Iadna-DNA/RNA probe tq 6-11 (CPT 87506)
87506 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.
664 of 2110 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 | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Muenster Memorial Hospital | Muenster, TX | $42 | $56 | $262.99 | 0.2× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $262.99 | 0.2× |
| Lamb Healthcare Center | Littlefield, TX | $63 | $158 | $262.99 | 0.2× |
| Baptist Hospital | Pensacola, FL | $63.22 | $421.45 | $262.99 | 0.2× |
| Gulf Breeze Hospital | Gulf Breeze, FL | $63.22 | $421.45 | $262.99 | 0.2× |
| Jay Hospital | Jay, FL | $63.22 | $421.45 | $262.99 | 0.2× |
| Caldwell Memorial Hospital | Lenoir, NC | $81.60 | $136 | $262.99 | 0.3× |
| UT Health East Texas Tyler Regional Hospital | Tyler, TX | $83.60 | $836 | $262.99 | 0.3× |
| Eastland Memorial Hospital | Eastland, TX | $84 | $167 | $262.99 | 0.3× |
| Norton Hospital | Louisville, KY | $90.20 | $451 | $262.99 | 0.3× |
| Tucson Medical Center | Tucson, AZ | $90.44 | $323 | $262.99 | 0.3× |
| OU Health University of Oklahoma Medical Center | Oklahoma City, OK | $92.34 | $923.37 | $262.99 | 0.4× |
| Woodland Heights Medical Center | Lufkin, TX | $95.22 | $529 | $262.99 | 0.4× |
| UNC Health Lenoir | Kinston, NC | $97.20 | $162 | $262.99 | 0.4× |
| Seton Medical Center Harker Heights | Harker Heights, TX | $100.30 | $1,003 | $262.99 | 0.4× |
| Banner Fort Collins Medical Center | Fort Collins, CO | $114.40 | $789 | $262.99 | 0.4× |
| Sentara Albemarle Medical Center | Elizabeth City, NC | $116.50 | $233 | $262.99 | 0.4× |
| Memorial Hospital Gulfport | Gulfport, MS | $118.79 | $169.70 | $262.99 | 0.5× |
| Memorial Hospital Biloxi | Biloxi, MS | $118.79 | $169.70 | $262.99 | 0.5× |
| University Medical Center of El Paso | El Paso, TX | $119.60 | $598 | $262.99 | 0.5× |
| Marion General Hospital | Columbia, MS | $123.91 | $619.52 | $262.99 | 0.5× |
| Highland Community Hospital | Picayune, MS | $123.91 | $619.52 | $262.99 | 0.5× |
| New Orleans East Hospital | New Orleans, LA | $126.24 | $789 | $262.99 | 0.5× |
| Banner Gateway Medical Center | Gilbert, AZ | $128.61 | $789 | $262.99 | 0.5× |
| Banner – University Medical Center South | Tucson, AZ | $131.76 | $789 | $262.99 | 0.5× |
| Baptist Memorial Hospital-Crittenden | West Memphis, AR | $133.20 | $888 | $262.99 | 0.5× |
| Pardee Hospital | Hendersonville, NC | $137.40 | $229 | $262.99 | 0.5× |
| Northeast Regional Medical Center | Kirksville, MO | $159 | $662.52 | $262.99 | 0.6× |
| Merit Health Wesley | Hattiesburg, MS | $161.03 | $766.80 | $262.99 | 0.6× |
| Chi St. Lukes Health Memorial Lufkin | Lufkin, TX | $162.39 | $1,082.54 | $262.99 | 0.6× |
| Chi St. Lukes Health Memorial Livingston | Livingston, TX | $162.39 | $1,082.54 | $262.99 | 0.6× |
| Chi St. Lukes Health Memorial San Augustine | San Augustine, TX | $162.39 | $1,082.54 | $262.99 | 0.6× |
| Piedmont Newton | Covington, GA | $163.27 | $544.24 | $262.99 | 0.6× |
| Piedmont Augusta | Augusta, GA | $163.27 | $544.24 | $262.99 | 0.6× |
| Piedmont Cartersville Medical Center | Cartersville, GA | $163.27 | $544.24 | $262.99 | 0.6× |
| Piedmont Walton | Monroe, GA | $163.27 | $544.24 | $262.99 | 0.6× |
| Piedmont Columbus Regional - Midtown | Columbus, GA | $163.27 | $544.24 | $262.99 | 0.6× |
| Piedmont Athens Regional | Athens, GA | $163.27 | $544.24 | $262.99 | 0.6× |
| Piedmont Atlanta | Atlanta, GA | $163.27 | $544.24 | $262.99 | 0.6× |
| Piedmont Rockdale | Conyers, GA | $163.27 | $544.24 | $262.99 | 0.6× |
| Piedmont McDuffie | Thomson, GA | $163.27 | $544.24 | $262.99 | 0.6× |
| Piedmont Macon Medical Center | Macon, GA | $163.27 | $544.24 | $262.99 | 0.6× |
| Piedmont Henry Hospital | Stockbridge, GA | $163.27 | $544.24 | $262.99 | 0.6× |
| Piedmont Eastside | Snellville, GA | $163.27 | $544.24 | $262.99 | 0.6× |
| Piedmont Columbus Regional Northside | Columbus, GA | $163.27 | $544.24 | $262.99 | 0.6× |
| Piedmont Macon North | Macon, GA | $163.27 | $544.24 | $262.99 | 0.6× |
| Piedmont Fayette | Fayetteville, GA | $163.27 | $544.24 | $262.99 | 0.6× |
| Piedmont Mountainside | Jasper, GA | $163.27 | $544.24 | $262.99 | 0.6× |
| Piedmont Newnan | Newnan, GA | $163.27 | $544.24 | $262.99 | 0.6× |
| CommonSpirit Saint Joseph Medical Center - East Lexington | Lexington, KY | $165.49 | $412 | $262.99 | 0.6× |
| Lake Granbury Medical Center | Granbury, TX | $166.68 | $926 | $262.99 | 0.6× |
| UNC Rex Hospital | Raleigh, NC | $167.40 | $279 | $262.99 | 0.6× |
| NEA Baptist Memorial Hospital | Jonesboro, AR | $168.72 | $888 | $262.99 | 0.6× |
| Baptist Health-Van Buren | Van Buren, AR | $171.08 | $684.32 | $262.99 | 0.7× |
| Baptist Health Medical Center-North Little Rock | North Little Rock, AR | $171.08 | $684.32 | $262.99 | 0.7× |
| Baptist Health Medical Center-Drew County | Monticello, AR | $171.08 | $684.32 | $262.99 | 0.7× |
| Baptist Health-Fort Smith | Fort Smith, AR | $171.08 | $684.32 | $262.99 | 0.7× |
| Baptist Health Medical Center-Hot Spring County | Malvern, AR | $171.08 | $684.32 | $262.99 | 0.7× |
| Baptist Health Medical Center-Little Rock | Little Rock, AR | $171.08 | $684.32 | $262.99 | 0.7× |
| Baptist Health Medical Center-Conway | Conway, AR | $171.08 | $684.32 | $262.99 | 0.7× |
| Baptist Health Medical Center-Magnolia | Magnolia, AR | $171.08 | $684.32 | $262.99 | 0.7× |
| Baptist Health Medical Center-Stuttgart | Stuttgart, AR | $171.08 | $684.32 | $262.99 | 0.7× |
| Effingham Health System | Springfield, GA | $171.28 | $263.50 | $262.99 | 0.7× |
| Singing River Gulfport | Gulfport, MS | $172.20 | $861 | $262.99 | 0.7× |
| Baptist Health Medical Center-El Dorado | El Dorado, AR | $172.38 | $689.52 | $262.99 | 0.7× |
| Baptist Health Medical Center-Heber Springs | Heber Springs, AR | $172.38 | $689.52 | $262.99 | 0.7× |
| Baptist Health Medical Center-Arkadelphia | Arkadelphia, AR | $172.38 | $689.52 | $262.99 | 0.7× |
| Walthall General Hospital | Tylertown, MS | $173.47 | $619.52 | $262.99 | 0.7× |
| Parkwest Medical Center | Knoxville, TN | $174 | $580 | $262.99 | 0.7× |
| Baptist Memorial Hospital-DeSoto | Southaven, MS | $177.60 | $888 | $262.99 | 0.7× |
| Cumberland Medical Center | Crossville, TN | $179.80 | $580 | $262.99 | 0.7× |
| Covenant Health Morristown-Hamblen | Morristown, TN | $179.80 | $580 | $262.99 | 0.7× |
| Covenant Health Roane | Harriman, TN | $179.80 | $580 | $262.99 | 0.7× |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | $179.80 | $580 | $262.99 | 0.7× |
| Covenant Health LeConte | Sevierville, TN | $179.80 | $580 | $262.99 | 0.7× |
| Fort Sanders Regional Medical Center | Knoxville, TN | $179.80 | $580 | $262.99 | 0.7× |
| Ochsner Rush Medical Center | Meridian, MS | $179.80 | $580 | $262.99 | 0.7× |
| Iberia Medical Center | New Iberia, LA | $180 | $300 | $262.99 | 0.7× |
| Tops Surgical Specialty Hospital | Houston, TX | $183.40 | $524 | $262.99 | 0.7× |
| Banner - University Medical Center Tucson | Tucson, AZ | $184.63 | $789 | $262.99 | 0.7× |
| Clara Barton Hospital | Hoisington, KS | $184.80 | $264 | $262.99 | 0.7× |
| Covenant Health Fort Loudoun | Lenoir City, TN | $185.60 | $580 | $262.99 | 0.7× |
| Baptist Memorial Hospital-Memphis | Memphis, TN | $186.48 | $888 | $262.99 | 0.7× |
| Mississippi Baptist Medical Center | Jackson, MS | $186.48 | $888 | $262.99 | 0.7× |
| Banner Desert Medical Center | Mesa, AZ | $192.52 | $789 | $262.99 | 0.7× |
| El Campo Memorial Hospital | El Campo, TX | $193 | $193 | $262.99 | 0.7× |
| Mid Coast Medical Center - Central | Llano, TX | $193 | $193 | $262.99 | 0.7× |
| Mid Coast Medical Center-trinity | Trinity, TX | $193 | $193 | $262.99 | 0.7× |
| CommonSpirit Saint Joseph Hospital - Lexington | Lexington, KY | $194.09 | $412 | $262.99 | 0.7× |
| HCA Florida South Shore Hospital | Sun City Center, FL | $195 | $195 | $262.99 | 0.7× |
| SSM Health St. Joseph Hospital - St. Charles | St. Charles, MO | $195.25 | $355 | $262.99 | 0.7× |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $195.25 | $355 | $262.99 | 0.7× |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $195.25 | $355 | $262.99 | 0.7× |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $195.25 | $355 | $262.99 | 0.7× |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $195.25 | $355 | $262.99 | 0.7× |
| Ascension Seton Cedar Park | Cedar Park, TX | $195.72 | $543.66 | $262.99 | 0.7× |
| Yuma District Hospital | Yuma, CO | $197.25 | $263 | $262.99 | 0.8× |
| Banner Thunderbird Medical Center | Glendale, AZ | $199.62 | $789 | $262.99 | 0.8× |
| Falls Community Hospital and Clinic | Marlin, TX | $200 | $250 | $262.99 | 0.8× |
| Baptist Memorial Hospital-Carroll County | Huntingdon, TN | $204.24 | $888 | $262.99 | 0.8× |
| Baptist Memorial Hospital-North Mississippi | Oxford, MS | $204.24 | $888 | $262.99 | 0.8× |
| Huntsville Memorial Hospital | Huntsville, TX | $205 | $820 | $262.99 | 0.8× |
| Lane Regional Medical Center | Zachary, LA | $210 | $600 | $262.99 | 0.8× |
| UofL Health – UofL Hospital | Louisville, KY | $210.72 | $878 | $262.99 | 0.8× |
| Guadalupe Regional Medical Center | Seguin, TX | $211 | $422 | $262.99 | 0.8× |
| Baptist Memorial Hospital-Tipton | Covington, TN | $213.12 | $888 | $262.99 | 0.8× |
| Baptist Memorial Hospital-Union County | New Albany, MS | $213.12 | $888 | $262.99 | 0.8× |
| Baptist Memorial Hospital-Booneville | Booneville, MS | $213.12 | $888 | $262.99 | 0.8× |
| Methodist Hospital | Omaha, NE | $213.84 | $594 | $262.99 | 0.8× |
| University Health System | San Antonio, TX | $214.75 | $859 | $262.99 | 0.8× |
| Jefferson Davis Community Hospital | Prentiss, MS | $216.84 | $619.52 | $262.99 | 0.8× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $217.10 | $334 | $262.99 | 0.8× |
| Cleveland Clinic Hospital | Weston, FL | $217.10 | $334 | $262.99 | 0.8× |
| Community Medical Center, Inc | Falls City, NE | $218 | $330 | $262.99 | 0.8× |
| Touro | New Orleans, LA | $218.26 | $1,559 | $262.99 | 0.8× |
| Northeast Georgia Medical Center Gainesville | Gainesville, GA | $218.50 | $475 | $262.99 | 0.8× |
| Northeast Georgia Medical Center Habersham | Demorest, GA | $218.50 | $475 | $262.99 | 0.8× |
| Northeast Georgia Medical Center Barrow | Winder, GA | $218.50 | $475 | $262.99 | 0.8× |
| Northeast Georgia Medical Center Lumpkin | Dahlonega, GA | $218.50 | $475 | $262.99 | 0.8× |
| Banner North Colorado Medical Center | Greeley, CO | $220.13 | $789 | $262.99 | 0.8× |
| Missouri Delta Medical Center | Sikeston, MO | $222 | $888 | $262.99 | 0.8× |
| Baptist Memorial Hospital-Golden Triangle | Columbus, MS | $222 | $888 | $262.99 | 0.8× |
| AdventHealth Porter | Denver, CO | $222.14 | $222.14 | $262.99 | 0.8× |
| AdventHealth Avista | Louisville, CO | $222.14 | $222.14 | $262.99 | 0.8× |
| AdventHealth Littleton | Littleton, CO | $222.14 | $222.14 | $262.99 | 0.8× |
| AdventHealth Parker | Parker, CO | $222.14 | $222.14 | $262.99 | 0.8× |
| AdventHealth Castle Rock | Castle Rock, CO | $222.14 | $222.14 | $262.99 | 0.8× |
| Perry County General Hospital | Richton, MS | $223.03 | $619.52 | $262.99 | 0.8× |
| Bsa Hospital | Amarillo, TX | $223.30 | $2,233 | $262.99 | 0.8× |
| Holy Cross Hospital | Fort Lauderdale, FL | $231.37 | $355.96 | $262.99 | 0.9× |
| HCA Florida South Tampa Hospital | Tampa, FL | $232 | $232 | $262.99 | 0.9× |
| Crane County Hospital District | Crane, TX | $232 | $331 | $262.99 | 0.9× |
| LMH Health | Lawrence, KS | $232.62 | $930.50 | $262.99 | 0.9× |
| Jefferson County Hospital | Waurika, OK | $236.57 | $674 | $262.99 | 0.9× |
| St. Luke's Hospital | Chesterfield, MO | $236.88 | $394.80 | $262.99 | 0.9× |
| Methodist Fremont Health | Fremont, NE | $237.54 | $642 | $262.99 | 0.9× |
| Tennova Jefferson Memorial Hospital | Jefferson City, TN | $239.95 | $1,084.27 | $262.99 | 0.9× |
| Lexington Regional Health Center | Lexington, NE | $240.19 | $250.20 | $262.99 | 0.9× |
| Southwell Medical | Adel, GA | $240.72 | $481.42 | $262.99 | 0.9× |
| Tennova North Knoxville Medical Center | Powell, TN | $245.59 | $1,084.27 | $262.99 | 0.9× |
| Crittenden Community Hospital | Marion, KY | $248.64 | $592 | $262.99 | 0.9× |
| Ozarks Healthcare | West Plains, MO | $250 | $500 | $262.99 | 1.0× |
| Pascagoula Hospital | Pascagoula, MS | $251.10 | $837 | $262.99 | 1.0× |
| Tampa General Hospital | Tampa, FL | $252.70 | $722 | $262.99 | 1.0× |
| Moberly Regional Medical Center | Moberly, MO | $253.08 | $937.32 | $262.99 | 1.0× |
| Tennova Newport Medical Center | Newport, TN | $254.80 | $1,084.27 | $262.99 | 1.0× |
| Tift Regional Medical Center | Tifton, GA | $255 | $510 | $262.99 | 1.0× |
| Citizens Medical Center | Columbia, LA | $260.96 | $372.80 | $262.99 | 1.0× |
| Dallas Regional Medical Center | Mesquite, TX | $262 | $1,317.45 | $262.99 | 1.0× |
| Riverview Regional Medical Center | Gadsden, AL | $262 | $1,317.45 | $262.99 | 1.0× |
| Southern Regional Medical Center | Riverdale, GA | $262 | $1,314.95 | $262.99 | 1.0× |
| Hays Medical Center | Hays, KS | $262.35 | $795 | $262.99 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $262.99 | — | $262.99 | 1.0× |
| Harris Health | Houston, TX | $262.99 | $450 | $262.99 | 1.0× |
| Griffin Hospital | Derby, CT | $262.99 | $1,662.25 | $262.99 | 1.0× |
| Trigg County Hospital | Cadiz, KY | $263.34 | $658.35 | $262.99 | 1.0× |
| Benson Hospital | Benson, AZ | $264.96 | $552 | $262.99 | 1.0× |
| Carroll County Memorial Hospital | Carrollton, KY | $265.05 | $441.75 | $262.99 | 1.0× |
| Ochsner Laird Hospital | Union, MS | $268.40 | $440 | $262.99 | 1.0× |
| Nemaha Valley Community Hospital | Seneca, KS | $270 | $300 | $262.99 | 1.0× |
| Hermann Area District Hospital | Hermann, MO | $270.60 | $451 | $262.99 | 1.0× |
| Merit Health River Region | Vicksburg, MS | $271.26 | $1,507 | $262.99 | 1.0× |
| Memorial Hospital & Manor | Bainbridge, GA | $276.50 | $395 | $262.99 | 1.1× |
| Ochsner Scott Regional | Morton, MS | $277.20 | $440 | $262.99 | 1.1× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $279 | $620 | $262.99 | 1.1× |
| Liberty Hospital | Liberty, MO | $279 | $1,000 | $262.99 | 1.1× |
| ECU Health Medical Center | Greenville, NC | $282.49 | $533 | $262.99 | 1.1× |
| UAMS Medical Center | Little Rock, AR | $285 | $475 | $262.99 | 1.1× |
| Forrest General Hospital | Hattiesburg, MS | $287.98 | $1,028.50 | $262.99 | 1.1× |
| UF Health Jacksonville | Jacksonville, FL | $289.30 | $526 | $262.99 | 1.1× |
| Tennova LaFollette Medical Center | LaFollette, TN | $292.75 | $1,084.27 | $262.99 | 1.1× |
| University Hospital – UMMC | Jackson, MS | $292.80 | $732 | $262.99 | 1.1× |
| UMMC Madison | Canton, MS | $292.80 | $732 | $262.99 | 1.1× |
| Ochsner Watkins Hospital | Quitman, MS | $294.80 | $440 | $262.99 | 1.1× |
| East Alabama Medical Center | Opelika, AL | $298.10 | $542 | $262.99 | 1.1× |
| ECU Health Roanoke-Chowan Hospital | Ahoskie, NC | $298.48 | $533 | $262.99 | 1.1× |
| ECU Health Edgecombe Hospital | Tarboro, NC | $298.48 | $533 | $262.99 | 1.1× |
| Valleywise Health Medical Center | Phoenix, AZ | $302.44 | — | $262.99 | 1.2× |
| Ochsner Stennis Hospital | De Kalb, MS | $303.60 | $440 | $262.99 | 1.2× |
| Logan County Hospital | Oakley, KS | $306.25 | $1,225 | $262.99 | 1.2× |
| Laredo Medical Center | Laredo, TX | $307.14 | $1,279.76 | $262.99 | 1.2× |
| Saunders Medical Center | Wahoo, NE | $309 | $412 | $262.99 | 1.2× |
| AdventHealth Palm Coast | Palm Coast, FL | $312.69 | $312.69 | $262.99 | 1.2× |
| Cody Regional Health | Cody, WY | $313.65 | $369 | $262.99 | 1.2× |
| Archbold Memorial | Thomasville, GA | $314.40 | $524 | $262.99 | 1.2× |
| Archbold Grady | Cairo, GA | $314.40 | $524 | $262.99 | 1.2× |
| Archbold Mitchell | Camilla, GA | $314.40 | $524 | $262.99 | 1.2× |
| Archbold Brooks | Quitman, GA | $314.40 | $524 | $262.99 | 1.2× |
| Delta County Memorial Hospital | Delta, CO | $315.59 | $525.98 | $262.99 | 1.2× |
| Cullman Regional Medical Center | Cullman, AL | $315.59 | $675 | $262.99 | 1.2× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $315.59 | — | $262.99 | 1.2× |
| Mease Dunedin Hospital | Dunedin, FL | $315.60 | $526 | $262.99 | 1.2× |
| Winter Haven Hospital | Winter Haven, FL | $315.60 | $526 | $262.99 | 1.2× |
| Morton Plant North Bay Hospital | New Port Richey, FL | $315.60 | $526 | $262.99 | 1.2× |
| St. Anthony's Hospital | Saint Petersburg, FL | $315.60 | $526 | $262.99 | 1.2× |
| St. Joseph's Hospital | Tampa, FL | $315.60 | $526 | $262.99 | 1.2× |
| Bartow Regional Medical Center | Bartow, FL | $315.60 | $526 | $262.99 | 1.2× |
| Morton Plant Hospital | Clearwater, FL | $315.60 | $526 | $262.99 | 1.2× |
| South Florida Baptist Hospital | Plant City, FL | $315.60 | $526 | $262.99 | 1.2× |
| Mease Countryside Hospital | Safety Harbor, FL | $315.60 | $526 | $262.99 | 1.2× |
| BayCare Hospital Wesley Chapel | Wesley Chapel, FL | $315.60 | $526 | $262.99 | 1.2× |
| Johnson County Hospital | Tecumseh, NE | $316 | $316 | $262.99 | 1.2× |
| Union General Hospital | Blairsville, GA | $328.50 | $657 | $262.99 | 1.2× |
| Medical City Weatherford | Weatherford, TX | $328.62 | $328.62 | $262.99 | 1.2× |
| Mcbride Orthopedic Hospital | Oklahoma City, OK | $329 | $329 | $262.99 | 1.3× |
| Randolph Health | Asheboro, NC | $330.60 | $1,653 | $262.99 | 1.3× |
| Banner Wyoming Medical Center | Casper, WY | $331.38 | $789 | $262.99 | 1.3× |
| UofL Health – Shelbyville Hospital | Shelbyville, KY | $333.64 | $878 | $262.99‡ | 1.3× |
| East Georgia Regional Medical Center | Statesboro, GA | $333.72 | $1,236 | $262.99 | 1.3× |
| Ochsner Choctaw General | Butler, AL | $334.40 | $440 | $262.99 | 1.3× |
| AdventHealth Fish Memorial | Orange City, FL | $335.02 | $335.02 | $262.99 | 1.3× |
| UNC Health Johnston | Smithfield, NC | $336 | $560 | $262.99 | 1.3× |
| Tyler Holmes Memorial Hospital | Winona, MS | $337.50 | $450 | $262.99 | 1.3× |
| Sterling Regional MedCenter | Sterling, CO | $339.27 | $789 | $262.99 | 1.3× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $341.89 | — | $262.99 | 1.3× |
| Denver Health Medical Center | Denver, CO | $342.80 | $979.44 | $262.99 | 1.3× |
| Lynn County Hospital District | Tahoka, TX | $343.75 | $343.75 | $262.99 | 1.3× |
| AdventHealth Waterman | Tavares, FL | $356.64 | $356.64 | $262.99 | 1.4× |
| Memorial Hermann Hospital System | Houston, TX | $359.80 | $1,124.38 | $262.99 | 1.4× |
| Memorial Hermann Memorial City Medical Center | Houston, TX | $359.80 | $1,124.38 | $262.99 | 1.4× |
| Memorial Hermann Northeast Hospital | Humble, TX | $359.80 | $1,124.38 | $262.99 | 1.4× |
| Memorial Hermann Katy Hospital | Katy, TX | $359.80 | $1,124.38 | $262.99 | 1.4× |
| Memorial Hermann Sugar Land Hospital | Sugar Land, TX | $359.80 | $1,124.38 | $262.99 | 1.4× |
| Norman Regional | Norman, OK | $360 | $600 | $262.99 | 1.4× |
| Hillcrest Hospital Pryor | Pryor, OK | $360.30 | $1,201 | $262.99 | 1.4× |
| UConn John Dempsey Hospital | Farmington, CT | $361.20 | $602 | $262.99 | 1.4× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $362.25 | $603.75 | $262.99 | 1.4× |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $362.25 | $603.75 | $262.99 | 1.4× |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $362.25 | $603.75 | $262.99 | 1.4× |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $362.25 | $603.75 | $262.99 | 1.4× |
| Texas Health Harris Methodist Hospital Stephenvill | Stephenville, TX | $362.25 | $603.75 | $262.99 | 1.4× |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $362.25 | $603.75 | $262.99 | 1.4× |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $362.25 | $603.75 | $262.99 | 1.4× |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $362.25 | $603.75 | $262.99 | 1.4× |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $362.25 | $603.75 | $262.99 | 1.4× |
| Texas Health Harris Methodist Hospital Southwest F | Fort Worth, TX | $362.25 | $603.75 | $262.99 | 1.4× |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $362.25 | $603.75 | $262.99 | 1.4× |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $362.25 | $603.75 | $262.99 | 1.4× |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $362.25 | $603.75 | $262.99 | 1.4× |
| Texas Health Hospital Frisco | Frisco, TX | $362.25 | $603.75 | $262.99 | 1.4× |
| Cook Childrens Medical Center | Fort Worth, TX | $362.97 | $483.96 | $262.99 | 1.4× |
| Baptist Memorial Hospital-Yazoo | Yazoo City, MS | $364.08 | $888 | $262.99 | 1.4× |
| Mercy Hospital South | St. Louis, MO | $365.30 | $562 | $262.99 | 1.4× |
| Johnson County Community Hospital | Mountain City, TN | $365.93 | $1,591 | $262.99 | 1.4× |
| Hancock County Hospital | Sneedville, TN | $365.93 | $1,591 | $262.99 | 1.4× |
| Ness County Hospital District #2 | Ness City, KS | $368.25 | $491 | $262.99 | 1.4× |
| Wayne UNC Health Care | Goldsboro, NC | $368.40 | $614 | $262.99 | 1.4× |
| Saint Francis Hospital Muskogee | Muskogee, OK | $368.64 | $921.60 | $262.99 | 1.4× |
| Saint Francis Hospital, Inc | Tulsa, OK | $368.64 | $921.60 | $262.99 | 1.4× |
| Saint Francis Hospital South, LLC | Tulsa, OK | $368.64 | $921.60 | $262.99 | 1.4× |
| Saint Francis Hospital Vinita, Inc | Vinita, OK | $368.64 | $921.60 | $262.99 | 1.4× |
| Liberty Regional Medical Center | Hinesville, GA | $371.87 | $495.82 | $262.99 | 1.4× |
| Bristol Regional Medical Center | Bristol, TN | $372.75 | $2,485 | $262.99 | 1.4× |
| Holston Valley Medical Center | Kingsport, TN | $372.75 | $2,485 | $262.99 | 1.4× |
| Sycamore Shoals Hospital | Elizabethton, TN | $372.75 | $2,485 | $262.99 | 1.4× |
| Hawkins County Memorial Hospital | Rogersville, TN | $372.75 | $2,485 | $262.99 | 1.4× |
| Greeneville Community Hospital | Greeneville, TN | $372.75 | $2,485 | $262.99 | 1.4× |
| Johnson City Medical Center | Johnson City, TN | $372.75 | $2,485 | $262.99 | 1.4× |
| Indian Path Community Hospital | Kingsport, TN | $372.75 | $2,485 | $262.99 | 1.4× |
| Franklin Woods Community Hospital | Johnson City, TN | $372.75 | $2,485 | $262.99 | 1.4× |
| Nash General Hospital | Rocky Mount, NC | $373.20 | $622 | $262.99 | 1.4× |
| Baylor Scott & White Emergency Hospital | Aubrey, TX | $373.58 | $622.64 | $262.99 | 1.4× |
| Baylor Scott and White Emergency Hospital | Burleson, TX | $373.58 | $622.64 | $262.99 | 1.4× |
| Pawnee Valley Community Hospital | Larned, KS | $374 | $935 | $262.99 | 1.4× |
| Jackson Healthcare Center | Edna, TX | $377 | $471 | $262.99 | 1.4× |
| INTEGRIS Community Hospital - Council Crossing | Oklahoma City, OK | $383.37 | $485.28 | $262.99 | 1.5× |
| Grace Surgical Hospital | Lubbock, TX | $383.46 | $913 | $262.99 | 1.5× |
| Baxter Health | Mountain Home, AR | $384 | $640 | $262.99 | 1.5× |
| Baxter Health Fulton County Hospital | Salem, AR | $385 | $550 | $262.99 | 1.5× |
| Arkansas Children's Hospital | Little Rock, AR | $389.25 | $432.50 | $262.99 | 1.5× |
| Pikeville Medical Center | Pikeville, KY | $390 | $1,300 | $262.99 | 1.5× |
| Baptist Memorial Hospital-Attala | Kosciusko, MS | $390.72 | $888 | $262.99 | 1.5× |
| Boca Raton Regional Hospital | Boca Raton, FL | $392.60 | $604 | $262.99 | 1.5× |
| Delhi Hospital | Delhi, LA | $393.25 | $605 | $262.99 | 1.5× |
| UCHealth Greeley Hospital | Greeley, CO | $394.20 | $657 | $262.99 | 1.5× |
| Arkansas Children's Northwest | Springdale, AR | $394.38 | $438.20 | $262.99 | 1.5× |
| Cape Fear Valley Medical Center | Fayetteville, NC | $394.49 | $657.48 | $262.99 | 1.5× |
| Cape Fear Valley Betsy Johnson Hospital | Dunn, NC | $394.49 | $657.48 | $262.99 | 1.5× |
| Cape Fear Valley Hoke Hospital | Raeford, NC | $394.49 | $657.48 | $262.99 | 1.5× |
| Cape Fear Valley Bladen County Hospital | Elizabethtown, NC | $394.49 | $657.48 | $262.99 | 1.5× |
| UofL Health – Jewish Hospital | Louisville, KY | $395.10 | $878 | $262.99 | 1.5× |
| Methodist Dallas Medical Center | Dallas, TX | $397.50 | $795 | $262.99 | 1.5× |
| Methodist Richardson Medical Center | Richardson, TX | $397.50 | $795 | $262.99 | 1.5× |
| Methodist Charlton Medical Center | Dallas, TX | $397.50 | $795 | $262.99 | 1.5× |
| Methodist Mansfield Medical Center | Mansfield, TX | $397.50 | $795 | $262.99 | 1.5× |
| Methodist Southlake Medical Center | Southlake, TX | $397.50 | $795 | $262.99 | 1.5× |
| Methodist Midlothian Medical Center | Midlothian, TX | $397.50 | $795 | $262.99 | 1.5× |
| Methodist Celina Medical Center | Celina, TX | $397.50 | $795 | $262.99 | 1.5× |
| Baptist Memorial Hospital-Leake | Carthage, MS | $399.60 | $888 | $262.99 | 1.5× |
| Medina Regional Hospital | Hondo, TX | $400.50 | $445 | $262.99 | 1.5× |
| West Calcasieu Cameron Hospital | Sulphur, LA | $401.39 | $535.19 | $262.99 | 1.5× |
| Houston Methodist Hospital | Houston, TX | $402 | $804 | $262.99 | 1.5× |
| Merrick Medical Center | Central City, NE | $405.60 | $676 | $262.99 | 1.5× |
| Crete Area Medical Center | Crete, NE | $405.60 | $676 | $262.99 | 1.5× |
| Kit Carson County Memorial Hospital | Burlington, CO | $408 | $480 | $262.99 | 1.6× |
| Tyler County Hospital | Woodville, TX | $409 | $545 | $262.99 | 1.6× |
| Baptist Health Shelby Hospital | Alabaster, AL | $409.11 | $409.11 | $262.99 | 1.6× |
| Baptist Health Walker Hospital | Jasper, AL | $409.11 | $409.11 | $262.99 | 1.6× |
| Baptist Health Citizens Hospital | Talladega, AL | $409.11 | $409.11 | $262.99 | 1.6× |
| Baptist Health Princeton Hospital | Birmingham, AL | $409.11 | $409.11 | $262.99 | 1.6× |
| Fort Duncan Medical Center | Eagle Pass, TX | $409.20 | $1,023 | $262.99 | 1.6× |
| Ascension Sacred Heart Pensacola | Pensacola, FL | $409.21 | $1,023.03 | $262.99 | 1.6× |
| Ascension Sacred Heart Bay | Panama City, FL | $409.21 | $1,023.03 | $262.99 | 1.6× |
| Sacred Heart Hospital on the Emerald Coast | Miramar Beach, FL | $409.21 | $1,023.03 | $262.99 | 1.6× |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $410.34 | $977 | $262.99 | 1.6× |
| CHI Health Immanuel | Omaha, NE | $410.34 | $977 | $262.99 | 1.6× |
| CHI Health Midlands | Papillion, NE | $410.34 | $977 | $262.99 | 1.6× |
| CHI Health Lakeside | Omaha, NE | $410.34 | $977 | $262.99 | 1.6× |
| Washington County Memorial Hospital | Potosi, MO | $410.92 | $547.89 | $262.99 | 1.6× |
| Grand Island Regional Medical Center | Grand Island, NE | $422.40 | $704 | $262.99 | 1.6× |
| UNC Health Chatham | Siler City, NC | $427.80 | $713 | $262.99 | 1.6× |
| Memorial Hermann Texas Medical Center | Houston, TX | $435.92 | $1,362.25 | $262.99 | 1.7× |
| Minneola District Hospital Nbr 2 | Minneola, KS | $437.50 | $625 | $262.99 | 1.7× |
| Harrison Memorial Hospital | Cynthiana, KY | $437.50 | $625 | $262.99 | 1.7× |
| Ascension Sacred Heart Gulf | Port Saint Joe, FL | $438 | $1,095 | $262.99 | 1.7× |
| Greeley County Health Services | Tribune, KS | $441 | $630 | $262.99 | 1.7× |
| UNC Health Rockingham | Eden, NC | $441 | $735 | $262.99 | 1.7× |
| Midwest Surgical Hospital LLC | Omaha, NE | $444 | $592 | $262.99 | 1.7× |
| Grove Hill Rural Emergency Hospital | Grove Hill, AL | $444 | $740 | $262.99 | 1.7× |
| Springhill Medical Center | Mobile, AL | $447.08 | $525.98 | $262.99 | 1.7× |
| Greenwood County Hospital | Eureka, KS | $450.40 | $563 | $262.99 | 1.7× |
| Williamson Medical Center | Franklin, TN | $454.45 | $806 | $262.99 | 1.7× |
| UNC Health Blue Ridge – Morganton | Morganton, NC | $456.60 | $761 | $262.99 | 1.7× |
| Dorminy Medical Center | Fitzgerald, GA | $457.50 | $915 | $262.99 | 1.7× |
| UCHealth University of Colorado Hospital | Aurora, CO | $459.20 | $1,312 | $262.99 | 1.7× |
| CHI Health Good Samaritan | Kearney, NE | $459.33 | $753 | $262.99 | 1.7× |
| Poudre Valley Hospital | Fort Collins, CO | $459.90 | $657 | $262.99 | 1.7× |
| Medical Center of the Rockies | Loveland, CO | $459.90 | $657 | $262.99 | 1.7× |
| Salina Regional Health Center | Salina, KS | $460.60 | $658 | $262.99 | 1.8× |
| North Central Kansas Medical Center | Concordia, KS | $460.60 | $658 | $262.99 | 1.8× |
| Lindsborg Community Hospital | Lindsborg, KS | $460.60 | $658 | $262.99 | 1.8× |
| Southwest Medical Center | Liberal, KS | $461.60 | $577 | $262.99 | 1.8× |
| Baptist Memorial Hospital-Calhoun | Calhoun City, MS | $461.76 | $888 | $262.99 | 1.8× |
| Providence Medical Center | Wayne, NE | $462.65 | $487 | $262.99 | 1.8× |
| Ascension St. Vincent's Riverside | Jacksonville, FL | $467.13 | $1,262.50 | $262.99 | 1.8× |
| Ascension St. Vincent's Southside | Jacksonville, FL | $467.13 | $1,262.50 | $262.99 | 1.8× |
| Ascension St. Vincent's Clay County | Middleburg, FL | $467.13 | $1,262.50 | $262.99 | 1.8× |
| Ascension St. Vincent's St. Johns County | St. Johns, FL | $467.13 | $1,262.50 | $262.99 | 1.8× |
| Cheyenne County Hospital | St. Francis, KS | $470.34 | $553.34 | $262.99 | 1.8× |
| ECU Health Duplin Hospital | Kenansville, NC | $472.64 | $844 | $262.99 | 1.8× |
| Northside Hospital Forsyth | Cumming, GA | $474.75 | $633 | $262.99 | 1.8× |
| Northside Hospital Cherokee | Canton, GA | $474.75 | $633 | $262.99 | 1.8× |
| Northside Hospital Gwinnett | Lawrenceville, GA | $474.75 | $633 | $262.99 | 1.8× |
| Northside Hospital Atlanta | Atlanta, GA | $474.75 | $633 | $262.99 | 1.8× |
| Northside Hospital Duluth | Duluth, GA | $474.75 | $633 | $262.99 | 1.8× |
| West Tennessee Healthcare Jackson-Madison County General Hospital | Jackson, TN | $474.90 | $1,583 | $262.99 | 1.8× |
| West Tennessee Healthcare Milan Hospital | Milan, TN | $474.90 | $1,583 | $262.99 | 1.8× |
| West Tennessee Healthcare Volunteer Hospital | Martin, TN | $474.90 | $1,583 | $262.99 | 1.8× |
| West Tennessee Healthcare Dyersburg Hospital | Dyersburg, TN | $474.90 | $1,583 | $262.99 | 1.8× |
| West Tennessee Healthcare Camden Hospital | Camden, TN | $474.90 | $1,583 | $262.99 | 1.8× |
| West Tennessee Healthcare Bolivar Hospital | Bolivar, TN | $474.90 | $1,583 | $262.99 | 1.8× |
| ECU Health Bertie Hospital | Windsor, NC | $477.68 | $853 | $262.99 | 1.8× |
| Holton Community Hospital | Holton, KS | $484.31 | $645.75 | $262.99 | 1.8× |
| UK St. Claire Regional Medical Center | Morehead, KY | $487.12 | $649.50 | $262.99 | 1.9× |
| Mercy Health — Marcum and Wallace Hospital | Irvine, KY | $487.20 | $812 | $262.99 | 1.9× |
| Share Medical Center | Alva, OK | $487.50 | $750 | $262.99‡ | 1.9× |
| Self Regional Healthcare | Greenwood, SC | $487.60 | $812.67 | $262.99 | 1.9× |
| Edgefield County Healthcare | Edgefield, SC | $487.60 | $812.67 | $262.99 | 1.9× |
| H. Lee Moffitt Cancer Center & Research Institute | Tampa, FL | $488.50 | $977 | $262.99 | 1.9× |
| Plains Memorial Hospital | Dimmitt, TX | $493 | $657 | $262.99 | 1.9× |
| Community Hospital, Torrington (Banner Health) | Torrington, WY | $496.28 | $789 | $262.99 | 1.9× |
| Phillips County Health Systems | Phillipsburg, KS | $501.50 | $590 | $262.99 | 1.9× |
| Jackson Purchase Medical Center | Mayfield, KY | $504.10 | $1,260.25 | $262.99 | 1.9× |
| Nebraska Medical Center | Omaha, NE | $504.72 | $776.50 | $262.99 | 1.9× |
| Bellevue Medical Center | Bellevue, NE | $504.72 | $776.50 | $262.99 | 1.9× |
| Howard Memorial Hospital | Nashville, AR | $505.56 | $1,263.90 | $262.99 | 1.9× |
| Northeastern Health System | Tahlequah, OK | $507.75 | $677 | $262.99‡ | 1.9× |
| Bryan Medical Center | Lincoln, NE | $510 | $850 | $262.99 | 1.9× |
| Kearney Regional Medical Center | Kearney, NE | $510 | $850 | $262.99 | 1.9× |
| University Hospital | Columbia, MO | $511.26 | $852.10 | $262.99 | 1.9× |
| Neosho Memorial Regional Medical Center | Chanute, KS | $513 | $684 | $262.99 | 2.0× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $515.40 | $859 | $262.99 | 2.0× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $515.40 | $859 | $262.99 | 2.0× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $515.40 | $859 | $262.99 | 2.0× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $515.40 | $859 | $262.99 | 2.0× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $515.40 | $859 | $262.99 | 2.0× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $515.40 | $859 | $262.99 | 2.0× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $515.40 | $859 | $262.99 | 2.0× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $515.40 | $859 | $262.99 | 2.0× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $515.40 | $859 | $262.99 | 2.0× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $515.40 | $859 | $262.99 | 2.0× |
| Baylor Regional Medical Center at Plano | Plano, TX | $515.40 | $859 | $262.99 | 2.0× |
| The Heart Hospital Baylor Denton | Denton, TX | $515.40 | $859 | $262.99 | 2.0× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $515.40 | $859 | $262.99 | 2.0× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $515.40 | $859 | $262.99 | 2.0× |
| Scott & White Hospital-round Rock | Round Rock, TX | $515.40 | $859 | $262.99 | 2.0× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $515.40 | $859 | $262.99 | 2.0× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $515.40 | $859 | $262.99 | 2.0× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $515.40 | $859 | $262.99 | 2.0× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $515.40 | $859 | $262.99 | 2.0× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $515.40 | $859 | $262.99 | 2.0× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $515.40 | $859 | $262.99 | 2.0× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $515.40 | $859 | $262.99 | 2.0× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $515.40 | $859 | $262.99 | 2.0× |
| Baylor Scott and White The Heart Hospital Corinth | Denton, TX | $515.40 | $859 | $262.99 | 2.0× |
| Sweetwater Hospital Association | Sweetwater, TN | $517.24 | $1,149.42 | $262.99 | 2.0× |
| Spartanburg Medical Center | Spartanburg, SC | $521.40 | $869 | $262.99 | 2.0× |
| Cherokee Medical Center | Gaffney, SC | $521.40 | $869 | $262.99 | 2.0× |
| Pelham Medical Center | Greer, SC | $521.40 | $869 | $262.99 | 2.0× |
| Union Medical Center | Union, SC | $521.40 | $869 | $262.99 | 2.0× |
| Rock County Hospital | Bassett, NE | $522 | $549 | $262.99 | 2.0× |
| Limestone Medical Center | Groesbeck, TX | $522.27 | $870.45 | $262.99 | 2.0× |
| Texas Health HEB | Bedford, TX | $525.52 | $875.88 | $262.99 | 2.0× |
| Washington County Regional Medical Center | Sandersville, GA | $526 | $1,052 | $262.99 | 2.0× |
| Optim Medical Center-Screven | Sylvania, GA | $527 | $527 | $262.99 | 2.0× |
| Optim Medical Center-Tattnall | Reidsville, GA | $527 | $527 | $262.99 | 2.0× |
| East Morgan County Hospital | Brush, CO | $527.05 | $789 | $262.99 | 2.0× |
| Fairview Park Hospital | Dublin, GA | $532.25 | $532.25 | $262.99 | 2.0× |
| Saint Mary's Hospital | Waterbury, CT | $532.40 | $968 | $262.99 | 2.0× |
| Stone County Medical Center | Mountain View, AR | $533.25 | $711 | $262.99 | 2.0× |
| Ogallala Community Hospital | Ogallala, NE | $542.04 | $789 | $262.99 | 2.1× |
| ECU Health North Hospital | Roanoke Rapids, NC | $542.08 | $968 | $262.99 | 2.1× |
| York General Health Care Services | York, NE | $542.38 | $542.38 | $262.99 | 2.1× |
| Faith Health | Norfolk, NE | $544 | $869 | $262.99 | 2.1× |
| St. John's Medical Center | Jackson, WY | $547.50 | $547.50 | $262.99 | 2.1× |
| Lawrence + Memorial Hospital | New London, CT | $548.28 | $1,523 | $262.99 | 2.1× |
| St. Tammany Parish Hospital | Covington, LA | $552 | $920 | $262.99 | 2.1× |
| St. Vincent General Hospital District | Leadville, CO | $553 | $790 | $262.99 | 2.1× |
| Community Hospital, Onaga and St. Marys Campus | Onaga, KS | $553.60 | $692 | $262.99‡ | 2.1× |
| Platte County Hospital | Wheatland, WY | $553.88 | $789 | $262.99 | 2.1× |
| Washakie Medical Center | Worland, WY | $558.61 | $789 | $262.99 | 2.1× |
| Duncan Regional Hospital, Inc | Duncan, OK | $563.32 | $707.50 | $262.99 | 2.1× |
| Abbeville Area Medical Center | Abbeville, SC | $568.87 | $812.67 | $262.99 | 2.2× |
| Family Health West Hospital | Fruita, CO | $571.20 | $816 | $262.99 | 2.2× |
| Mercy Health — Lourdes Hospital | Paducah, KY | $575.10 | $958.50 | $262.99 | 2.2× |
| Swisher Memorial Hospital | Tulia, TX | $585.50 | $1,171 | $262.99 | 2.2× |
| Stamford Hospital | Stamford, CT | $585.50 | $585.50 | $262.99 | 2.2× |
| Community Hospital Grand Junction | Grand Junction, CO | $588 | $1,050 | $262.99 | 2.2× |
| Lincoln Medical Center | Fayetteville, TN | $589.24 | $1,243.12 | $262.99 | 2.2× |
| East Valley ER & Hospital | Gilbert, AZ | $591.75 | $1,315 | $262.99 | 2.3× |
| Alexandria Emergency Hospital | Alexandria, LA | $591.75 | $1,315 | $262.99 | 2.3× |
| Bothwell Regional Health Center | Sedalia, MO | $596.25 | $795 | $262.99 | 2.3× |
| Tallahassee Memorial Hospital | Tallahassee, FL | $596.40 | $852 | $262.99 | 2.3× |
| Muleshoe Area Medical Center | Muleshoe, TX | $602 | $1,004 | $262.99 | 2.3× |
| Caldwell Regional Medical Center | Caldwell, KS | $602.04 | $708.28 | $262.99 | 2.3× |
| Henderson Community Hospital | Henderson, NE | $605 | $605 | $262.99 | 2.3× |
| Graham County Hospital | Hill City, KS | $605 | $605 | $262.99 | 2.3× |
| Bristol Hospital | Bristol, CT | $607.51 | $1,104.56 | $262.99 | 2.3× |
| SSM Health Saint Louis University Hospital | St. Louis, MO | $616 | $1,120 | $262.99 | 2.3× |
| Winston Medical Center | Louisville, MS | $617.78 | $790 | $262.99 | 2.3× |
| AdventHealth New Smyrna Beach | New Smyrna Beach, FL | $619.79 | $619.79 | $262.99 | 2.4× |
| Houston Methodist Baytown Hospital | Baytown, TX | $621 | $1,242 | $262.99 | 2.4× |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $621 | $1,242 | $262.99 | 2.4× |
| Houston Methodist Sugarland Hospital | Sugar Land, TX | $621 | $1,242 | $262.99 | 2.4× |
| Houston Methodist Willowbrook Hospital | Houston, TX | $621 | $1,242 | $262.99 | 2.4× |
| Houston Methodist West Hospital | Houston, TX | $621 | $1,242 | $262.99 | 2.4× |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $621 | $1,242 | $262.99 | 2.4× |
| Houston Methodist Cypress Hospital | Cypress, TX | $621 | $1,242 | $262.99 | 2.4× |
| Chi St. Luke's Health Baylor College of Medicine Me | Houston, TX | $631.40 | $1,804 | $262.99 | 2.4× |
| St. Luke's The Woodlands Hospital | The Woodlands, TX | $631.40 | $1,804 | $262.99 | 2.4× |
| St. Luke's Sugar Land Hospital | Sugar Land, TX | $631.40 | $1,804 | $262.99 | 2.4× |
| St. Lukes Lakeside Hospital | The Woodlands, TX | $631.40 | $1,804 | $262.99 | 2.4× |
| St. Luke's Hospital at The Vintage | Houston, TX | $631.40 | $1,804 | $262.99 | 2.4× |
| Doctors Hospital | Augusta, GA | $631.77 | $631.77 | $262.99 | 2.4× |
| Halifax Health Medical Center | Daytona Beach, FL | $632 | $790 | $262.99 | 2.4× |
| Halifax Health | UF Health Medical Center of Deltona | Deltona, FL | $632 | $790 | $262.99 | 2.4× |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | $637 | $1,592.50 | $262.99 | 2.4× |
| Orlando Health - Health Central Hospital | Ocoee, FL | $637 | $1,592.50 | $262.99 | 2.4× |
| Orlando Health Bayfront Hospital | Saint Petersburg, FL | $637 | $1,592.50 | $262.99 | 2.4× |
| Orlando Health South Lake Hospital | Clermont, FL | $637 | $1,592.50 | $262.99 | 2.4× |
| Orlando Health Sebastian River Hospital | Sebastian, FL | $637 | $1,592.50 | $262.99 | 2.4× |
| Orlando Health Melbourne Hospital | Melbourne, FL | $637 | $1,592.50 | $262.99 | 2.4× |
| Orlando Health St. Cloud Hospital | Saint Cloud, FL | $637 | $1,592.50 | $262.99 | 2.4× |
| Hot Springs County Memorial Hospital | Thermopolis, WY | $638 | $638 | $262.99 | 2.4× |
| Memorial Hospital | Seward, NE | $645 | $645 | $262.99 | 2.5× |
| Fredonia Regional Hospital | Fredonia, KS | $650.25 | $650.25 | $262.99 | 2.5× |
| Nacogdoches Medical Center | Nacogdoches, TX | $651.75 | $869 | $262.99 | 2.5× |
| Pointe Coupee General Hospital | New Roads, LA | $652.50 | $652.50 | $262.99 | 2.5× |
| TidalHealth Nanticoke | Seaford, DE | $657.48 | $657.48 | $262.99 | 2.5× |
| Memorial Hospital | Abilene, KS | $658 | $658 | $262.99 | 2.5× |
| Conway Medical Center | Conway, SC | $664 | $664 | $262.99 | 2.5× |
| Crisp Regional Hospital | Cordele, GA | $669.80 | $705.06 | $262.99 | 2.5× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $670.65 | $789 | $262.99 | 2.6× |
| Baptist Health Hardin | Elizabethtown, KY | $674.73 | $899.64 | $262.99 | 2.6× |
| Baptist Health Richmond | Richmond, KY | $674.73 | $899.64 | $262.99 | 2.6× |
| Baptist Health Corbin | Corbin, KY | $674.73 | $899.64 | $262.99 | 2.6× |
| Baptist Health Lexington | Lexington, KY | $674.73 | $899.64 | $262.99 | 2.6× |
| Baptist Health Paducah | Paducah, KY | $674.73 | $899.64 | $262.99 | 2.6× |
| Baptist Health Louisville | Louisville, KY | $674.73 | $899.64 | $262.99 | 2.6× |
| Baptist Health La Grange | La Grange, KY | $674.73 | $899.64 | $262.99 | 2.6× |
| Bacon County Hospital and Health System | Alma, GA | $676 | $845 | $262.99 | 2.6× |
| Valley County Health System | Ord, NE | $676.80 | $752 | $262.99 | 2.6× |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | $683.65 | $1,243 | $262.99 | 2.6× |
| SGMC Health Main | Valdosta, GA | $684.75 | $913 | $262.99 | 2.6× |
| SGMC Health Berrien | Nashville, GA | $684.75 | $913 | $262.99 | 2.6× |
| SGMC Health Lanier | Lakeland, GA | $684.75 | $913 | $262.99 | 2.6× |
| Brownfield Regional Medical Center | Brownfield, TX | $690 | $690 | $262.99 | 2.6× |
| AdventHealth Deland | Deland, FL | $691.13 | $691.13 | $262.99 | 2.6× |
| Wilson Medical Center | Neodesha, KS | $691.50 | $922 | $262.99 | 2.6× |
| Sublette County Health | Pinedale, WY | $693.90 | $771 | $262.99 | 2.6× |
| ECU Health Chowan Hospital | Edenton, NC | $696.08 | $1,243 | $262.99 | 2.6× |
| Outer Banks Health Hospital | Nags Head, NC | $696.08 | $1,243 | $262.99 | 2.6× |
| Nemaha County Hospital | Auburn, NE | $700 | $700 | $262.99 | 2.7× |
| Stafford County Hospital | Stafford, KS | $707.89 | $707.89 | $262.99 | 2.7× |
| Genoa Community Hospital | Genoa, NE | $708 | $787 | $262.99 | 2.7× |
| Webster County Community Hospital | Red Cloud, NE | $709 | $746 | $262.99 | 2.7× |
| USA Health Providence Hospital | Mobile, AL | $711.92 | $711.92 | $262.99 | 2.7× |
| USA Health University Hospital | Mobile, AL | $712 | $712 | $262.99 | 2.7× |
| USA Health Children's & Women's Hospital | Mobile, AL | $712 | $712 | $262.99 | 2.7× |
| Stonewall Memorial Hospital District | Aspermont, TX | $712.50 | $950 | $262.99 | 2.7× |
| Graham Regional Medical Center | Graham, TX | $714 | $714 | $262.99 | 2.7× |
| Ochiltree General Hospital | Perryton, TX | $714.50 | $1,021 | $262.99 | 2.7× |
| Saint Francis Hospital | Wilmington, DE | $717.96 | $1,104.56 | $262.99 | 2.7× |
| Tri Valley Health System | Cambridge, NE | $720 | $800 | $262.99 | 2.7× |
| Scotland County Hospital | Memphis, MO | $721 | $1,030 | $262.99 | 2.7× |
| Sabetha Community Hospital | Sabetha, KS | $723 | $723 | $262.99 | 2.7× |
| TriStar Skyline Medical Center | Nashville, TN | $723.50 | $723.50 | $262.99 | 2.8× |
| ChristianaCare | Newark, DE | $732.43 | $732.43 | $262.99 | 2.8× |
| Sullivan County Memorial Hospital | Milan, MO | $738 | $738 | $262.99 | 2.8× |
| Lexington Medical Center | West Columbia, SC | $739 | $739 | $262.99 | 2.8× |
| Norton County Hospital | Norton, KS | $742 | $1,060 | $262.99 | 2.8× |
| United Regional Health Care System | Wichita Falls, TX | $749.50 | $788.95 | $262.99 | 2.8× |
| Novant Health Pender Medical Center | Burgaw, NC | $757.35 | $1,683 | $262.99 | 2.9× |
| Golden Valley Memorial Healthcare | Clinton, MO | $758.61 | $1,264.35 | $262.99 | 2.9× |
| William Newton Memorial Hospital | Winfield, KS | $763 | $763 | $262.99 | 2.9× |
| St. Joseph Medical Center | Houston, TX | $763.62 | $1,958 | $262.99 | 2.9× |
| Clay County Memorial Hospital | Henrietta, TX | $765 | $1,093 | $262.99 | 2.9× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $765.16 | $2,638.50 | $262.99 | 2.9× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $765.16 | $2,638.50 | $262.99 | 2.9× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $765.16 | $2,638.50 | $262.99 | 2.9× |
| Hamilton General Hospital | Hamilton, TX | $766.80 | $1,278 | $262.99 | 2.9× |
| Pender Community Health | Pender, NE | $774 | $911 | $262.99 | 2.9× |
| AdventHealth Daytona Beach | Daytona Beach, FL | $776.91 | $776.91 | $262.99 | 3.0× |
| Eureka Springs Hospital | Eureka Springs, AR | $778.75 | $778.75 | $262.99 | 3.0× |
| Murray-Calloway County Hospital | Murray, KY | $781.30 | $1,202 | $262.99 | 3.0× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $783 | $1,566 | $262.99 | 3.0× |
| HCA Florida Palms West Hospital | Loxahatchee, FL | $788.97 | $788.97 | $262.99 | 3.0× |
| Hsa Port Arthur, LLC | Port Arthur, TX | $788.97 | $788.97 | $262.99 | 3.0× |
| Northwest Surgical Hospital | Oklahoma City, OK | $788.97 | — | $262.99 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $788.97 | — | $262.99 | 3.0× |
| Bon Secours St. Francis Downtown | Greenville, SC | $789 | $1,315 | $262.99 | 3.0× |
| Rawlins County Health Center | Atwood, KS | $790.50 | $930 | $262.99 | 3.0× |
| Bridgeport Hospital | Bridgeport, CT | $791.96 | $1,523 | $262.99 | 3.0× |
| Greenwich Hospital | Greenwich, CT | $791.96 | $1,523 | $262.99 | 3.0× |
| George Washington University Hospital | Washington, DC | $792.80 | $1,982 | $262.99 | 3.0× |
| Cedar Hill Regional Medical Center GW Health | Washington, DC | $792.80 | $1,982 | $262.99 | 3.0× |
| Cedar County Memorial Hospital | El Dorado Springs, MO | $796.80 | $1,328 | $262.99 | 3.0× |
| UNC Hospitals | Chapel Hill, NC | $796.80 | $1,328 | $262.99 | 3.0× |
| Carondelet St. Mary's Hospital | Tucson, AZ | $798.75 | $1,065 | $262.99 | 3.0× |
| Carondelet St. Joseph's Hospital | Tucson, AZ | $798.75 | $1,065 | $262.99 | 3.0× |
| Holy Cross Hospital | Nogales, AZ | $798.75 | $1,065 | $262.99 | 3.0× |
| Danbury Hospital | Danbury, CT | $801 | $801 | $262.99 | 3.0× |
| Norwalk Hospital | Norwalk, CT | $801 | $801 | $262.99 | 3.0× |
| AdventHealth Ocala | Ocala, FL | $802.12 | $802.12 | $262.99 | 3.1× |
| Osborne County Memorial Hospital | Osborne, KS | $803 | $945 | $262.99 | 3.1× |
| Cherry County Hospital | Valentine, NE | $805.35 | $805.35 | $262.99 | 3.1× |
| Mosaic Life Care at St. Joseph - Medical Center | St. Joseph, MO | $807.50 | $950 | $262.99 | 3.1× |
| Resolute Health Hospital | New Braunfels, TX | $807.75 | $1,077 | $262.99 | 3.1× |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $813 | $813 | $262.99 | 3.1× |
| Iraan General Hospital District | Iraan, TX | $813 | $1,161 | $262.99 | 3.1× |
| Quail Creek Surgical Hospital | Amarillo, TX | $817 | $1,634 | $262.99 | 3.1× |
| Ozark Health | Clinton, AR | $820.56 | $1,578 | $262.99 | 3.1× |
| Great River Medical Center | Blytheville, AR | $825.73 | $1,230.60 | $262.99 | 3.1× |
| Decatur Health | Oberlin, KS | $834.30 | $927 | $262.99 | 3.2× |
| Emory University Hospital | Atlanta, GA | $839 | $839 | $262.99 | 3.2× |
| Emory Decatur Hospital | Decatur, GA | $839 | $839 | $262.99 | 3.2× |
| Emory University Hospital Midtown | Atlanta, GA | $839 | $839 | $262.99 | 3.2× |
| Emory Saint Joseph's Hospital | Atlanta, GA | $839 | $839 | $262.99 | 3.2× |
| Emory Hillandale Hospital | Lithonia, GA | $839 | $839 | $262.99 | 3.2× |
| Emory Johns Creek Hospital | Johns Creek, GA | $839 | $839 | $262.99 | 3.2× |
| Kimble Hospital | Junction, TX | $840 | $1,400 | $262.99 | 3.2× |
| Citizens Memorial Hospital | Bolivar, MO | $841.60 | $1,052 | $262.99 | 3.2× |
| Baytown Medical Center Lp | Baytown, TX | $859 | $859 | $262.99 | 3.3× |
| Altus Houston Hospital, Lp | Houston, TX | $859 | $859 | $262.99 | 3.3× |
| MedStar Washington Hospital Center | Washington, DC | $865.51 | $1,331.55 | $262.99 | 3.3× |
| Coralvita Richardson | Richardson, TX | $869.51 | $869.51 | $262.99‡ | 3.3× |
| Franklin Medical Center | Winnsboro, LA | $871.80 | $1,453 | $262.99 | 3.3× |
| Glenwood Regional Medical Center | West Monroe, LA | $885.78 | $885.78 | $262.99 | 3.4× |
| Texas Health Hospital Mansfield | Mansfield, TX | $894.36 | $894.36 | $262.99 | 3.4× |
| Winkler County Memorial Hospital | Kermit, TX | $896.28 | $1,120.35 | $262.99 | 3.4× |
| Yale New Haven Hospital | New Haven, CT | $898.57 | $1,523 | $262.99 | 3.4× |
| Grisell Memorial Hospital | Ransom, KS | $930.70 | $979.68 | $262.99 | 3.5× |
| Covenant Medical Center | Lubbock, TX | $944.16 | $2,248 | $262.99 | 3.6× |
| Covenant Childrens Hospital | Lubbock, TX | $944.16 | $2,248 | $262.99 | 3.6× |
| Melissa Memorial Hospital | Holyoke, CO | $946.80 | $1,183.50 | $262.99 | 3.6× |
| Havasu Regional Medical Center | Lake Havasu City, AZ | $948.46 | $1,580.76 | $262.99 | 3.6× |
| Reeves Regional Health | Pecos, TX | $948.75 | $1,265 | $262.99 | 3.6× |
| Colquitt Regional Medical Center | Moultrie, GA | $977 | $977 | $262.99 | 3.7× |
| Texas Childrens Hospital | Houston, TX | $978.20 | $1,460 | $262.99 | 3.7× |
| Texas Childrens Hospital North Austin Campus | Austin, TX | $978.20 | $1,460 | $262.99 | 3.7× |
| Franklin County Memorial Hospital | Franklin, NE | $983 | $1,092 | $262.99 | 3.7× |
| Westover Hills Baptist Hospital | San Antonio, TX | $1,025.25 | $1,367 | $262.99 | 3.9× |
| Bayhealth Hospital, Kent Campus | Dover, DE | $1,030.68 | $1,227 | $262.99 | 3.9× |
| Bayhealth Hospital, Sussex Campus | Milford, DE | $1,030.68 | $1,227 | $262.99 | 3.9× |
| Johns Hopkins All Children's Hospital | Saint Petersburg, FL | $1,048 | $1,048 | $262.99 | 4.0× |
| Martin County Hospital District | Stanton, TX | $1,067.88 | $1,067.88 | $262.99 | 4.1× |
| Mizell Memorial Hospital | Opp, AL | $1,121.85 | $1,246.50 | $262.99 | 4.3× |
| Shriners Hospitals For Children | Galveston, TX | $1,125.47 | $1,125.47 | $262.99 | 4.3× |
| Coal County General Hospital, Inc. | Coalgate, OK | $1,128.75 | $1,505 | $262.99 | 4.3× |
| Ward Memorial Hospital | Monahans, TX | $1,145 | $1,635 | $262.99 | 4.4× |
| Grand Strand Medical Center | Myrtle Beach, SC | $1,151 | $1,151 | $262.99 | 4.4× |
| Crook County Medical Services District | Sundance, WY | $1,151.48 | $1,535.30 | $262.99 | 4.4× |
| Emory Hospital Warner Robins | Warner Robins, GA | $1,210 | $1,210 | $262.99 | 4.6× |
| Emory Hospital Perry | Perry, GA | $1,210 | $1,210 | $262.99 | 4.6× |
| Dolly Parton Children’s Hospital | Knoxville, TN | $1,228.20 | $2,047 | $262.99 | 4.7× |
| Baptist Neighborhood Hospital Thousand Oaks | San Antonio, TX | $1,232 | $1,540 | $262.99 | 4.7× |
| Shriners Children’s St. Louis | St. Louis, MO | $1,240.26 | $1,240.26 | $262.99 | 4.7× |
| Shriners Children's Greenville | Greenville, SC | $1,254.46 | $1,254.46 | $262.99 | 4.8× |
| Memorial Satilla Health | Waycross, GA | $1,275.62 | $1,275.62 | $262.99 | 4.9× |
| AdventHealth Orlando | Orlando, FL | $1,318 | $1,318 | $262.99 | 5.0× |
| MedStar Georgetown University Hospital | Washington, DC | $1,350.08 | $2,077.04 | $262.99 | 5.1× |
| Bellville Medical Center | Bellville, TX | $1,375 | $1,375 | $262.99 | 5.2× |
| Thibodaux Regional Health System | Thibodaux, LA | $1,423.50 | $1,423.50 | $262.99 | 5.4× |
| Vanderbilt University Hospital | Nashville, TN | $1,424.79 | $2,638.50 | $262.99 | 5.4× |
| Piedmont Medical Center | Rock Hill, SC | $1,486.50 | $1,982 | $262.99 | 5.7× |
| Sibley Memorial Hospital | Washington, DC | $1,550 | $1,550 | $262.99 | 5.9× |
| AdventHealth Lake Wales | Lake Wales, FL | $1,579.44 | $1,579.44 | $262.99 | 6.0× |
| Manchester Memorial Hospital | Manchester, CT | $1,591.58 | $1,591.58 | $262.99 | 6.1× |
| Citizens Medical Center | Colby, KS | $1,593.80 | $2,452 | $262.99 | 6.1× |
| Covenant Hospital Levelland | Levelland, TX | $1,597.26 | $3,803 | $262.99 | 6.1× |
| AdventHealth Heart of Florida | Davenport, FL | $1,681.48 | $1,681.48 | $262.99 | 6.4× |
| The Hospitals of Providence Horizon City Campus | Horizon City, TX | $1,743.03 | $2,178.79 | $262.99 | 6.6× |
| Amberwell Hiawatha | Hiawatha, KS | $1,810 | $1,810 | $262.99 | 6.9× |
| Amberwell Atchison Association | Atchison, KS | $1,810 | $1,810 | $262.99 | 6.9× |
| Covenant Hospital Plainview | Plainview, TX | $1,826.58 | $4,349 | $262.99 | 6.9× |
| Novant Health Presbyterian Medical Center | Charlotte, NC | $2,007.50 | $4,015 | $262.99 | 7.6× |
| Novant Health Brunswick Medical Center | Bolivia, NC | $2,147 | $4,294 | $262.99 | 8.2× |
| Novant Health Forsyth Medical Center | Winston-Salem, NC | $2,241.90 | $3,736.50 | $262.99 | 8.5× |
| Middle Park Medical Center | Kremmling, CO | $2,265.70 | $2,832.12 | $262.99 | 8.6× |
| Medical City Dallas | Dallas, TX | $2,286.34 | $2,286.34 | $262.99 | 8.7× |
| Memorial Health University Medical Center | Savannah, GA | $2,290 | $2,290 | $262.99 | 8.7× |
| Novant Health Rowan Medical Center | Salisbury, NC | $2,425 | $4,850 | $262.99 | 9.2× |
| Novant Health Matthews Medical Center | Matthews, NC | $2,425 | $4,850 | $262.99 | 9.2× |
| Novant Health Huntersville Medical Center | Huntersville, NC | $2,425 | $4,850 | $262.99 | 9.2× |
| Novant Health Mint Hill Medical Center | Charlotte, NC | $2,425 | $4,850 | $262.99 | 9.2× |
| Novant Health Ballantyne Medical Center | Charlotte, NC | $2,425 | $4,850 | $262.99 | 9.2× |
| Hendrick Medical Center Brownwood | Brownwood, TX | $2,557.77 | $2,557.77 | $262.99 | 9.7× |
| Novant Health Medical Park Hospital | Winston-Salem, NC | $2,575.80 | $4,293 | $262.99 | 9.8× |
| AdventHealth North Pinellas | Tarpon Springs, FL | $2,813.99 | $2,813.99 | $262.99 | 10.7× |
| Novant Health Thomasville Medical Center | Thomasville, NC | $2,910 | $4,850 | $262.99 | 11.1× |
| Hendrick Medical Center | Abilene, TX | $3,029.93 | $3,029.93 | $262.99 | 11.5× |
| University Medical Center | Lubbock, TX | $3,306.50 | $3,306.50 | $262.99 | 12.6× |
| AdventHealth Sebring | Sebring, FL | $3,308.51 | $3,308.51 | $262.99 | 12.6× |
| AdventHealth Wauchula | Wauchula, FL | $3,348.88 | $3,348.88 | $262.99 | 12.7× |
| AdventHealth Zephyrhills | Zephyrhills, FL | $4,059.25 | $4,059.25 | $262.99 | 15.4× |
| AdventHealth Carrollwood | Tampa, FL | $4,059.25 | $4,059.25 | $262.99 | 15.4× |
| AdventHealth Tampa | Tampa, FL | $4,059.25 | $4,059.25 | $262.99 | 15.4× |
| AdventHealth Wesley Chapel | Wesley Chapel, FL | $4,059.25 | $4,059.25 | $262.99 | 15.4× |
| AdventHealth Riverview | Riverview, FL | $4,059.25 | $4,059.25 | $262.99 | 15.4× |
| AdventHealth Dade City | Dade City, FL | $4,207.84 | $4,207.84 | $262.99 | 16.0× |
| Western Missouri Medical Center | Warrensburg, MO | — | $420.20 | $262.99 | — |
| Dodge County Hospital | Eastman, GA | — | $472.10 | $262.99 | — |
| Kearny County Hospital | Lakin, KS | — | $625 | $262.99 | — |
| Stormont Vail Health Flint Hills, LLC | Junction City, KS | — | $667 | $262.99 | — |
| Candler County Hospital | Metter, GA | — | $670 | $262.99 | — |
| Stormont Vail Hospital | Topeka, KS | — | $684.98 | $262.99 | — |
| Scott County Hospital | Scott City, KS | — | $687 | $262.99 | — |
| Southeast Georgia Health System-Brunswick Campus | Brunswick, GA | — | $698 | $262.99 | — |
| Southeast Georgia Health System-Camden Campus | Saint Marys, GA | — | $698 | $262.99 | — |
| Highlands Medical Center | Scottsboro, AL | — | $767.45 | $262.99 | — |
| Magnolia Regional Health Center | Corinth, MS | — | $788.97 | $262.99 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $804.24 | $262.99 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $804.24 | $262.99 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $804.24 | $262.99 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $804.24 | $262.99 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $933.06 | $262.99 | — |
| Beauregard Memorial Hospital | DeRidder, LA | — | $979.88 | $262.99 | — |
| Summit Healthcare Regional Medical Center | Show Low, AZ | — | $1,218.64 | $262.99 | — |
| UAB St. Vincent's East | Birmingham, AL | — | $1,307 | $262.99 | — |
| UAB St. Vincent's Birmingham | Birmingham, AL | — | $1,307 | $262.99 | — |
| UAB St. Vincent's St. Clair | Pell City, AL | — | $1,307 | $262.99 | — |
| UAB St. Vincent's Chilton | Clanton, AL | — | $1,307 | $262.99 | — |
| UAB St. Vincent's Blount | Oneonta, AL | — | $1,307 | $262.99 | — |
| Mount San Rafael Hospital | Trinidad, CO | — | $1,986 | $262.99 | — |
"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.