Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Facility (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.
634 of 2639 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
Compare interactively: search all codes, set your location →
| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| 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× |
| 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× |
| North Shore Medical Center | Miami, FL | $5.45 | $5.45 | $22.75 | 0.2× |
| Kingman Healthcare Center | Kingman, KS | $7.58 | $15.15 | $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× |
| Baptist Hospital | Pensacola, FL | $10.20 | $68 | $22.75 | 0.4× |
| HCA Florida Capital Hospital | Tallahassee, FL | $10.80 | $10.80 | $22.75 | 0.5× |
| Nebraska Medical Center | Omaha, NE | $13 | $20 | $22.75 | 0.6× |
| Bellevue Medical Center | Bellevue, NE | $13 | $20 | $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 | Kingman, AZ | $15.40 | $44 | $22.75 | 0.7× |
| Cochran Memorial Hospital | Morton, TX | $17.10 | $17.10 | $22.75 | 0.8× |
| Raleigh General Hospital | Beckley, WV | $17.20 | $43 | $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 Hays | Kyle, TX | $18.90 | $52.50 | $22.75 | 0.8× |
| Ascension Seton Smithville | Smithville, TX | $18.90 | $52.50 | $22.75 | 0.8× |
| Coosa Valley Medical Center | Sylacauga, AL | $19 | $79.50 | $22.75 | 0.8× |
| Northwest Florida Community Hospital | Chipley, FL | $19.76 | $24.70 | $22.75 | 0.9× |
| 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× |
| 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× |
| 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× |
| 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× |
| St. Francis - Emory Healthcare | Columbus, GA | $23.25 | $46.50 | $22.75 | 1.0× |
| Vaughan Regional Medical Center | Selma, AL | $23.28 | $66.50 | $22.75 | 1.0× |
| 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× |
| Ochsner Rush Medical Center | Meridian, MS | $24.85 | $71 | $22.75 | 1.1× |
| The Hospital at Westlake Medical Center | Austin, TX | $25.03 | $280.20 | $22.75 | 1.1× |
| Monroe County Hospital | Monroeville, AL | $25.10 | $62.75 | $22.75 | 1.1× |
| Ascension Sacred Heart Gulf | Port Saint Joe, FL | $25.20 | $63 | $22.75 | 1.1× |
| 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× |
| 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× |
| Catawba Valley Medical Center | Hickory, NC | $29 | $48 | $22.75 | 1.3× |
| Reynolds Memorial Hospital | Glen Dale, WV | $29 | $58 | $22.75 | 1.3× |
| CHI St. Vincent Morrilton | Morrilton, AR | $29.04 | $114 | $22.75 | 1.3× |
| Conway Regional Medical Center | Conway, AR | $29.28 | $133.10 | $22.75 | 1.3× |
| 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× |
| Ascension Sacred Heart Pensacola | Pensacola, FL | $30 | $75 | $22.75 | 1.3× |
| Ochiltree General Hospital | Perryton, TX | $31 | $44.50 | $22.75 | 1.4× |
| Southern Tennessee Regional Health System - Lawrenceburg | Lawrenceburg, TN | $31.24 | $124.95 | $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× |
| 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× |
| 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× |
| Hancock County Hospital | Sneedville, TN | $34.50 | $150 | $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× |
| Boston Medical Center Brighton | Brighton, MA | $35.42 | $78.71 | $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× |
| Chicot Memorial Medical Center | Lake Village, AR | $36.50 | $36.50 | $22.75 | 1.6× |
| Dell Children's Medical Center | Austin, TX | $36.75 | $52.50 | $22.75 | 1.6× |
| Tanner Medical Center/Carrollton | Carrollton, GA | $37.60 | $94 | $22.75 | 1.7× |
| Higgins General Hospital | Bremen, GA | $37.60 | $94 | $22.75 | 1.7× |
| Arbuckle Memorial Hospital Authority | Sulphur, OK | $38.50 | $48.50 | $22.75 | 1.7× |
| Merit Health River Region | Vicksburg, MS | $38.70 | $215 | $22.75 | 1.7× |
| Piedmont Medical Center | Rock Hill, SC | $39 | $52 | $22.75 | 1.7× |
| 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× |
| Byrd Regional Hospital | Leesville, LA | $41.25 | $137.50 | $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× |
| Tucson Medical Center | Tucson, AZ | $42 | $150 | $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× |
| Park Nicollet Methodist Hospital | Saint Louis Park, MN | $43.16 | $166 | $22.75 | 1.9× |
| 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× |
| Bradley Medical Center | Cleveland, TN | $43.80 | $73 | $22.75 | 1.9× |
| Hamilton Medical Center | Dalton, GA | $43.80 | $73 | $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 Laird Hospital | Union, MS | $45.14 | $74 | $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× |
| 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× |
| St. Luke's Patients Medical Center | Pasadena, TX | $46.62 | $133.20 | $22.75 | 2.0× |
| Ochsner Scott Regional | Morton, MS | $46.62 | $74 | $22.75 | 2.0× |
| Tmc- Bonham Hospital | Bonham, TX | $46.75 | $157.85 | $22.75 | 2.1× |
| Ohio County Hospital | Hartford, KY | $47 | $94 | $22.75 | 2.1× |
| St. Mary's Medical Center | West Palm Beach, FL | $47.25 | $63 | $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× |
| 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× |
| Duncan Regional Hospital, Inc | Duncan, OK | $48.74 | — | $22.75 | 2.1× |
| 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× |
| Newberry Health Hospital | Newberry, SC | $49.21 | $133 | $22.75 | 2.2× |
| Ochsner Watkins Hospital | Quitman, MS | $49.58 | $74 | $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× |
| 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× |
| 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× |
| Ochsner Stennis Hospital | De Kalb, MS | $51.06 | $74 | $22.75 | 2.2× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $51.50 | $171.50 | $22.75 | 2.3× |
| 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× |
| Sierra Medical Center | El Paso, TX | $53.62 | $71.50 | $22.75 | 2.4× |
| CHI Health St. Mary's | Nebraska City, NE | $53.95 | $65 | $22.75 | 2.4× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $22.75 | 2.4× |
| Summit Medical Center | Casper, WY | $55.76 | $136 | $22.75 | 2.5× |
| Lane Regional Medical Center | Zachary, LA | $56 | $161 | $22.75 | 2.5× |
| Share Medical Center | Alva, OK | $56.24 | $86.52 | $22.75‡ | 2.5× |
| Ochsner Choctaw General | Butler, AL | $56.24 | $74 | $22.75 | 2.5× |
| Warm Springs Medical Center | Warm Springs, GA | $56.50 | $113 | $22.75 | 2.5× |
| Abrazo Arrowhead Campus | Glendale, AZ | $57.38 | $76.50 | $22.75 | 2.5× |
| Wayne Memorial Hospital | Jesup, GA | $57.50 | $115 | $22.75 | 2.5× |
| Virginia Mason Medical Center | Seattle, WA | $57.63 | $113 | $22.75 | 2.5× |
| Delta County Memorial Hospital | Delta, CO | $57.75 | $96.25 | $22.75 | 2.5× |
| Washington Regional Medical Center | Plymouth, NC | $57.75 | $115.50 | $22.75 | 2.5× |
| St. Bernards Five Rivers Medical Center | Pocahontas, AR | $58.50 | $65 | $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× |
| Crenshaw Community Hospital | Luverne, AL | $61.25 | $122.50 | $22.75 | 2.7× |
| Lackey Memorial Hospital | Forest, MS | $61.50 | $61.50 | $22.75 | 2.7× |
| Pratt Regional Medical Center | Pratt, KS | $62 | $89 | $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× |
| Cascade Medical Center | Cascade, ID | $63.75 | $85 | $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× |
| 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× |
| 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× |
| Ness County Hospital District #2 | Ness City, KS | $67.50 | $90 | $22.75 | 3.0× |
| 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× |
| Northwest Surgical Hospital | Oklahoma City, OK | $68.25 | — | $22.75 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $68.25 | — | $22.75 | 3.0× |
| 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× |
| 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× |
| Mercy Hospital Fort Smith | Fort Smith, AR | $70.85 | $109 | $22.75 | 3.1× |
| Jackson Hospital | Marianna, FL | $71 | $10 | $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× |
| 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× |
| 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× |
| Memorial Hospital of Texas County Authority | Guymon, OK | $74.40 | $93 | $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× |
| Genoa Community Hospital | Genoa, NE | $76 | $84.50 | $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× |
| 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× |
| 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× |
| 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× |
| Emerson Hospital | West Concord, MA | $80.25 | $107 | $22.75 | 3.5× |
| North Shore Health | Grand Marais, MN | $80.96 | $88 | $22.75 | 3.6× |
| Granville Medical Center | Oxford, NC | $81.60 | $102 | $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× |
| 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× |
| Valley County Health System | Ord, NE | $83.70 | $93 | $22.75 | 3.7× |
| 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× |
| 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× |
| 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× |
| 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× |
| Onvida Health Yuma Medical Center | Yuma, AZ | $89.38 | $137.50 | $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× |
| Bon Secours St. Francis Downtown | Greenville, 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× |
| ECU Health Bertie Hospital | Windsor, NC | $92.40 | $165 | $22.75 | 4.1× |
| Gadsden Regional Medical Center | Gadsden, AL | $92.96 | $774.68 | $22.75 | 4.1× |
| Madison Memorial Hospital | Rexburg, ID | $93.75 | $125 | $22.75 | 4.1× |
| Crane County Hospital District | Crane, TX | $94 | $134 | $22.75 | 4.1× |
| Ozark Health | Clinton, AR | $94.64 | $182 | $22.75 | 4.2× |
| Donalsonville Hospital | Donalsonville, GA | $95.20 | $112 | $22.75 | 4.2× |
| Rockcastle Regional Hospital and Respiratory Care Center | Mount Vernon, KY | $95.76 | $126 | $22.75 | 4.2× |
| Mangum Regional Medical Center | Mangum, OK | $96 | $200 | $22.75 | 4.2× |
| Outer Banks Health Hospital | Nags Head, NC | $96.32 | $172 | $22.75 | 4.2× |
| Stephens Memorial Hospital | Breckenridge, TX | $96.86 | $138.38 | $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× |
| CHI Health Plainview | Plainview, NE | $98.28 | $117 | $22.75 | 4.3× |
| Centerpoint Health – Versailles | Versailles, KY | $99.32 | $248.30 | $22.75 | 4.4× |
| CHI Health Schuyler | Schuyler, NE | $99.45 | $117 | $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× |
| Three Rivers Medical Center | Louisa, KY | $100.37 | $167.29 | $22.75 | 4.4× |
| Saint Francis Hospital-Bartlett | Bartlett, TN | $100.50 | $134 | $22.75 | 4.4× |
| Cheyenne Regional Medical Center | Cheyenne, WY | $100.63 | $143.75 | $22.75 | 4.4× |
| 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× |
| Jackson Purchase Medical Center | Mayfield, KY | $103.45 | $258.62 | $22.75 | 4.5× |
| Northeastern Nevada Regional Hospital | Elko, NV | $104.29 | $148.98 | $22.75 | 4.6× |
| Florida Coast Medical Center | Port St. Lucie, FL | $104.96 | $139.94 | $22.75 | 4.6× |
| UAB Medical West | Bessemer, AL | $105.38 | $140.50 | $22.75 | 4.6× |
| Wayne County Hospital | Monticello, KY | $106.44 | $163.75 | $22.75 | 4.7× |
| Frio Regional Hospital | Pearsall, TX | $108 | $154 | $22.75 | 4.7× |
| Quincy Valley Medical Center | Quincy, WA | $109.52 | $109.52 | $22.75 | 4.8× |
| 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× |
| East Valley ER & Hospital | Gilbert, AZ | $111.38 | $247.50 | $22.75 | 4.9× |
| Alexandria Emergency Hospital | Alexandria, LA | $111.38 | $247.50 | $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× |
| 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× |
| Baylor Scott and White The Heart Hospital Corinth | Denton, 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× |
| Fort Duncan Medical Center | Eagle Pass, TX | $117.20 | $293 | $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× |
| Northern Nevada Medical Center | Sparks, NV | $119.20 | $298 | $22.75 | 5.2× |
| ECU Health Medical Center | Greenville, NC | $119.78 | $226 | $22.75 | 5.3× |
| Stevens County Hospital | Hugoton, KS | $120 | $120 | $22.75 | 5.3× |
| Kaiser Permanente Moanalua Medical Center | Honolulu, HI | $122.25 | $163 | $22.75 | 5.4× |
| Mille Lacs Health System | Onamia, MN | $122.50 | $175 | $22.75 | 5.4× |
| Summerlin Hospital Medical Center | Las Vegas, NV | $122.80 | $307 | $22.75 | 5.4× |
| Spring Valley Hospital Medical Center | Las Vegas, NV | $122.80 | $307 | $22.75 | 5.4× |
| Centennial Hills Hospital Medical Center | Las Vegas, NV | $122.80 | $307 | $22.75 | 5.4× |
| Henderson Hospital | Henderson, NV | $122.80 | $307 | $22.75 | 5.4× |
| West Henderson Hospital | Henderson, NV | $122.80 | $307 | $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× |
| Morrill County Community Hospital | Bridgeport, NE | $125 | $133 | $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× |
| Windom Area Health | Windom, MN | $127.16 | $187 | $22.75 | 5.6× |
| Culberson Hospital | Van Horn, TX | $127.50 | $170 | $22.75 | 5.6× |
| Amberwell Hiawatha | Hiawatha, KS | $129.50 | $129.50 | $22.75 | 5.7× |
| Amberwell Atchison Association | Atchison, KS | $129.50 | $129.50 | $22.75 | 5.7× |
| Howard University Hospital | Washington, DC | $129.74 | $162.18 | $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× |
| Manatee Memorial Hospital | Bradenton, FL | $134.80 | $337 | $22.75 | 5.9× |
| Lakewood Ranch Medical Center | Bradenton, FL | $134.80 | $337 | $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× |
| 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× |
| 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× |
| 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× |
| Onslow Memorial Hospital | Jacksonville, NC | $153.18 | $153.18 | $22.75 | 6.7× |
| Doctors Hospital of Laredo | Laredo, TX | $153.40 | $383.50 | $22.75 | 6.7× |
| 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× |
| Southwest Medical Center | Liberal, KS | $155.60 | $194.50 | $22.75 | 6.8× |
| Jackson County Memorial Hospital Authority | Altus, OK | $158.12 | $158.12 | $22.75 | 7.0× |
| Harmon Memorial Hospital | Hollis, OK | $158.12 | $158.12 | $22.75 | 7.0× |
| Colquitt Regional Medical Center | Moultrie, GA | $159 | $159 | $22.75 | 7.0× |
| Optim Medical Center-Screven | Sylvania, GA | $162.66 | $162.66 | $22.75 | 7.1× |
| 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× |
| Jackson Medical Center | Jackson, AL | $167 | $167 | $22.75 | 7.3× |
| Springhill Medical Center | Mobile, AL | $167.22 | $196.73 | $22.75 | 7.4× |
| Saint Francis Hospital-Memphis | Memphis, TN | $167.25 | $223 | $22.75 | 7.4× |
| Candler Hospital | Savannah, GA | $167.70 | $559 | $22.75 | 7.4× |
| St. Joseph's Hospital | Savannah, GA | $167.70 | $559 | $22.75 | 7.4× |
| 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× |
| Frankfort Regional Medical Center | Frankfort, KY | $172.07 | $172.07 | $22.75 | 7.6× |
| Lexington Medical Center | West Columbia, SC | $173 | $173 | $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× |
| Resolute Health Hospital | New Braunfels, TX | $177.75 | $237 | $22.75 | 7.8× |
| 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× |
| St. Mary's Regional Medical Center | Enid, OK | $180.20 | $450.50 | $22.75 | 7.9× |
| Eastern Idaho Regional Medical Center | Idaho Falls, ID | $184.06 | $184.06 | $22.75 | 8.1× |
| 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× |
| 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× |
| 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× |
| Bayside Community Hospital | Anahuac, TX | $202 | $202 | $22.75 | 8.9× |
| 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× |
| 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× |
| Valley View Hospital | Glenwood Springs, CO | $206.55 | $243 | $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× |
| Physicians Centre,the | Bryan, TX | $210 | $210 | $22.75 | 9.2× |
| Sibley Memorial Hospital | Washington, DC | $215 | $215 | $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× |
| 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× |
| MetroWest Medical Center | Framingham, MA | $233.25 | $311 | $22.75 | 10.3× |
| Saint Vincent Hospital | Worcester, MA | $233.25 | $311 | $22.75 | 10.3× |
| 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× |
| Blue Ridge Medical Center | Blue Ridge, GA | $244.04 | $406.74 | $22.75 | 10.7× |
| Valley Baptist Medical Center- Brownsville | Brownsville, TX | $248.25 | $331 | $22.75 | 10.9× |
| Rapides Regional Medical Center | Alexandria, LA | $253.83 | $253.83 | $22.75 | 11.2× |
| Eureka Springs Hospital | Eureka Springs, AR | $255 | $255 | $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× |
| Prague Regional Memorial Hospital | Prague, OK | $263 | $263 | $22.75 | 11.6× |
| Doctors Hospital | Augusta, GA | $265.61 | $265.61 | $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× |
| 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× |
| 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× |
| TriStar StoneCrest Medical Center | Smyrna, TN | $335.77 | $335.77 | $22.75 | 14.8× |
| TriStar Southern Hills Medical Center | Nashville, TN | $337.52 | $337.52 | $22.75 | 14.8× |
| LewisGale Hospital Alleghany | Low Moor, VA | $358 | $358 | $22.75 | 15.7× |
| 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× |
| 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× |
| 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× |
| HCA Houston Healthcare Tomball | Tomball, TX | $457.97 | $457.97 | $22.75 | 20.1× |
| 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× |
| 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× |
| 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× |
| HCA Houston Healthcare Medical Center | Houston, TX | $836.77 | $836.77 | $22.75 | 36.8× |
| 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× |
| 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× |
| Vhs Harlingen Hospital Company LLC | Harlingen, TX | $1,179.38 | $1,572.50 | $22.75 | 51.8× |
| 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× |
| Hiram W. Davis Medical Center | Petersburg, VA | — | $29 | $22.75‡ | — |
| CrossRidge Community Hospital | Wynne, AR | — | $65 | $22.75 | — |
| Highlands Medical Center | Scottsboro, AL | — | $88 | $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 | — |
| 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 | — |
| St. Luke Hospital & Living Center | Marion, KS | — | $132 | $22.75 | — |
| Aspen Mountain Medical Center | Rock Springs, WY | — | $146.65 | $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 | — |
| Evans Memorial Hospital | Claxton, GA | — | $200 | $22.75 | — |
| Central Carolina Hospital | Sanford, NC | — | $330.34 | $22.75 | — |
| Valley Hospital Medical Center | Las Vegas, NV | — | $338 | $22.75 | — |
| Dodge County Hospital | Eastman, GA | — | $541.38 | $22.75 | — |
| Tallahatchie General Hospital | Charleston, MS | — | $604.50 | $22.75 | — |
"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.