2× |
| Owensboro Health Regional Hospital | Owensboro, KY | $49.05 | $75.46 | $22.75 | 2.2× |
| Nathan Littauer Hospital range across 2 matching MRF lines |
Gloversville, NY | $49.14–$64.06 | $61.43–$80.08 | $22.75 | varies |
| Newberry Health Hospital | Newberry, SC | $49.21 | $133 | $22.75 | 2.2× |
| Red Bud Regional Hospital | Red Bud, IL | $49.68 | $191.07 | $22.75 | 2.2× |
| LMH Health | Lawrence, KS | $49.69 | $198.75 | $22.75 | 2.2× |
| Vandalia Health Broaddus Hospital | Philippi, WV | $49.72 | $71.02 | $22.75 | 2.2× |
| Henry Ford Providence Southfield Hospital | Southfield, MI | $49.84 | $89 | $22.75 | 2.2× |
| St. Catherine Hospital - Garden City | Garden City, KS | $49.97 | $124.91 | $22.75 | 2.2× |
| Bob Wilson Memorial Hospital | Ulysses, KS | $49.97 | $124.91 | $22.75 | 2.2× |
| Atoka County Medical Center | Atoka, OK | $50 | $125 | $22.75 | 2.2× |
| St. Elizabeth Hospital | Fort Morgan, CO | $50.38 | $125.93 | $22.75 | 2.2× |
| Iowa Specialty Hospital - Clarion range across 2 matching MRF lines |
Clarion, IA | $50.40–$71.40 | $84–$119 | $22.75 | varies |
| AnMed Cannon | Pickens, SC | $50.50 | $101 | $22.75 | 2.2× |
| AnMed Medical Center | Anderson, SC | $50.50 | $101 | $22.75 | 2.2× |
| North Oaks Medical Center | Hammond, LA | $50.63 | $322 | $22.75 | 2.2× |
| Lallie Kemp Regional Medical Center | Independence, LA | $50.64 | $84.40 | $22.75 | 2.2× |
| Ellenville Regional Hospital | Ellenville, NY | $51 | $68 | $22.75 | 2.2× |
| CHI Health Plainview range across 3 matching MRF lines |
Plainview, NE | $51.24–$122.64 | $61–$146 | $22.75 | varies |
| CHI Health Schuyler range across 3 matching MRF lines |
Schuyler, NE | $51.85–$124.10 | $61–$146 | $22.75 | varies |
| Centerpoint Health – Winchester | Winchester, KY | $51.86 | $129.65 | $22.75 | 2.3× |
| Ochsner Lafayette General Medical Center | Lafayette, LA | $52.29 | $249 | $22.75 | 2.3× |
| Sovah Health – Danville | Danville, VA | $52.40 | $131 | $22.75 | 2.3× |
| Kansas Medical Center LLC | Andover, KS | $52.68 | $87.80 | $22.75 | 2.3× |
| Russellville Hospital | Russellville, AL | $52.78 | $203 | $22.75 | 2.3× |
| Parkview Regional Hospital | Mexia, TX | $52.92 | $176.40 | $22.75 | 2.3× |
| Arkansas Valley Regional Medical Center | La Junta, CO | $53 | $88 | $22.75 | 2.3× |
| J.W. Ruby Memorial Hospital | Morgantown, WV | $53 | $106 | $22.75 | 2.3× |
| Candler Hospital range across 2 matching MRF lines |
Savannah, GA | $53.40–$282 | $178–$940 | $22.75 | varies |
| St. Joseph's Hospital range across 2 matching MRF lines |
Savannah, GA | $53.40–$282 | $178–$940 | $22.75 | varies |
| CHI Health St. Mary's | Nebraska City, NE | $53.95 | $65 | $22.75 | 2.4× |
| Ochsner Choctaw General range across 2 matching MRF lines |
Butler, AL | $53.96–$58.52 | $71–$77 | $22.75 | varies |
| Franciscan Health Lafayette | Lafayette, IN | $54.15 | $245 | $22.75 | 2.4× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $22.75 | 2.4× |
| Wynn Hospital | Utica, NY | $55.20 | $92 | $22.75 | 2.4× |
| Massena Hospital | Massena, NY | $55.23 | $84.97 | $22.75 | 2.4× |
| Summit Medical Center | Casper, WY | $55.76 | $136 | $22.75 | 2.5× |
| Colquitt Regional Medical Center range across 4 matching MRF lines |
Moultrie, GA | $56–$169 | $56–$169 | $22.75 | varies |
| Lane Regional Medical Center | Zachary, LA | $56 | $161 | $22.75 | 2.5× |
| Auburn Community Hospital | Auburn, NY | $56.23 | $100.54 | $22.75 | 2.5× |
| Share Medical Center | Alva, OK | $56.24 | $86.52 | $22.75‡ | 2.5× |
| Warm Springs Medical Center | Warm Springs, GA | $56.50 | $113 | $22.75 | 2.5× |
| Franciscan Health Indianapolis | Indianapolis, IN | $56.60 | $245 | $22.75 | 2.5× |
| Valley County Health System range across 2 matching MRF lines |
Ord, NE | $56.70–$110.70 | $63–$123 | $22.75 | varies |
| Burnett Medical Center | Grantsburg, WI | $56.80 | $71 | $22.75 | 2.5× |
| MercyOne Genesis Dewitt Medical Center | Dewitt, IA | $57 | $95 | $22.75 | 2.5× |
| MercyOne Genesis | Aledo, IL | $57 | $95 | $22.75 | 2.5× |
| Washington Regional Medical Center range across 2 matching MRF lines |
Plymouth, NC | $57.50–$58 | $115–$116 | $22.75 | varies |
| Wayne Memorial Hospital | Jesup, GA | $57.50 | $115 | $22.75 | 2.5× |
| Highland Hospital | Oakland, CA | $57.50 | $115 | $22.75 | 2.5× |
| Virginia Mason Medical Center | Seattle, WA | $57.63 | $113 | $22.75 | 2.5× |
| Mt Sinai Hospital Medical Center range across 2 matching MRF lines |
Chicago, IL | $57.64–$105.80 | $82.34–$151.14 | $22.75 | varies |
| Holy Cross Hospital range across 2 matching MRF lines |
Chicago, IL | $57.64–$105.80 | $82.34–$151.14 | $22.75 | varies |
| Delta County Memorial Hospital | Delta, CO | $57.75 | $96.25 | $22.75 | 2.5× |
| Waverly Health Center | Waverly, IA | $58.24 | $112 | $22.75 | 2.6× |
| UAB Medical West range across 2 matching MRF lines |
Bessemer, AL | $58.50–$152.25 | $78–$203 | $22.75 | varies |
| St. Bernards Five Rivers Medical Center | Pocahontas, AR | $58.50 | $65 | $22.75 | 2.6× |
| TriHealth Clinton Regional Hospital | Wilmington, OH | $58.67 | $117.35 | $22.75 | 2.6× |
| Victor Valley Global Medical Center | Victorville, CA | $59 | $59 | $22.75 | 2.6× |
| Franciscan Health Munster | Munster, IN | $59 | $277 | $22.75 | 2.6× |
| Mary Lanning Healthcare | Hastings, NE | $59.40 | $66 | $22.75 | 2.6× |
| Lawrence + Memorial Hospital | New London, CT | $59.76 | $166 | $22.75 | 2.6× |
| Mercy Hospital Paris | Paris, AR | $59.80 | $92 | $22.75 | 2.6× |
| Mercy Hospital Ozark | Ozark, AR | $59.80 | $92 | $22.75 | 2.6× |
| Mercy Hospital Waldron | Waldron, AR | $59.80 | $92 | $22.75 | 2.6× |
| Mercy Hospital Booneville | Booneville, AR | $59.80 | $92 | $22.75 | 2.6× |
| Coffee Regional Medical Center | Douglas, GA | $59.84 | $88 | $22.75 | 2.6× |
| Elkview General Hospital | Hobart, OK | $60 | $100 | $22.75 | 2.6× |
| King's Daughters Medical Center - Ohio | Portsmouth, OH | $60.33 | $150.82 | $22.75 | 2.7× |
| Henry Ford Genesys Hospital | Grand Blanc, MI | $60.48 | $144 | $22.75 | 2.7× |
| Crenshaw Community Hospital | Luverne, AL | $61.25 | $122.50 | $22.75 | 2.7× |
| Highlands Medical Center | Scottsboro, AL | $61.60 | $88 | $22.75 | 2.7× |
| Adventist Health White Memorial range across 2 matching MRF lines |
Los Angeles, CA | $61.74–$93.24 | $343–$518 | $22.75 | varies |
| Adventist Health White Memorial Montebello range across 2 matching MRF lines |
Montebello, CA | $61.74–$93.24 | $343–$518 | $22.75 | varies |
| Genoa Community Hospital range across 2 matching MRF lines |
Genoa, NE | $62–$90 | $69–$100 | $22.75 | varies |
| Pratt Regional Medical Center | Pratt, KS | $62 | $89 | $22.75 | 2.7× |
| Franciscan Health Mooresville | Mooresville, IN | $62.23 | $245 | $22.75 | 2.7× |
| Vandalia Health Davis Medical Center | Elkins, WV | $62.33 | $89.04 | $22.75 | 2.7× |
| Doctors Memorial Hospital | Bonifay, FL | $63 | $140 | $22.75 | 2.8× |
| Mena Regional Health System | Mena, AR | $63 | $105 | $22.75 | 2.8× |
| Franciscan Health Crown Point | Crown Point, IN | $63.21 | $245 | $22.75 | 2.8× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $63.28 | $113 | $22.75 | 2.8× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $63.28 | $113 | $22.75 | 2.8× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $63.28 | $113 | $22.75 | 2.8× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $63.28 | $113 | $22.75 | 2.8× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $63.28 | $113 | $22.75 | 2.8× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $63.28 | $113 | $22.75 | 2.8× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $63.28 | $113 | $22.75 | 2.8× |
| Kaiser Foundation Hospital | San Rafael, CA | $63.28 | $113 | $22.75 | 2.8× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $63.28 | $113 | $22.75 | 2.8× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $63.28 | $113 | $22.75 | 2.8× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $63.28 | $113 | $22.75 | 2.8× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $63.28 | $113 | $22.75 | 2.8× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $63.28 | $113 | $22.75 | 2.8× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $63.28 | $113 | $22.75 | 2.8× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $63.28 | $113 | $22.75 | 2.8× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $63.28 | $113 | $22.75 | 2.8× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $63.28 | $113 | $22.75 | 2.8× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $63.28 | $113 | $22.75 | 2.8× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $63.28 | $113 | $22.75 | 2.8× |
| Cascade Medical Center | Cascade, ID | $63.75 | $85 | $22.75 | 2.8× |
| Rome Memorial Hospital, Inc | Rome, NY | $64.19 | $159 | $22.75 | 2.8× |
| Centerpoint Health – Paris | Paris, KY | $64.83 | $162.07 | $22.75 | 2.8× |
| Pushmataha County Town of Antlers Hospital | Antlers, OK | $65 | $130 | $22.75 | 2.9× |
| Signature Healthcare Brockton Hospital | Brockton, MA | $65.10 | $93 | $22.75 | 2.9× |
| Adventist Health Tulare | Tulare, CA | $65.17 | $343 | $22.75 | 2.9× |
| Baylor Scott and White Surgical Hospital Las Colin | Irving, TX | $65.40 | $109 | $22.75 | 2.9× |
| MountainView Hospital | Las Vegas, NV | $66 | $66 | $22.75 | 2.9× |
| Desert View Hospital | Pahrump, NV | $66 | $166 | $22.75 | 2.9× |
| CHI St. Vincent North | Sherwood, AR | $66.35 | $261 | $22.75 | 2.9× |
| Franciscan Health Crawfordsville | Crawfordsville, IN | $66.40 | $245 | $22.75 | 2.9× |
| Iberia Medical Center | New Iberia, LA | $66.60 | $111 | $22.75 | 2.9× |
| CHI St. Vincent Infirmary | Little Rock, AR | $66.98 | $261 | $22.75 | 2.9× |
| Adams Memorial Hospital | Decatur, IN | $67 | $67 | $22.75 | 2.9× |
| Ness County Hospital District #2 | Ness City, KS | $67.50 | $90 | $22.75 | 3.0× |
| Children's Hospital of Michigan range across 2 matching MRF lines |
Detroit, MI | $67.50–$74.25 | $90–$99 | $22.75 | varies |
| Vandalia Health Mon Medical Center | Morgantown, WV | $67.52 | $135.04 | $22.75 | 3.0× |
| Vandalia Health Mon Marion Neighborhood Hospital | White Hall, WV | $67.52 | $135.04 | $22.75 | 3.0× |
| Pecos County Memorial Hospital | Fort Stockton, TX | $68 | $90 | $22.75 | 3.0× |
| Tennova Jefferson Memorial Hospital | Jefferson City, TN | $68 | $307.28 | $22.75 | 3.0× |
| Washington County Regional Medical Center | Sandersville, GA | $68 | $136 | $22.75 | 3.0× |
| Hsa Port Arthur, LLC | Port Arthur, TX | $68.25 | $68.25 | $22.75 | 3.0× |
| Jackson County Memorial Hospital Authority range across 2 matching MRF lines |
Altus, OK | $68.25–$247.99 | $68.25–$247.99 | $22.75 | varies |
| Northwest Surgical Hospital | Oklahoma City, OK | $68.25 | — | $22.75 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $68.25 | — | $22.75 | 3.0× |
| Harmon Memorial Hospital range across 2 matching MRF lines |
Hollis, OK | $68.25–$247.99 | $68.25–$247.99 | $22.75 | varies |
| Freeman Neosho Hospital | Neosho, MO | $68.40 | $114 | $22.75 | 3.0× |
| Hamilton Hospital | Olney, TX | $69 | $99 | $22.75 | 3.0× |
| Norwalk Hospital | Norwalk, CT | $69 | $69 | $22.75 | 3.0× |
| Northside Hospital Forsyth | Cumming, GA | $69 | $92 | $22.75 | 3.0× |
| Northside Hospital Cherokee | Canton, GA | $69 | $92 | $22.75 | 3.0× |
| Northside Hospital Gwinnett | Lawrenceville, GA | $69 | $92 | $22.75 | 3.0× |
| Northside Hospital Atlanta | Atlanta, GA | $69 | $92 | $22.75 | 3.0× |
| Northside Hospital Duluth | Duluth, GA | $69 | $92 | $22.75 | 3.0× |
| The Christ Hospital | Cincinnati, OH | $69 | $115 | $22.75 | 3.0× |
| White Mountain Regional Medical Center | Springerville, AZ | $69.31 | $121.60 | $22.75 | 3.0× |
| Tennova North Knoxville Medical Center | Powell, TN | $69.60 | $307.28 | $22.75 | 3.1× |
| Evanston Regional Hospital | Evanston, WY | $69.85 | $116.42 | $22.75 | 3.1× |
| USA Health Providence Hospital | Mobile, AL | $70 | $70 | $22.75 | 3.1× |
| Tippah County Hospital | Ripley, MS | $70 | $70 | $22.75 | 3.1× |
| Brown University Health Morton Hospital | Taunton, MA | $70.19 | $70.19 | $22.75 | 3.1× |
| Christian Hospital | St. Louis, MO | $70.20 | $117 | $22.75 | 3.1× |
| St. Catherine Hospital Inc | East Chicago, IN | $70.20 | $117 | $22.75 | 3.1× |
| St. Mary Medical Center Inc | Hobart, IN | $70.20 | $117 | $22.75 | 3.1× |
| Community Hospital | Munster, IN | $70.20 | $117 | $22.75 | 3.1× |
| Iowa Specialty Hospital - Belmond | Belmond, IA | $70.80 | $118 | $22.75 | 3.1× |
| Mercy Hospital Fort Smith | Fort Smith, AR | $70.85 | $109 | $22.75 | 3.1× |
| Watsonville Community Hospital | Watsonville, CA | $70.89 | $118.15 | $22.75 | 3.1× |
| Jackson Hospital | Marianna, FL | $71 | $10 | $22.75 | 3.1× |
| St. Anthony Hospital | Pendleton, OR | $71.54 | $105 | $22.75 | 3.1× |
| Dorminy Medical Center | Fitzgerald, GA | $71.63 | $143.25 | $22.75 | 3.1× |
| Desoto Memorial Hospital | Arcadia, FL | $72 | $144 | $22.75 | 3.2× |
| Ochsner Abrom Kaplan Memorial Hospital | Kaplan, LA | $72 | $160 | $22.75 | 3.2× |
| Corona Regional Medical Center range across 3 matching MRF lines |
Corona, CA | $72–$86 | $3–$216 | $22.75 | varies |
| Memorial Medical Center | Port Lavaca, TX | $72.10 | $103 | $22.75 | 3.2× |
| Sampson Regional Medical Center | Clinton, NC | $72.10 | $103 | $22.75 | 3.2× |
| Tennova Newport Medical Center | Newport, TN | $72.21 | $307.28 | $22.75 | 3.2× |
| UT Health East Texas Henderson Hospital | Henderson, TX | $72.80 | $728 | $22.75 | 3.2× |
| Benson Hospital | Benson, AZ | $72.96 | $152 | $22.75 | 3.2× |
| Community Memorial Hospital | Burke, SD | $73.34 | $103 | $22.75 | 3.2× |
| Mercy Medical Center | Springfield, MA | $73.45 | $113 | $22.75 | 3.2× |
| MultiCare Capital Medical Center | Olympia, WA | $73.60 | $184 | $22.75 | 3.2× |
| INTEGRIS Health Enid Hospital | Enid, OK | $73.80 | $369 | $22.75 | 3.2× |
| Lakeside Women's Hospital, A Member of INTEGRIS He | Oklahoma City, OK | $73.80 | $369 | $22.75 | 3.2× |
| INTEGRIS Canadian Valley Hospital | Yukon, OK | $73.80 | $369 | $22.75 | 3.2× |
| INTEGRIS Health Edmond Hospital | Edmond, OK | $73.80 | $369 | $22.75 | 3.2× |
| UT Health East Texas Pittsburg Hospital | Pittsburg, TX | $73.82 | $738.20 | $22.75 | 3.2× |
| Starr County Memorial Hospital | Rio Grande City, TX | $74 | $74 | $22.75 | 3.3× |
| Onvida Health Yuma Medical Center range across 2 matching MRF lines |
Yuma, AZ | $74.10–$104.65 | $114–$161 | $22.75 | varies |
| East Valley ER & Hospital range across 2 matching MRF lines |
Gilbert, AZ | $74.25–$148.50 | $165–$330 | $22.75 | varies |
| Alexandria Emergency Hospital range across 2 matching MRF lines |
Alexandria, LA | $74.25–$148.50 | $165–$330 | $22.75 | varies |
| Memorial Hospital of Texas County Authority | Guymon, OK | $74.40 | $93 | $22.75 | 3.3× |
| Adirondack Medical Center - Saranac Lake | Saranac Lake, NY | $74.40 | $120 | $22.75 | 3.3× |
| Franciscan Health Dyer | Dyer, IN | $74.79 | $277 | $22.75 | 3.3× |
| Bleckley Memorial Hospital | Cochran, GA | $75.24 | $198 | $22.75 | 3.3× |
| Highpoint Health – Winchester with Ascension Saint Thomas | Winchester, TN | $75.39 | $305.21 | $22.75 | 3.3× |
| Mercy Hospital Ardmore, Inc | Ardmore, OK | $76.05 | $117 | $22.75 | 3.3× |
| Elite Hospital Kingwood | Kingwood, TX | $76.14 | $152.28 | $22.75 | 3.3× |
| St. Joseph Medical Center | Houston, TX | $76.63 | $76.63 | $22.75 | 3.4× |
| Glenwood Regional Medical Center | West Monroe, LA | $76.63 | $76.63 | $22.75 | 3.4× |
| UK King's Daughters Medical Center | Ashland, KY | $77.70 | $194.24 | $22.75 | 3.4× |
| Dardanelle Regional Medical Center | Dardanelle, AR | $77.70 | $199.24 | $22.75 | 3.4× |
| Franciscan Health Michigan City | Michigan City, IN | $77.79 | $374 | $22.75 | 3.4× |
| Nacogdoches Medical Center | Nacogdoches, TX | $78 | $104 | $22.75 | 3.4× |
| El Campo Memorial Hospital | El Campo, TX | $78 | $78 | $22.75 | 3.4× |
| Palacios Community Medical Center | Palacios, TX | $78 | $78 | $22.75 | 3.4× |
| Mid Coast Medical Center - Central | Llano, TX | $78 | $78 | $22.75 | 3.4× |
| Mid Coast Medical Center-trinity | Trinity, TX | $78 | $78 | $22.75 | 3.4× |
| Minden Medical Center | Minden, LA | $78 | $260 | $22.75 | 3.4× |
| Oak Valley Hospital District | Oakdale, CA | $78.19 | $104.25 | $22.75 | 3.4× |
| Sanford Webster Medical Center | Webster, SD | $78.40 | $98 | $22.75 | 3.4× |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $79.38 | $189 | $22.75 | 3.5× |
| CHI Health Immanuel | Omaha, NE | $79.38 | $189 | $22.75 | 3.5× |
| CHI Health Midlands | Papillion, NE | $79.38 | $189 | $22.75 | 3.5× |
| CHI Health Lakeside | Omaha, NE | $79.38 | $189 | $22.75 | 3.5× |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $79.38 | $189 | $22.75 | 3.5× |
| Putnam County Hospital | Greencastle, IN | $79.56 | $93.60 | $22.75 | 3.5× |
| St. Charles Bend Campus | Bend, OR | $80.06 | $100.07 | $22.75 | 3.5× |
| St. Charles Medical Center Prineville | Prineville, OR | $80.06 | $100.07 | $22.75 | 3.5× |
| St. Charles Madras | Madras, OR | $80.06 | $100.07 | $22.75 | 3.5× |
| Emerson Hospital | West Concord, MA | $80.25 | $107 | $22.75 | 3.5× |
| Garnet Health Medical Center - Catskills range across 2 matching MRF lines |
Harris, NY | $80.66–$83.62 | $436–$452 | $22.75 | varies |
| Garnet Health Medical Center - Catskills - Grover M. Hermann Hospital range across 2 matching MRF lines |
Callicoon, NY | $80.66–$83.62 | $436–$452 | $22.75 | varies |
| UP Health System - Portage | Hancock, MI | $80.73 | $134.55 | $22.75 | 3.5× |
| North Shore Health | Grand Marais, MN | $80.96 | $88 | $22.75 | 3.6× |
| Touchette Regional Hospital Inc | Centreville, IL | $81.53 | $131.50 | $22.75 | 3.6× |
| Granville Medical Center | Oxford, NC | $81.60 | $102 | $22.75 | 3.6× |
| MercyOne Genesis range across 4 matching MRF lines |
Davenport, IA | $81.60–$85.80 | $136–$143 | $22.75 | varies |
| Story County Hospital | Nevada, IA | $81.60 | $102 | $22.75 | 3.6× |
| MercyOne Genesis Silvis Medical Center range across 2 matching MRF lines |
Silvis, IL | $81.60–$85.80 | $136–$143 | $22.75 | varies |
| McKenzie-willamette Medical Center | Springfield, OR | $81.68 | $136.13 | $22.75 | 3.6× |
| INTEGRIS Baptist Medical Center, Inc | Oklahoma City, OK | $82 | $410 | $22.75 | 3.6× |
| INTEGRIS Southwest Medical Center | Oklahoma City, OK | $82 | $410 | $22.75 | 3.6× |
| Sanford Vermillion Medical Center | Vermillion, SD | $82.40 | $103 | $22.75 | 3.6× |
| SageWest Health Care (Riverton Campus) | Riverton, WY | $82.80 | $138 | $22.75 | 3.6× |
| SageWest Health Care (Lander Campus) | Lander, WY | $82.80 | $138 | $22.75 | 3.6× |
| Tennova LaFollette Medical Center | LaFollette, TN | $82.97 | $307.28 | $22.75 | 3.6× |
| UT Health East Texas Quitman Hospital | Quitman, TX | $83.72 | $837.20 | $22.75 | 3.7× |
| Beaufort Memorial | Beaufort, SC | $84 | $140 | $22.75 | 3.7× |
| Sanford Clear Lake Medical Center | Clear Lake, SD | $84 | $105 | $22.75 | 3.7× |
| Rawlins County Health Center | Atwood, KS | $84.15 | $99 | $22.75 | 3.7× |
| JPS Health Network | Fort Worth, TX | $84.60 | $141 | $22.75 | 3.7× |
| Nashville General Hospital | Nashville, TN | $84.60 | $141 | $22.75 | 3.7× |
| UT Health East Texas Jacksonville Hospital | Jacksonville, TX | $84.70 | $847 | $22.75 | 3.7× |
| Richardson Medical Center | Rayville, LA | $84.75 | $113 | $22.75 | 3.7× |
| Coleman County Medical Center Company | Coleman, TX | $85 | $170 | $22.75 | 3.7× |
| Maniilaq Health Center | Kotzebue, AK | $85 | $85 | $22.75 | 3.7× |
| UP Health System - Bell | Ishpeming, MI | $85.28 | $142.14 | $22.75 | 3.7× |
| Erie County Medical Center | Buffalo, NY | $85.43 | — | $22.75 | 3.8× |
| Mount Sinai Hospital | New York, NY | $85.50 | $95 | $22.75 | 3.8× |
| Mount Sinai West | New York, NY | $85.50 | $95 | $22.75 | 3.8× |
| Mount Sinai Brooklyn | Brooklyn, NY | $85.50 | $95 | $22.75 | 3.8× |
| Chesapeake Regional Medical Center | Chesapeake, VA | $85.55 | $142.58 | $22.75 | 3.8× |
| Sanford Luverne Medical Center | Luverne, MN | $85.60 | $107 | $22.75 | 3.8× |
| Titus Regional Medical Center | Mount Pleasant, TX | $85.80 | $143 | $22.75 | 3.8× |
| Bellville Medical Center | Bellville, TX | $86 | $86 | $22.75 | 3.8× |
| North Sunflower Medical Center | Ruleville, MS | $86 | $172 | $22.75 | 3.8× |
| Bridgeport Hospital | Bridgeport, CT | $86.32 | $166 | $22.75 | 3.8× |
| Greenwich Hospital | Greenwich, CT | $86.32 | $166 | $22.75 | 3.8× |
| ECU Health Edgecombe Hospital | Tarboro, NC | $87.36 | $156 | $22.75 | 3.8× |
| Northeast Georgia Medical Center Gainesville | Gainesville, GA | $87.40 | $190 | $22.75 | 3.8× |
| Northeast Georgia Medical Center Habersham | Demorest, GA | $87.40 | $190 | $22.75 | 3.8× |
| Northeast Georgia Medical Center Barrow | Winder, GA | $87.40 | $190 | $22.75 | 3.8× |
| Northeast Georgia Medical Center Lumpkin | Dahlonega, GA | $87.40 | $190 | $22.75 | 3.8× |
| Franciscan Health Rensselaer, Inc | Rensselaer, IN | $87.71 | $245 | $22.75 | 3.9× |
| Mercy Hospital Watonga, Inc | Watonga, OK | $87.75 | $135 | $22.75 | 3.9× |
| Mercy Hospital Kingfisher, Inc | Kingfisher, OK | $87.75 | $135 | $22.75 | 3.9× |
| Mercy Hospital Logan County, Inc | Guthrie, OK | $87.75 | $135 | $22.75 | 3.9× |
| F W Huston Medical Center | Winchester, KS | $87.82 | $109.77 | $22.75 | 3.9× |
| Bristol Hospital | Bristol, CT | $87.85 | $159.71 | $22.75 | 3.9× |
| Rutherford Regional Medical Center | Rutherfordton, NC | $87.88 | $219.71 | $22.75 | 3.9× |
| MultiCare Deaconess Hospital | Spokane, WA | $88.40 | $221 | $22.75 | 3.9× |
| MultiCare Valley Hospital | Spokane, WA | $88.40 | $221 | $22.75 | 3.9× |
| ECU Health Roanoke-Chowan Hospital | Ahoskie, NC | $89.04 | $159 | $22.75 | 3.9× |
| ECU Health Chowan Hospital | Edenton, NC | $89.04 | $159 | $22.75 | 3.9× |
| Nell J. Redfield Memorial Hospital | Malad, ID | $89.10 | $104.82 | $22.75 | 3.9× |
| Unity Hospital of Rochester | Rochester, NY | $89.32 | $111.65 | $22.75 | 3.9× |
| Unity Specialty Hospital | Rochester, NY | $89.32 | $111.65 | $22.75 | 3.9× |
| Bonner General Health | Sandpoint, ID | $89.66 | $112.08 | $22.75 | 3.9× |
| Whitfield Regional Hospital | Demopolis, AL | $90 | $150 | $22.75 | 4.0× |
| Madison Memorial Hospital range across 4 matching MRF lines |
Rexburg, ID | $90–$98.25 | $120–$131 | $22.75 | varies |
| Bon Secours St. Francis Downtown | Greenville, SC | $90.60 | $151 | $22.75 | 4.0× |
| Bon Secours St. Francis Hospital | Charleston, SC | $90.60 | $151 | $22.75 | 4.0× |
| ECU Health Duplin Hospital | Kenansville, NC | $90.72 | $162 | $22.75 | 4.0× |
| Monroe Regional Hospital | Aberdeen, MS | $91 | $91 | $22.75 | 4.0× |
| Brown University Health Saint Anne's Hospital | Fall River, MA | $91.12 | $91.12 | $22.75 | 4.0× |
| Rolling Plains Memorial Hospital | Sweetwater, TX | $92 | $142 | $22.75 | 4.0× |
| Henderson Community Hospital | Henderson, NE | $92 | $115 | $22.75 | 4.0× |
| Mangum Regional Medical Center | Mangum, OK | $92 | $200 | $22.75 | 4.0× |
| ECU Health Bertie Hospital | Windsor, NC | $92.40 | $165 | $22.75 | 4.1× |
| Kaiser Sunnyside Medical Center | Clackamas, OR | $92.65 | $109 | $22.75 | 4.1× |
| Kaiser Foundation Hospital Westside | Hillsboro, OR | $92.65 | $109 | $22.75 | 4.1× |
| River Hospital | Alexandria Bay, NY | $92.91 | $113 | $22.75 | 4.1× |
| Gadsden Regional Medical Center | Gadsden, AL | $92.96 | $774.68 | $22.75 | 4.1× |
| Daviess Community Hospital | Washington, IN | $93.80 | $134 | $22.75 | 4.1× |
| Crane County Hospital District | Crane, TX | $94 | $134 | $22.75 | 4.1× |
| Stephens Memorial Hospital range across 2 matching MRF lines |
Breckenridge, TX | $94.50–$99.23 | $135–$141.75 | $22.75 | varies |
| Ozark Health | Clinton, AR | $94.64 | $182 | $22.75 | 4.2× |
| Gibson Community Hospital | Gibson City, IL | $95 | $95 | $22.75 | 4.2× |
| Donalsonville Hospital | Donalsonville, GA | $95.20 | $112 | $22.75 | 4.2× |
| Madison Health | London, OH | $95.20 | $119 | $22.75 | 4.2× |
| Rockcastle Regional Hospital and Respiratory Care Center | Mount Vernon, KY | $95.76 | $126 | $22.75 | 4.2× |
| Outer Banks Health Hospital | Nags Head, NC | $96.32 | $172 | $22.75 | 4.2× |
| Broadlawns Medical Center | Des Moines, IA | $97 | $97 | $22.75 | 4.3× |
| St. Mary's Healthcare | Amsterdam, NY | $97.16 | $141 | $22.75 | 4.3× |
| ECU Health North Hospital | Roanoke Rapids, NC | $97.44 | $174 | $22.75 | 4.3× |
| Mercy Hospital Lincoln | Troy, MO | $97.50 | $150 | $22.75 | 4.3× |
| Yale New Haven Hospital | New Haven, CT | $97.94 | $166 | $22.75 | 4.3× |
| Sanford Canton-inwood Medical Center - Cah | Canton, SD | $98.40 | $123 | $22.75 | 4.3× |
| Centerpoint Health – Versailles | Versailles, KY | $99.32 | $248.30 | $22.75 | 4.4× |
| Mercy Hospital Northwest Arkansas | Rogers, AR | $99.45 | $153 | $22.75 | 4.4× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $99.55 | $165.91 | $22.75 | 4.4× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $99.55 | $165.91 | $22.75 | 4.4× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $99.55 | $165.91 | $22.75 | 4.4× |
| Scott & White Hospital-round Rock | Round Rock, TX | $99.55 | $165.91 | $22.75 | 4.4× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $99.55 | $165.91 | $22.75 | 4.4× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $99.55 | $165.91 | $22.75 | 4.4× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $99.55 | $165.91 | $22.75 | 4.4× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $99.55 | $165.91 | $22.75 | 4.4× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $99.55 | $165.91 | $22.75 | 4.4× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $99.55 | $165.91 | $22.75 | 4.4× |
| Monument Health Spearfish Hospital | Spearfish, SD | $100 | $125 | $22.75 | 4.4× |
| Monument Health Rapid City Hospital | Rapid City, SD | $100 | $125 | $22.75 | 4.4× |
| Monument Health Sturgis Hospital | Sturgis, SD | $100 | $125 | $22.75 | 4.4× |
| Three Rivers Medical Center | Louisa, KY | $100.37 | $167.29 | $22.75 | 4.4× |
| Cheyenne Regional Medical Center | Cheyenne, WY | $100.63 | $143.75 | $22.75 | 4.4× |
| Frankfort Regional Medical Center range across 2 matching MRF lines |
Frankfort, KY | $101.09–$243.05 | $101.09–$243.05 | $22.75 | varies |
| Kaiser Permanente Central Hospital | Seattle, WA | $101.60 | $127 | $22.75 | 4.5× |
| SCK Health | Arkansas City, KS | $101.65 | $101.65 | $22.75 | 4.5× |
| Regional Medical Center | Anniston, AL | $101.79 | $156.60 | $22.75 | 4.5× |
| Caldwell Medical Center | Princeton, KY | $101.82 | $135.76 | $22.75 | 4.5× |
| Graham Regional Medical Center | Graham, TX | $102 | $102 | $22.75 | 4.5× |
| Acadia St. Landry Hospital | Church Point, LA | $102.38 | $136.50 | $22.75 | 4.5× |
| Cherry County Hospital | Valentine, NE | $102.55 | $102.55 | $22.75 | 4.5× |
| Community Hospital East | Indianapolis, IN | $102.60 | $171 | $22.75 | 4.5× |
| Jackson Purchase Medical Center | Mayfield, KY | $103.45 | $258.62 | $22.75 | 4.5× |
| Paris Community Hospital | Paris, IL | $103.50 | $138 | $22.75 | 4.5× |
| Northeastern Nevada Regional Hospital | Elko, NV | $104.29 | $148.98 | $22.75 | 4.6× |
| Memorial Medical Center | Las Cruces, NM | $104.33 | $173.89 | $22.75 | 4.6× |
| Onslow Memorial Hospital range across 3 matching MRF lines |
Jacksonville, NC | $104.54–$153.18 | $104.54–$153.18 | $22.75 | varies |
| St. Joseph's Hospital | Highland, IL | $105.12 | $146 | $22.75 | 4.6× |
| Mountain West Medical Center | Tooele, UT | $106.31 | $177.19 | $22.75 | 4.7× |
| Wayne County Hospital | Monticello, KY | $106.44 | $163.75 | $22.75 | 4.7× |
| Summerlin Hospital Medical Center range across 2 matching MRF lines |
Las Vegas, NV | $106.80–$138.80 | $267–$347 | $22.75 | varies |
| Spring Valley Hospital Medical Center range across 2 matching MRF lines |
Las Vegas, NV | $106.80–$138.80 | $267–$347 | $22.75 | varies |
| Centennial Hills Hospital Medical Center range across 2 matching MRF lines |
Las Vegas, NV | $106.80–$138.80 | $267–$347 | $22.75 | varies |
| Henderson Hospital range across 2 matching MRF lines |
Henderson, NV | $106.80–$138.80 | $267–$347 | $22.75 | varies |
| West Henderson Hospital range across 2 matching MRF lines |
Henderson, NV | $106.80–$138.80 | $267–$347 | $22.75 | varies |
| Frio Regional Hospital | Pearsall, TX | $108 | $154 | $22.75 | 4.7× |
| Amberwell Hiawatha range across 2 matching MRF lines |
Hiawatha, KS | $108–$151 | $108–$151 | $22.75 | varies |
| Amberwell Atchison Association range across 2 matching MRF lines |
Atchison, KS | $108–$151 | $108–$151 | $22.75 | varies |
| Optim Medical Center-Screven range across 2 matching MRF lines |
Sylvania, GA | $108.44–$216.88 | $108.44–$216.88 | $22.75 | varies |
| Mercy Medical Center | Roseburg, OR | $108.79 | $204 | $22.75 | 4.8× |
| Franklin Hospital range across 3 matching MRF lines |
Benton, IL | $109.50–$190.13 | $146–$253.50 | $22.75 | varies |
| Quincy Valley Medical Center | Quincy, WA | $109.52 | $109.52 | $22.75 | 4.8× |
| Southwest Medical Center range across 2 matching MRF lines |
Liberal, KS | $110–$201.20 | $137.50–$251.50 | $22.75 | varies |
| St. Catherine Hospital - Dodge City | Dodge City, KS | $110.05 | $275.11 | $22.75 | 4.8× |
| Allendale County Hospital | Fairfax, SC | $110.08 | $129.50 | $22.75 | 4.8× |
| East Georgia Regional Medical Center | Statesboro, GA | $111.24 | $412 | $22.75 | 4.9× |
| Adventist Health Tillamook | Tillamook, OR | $111.78 | $207 | $22.75 | 4.9× |
| Baylor Scott & White Emergency Hospital | Aubrey, TX | $111.86 | $186.43 | $22.75 | 4.9× |
| Baylor Scott and White Emergency Hospital | Burleson, TX | $111.86 | $186.43 | $22.75 | 4.9× |
| Boundary Community Hospital | Bonners Ferry, ID | $112 | $140 | $22.75 | 4.9× |
| Osf Sacred Heart Medical Center | Danville, IL | $112.20 | $187 | $22.75 | 4.9× |
| Osf Heart of Mary Medical Center | Urbana, IL | $112.20 | $187 | $22.75 | 4.9× |
| Hancock Regional Hospital | Greenfield, IN | $112.80 | $141 | $22.75 | 5.0× |
| HCA Florida Kendall Hospital | Miami, FL | $113 | $113 | $22.75 | 5.0× |
| Lost Rivers Medical Center | Arco, ID | $113.60 | $142 | $22.75 | 5.0× |
| Wetzel County Hospital | New Martinsville, WV | $114 | $228 | $22.75 | 5.0× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $114.48 | $190.80 | $22.75 | 5.0× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $114.48 | $190.80 | $22.75 | 5.0× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $114.48 | $190.80 | $22.75 | 5.0× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $114.48 | $190.80 | $22.75 | 5.0× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $114.48 | $190.80 | $22.75 | 5.0× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $114.48 | $190.80 | $22.75 | 5.0× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $114.48 | $190.80 | $22.75 | 5.0× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $114.48 | $190.80 | $22.75 | 5.0× |
| Baylor Regional Medical Center at Plano | Plano, TX | $114.48 | $190.80 | $22.75 | 5.0× |
| The Heart Hospital Baylor Denton | Denton, TX | $114.48 | $190.80 | $22.75 | 5.0× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $114.48 | $190.80 | $22.75 | 5.0× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $114.48 | $190.80 | $22.75 | 5.0× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $114.48 | $190.80 | $22.75 | 5.0× |
| Rangely District Hospital | Rangely, CO | $114.74 | $176.53 | $22.75 | 5.0× |
| Longmont United Hospital | Longmont, CO | $114.87 | $287.17 | $22.75 | 5.0× |
| St. Anthony Hospital | Lakewood, CO | $114.87 | $287.17 | $22.75 | 5.0× |
| Penrose Hospital | Colorado Springs, CO | $114.87 | $287.17 | $22.75 | 5.0× |
| St. Anthony North Health Campus | Westminster, CO | $114.87 | $287.17 | $22.75 | 5.0× |
| OrthoColorado Hospital | Lakewood, CO | $114.87 | $287.17 | $22.75 | 5.0× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $114.87 | $287.17 | $22.75 | 5.0× |
| Doctors Hospital of Laredo range across 2 matching MRF lines |
Laredo, TX | $115.20–$191.60 | $288–$479 | $22.75 | varies |
| Northern Nevada Medical Center range across 3 matching MRF lines |
Sparks, NV | $115.20–$334.80 | $288–$837 | $22.75 | varies |
| Dallas County Hospital | Perry, IA | $116 | $179 | $22.75 | 5.1× |
| Mimbres Valley Medical Center | Deming, NM | $116.91 | $233.82 | $22.75 | 5.1× |
| Fort Duncan Medical Center | Eagle Pass, TX | $117.20 | $293 | $22.75 | 5.2× |
| Ellis Hospital | Schenectady, NY | $117.50 | $235 | $22.75 | 5.2× |
| Mercy Hospital Ada | Ada, OK | $117.65 | $181 | $22.75 | 5.2× |
| Othello Community Hospital | Othello, WA | $117.75 | $157 | $22.75 | 5.2× |
| ECU Health Medical Center | Greenville, NC | $119.78 | $226 | $22.75 | 5.3× |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus | Milwaukee, WI | $119.78 | $226 | $22.75 | 5.3× |
| Stevens County Hospital | Hugoton, KS | $120 | $120 | $22.75 | 5.3× |
| Ascension St. Vincent Williamsport | Williamsport, IN | $121.80 | $203 | $22.75 | 5.4× |
| Kaiser Permanente Moanalua Medical Center | Honolulu, HI | $122.25 | $163 | $22.75 | 5.4× |
| Sanford Sheldon Medical Center | Sheldon, IA | $122.40 | $153 | $22.75 | 5.4× |
| Sanford Chamberlain Medical Center | Chamberlain, SD | $122.40 | $153 | $22.75 | 5.4× |
| Kettering Health Greene Memorial | Xenia, OH | $122.40 | $306 | $22.75 | 5.4× |
| Kettering Health Main Campus | Kettering, OH | $122.40 | $306 | $22.75 | 5.4× |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | $122.40 | $306 | $22.75 | 5.4× |
| Kettering Health Dayton | Dayton, OH | $122.40 | $306 | $22.75 | 5.4× |
| Kettering Health Miamisburg | Miamisburg, OH | $122.40 | $306 | $22.75 | 5.4× |
| Soin Medical Center | Beaver Creek, OH | $122.40 | $306 | $22.75 | 5.4× |
| Kettering Health Troy | Troy, OH | $122.40 | $306 | $22.75 | 5.4× |
| Mille Lacs Health System | Onamia, MN | $122.50 | $175 | $22.75 | 5.4× |
| The Hospitals of Providence Memorial Campus | El Paso, TX | $123 | $164 | $22.75 | 5.4× |
| Great Plains Regional Medical Center | Elk City, OK | $123.69 | $190.29 | $22.75 | 5.4× |
| Ed Fraser Memorial Hospital | Macclenny, FL | $125 | $125 | $22.75 | 5.5× |
| Salina Regional Health Center | Salina, KS | $125.44 | $179.20 | $22.75 | 5.5× |
| North Central Kansas Medical Center | Concordia, KS | $125.44 | $179.20 | $22.75 | 5.5× |
| Lindsborg Community Hospital | Lindsborg, KS | $125.44 | $179.20 | $22.75 | 5.5× |
| Bolivar Medical Center | Cleveland, MS | $125.97 | $314.92 | $22.75 | 5.5× |
| Lewis County General Hospital range across 2 matching MRF lines |
Lowville, NY | $126.62–$141.42 | $154–$172 | $22.75 | varies |
| Windom Area Health | Windom, MN | $127.16 | $187 | $22.75 | 5.6× |
| Culberson Hospital | Van Horn, TX | $127.50 | $170 | $22.75 | 5.6× |
| Howard University Hospital | Washington, DC | $129.74 | $162.18 | $22.75 | 5.7× |
| Manatee Memorial Hospital range across 2 matching MRF lines |
Bradenton, FL | $130–$139.60 | $325–$349 | $22.75 | varies |
| Lakewood Ranch Medical Center range across 2 matching MRF lines |
Bradenton, FL | $130–$139.60 | $325–$349 | $22.75 | varies |
| Uintah Basin Medical Center range across 2 matching MRF lines |
Roosevelt, UT | $130.28–$136.80 | $144.75–$152 | $22.75 | varies |
| Osf Saint Paul Medical Center | Mendota, IL | $130.40 | $163 | $22.75‡ | 5.7× |
| The Hospitals of Providence Horizon City Campus | Horizon City, TX | $130.80 | $163.50 | $22.75 | 5.7× |
| University Medical Center | Las Vegas, NV | $130.80 | $436 | $22.75 | 5.7× |
| Yoakum County Hospital | Denver City, TX | $131 | $131 | $22.75 | 5.8× |
| Morrill County Community Hospital | Bridgeport, NE | $134 | $143 | $22.75 | 5.9× |
| St. Charles Surgical Hospital | New Orleans, LA | $135.77 | $385 | $22.75 | 6.0× |
| Wythe County Community Hospital | Wytheville, VA | $138.54 | $346.34 | $22.75 | 6.1× |
| Ascension St. Vincent Clay | Brazil, IN | $138.60 | $231 | $22.75 | 6.1× |
| Drumright Regional Hospital | Drumright, OK | $139.20 | $232 | $22.75 | 6.1× |
| Bibb Medical Center | Centreville, AL | $139.65 | $139.65 | $22.75 | 6.1× |
| Western Arizona Regional Medical Center | Bullhead City, AZ | $140.09 | $1,167.39 | $22.75 | 6.2× |
| Bigfork Valley Hospital | Bigfork, MN | $141.08 | $198.70 | $22.75 | 6.2× |
| Goodland Regional Medical Center | Goodland, KS | $141.30 | $157 | $22.75 | 6.2× |
| Memorial Hospital at Craig | Craig, CO | $141.65 | $217.93 | $22.75 | 6.2× |
| South Lyon Medical Center | Yerington, NV | $142.10 | $203 | $22.75 | 6.2× |
| Sanford Jackson Medical Center | Jackson, MN | $143.20 | $179 | $22.75 | 6.3× |
| Fairfield Memorial Hospital 1 | Fairfield, IL | $143.20 | $179 | $22.75 | 6.3× |
| Heywood Hospital | Gardner, MA | $145 | $145 | $22.75 | 6.4× |
| Athol Hospital | Athol, MA | $146 | $146 | $22.75 | 6.4× |
| Mercy Hospital Lebanon | Lebanon, MO | $146.90 | $226 | $22.75 | 6.5× |
| Mercy Hospital Springfield | Springfield, MO | $146.90 | $226 | $22.75 | 6.5× |
| Glen Rose Medical Center | Glen Rose, TX | $148 | $148 | $22.75 | 6.5× |
| Danbury Hospital | Danbury, CT | $148 | $148 | $22.75 | 6.5× |
| St. Mary's Regional Medical Center range across 2 matching MRF lines |
Enid, OK | $148.80–$211.60 | $372–$529 | $22.75 | varies |
| Bayside Community Hospital range across 3 matching MRF lines |
Anahuac, TX | $149–$267 | $149–$267 | $22.75 | varies |
| George Washington University Hospital | Washington, DC | $149.60 | $374 | $22.75 | 6.6× |
| Cedar Hill Regional Medical Center GW Health | Washington, DC | $149.60 | $374 | $22.75 | 6.6× |
| Logan Regional Medical Center | Logan, WV | $149.60 | $374 | $22.75 | 6.6× |
| Dignity Health, Yavapai Regional Medical Center West | Prescott, AZ | $149.89 | $202 | $22.75 | 6.6× |
| Comanche County Medical Center | Comanche, TX | $150.80 | $232 | $22.75 | 6.6× |
| Sanford Westbrook Medical Center | Westbrook, MN | $151.20 | $189 | $22.75 | 6.6× |
| Sanford Tracy Medical Center | Tracy, MN | $151.20 | $189 | $22.75 | 6.6× |
| INTEGRIS Health Woodward | Woodward, OK | $154.40 | $772 | $22.75 | 6.8× |
| INTEGRIS Health Ponca City | Ponca City, OK | $154.40 | $772 | $22.75 | 6.8× |
| Blue Mountain Hospital | John Day, OR | $154.50 | $206 | $22.75 | 6.8× |
| Saint Francis Hospital-Memphis range across 3 matching MRF lines |
Memphis, TN | $156–$167.25 | $208–$223 | $22.75 | varies |
| Los Alamos Medical Center | Los Alamos, NM | $157.82 | $263.04 | $22.75 | 6.9× |
| Ascension St. Vincent Kokomo | Kokomo, IN | $160.20 | $267 | $22.75 | 7.0× |
| Resolute Health Hospital range across 2 matching MRF lines |
New Braunfels, TX | $163.50–$192 | $218–$256 | $22.75 | varies |
| Upson Regional Medical Center | Thomaston, GA | $163.80 | $273 | $22.75 | 7.2× |
| Vanderbilt Clarksville Hospital | Clarksville, TN | $165.17 | $851.32 | $22.75 | 7.3× |
| Lake Cumberland Regional Hospital | Somerset, KY | $166.40 | $416.01 | $22.75 | 7.3× |
| Springhill Medical Center | Mobile, AL | $167.22 | $196.73 | $22.75 | 7.4× |
| Sibley Memorial Hospital range across 2 matching MRF lines |
Washington, DC | $168–$262 | $168–$262 | $22.75 | varies |
| HealthAlliance-Clinton Hospital (Leominster and Clinton campuses) | Leominster, MA | $168 | $168 | $22.75 | 7.4× |
| UMass Memorial Health–Harrington Hospital | Southbridge, MA | $168 | $168 | $22.75 | 7.4× |
| UMass Memorial Medical Center | Worcester, MA | $168 | $168 | $22.75 | 7.4× |
| Mercy Hospital Oklahoma City, Inc | Oklahoma City, OK | $169 | $260 | $22.75 | 7.4× |
| Westchester Medical Center | Valhalla, NY | $170 | $170 | $22.75 | 7.5× |
| Lexington Medical Center | West Columbia, SC | $173 | $173 | $22.75 | 7.6× |
| Sarah Bush Lincoln Fayette County Hospital | Vandalia, IL | $174 | $174 | $22.75 | 7.6× |
| Faith Community Hospital | Jacksboro, TX | $174.13 | $248.75 | $22.75 | 7.7× |
| Brigham and Women's Faulkner Hospital | Boston, MA | $174.75 | $233 | $22.75 | 7.7× |
| Mercy Hospital Jefferson | Festus, MO | $176.15 | $271 | $22.75 | 7.7× |
| Memorial Satilla Health | Waycross, GA | $178.25 | $178.25 | $22.75 | 7.8× |
| Memorial Hospital | Abilene, KS | $179.20 | $179.20 | $22.75 | 7.9× |
| Baytown Medical Center Lp | Baytown, TX | $180 | $180 | $22.75 | 7.9× |
| Altus Houston Hospital, Lp | Houston, TX | $180 | $180 | $22.75 | 7.9× |
| Carle Eureka Hospital | Eureka, IL | $180 | $180 | $22.75 | 7.9× |
| Mountainview Medical Center | White Sulphur Spring, MT | $181.42 | $226.78 | $22.75 | 8.0× |
| Ascension St. Vincent Evansville | Evansville, IN | $183 | $305 | $22.75 | 8.0× |
| Eastern Idaho Regional Medical Center | Idaho Falls, ID | $184.06 | $184.06 | $22.75 | 8.1× |
| First Care Health Center | Park River, ND | $185 | $185 | $22.75 | 8.1× |
| Buchanan County Health Center | Independence, IA | $187.08 | $220.10 | $22.75 | 8.2× |
| Box Butte General Hospital | Alliance, NE | $187.20 | $208 | $22.75 | 8.2× |
| Mesa View Regional Hospital | Mesquite, NV | $187.48 | $312.46 | $22.75 | 8.2× |
| Northwest Texas Hospital | Amarillo, TX | $188.40 | $471 | $22.75 | 8.3× |
| CHRISTUS Santa Rosa Medical Center | San Antonio, TX | $191.07 | $579 | $22.75 | 8.4× |
| Good Samaritan Medical Center | West Palm Beach, FL | $191.25 | $255 | $22.75 | 8.4× |
| Valley View Hospital range across 3 matching MRF lines |
Glenwood Springs, CO | $192.10–$360.40 | $226–$424 | $22.75 | varies |
| Tallahassee Memorial Hospital | Tallahassee, FL | $197.40 | $282 | $22.75 | 8.7× |
| Laredo Medical Center | Laredo, TX | $197.65 | $823.55 | $22.75 | 8.7× |
| Ascension St. Vincent Mercy | Elwood, IN | $198 | $330 | $22.75 | 8.7× |
| Franklin County Memorial Hospital | Meadville, MS | $199 | $199 | $22.75 | 8.7× |
| South Texas Health System Behavioral | Edinburg, TX | $201.20 | $503 | $22.75 | 8.8× |
| Spring View Hospital | Lebanon, KY | $204.46 | $511.15 | $22.75 | 9.0× |
| Southern Tennessee Regional Health System - Pulaski | Pulaski, TN | $205.02 | $699.74 | $22.75 | 9.0× |
| Methodist Hospitals Inc | Gary, IN | $205.10 | $293 | $22.75 | 9.0× |
| Inova Alexandria Hospital | Alexandria, VA | $206.50 | $413 | $22.75 | 9.1× |
| Inova Loudoun Hospital | Leesburg, VA | $206.50 | $413 | $22.75 | 9.1× |
| Inova Fairfax Hospital | Falls Church, VA | $206.50 | $413 | $22.75 | 9.1× |
| Inova Fair Oaks Hospital | Fairfax, VA | $206.50 | $413 | $22.75 | 9.1× |
| Inova Mount Vernon Hospital | Alexandria, VA | $206.50 | $413 | $22.75 | 9.1× |
| Haskell Regional Hospital, Inc | Stigler, OK | $207 | $207 | $22.75 | 9.1× |
| Skyline Health | White Salmon, WA | $207 | $287.50 | $22.75 | 9.1× |
| Havasu Regional Medical Center | Lake Havasu City, AZ | $207.90 | $346.50 | $22.75 | 9.1× |
| Coralvita Richardson | Richardson, TX | $209.71 | $209.71 | $22.75‡ | 9.2× |
| Vista Medical Center East | Waukegan, IL | $209.97 | $349.95 | $22.75 | 9.2× |
| Physicians Centre,the | Bryan, TX | $210 | $210 | $22.75 | 9.2× |
| Kaleida Health | Buffalo, NY | $210 | $210 | $22.75 | 9.2× |
| The University of Chicago Medical Center | Chicago, IL | $211 | $211 | $22.75 | 9.3× |
| Akron Children's Hospital | Akron, OH | $216.75 | $289 | $22.75 | 9.5× |
| Optim Medical Center-Tattnall | Reidsville, GA | $216.88 | $216.88 | $22.75 | 9.5× |
| Marshall Medical Center South | Boaz, AL | $217.80 | $217.80 | $22.75 | 9.6× |
| Jennie M Melham Memorial Medical Center | Broken Bow, NE | $220.17 | $220.17 | $22.75 | 9.7× |
| HCA Florida Sarasota Doctors Hospital | Sarasota, FL | $222 | $222 | $22.75 | 9.8× |
| Twin County Regional Hospital | Galax, VA | $222.62 | $556.55 | $22.75 | 9.8× |
| St. David's Medical Center | Austin, TX | $225 | $225 | $22.75 | 9.9× |
| Ogden Regional Medical Center | Ogden, UT | $225.85 | $225.85 | $22.75 | 9.9× |
| Hendrick Medical Center Brownwood | Brownwood, TX | $228.66 | $228.66 | $22.75 | 10.1× |
| Baptist Health Hardin | Elizabethtown, KY | $230.72 | $307.63 | $22.75 | 10.1× |
| Baptist Health Richmond | Richmond, KY | $230.72 | $307.63 | $22.75 | 10.1× |
| Baptist Health Corbin | Corbin, KY | $230.72 | $307.63 | $22.75 | 10.1× |
| Baptist Health Lexington | Lexington, KY | $230.72 | $307.63 | $22.75 | 10.1× |
| Baptist Health Paducah | Paducah, KY | $230.72 | $307.63 | $22.75 | 10.1× |
| Baptist Health Louisville | Louisville, KY | $230.72 | $307.63 | $22.75 | 10.1× |
| Baptist Health La Grange | La Grange, KY | $230.72 | $307.63 | $22.75 | 10.1× |
| Baptist Health Floyd | New Albany, IN | $230.72 | $307.63 | $22.75 | 10.1× |
| MetroWest Medical Center | Framingham, MA | $233.25 | $311 | $22.75 | 10.3× |
| Saint Vincent Hospital | Worcester, MA | $233.25 | $311 | $22.75 | 10.3× |
| Warner Hospital and Health Services | Clinton, IL | $235.75 | $235.75 | $22.75 | 10.4× |
| HealthAlliance Hospital Mary's Avenue Campus | Kingston, NY | $237 | $237 | $22.75 | 10.4× |
| Margaretville Memorial Hospital | Margaretville, NY | $237 | $237 | $22.75 | 10.4× |
| Kentucky River Medical Center | Jackson, KY | $241.40 | $402.34 | $22.75 | 10.6× |
| Grand Strand Medical Center | Myrtle Beach, SC | $243 | $243 | $22.75 | 10.7× |
| Mercy Health - Allen Hospital | Oberlin, OH | $245.40 | $409 | $22.75 | 10.8× |
| Cache Valley Hospital | North Logan, UT | $247.24 | $247.24 | $22.75 | 10.9× |
| Mercy Health - St. Elizabeth Youngstown Hospital | Youngstown, OH | $247.80 | $413 | $22.75 | 10.9× |
| Mercy Health - St. Joseph Warren Hospital | Warren, OH | $247.80 | $413 | $22.75 | 10.9× |
| Mercy Health - St. Elizabeth Boardman Hospital | Boardman, OH | $247.80 | $413 | $22.75 | 10.9× |
| Mercy Health - Urbana Hospital | Urbana, OH | $247.80 | $413 | $22.75 | 10.9× |
| Nationwide Children's Hospital Toledo | Toledo, OH | $247.80 | $413 | $22.75 | 10.9× |
| Valley Baptist Medical Center- Brownsville | Brownsville, TX | $248.25 | $331 | $22.75 | 10.9× |
| Ascension St. Vincent Jennings | North Vernon, IN | $248.40 | $414 | $22.75 | 10.9× |
| Ascension St. Vincent Carmel | Carmel, IN | $252 | $420 | $22.75 | 11.1× |
| Ascension St. Vincent Fishers | Fishers, IN | $252 | $420 | $22.75 | 11.1× |
| Rapides Regional Medical Center | Alexandria, LA | $253.83 | $253.83 | $22.75 | 11.2× |
| St. John's Riverside Hospital | Yonkers, NY | $254.15 | $299 | $22.75 | 11.2× |
| Eureka Springs Hospital | Eureka Springs, AR | $255 | $255 | $22.75 | 11.2× |
| New York Community Hospital of Brooklyn, Inc. | Brooklyn, NY | $255.30 | $255.30 | $22.75 | 11.2× |
| CHI St. Vincent Hot Springs | Hot Springs, AR | $259 | $259 | $22.75 | 11.4× |
| Mercy Health — Lourdes Hospital | Paducah, KY | $260.40 | $434 | $22.75 | 11.4× |
| Mercy Health — Marcum and Wallace Hospital | Irvine, KY | $260.40 | $434 | $22.75 | 11.4× |
| Mercy Health - St. Rita's Medical Center | Lima, OH | $260.40 | $434 | $22.75 | 11.4× |
| Mercy Health - Springfield Regional Medical Center | Springfield, OH | $260.40 | $434 | $22.75 | 11.4× |
| Mercy Health - Lorain Hospital | Lorain, OH | $260.40 | $434 | $22.75 | 11.4× |
| Prague Regional Memorial Hospital | Prague, OK | $263 | $263 | $22.75 | 11.6× |
| Doctors Hospital | Augusta, GA | $265.61 | $265.61 | $22.75 | 11.7× |
| Alaska Native Medical Center | Anchorage, AK | $266 | $266 | $22.75 | 11.7× |
| Lanai Community Hospital | Lanai City, HI | $266.68 | $452 | $22.75 | 11.7× |
| Kula Hospital | Kula, HI | $266.68 | $452 | $22.75 | 11.7× |
| Alta Vista Regional Hospital | Las Vegas, NM | $268.31 | $536.63 | $22.75 | 11.8× |
| Ascension St. Vincent Randolph | Winchester, IN | $270 | $450 | $22.75 | 11.9× |
| Hendrick Medical Center | Abilene, TX | $270.86 | $270.86 | $22.75 | 11.9× |
| Wellstar West Georgia Medical Center | LaGrange, GA | $271.05 | $695 | $22.75 | 11.9× |
| Wellstar Spalding Medical Center | Griffin, GA | $271.05 | $695 | $22.75 | 11.9× |
| Wellstar MCG Health Medical Center | Augusta, GA | $271.05 | $695 | $22.75 | 11.9× |
| Wellstar Kennestone Regional Medical Center | Marietta, GA | $271.05 | $695 | $22.75 | 11.9× |
| Wellstar Paulding Medical Center | Hiram, GA | $271.05 | $695 | $22.75 | 11.9× |
| Wellstar Cobb Medical Center | Austell, GA | $271.05 | $695 | $22.75 | 11.9× |
| Wellstar Douglas Medical Center | Douglasville, GA | $271.05 | $695 | $22.75 | 11.9× |
| Wellstar North Fulton Medical Center | Roswell, GA | $271.05 | $695 | $22.75 | 11.9× |
| Wellstar Sylvan Grove Medical Center | Jackson, GA | $271.05 | $695 | $22.75 | 11.9× |
| LewisGale Medical Center | Salem, VA | $273 | $273 | $22.75 | 12.0× |
| Mercy Health St. Vincent Medical Center | Toledo, OH | $282.60 | $471 | $22.75 | 12.4× |
| LewisGale Hospital Pulaski | Pulaski, VA | $283 | $283 | $22.75 | 12.4× |
| Valley View Medical Center | Fort Mohave, AZ | $283.55 | $472.59 | $22.75 | 12.5× |
| HCA Healthcare Trident Hospital | Charleston, SC | $292 | $292 | $22.75 | 12.8× |
| United Regional Health Care System | Wichita Falls, TX | $294.50 | $310 | $22.75 | 12.9× |
| Arthur M. Blank Hospital | Atlanta, GA | $304 | $304 | $22.75 | 13.4× |
| Scottish Rite Hospital | Atlanta, GA | $304 | $304 | $22.75 | 13.4× |
| Animas Surgical Hospital | Durango, CO | $307 | $307 | $22.75 | 13.5× |
| Northwest Specialty Hospital | Post Falls, ID | $318 | $318 | $22.75 | 14.0× |
| Mercy Health - Willard Hospital | Willard, OH | $325.80 | $543 | $22.75 | 14.3× |
| TriStar Southern Hills Medical Center range across 2 matching MRF lines |
Nashville, TN | $326.10–$348.93 | $326.10–$348.93 | $22.75 | varies |
| TriStar StoneCrest Medical Center | Smyrna, TN | $335.77 | $335.77 | $22.75 | 14.8× |
| Community Hospital of Huntington Park range across 2 matching MRF lines |
Huntington Park, CA | $342.40–$465.15 | $342.40–$465.15 | $22.75 | varies |
| Memorial Hospital of Gardena range across 2 matching MRF lines |
Gardena, CA | $342.40–$465.15 | $342.40–$465.15 | $22.75 | varies |
| East Los Angeles Doctors Hospital range across 2 matching MRF lines |
Los Angeles, CA | $342.40–$465.15 | $342.40–$465.15 | $22.75 | varies |
| Coast Plaza Hospital range across 2 matching MRF lines |
Norwalk, CA | $342.40–$465.15 | $342.40–$465.15 | $22.75 | varies |
| LewisGale Hospital Alleghany | Low Moor, VA | $358 | $358 | $22.75 | 15.7× |
| Mercy Health - Tiffin Hospital | Tiffin, OH | $366 | $610 | $22.75 | 16.1× |
| Crosbyton Clinic Hospital | Crosbyton, TX | $367 | $367 | $22.75 | 16.1× |
| Riceland Medical Center | Winnie, TX | $370 | $381 | $22.75 | 16.3× |
| Medical City North Hills | North Richland Hills, TX | $372.16 | $372.16 | $22.75 | 16.4× |
| Sutter Lakeside Hospital | Lakeport, CA | $379 | $379 | $22.75 | 16.7× |
| Medical City Denton | Denton, TX | $380.64 | $380.64 | $22.75 | 16.7× |
| Ascension Seton Cedar Park | Cedar Park, TX | $381.68 | $1,060.23 | $22.75 | 16.8× |
| Medical City Fort Worth | Fort Worth, TX | $389.68 | $389.68 | $22.75 | 17.1× |
| Mercy Health - Defiance Hospital | Defiance, OH | $391.20 | $652 | $22.75 | 17.2× |
| Izard Regional Hospital | Calico Rock, AR | $393.50 | $393.50 | $22.75 | 17.3× |
| Medical City Weatherford | Weatherford, TX | $405.42 | $405.42 | $22.75 | 17.8× |
| Medical City Arlington | Arlington, TX | $410.39 | $410.39 | $22.75 | 18.0× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $418.60 | $418.60 | $22.75 | 18.4× |
| Medical City Alliance | Fort Worth, TX | $426.97 | $426.97 | $22.75 | 18.8× |
| Carondelet St. Mary's Hospital | Tucson, AZ | $428.25 | $571 | $22.75 | 18.8× |
| Carondelet St. Joseph's Hospital | Tucson, AZ | $428.25 | $571 | $22.75 | 18.8× |
| Holy Cross Hospital | Nogales, AZ | $428.25 | $571 | $22.75 | 18.8× |
| St. Mark's Hospital | Salt Lake City, UT | $438.17 | $438.17 | $22.75 | 19.3× |
| Sutter Roseville Medical Center | Roseville, CA | $456 | $456 | $22.75 | 20.0× |
| Sutter Davis Hospital | Davis, CA | $456 | $456 | $22.75 | 20.0× |
| HCA Houston Healthcare Tomball | Tomball, TX | $457.97 | $457.97 | $22.75 | 20.1× |
| Mills-peninsula Medical Center | Burlingame, CA | $466 | $466 | $22.75 | 20.5× |
| Lone Peak Hospital | Draper, UT | $469.85 | $469.85 | $22.75 | 20.7× |
| Medical City Plano | Plano, TX | $475.18 | $475.18 | $22.75 | 20.9× |
| Stamford Hospital | Stamford, CT | $482.75 | $482.75 | $22.75 | 21.2× |
| Alaska Regional Hospital | Anchorage, AK | $506.72 | $506.72 | $22.75 | 22.3× |
| LewisGale Hospital Montgomery | Blacksburg, VA | $510 | $510 | $22.75 | 22.4× |
| HCA Florida Putnam Hospital | Palatka, FL | $525.25 | $525.25 | $22.75 | 23.1× |
| Baptist Neighborhood Hospital Thousand Oaks | San Antonio, TX | $527.86 | $659.82 | $22.75 | 23.2× |
| HCA Houston Healthcare Medical Center range across 2 matching MRF lines |
Houston, TX | $532.79–$1,140.75 | $532.79–$1,140.75 | $22.75 | varies |
| Medical City Mckinney | Mckinney, TX | $539.68 | $539.68 | $22.75 | 23.7× |
| HCA Florida Orange Park Hospital | Orange Park, FL | $551.23 | $551.23 | $22.75 | 24.2× |
| HCA Houston Healthcare Kingwood | Kingwood, TX | $552.23 | $552.23 | $22.75 | 24.3× |
| Medical City Lewisville | Lewisville, TX | $600.33 | $600.33 | $22.75 | 26.4× |
| Medical City Las Colinas | Irving, TX | $607 | $607 | $22.75 | 26.7× |
| Round Rock Medical Center | Round Rock, TX | $618 | $618 | $22.75 | 27.2× |
| Fairview Park Hospital | Dublin, GA | $628.75 | $628.75 | $22.75 | 27.6× |
| Portsmouth Regional Hospital | Portsmouth, NH | $653 | $653 | $22.75 | 28.7× |
| Methodist Hospital | Atascosa | Jourdanton, TX | $664.95 | $664.95 | $22.75 | 29.2× |
| Methodist Hospital | San Antonio, TX | $664.95 | $664.95 | $22.75 | 29.2× |
| Methodist Hospital Stone Oak | San Antonio, TX | $664.95 | $664.95 | $22.75 | 29.2× |
| Bienville Medical Center | Arcadia, LA | $700.20 | $1,167 | $22.75 | 30.8× |
| St. David's South Austin Medical Center | Austin, TX | $747 | $747 | $22.75 | 32.8× |
| HCA Houston Healthcare Southeast | Pasadena, TX | $787.58 | $787.58 | $22.75 | 34.6× |
| Valley Regional Medical Center | Brownsville, TX | $865.52 | $865.52 | $22.75 | 38.0× |
| HCA Houston Healthcare Northwest | Houston, TX | $983.69 | $983.69 | $22.75 | 43.2× |
| Vhs Harlingen Hospital Company LLC range across 2 matching MRF lines |
Harlingen, TX | $1,054.50–$1,304.25 | $1,406–$1,739 | $22.75 | varies |
| HCA Florida Blake Hospital | Bradenton, FL | $1,065.87 | $1,065.87 | $22.75 | 46.9× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $1,068.29 | $1,068.29 | $22.75 | 47.0× |
| Corpus Christi Medical Center,the | Corpus Christi, TX | $1,294.22 | $1,294.22 | $22.75 | 56.9× |
| Brushy Creek Family Hospital LLC | Round Rock, TX | $1,499.67 | $1,666.30 | $22.75 | 65.9× |
| Bandera Family Hospital | San Antonio, TX | $1,499.67 | $1,666.30 | $22.75 | 65.9× |
| RISE Community Hospital | Prairieville, LA | $1,499.67 | $1,666.30 | $22.75 | 65.9× |
| TriStar Skyline Medical Center | Nashville, TN | $1,764.96 | $1,764.96 | $22.75 | 77.6× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $2,872.50 | $2,872.50 | $22.75 | 126.3× |
| Southwest Healthcare Rancho Springs Hospital range across 3 matching MRF lines |
Murrieta, CA | — | $3–$374 | $22.75 | — |
| Temecula Valley Hospital range across 3 matching MRF lines |
Temecula, CA | — | $3–$378 | $22.75 | — |
| Whittier Hospital Medical Center | Whittier, CA | — | $7.50 | $22.75 | — |
| Graham Hospital Association | Canton, IL | — | $27.51 | $22.75 | — |
| Hiram W. Davis Medical Center | Petersburg, VA | — | $29 | $22.75‡ | — |
| Tallahatchie General Hospital range across 2 matching MRF lines |
Charleston, MS | — | $45–$1,164 | $22.75 | — |
| CrossRidge Community Hospital | Wynne, AR | — | $65 | $22.75 | — |
| Pella Regional Health Center | Pella, IA | — | $68 | $22.75 | — |
| Jackson Medical Center range across 2 matching MRF lines |
Jackson, AL | — | $68.25–$134 | $22.75 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $88.74 | $22.75 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $88.74 | $22.75 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $88.74 | $22.75 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $88.74 | $22.75 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $88.74 | $22.75 | — |
| Intermountain Health St. James Hospital | Butte, MT | — | $88.74 | $22.75 | — |
| Intermountain Health St. Vincent Regional Hospital | Billings, MT | — | $88.74 | $22.75 | — |
| Holy Rosary Healthcare | Miles City, MT | — | $88.74 | $22.75 | — |
| Keralty Hospital | Miami, FL | — | $105 | $22.75 | — |
| UAB St. Vincent's East | Birmingham, AL | — | $113 | $22.75 | — |
| UAB St. Vincent's Birmingham | Birmingham, AL | — | $113 | $22.75 | — |
| UAB St. Vincent's St. Clair | Pell City, AL | — | $113 | $22.75 | — |
| UAB St. Vincent's Chilton | Clanton, AL | — | $113 | $22.75 | — |
| UAB St. Vincent's Blount | Oneonta, AL | — | $113 | $22.75 | — |
| Ohio State University Hospitals | Columbus, OH | — | $116 | $22.75 | — |
| James Cancer Hospital & Solove Research Institute | Columbus, OH | — | $116 | $22.75 | — |
| St. Francis Hospital, Roslyn range across 2 matching MRF lines |
Roslyn, NY | — | $121–$158 | $22.75 | — |
| St. Charles Hospital range across 2 matching MRF lines |
Port Jefferson, NY | — | $121–$158 | $22.75 | — |
| Mercy Medical Center range across 2 matching MRF lines |
Rockville Centre, NY | — | $121–$158 | $22.75 | — |
| Good Samaritan Hospital Medical Center range across 2 matching MRF lines |
West Islip, NY | — | $121–$158 | $22.75 | — |
| St. Joseph Hospital range across 2 matching MRF lines |
Bethpage, NY | — | $121–$158 | $22.75 | — |
| St. Catherine of Siena Hospital range across 2 matching MRF lines |
Smithtown, NY | — | $121–$158 | $22.75 | — |
| St. Luke Hospital & Living Center | Marion, KS | — | $132 | $22.75 | — |
| Macneal Hospital | Berwyn, IL | — | $142 | $22.75 | — |
| Aspen Mountain Medical Center | Rock Springs, WY | — | $146.65 | $22.75 | — |
| Moab Regional Hospital range across 2 matching MRF lines |
Moab, UT | — | $154–$162 | $22.75 | — |
| University of Texas M D Anderson Cancer Center | Houston, TX | — | $157 | $22.75 | — |
| Matagorda Regional Medical Center | Bay City, TX | — | $178 | $22.75 | — |
| Upstate University Hospital | Syracuse, NY | — | $196 | $22.75 | — |
| Evans Memorial Hospital | Claxton, GA | — | $200 | $22.75 | — |
| Montefiore Medical Center | Bronx, NY | — | $213 | $22.75 | — |
| Valley Hospital Medical Center range across 2 matching MRF lines |
Las Vegas, NV | — | $294–$382 | $22.75 | — |
| Central Carolina Hospital | Sanford, NC | — | $330.34 | $22.75 | — |
| Palmdale Regional Medical Center | Palmdale, CA | — | $338 | $22.75 | — |
| Hazel Hawkins Memorial Hospital | Hollister, CA | — | $474.25 | $22.75 | — |
| Dodge County Hospital | Eastman, GA | — | $541.38 | $22.75 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
"Medicare pays" here is the Clinical Laboratory Fee Schedule rate: a national lab fee, the same benchmark at every hospital.
‡ Price taken from the hospital's inpatient list; no outpatient price posted.