H pylri clrthmcn rst amp prb (CPT 87513)
87513 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.
416 of 4255 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Posted cash | Posted gross | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| OU Health University of Oklahoma Medical Center range across 5 matching MRF lines |
Oklahoma City, OK | $3.51–$30 | $35.09–$300 | $35.09 | varies |
| Baptist Memorial Hospital-Crittenden | West Memphis, AR | $15.75 | $105 | $35.09 | 0.4× |
| Boston Medical Center | Boston, MA | $16.20 | $36 | $35.09 | 0.5× |
| NEA Baptist Memorial Hospital | Jonesboro, AR | $19.95 | $105 | $35.09 | 0.6× |
| Baptist Memorial Hospital-Union City | Union City, TN | $21 | $105 | $35.09 | 0.6× |
| Baptist Memorial Hospital-DeSoto | Southaven, MS | $21 | $105 | $35.09 | 0.6× |
| Baptist Memorial Hospital-Memphis | Memphis, TN | $22.05 | $105 | $35.09 | 0.6× |
| Arnot Ogden Medical Center | Elmira, NY | $22.26 | $111.30 | $35.09 | 0.6× |
| Ira Davenport Memorial Hospital | Bath, NY | $22.26 | $111.30 | $35.09 | 0.6× |
| Baptist Anderson Regional Medical Center | Meridian, MS | $23.10 | $105 | $35.09 | 0.7× |
| Baptist Memorial Hospital-North Mississippi | Oxford, MS | $23.23 | $101 | $35.09 | 0.7× |
| Baptist Memorial Hospital-Carroll County | Huntingdon, TN | $24.15 | $105 | $35.09 | 0.7× |
| Baptist Memorial Hospital-Yazoo | Yazoo City, MS | $25.01 | $61 | $35.09 | 0.7× |
| Baptist Memorial Hospital-Tipton | Covington, TN | $25.20 | $105 | $35.09 | 0.7× |
| Baptist Memorial Hospital-Union County | New Albany, MS | $25.20 | $105 | $35.09 | 0.7× |
| Baptist Memorial Hospital-Booneville | Booneville, MS | $25.20 | $105 | $35.09 | 0.7× |
| Aurelia Osborn Fox Memorial Hospital | Oneonta, NY | $25.86 | $95.79 | $35.09 | 0.7× |
| Mary Imogene Bassett Hospital | Cooperstown, NY | $25.86 | $95.79 | $35.09 | 0.7× |
| O'connor Hospital | Delhi, NY | $25.86 | $95.79 | $35.09 | 0.7× |
| Little Falls Hospital | Little Falls, NY | $25.86 | $95.79 | $35.09 | 0.7× |
| Cobleskill Regional Hospital | Cobleskill, NY | $25.86 | $95.79 | $35.09 | 0.7× |
| Baptist Memorial Hospital-Golden Triangle | Columbus, MS | $26.25 | $105 | $35.09 | 0.7× |
| Baptist Memorial Hospital-Attala | Kosciusko, MS | $26.84 | $61 | $35.09 | 0.8× |
| Baptist Memorial Hospital-Leake | Carthage, MS | $27.45 | $61 | $35.09 | 0.8× |
| Genesis Hospital | Zanesville, OH | $30.23 | $50.39 | $35.09 | 0.9× |
| Baptist Memorial Hospital-Calhoun | Calhoun City, MS | $31.72 | $61 | $35.09 | 0.9× |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $33.69 | $42.11 | $35.09 | 1.0× |
| Trinity Muscatine | Muscatine, IA | $33.69 | $42.11 | $35.09 | 1.0× |
| Trinity Regional Medical Center | Fort Dodge, IA | $33.69 | $42.11 | $35.09 | 1.0× |
| St. Lukes Hospital | Cedar Rapids, IA | $33.69 | $42.11 | $35.09 | 1.0× |
| UnityPoint Health Des Moines Iowa Methodist Medical Center | Des Moines, IA | $33.69 | $42.11 | $35.09 | 1.0× |
| Trinity Bettendorf | Bettendorf, IA | $33.69 | $42.11 | $35.09 | 1.0× |
| Allen Hospital | Waterloo, IA | $33.69 | $42.11 | $35.09 | 1.0× |
| Finley Hospital | Dubuque, IA | $33.69 | $42.11 | $35.09 | 1.0× |
| St. Lukes Regional Medical Center | Sioux City, IA | $33.69 | $42.11 | $35.09 | 1.0× |
| Grinnell Regional Medical Center | Grinnell, IA | $33.69 | $42.11 | $35.09 | 1.0× |
| Jones Regional Medical Center | Anamosa, IA | $33.69 | $42.11 | $35.09 | 1.0× |
| Trinity Rock Island | Rock Island, IL | $33.69 | $42.11 | $35.09 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $35.09 | — | $35.09 | 1.0× |
| St. Joseph's Medical Center | Yonkers, NY | $35.09 | — | $35.09 | 1.0× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $35.09 | $87.73 | $35.09 | 1.0× |
| Jacobi Medical Center | Bronx, NY | $35.09 | $87.73 | $35.09 | 1.0× |
| Elmhurst Hospital Center | Elmhurst, NY | $35.09 | $87.73 | $35.09 | 1.0× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $35.09 | $87.73 | $35.09 | 1.0× |
| Metropolitan Hospital Center | New York, NY | $35.09 | $87.73 | $35.09 | 1.0× |
| Kings County Hospital Center | Brooklyn, NY | $35.09 | $87.73 | $35.09 | 1.0× |
| Bellevue Hospital Center | New York, NY | $35.09 | $87.73 | $35.09 | 1.0× |
| Queens Hospital Center | Jamaica, NY | $35.09 | $87.73 | $35.09 | 1.0× |
| Harlem Hospital Center | New York, NY | $35.09 | $87.73 | $35.09 | 1.0× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $35.09 | $87.73 | $35.09 | 1.0× |
| Schuyler Hospital | Montour Falls, NY | $36.75 | $183.75 | $35.09 | 1.0× |
| Brookdale Hospital Medical Center range across 6 matching MRF lines |
Brooklyn, NY | $38.67 | $70–$88 | $35.09 | 1.1× |
| Valleywise Health Medical Center | Phoenix, AZ | $40.35 | — | $35.09 | 1.1× |
| Baptist Anderson Regional Medical Center-South | Meridian, MS | $42 | $105 | $35.09 | 1.2× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $42.11 | — | $35.09 | 1.2× |
| Mary Greeley Medical Center | Ames, IA | $42.38 | $56.50 | $35.09 | 1.2× |
| CommonSpirit - Memorial Hospital - North Georgia | Ringgold, GA | $42.92 | $145 | $35.09 | 1.2× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $45.62 | — | $35.09 | 1.3× |
| Boston Medical Center Brighton | Brighton, MA | $47.37 | $105.27 | $35.09 | 1.4× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $48.42 | $141 | $35.09 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $48.42 | $141 | $35.09 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $48.42 | $141 | $35.09 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $48.42 | $141 | $35.09 | 1.4× |
| UVA Health Culpeper Medical Center | Culpeper, VA | $52.50 | $105 | $35.09 | 1.5× |
| UVA Health Prince William Medical Center | Manassas, VA | $52.50 | $105 | $35.09 | 1.5× |
| UVA Health Haymarket Medical Center | Haymarket, VA | $52.50 | $105 | $35.09 | 1.5× |
| Parkland Health Center | Farmington, MO | $53.40 | $89 | $35.09 | 1.5× |
| Parkland Health Center – Bonne Terre | Bonne Terre, MO | $53.40 | $89 | $35.09 | 1.5× |
| Missouri Baptist Sullivan Hospital | Sullivan, MO | $53.40 | $89 | $35.09 | 1.5× |
| St. Louis Children’s Hospital | St. Louis, MO | $53.40 | $89 | $35.09 | 1.5× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $35.09 | 1.5× |
| Ridgeview Medical Center | Waconia, MN | $55.37 | $113 | $35.09 | 1.6× |
| Parkwest Medical Center | Knoxville, TN | $56.70 | $189 | $35.09 | 1.6× |
| Loma Linda University Medical Center | Loma Linda, CA | $60 | $60 | $35.09 | 1.7× |
| Covenant HealthCare range across 2 matching MRF lines |
Saginaw, MI | $60.06–$196 | $85.79–$280 | $35.09 | varies |
| CommonSpirit - Memorial Hospital - Chattanooga | Chattanooga, TN | $61.34 | $145 | $35.09 | 1.7× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $61.50 | $123 | $35.09 | 1.8× |
| St. Joseph Hospital | Nashua, NH | $61.62 | $158 | $35.09 | 1.8× |
| Seattle Children's Hospital | Seattle, WA | $62.30 | $62.30 | $35.09 | 1.8× |
| UVA Health University Medical Center | Charlottesville, VA | $63 | $105 | $35.09 | 1.8× |
| Self Regional Healthcare | Greenwood, SC | $64.89 | $108.15 | $35.09 | 1.8× |
| Edgefield County Healthcare | Edgefield, SC | $64.89 | $108.15 | $35.09 | 1.8× |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | $66.96 | $167.40 | $35.09 | 1.9× |
| Orlando Health - Health Central Hospital | Ocoee, FL | $66.96 | $167.40 | $35.09 | 1.9× |
| Orlando Health Bayfront Hospital | Saint Petersburg, FL | $66.96 | $167.40 | $35.09 | 1.9× |
| Orlando Health South Lake Hospital | Clermont, FL | $66.96 | $167.40 | $35.09 | 1.9× |
| Orlando Health Sebastian River Hospital | Sebastian, FL | $66.96 | $167.40 | $35.09 | 1.9× |
| Orlando Health Melbourne Hospital | Melbourne, FL | $66.96 | $167.40 | $35.09 | 1.9× |
| Orlando Health St. Cloud Hospital | Saint Cloud, FL | $66.96 | $167.40 | $35.09 | 1.9× |
| Missouri Baptist Medical Center | Town and Country, MO | $67.20 | $112 | $35.09 | 1.9× |
| Barnes-Jewish West County Hospital | Creve Coeur, MO | $67.20 | $112 | $35.09 | 1.9× |
| Christian Hospital | St. Louis, MO | $67.20 | $112 | $35.09 | 1.9× |
| Barnes-Jewish St. Peters Hospital | St. Peters, MO | $67.20 | $112 | $35.09 | 1.9× |
| Alton Memorial Hospital | Alton, IL | $67.20 | $112 | $35.09 | 1.9× |
| Memorial Hospital | Belleville, IL | $67.20 | $112 | $35.09 | 1.9× |
| WakeMed Raleigh Campus range across 2 matching MRF lines |
Raleigh, NC | $67.26–$104.50 | $177–$275 | $35.09 | varies |
| WakeMed Cary Hospital range across 2 matching MRF lines |
Cary, NC | $67.26–$104.50 | $177–$275 | $35.09 | varies |
| MercyOne Newton Medical Center | Newton, IA | $68.25 | $105 | $35.09 | 1.9× |
| MercyOne North Iowa Medical Center | Mason City, IA | $68.25 | $105 | $35.09 | 1.9× |
| MercyOne Waterloo Medical Center | Waterloo, IA | $68.25 | $105 | $35.09 | 1.9× |
| MercyOne Des Moines Medical Center | Des Moines, IA | $68.25 | $105 | $35.09 | 1.9× |
| MercyOne Elkader Medical Center | Elkader, IA | $68.25 | $105 | $35.09 | 1.9× |
| MercyOne Dyersville Medical Center | Dyersville, IA | $68.25 | $105 | $35.09 | 1.9× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $71.10 | $157.99 | $35.09 | 2.0× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $72.80 | $130 | $35.09 | 2.1× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $72.80 | $130 | $35.09 | 2.1× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $72.80 | $130 | $35.09 | 2.1× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $72.80 | $130 | $35.09 | 2.1× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $72.80 | $130 | $35.09 | 2.1× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $72.80 | $130 | $35.09 | 2.1× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $72.80 | $130 | $35.09 | 2.1× |
| Kaiser Foundation Hospital | San Rafael, CA | $72.80 | $130 | $35.09 | 2.1× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $72.80 | $130 | $35.09 | 2.1× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $72.80 | $130 | $35.09 | 2.1× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $72.80 | $130 | $35.09 | 2.1× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $72.80 | $130 | $35.09 | 2.1× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $72.80 | $130 | $35.09 | 2.1× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $72.80 | $130 | $35.09 | 2.1× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $72.80 | $130 | $35.09 | 2.1× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $72.80 | $130 | $35.09 | 2.1× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $72.80 | $130 | $35.09 | 2.1× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $72.80 | $130 | $35.09 | 2.1× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $72.80 | $130 | $35.09 | 2.1× |
| Newark-Wayne Community Hospital | Newark, NY | $73.05 | $112.38 | $35.09 | 2.1× |
| United Memorial Medical Center | Batavia, NY | $73.05 | $112.38 | $35.09 | 2.1× |
| Rochester General Hospital | Rochester, NY | $73.05 | $112.38 | $35.09 | 2.1× |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $73.05 | $112.38 | $35.09 | 2.1× |
| Ridgeview Sibley Medical Center | Arlington, MN | $73.45 | $113 | $35.09 | 2.1× |
| UW Medical Center | Seattle, WA | $74.20 | $106 | $35.09 | 2.1× |
| Harborview Medical Center | Seattle, WA | $74.20 | $106 | $35.09 | 2.1× |
| Duncan Regional Hospital, Inc | Duncan, OK | $75.16 | — | $35.09 | 2.1× |
| Logan Health - Whitefish range across 2 matching MRF lines |
Whitefish, MT | $75.40–$527.80 | $116–$812 | $35.09 | varies |
| Abbeville Area Medical Center | Abbeville, SC | $75.71 | $108.15 | $35.09 | 2.2× |
| Lawrence + Memorial Hospital | New London, CT | $75.79 | $210.54 | $35.09 | 2.2× |
| Trinity Health Grand Haven Hospital | Grand Haven, MI | $75.79 | $75.79 | $35.09 | 2.2× |
| MultiCare Auburn Medical Center | Auburn, WA | $78.40 | $196 | $35.09 | 2.2× |
| MultiCare Yakima Memorial Hospital | Yakima, WA | $78.40 | $196 | $35.09 | 2.2× |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $78.40 | $196 | $35.09 | 2.2× |
| MultiCare Tacoma General Hospital and MultiCare Allenmore Hospital | Tacoma, WA | $78.40 | $196 | $35.09 | 2.2× |
| MultiCare Covington Medical Center | Covington, WA | $78.40 | $196 | $35.09 | 2.2× |
| Mary Bridge Children's Hospital | Tacoma, WA | $78.40 | $196 | $35.09 | 2.2× |
| Ridgeview Le Sueur Medical Center | Le Sueur, MN | $79.10 | $113 | $35.09 | 2.3× |
| Monument Health Spearfish Hospital | Spearfish, SD | $80 | $100 | $35.09 | 2.3× |
| Monument Health Rapid City Hospital | Rapid City, SD | $80 | $100 | $35.09 | 2.3× |
| Monument Health Sturgis Hospital | Sturgis, SD | $80 | $100 | $35.09 | 2.3× |
| Sheridan Memorial Hospital | Plentywood, MT | $81 | $90 | $35.09 | 2.3× |
| Scheurer Health - Pigeon | Pigeon, MI | $81.25 | $125 | $35.09 | 2.3× |
| Logan Health Medical Center range across 2 matching MRF lines |
Kalispell, MT | $84.01–$581.26 | $129.25–$894.25 | $35.09 | varies |
| Astera Health | Wadena, MN | $85.56 | $118.50 | $35.09 | 2.4× |
| Benefis Hospitals Inc | Great Falls, MT | $86.40 | $144 | $35.09 | 2.5× |
| Unity Hospital of Rochester | Rochester, NY | $89.90 | $112.38 | $35.09 | 2.6× |
| Unity Specialty Hospital | Rochester, NY | $89.90 | $112.38 | $35.09 | 2.6× |
| Lifecare Medical Center | Roseau, MN | $93.28 | $106 | $35.09 | 2.7× |
| LewisGale Medical Center | Salem, VA | $94 | $94 | $35.09 | 2.7× |
| Mayo Clinic Hospital in Florida | Jacksonville, FL | $94.90 | $146 | $35.09 | 2.7× |
| Fred Hutch Cancer Center range across 2 matching MRF lines |
Seattle, WA | $95.40–$260.78 | $106–$289.75 | $35.09 | varies |
| ProMedica Memorial Hospital | Fremont, OH | $95.55 | $147 | $35.09 | 2.7× |
| ProMedica Fostoria Community Hospital | Fostoria, OH | $95.55 | $147 | $35.09 | 2.7× |
| ProMedica Defiance Regional Hospital | Defiance, OH | $95.55 | $147 | $35.09 | 2.7× |
| MultiCare Capital Medical Center | Olympia, WA | $98.40 | $246 | $35.09 | 2.8× |
| UCHealth Greeley Hospital | Greeley, CO | $100.37 | $167.28 | $35.09 | 2.9× |
| Harbor Beach Community Hospital | Harbor Beach, MI | $101.25 | $135 | $35.09 | 2.9× |
| Cabinet Peaks Medical Center | Libby, MT | $101.85 | $145.50 | $35.09 | 2.9× |
| Anderson County Hospital | Garnett, KS | $102 | $170 | $35.09 | 2.9× |
| Allen County Regional Hospital | Iola, KS | $102 | $170 | $35.09 | 2.9× |
| Wright Memorial Hospital | Trenton, MO | $102 | $170 | $35.09 | 2.9× |
| Hedrick Medical Center | Chillicothe, MO | $102 | $170 | $35.09 | 2.9× |
| ProHealth Waukesha Memorial Hospital | Waukesha, WI | $103.40 | $188 | $35.09 | 2.9× |
| ProHealth Oconomowoc Memorial Hospital | Oconomowoc, WI | $103.40 | $188 | $35.09 | 2.9× |
| MultiCare Deaconess Hospital | Spokane, WA | $104 | $260 | $35.09 | 3.0× |
| MultiCare Valley Hospital | Spokane, WA | $104 | $260 | $35.09 | 3.0× |
| Central Montana Medical Center | Lewistown, MT | $104.55 | $123 | $35.09 | 3.0× |
| MercyOne Centerville Medical Center | Centerville, IA | $105 | $105 | $35.09 | 3.0× |
| North Shore Medical Center | Miami, FL | $105.27 | $105.27 | $35.09 | 3.0× |
| Hialeah Hospital | Hialeah, FL | $105.27 | $105.27 | $35.09 | 3.0× |
| Coral Gables Hospital | Coral Gables, FL | $105.27 | $105.27 | $35.09 | 3.0× |
| Palmetto General Hospital | Hialeah, FL | $105.27 | $105.27 | $35.09 | 3.0× |
| Northwest Surgical Hospital | Oklahoma City, OK | $105.27 | — | $35.09 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $105.27 | — | $35.09 | 3.0× |
| Brown University Health Saint Anne's Hospital | Fall River, MA | $105.27 | $105.27 | $35.09 | 3.0× |
| Brown University Health Morton Hospital | Taunton, MA | $105.27 | $105.27 | $35.09 | 3.0× |
| Anna Jaques Hospital | Newburyport, MA | $109 | $109 | $35.09 | 3.1× |
| New England Baptist Hospital | Boston, MA | $109 | $109 | $35.09 | 3.1× |
| Beth Israel Deaconess Hospital–Milton | Milton, MA | $109 | $109 | $35.09 | 3.1× |
| Bridgeport Hospital | Bridgeport, CT | $109.48 | $210.54 | $35.09 | 3.1× |
| Greenwich Hospital | Greenwich, CT | $109.48 | $210.54 | $35.09 | 3.1× |
| Stillwater Billings Clinic | Columbus, MT | $111 | $111 | $35.09 | 3.2× |
| Billings Clinic Broadwater | Townsend, MT | $111 | $111 | $35.09 | 3.2× |
| Madison Health | London, OH | $113.60 | $142 | $35.09 | 3.2× |
| Northside Hospital Forsyth | Cumming, GA | $114 | $152 | $35.09 | 3.2× |
| Northside Hospital Cherokee | Canton, GA | $114 | $152 | $35.09 | 3.2× |
| Northside Hospital Gwinnett | Lawrenceville, GA | $114 | $152 | $35.09 | 3.2× |
| Northside Hospital Atlanta | Atlanta, GA | $114 | $152 | $35.09 | 3.2× |
| Northside Hospital Duluth | Duluth, GA | $114 | $152 | $35.09 | 3.2× |
| Winchester Hospital | Winchester, MA | $115 | $115 | $35.09 | 3.3× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $115.79 | $192.98 | $35.09 | 3.3× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $115.79 | $192.98 | $35.09 | 3.3× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $115.79 | $192.98 | $35.09 | 3.3× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $115.79 | $192.98 | $35.09 | 3.3× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $115.79 | $192.98 | $35.09 | 3.3× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $115.79 | $192.98 | $35.09 | 3.3× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $115.79 | $192.98 | $35.09 | 3.3× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $115.79 | $192.98 | $35.09 | 3.3× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $115.79 | $192.98 | $35.09 | 3.3× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $115.79 | $192.98 | $35.09 | 3.3× |
| Baylor Regional Medical Center at Plano | Plano, TX | $115.79 | $192.98 | $35.09 | 3.3× |
| The Heart Hospital Baylor Denton | Denton, TX | $115.79 | $192.98 | $35.09 | 3.3× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $115.79 | $192.98 | $35.09 | 3.3× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $115.79 | $192.98 | $35.09 | 3.3× |
| Scott & White Hospital-round Rock | Round Rock, TX | $115.79 | $192.98 | $35.09 | 3.3× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $115.79 | $192.98 | $35.09 | 3.3× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $115.79 | $192.98 | $35.09 | 3.3× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $115.79 | $192.98 | $35.09 | 3.3× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $115.79 | $192.98 | $35.09 | 3.3× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $115.79 | $192.98 | $35.09 | 3.3× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $115.79 | $192.98 | $35.09 | 3.3× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $115.79 | $192.98 | $35.09 | 3.3× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $115.79 | $192.98 | $35.09 | 3.3× |
| Billings Clinic Hospital range across 2 matching MRF lines |
Billings, MT | $117–$155 | $117–$155 | $35.09 | varies |
| ProMedica Charles and Virginia Hickman Hospital | Adrian, MI | $117 | $180 | $35.09 | 3.3× |
| ProMedica Monroe Regional Hospital | Monroe, MI | $117 | $180 | $35.09 | 3.3× |
| Poudre Valley Hospital | Fort Collins, CO | $117.10 | $167.28 | $35.09 | 3.3× |
| Medical Center of the Rockies | Loveland, CO | $117.10 | $167.28 | $35.09 | 3.3× |
| St. Dominic Hospital | Jackson, MS | $118 | $236 | $35.09 | 3.4× |
| Davis County Hospital | Bloomfield, IA | $123 | $123 | $35.09 | 3.5× |
| Palos Community Hospital range across 2 matching MRF lines |
Palos Heights, IL | $123.20–$180.60 | $176–$258 | $35.09 | varies |
| Northwestern Medicine Delnor Community Hospital range across 2 matching MRF lines |
Geneva, IL | $123.20–$180.60 | $176–$258 | $35.09 | varies |
| Northwestern Medicine Central Dupage Hospital range across 2 matching MRF lines |
Winfield, IL | $123.20–$180.60 | $176–$258 | $35.09 | varies |
| Northwestern Memorial Hospital range across 2 matching MRF lines |
Chicago, IL | $123.20–$180.60 | $176–$258 | $35.09 | varies |
| Northwestern Medicine Kishwaukee Hospital range across 2 matching MRF lines |
Dekalb, IL | $123.20–$180.60 | $176–$258 | $35.09 | varies |
| Northwestern Medicine Valley West Hospital range across 2 matching MRF lines |
Sandwich, IL | $123.20–$180.60 | $176–$258 | $35.09 | varies |
| Pioneer Medical Center range across 2 matching MRF lines |
Big Timber, MT | $124–$151.20 | $155–$189 | $35.09 | varies |
| Yale New Haven Hospital | New Haven, CT | $124.22 | $210.54 | $35.09 | 3.5× |
| Roundup Memorial Healthcare range across 2 matching MRF lines |
Roundup, MT | $125–$153 | $125–$153 | $35.09 | varies |
| Beth Israel Deaconess Hospital–Plymouth | Plymouth, MA | $127 | $127 | $35.09 | 3.6× |
| Mayo Clinic Health System in Red Wing | Red Wing, MN | $135.34 | $202 | $35.09 | 3.9× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $136.75 | $455.81 | $35.09 | 3.9× |
| Beth Israel Deaconess Hospital–Needham | Needham, MA | $137 | $137 | $35.09 | 3.9× |
| Beth Israel Deaconess Medical Center | Boston, MA | $141 | $141 | $35.09 | 4.0× |
| ProMedica Toledo Hospital | Toledo, OH | $144.30 | $222 | $35.09 | 4.1× |
| ProMedica Bay Park Hospital | Oregon, OH | $144.30 | $222 | $35.09 | 4.1× |
| Lahey Hospital & Medical Center | Burlington, MA | $147 | $147 | $35.09 | 4.2× |
| Riverside Methodist Hospital | Columbus, OH | $148.20 | $228 | $35.09 | 4.2× |
| Marion General Hospital | Marion, OH | $148.20 | $228 | $35.09 | 4.2× |
| OhioHealth O'Bleness Hospital | Athens, OH | $148.20 | $228 | $35.09 | 4.2× |
| Grant Medical Center | Columbus, OH | $148.20 | $228 | $35.09 | 4.2× |
| OhioHealth Mansfield Hospital | Mansfield, OH | $148.20 | $228 | $35.09 | 4.2× |
| Doctors Hospital | Columbus, OH | $148.20 | $228 | $35.09 | 4.2× |
| Berger Hospital | Circleville, OH | $148.20 | $228 | $35.09 | 4.2× |
| Southeastern Medical Center | Cambridge, OH | $148.20 | $228 | $35.09 | 4.2× |
| Grady Memorial Hospital | Delaware, OH | $148.20 | $228 | $35.09 | 4.2× |
| Dublin Methodist Hospital | Dublin, OH | $148.20 | $228 | $35.09 | 4.2× |
| Hardin Memorial Hospital | Kenton, OH | $148.20 | $228 | $35.09 | 4.2× |
| OhioHealth Shelby Hospital | Shelby, OH | $148.20 | $228 | $35.09 | 4.2× |
| Riverside Smithfield Hospital | Smithfield, VA | $149.80 | $299.60 | $35.09 | 4.3× |
| Confluence Health Hospital | Central Campus | Wenatchee, WA | $150.30 | $167 | $35.09 | 4.3× |
| Mayo Clinic Health System - New Prague | New Prague, MN | $151.50 | $202 | $35.09 | 4.3× |
| WinnMed | Decorah, IA | $158.90 | $227 | $35.09 | 4.5× |
| Longs Peak Hospital | Longmont, CO | $159.54 | $455.81 | $35.09 | 4.5× |
| UCHealth Broomfield Hospital | Broomfield, CO | $159.54 | $455.81 | $35.09 | 4.5× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $159.54 | $455.81 | $35.09 | 4.5× |
| Big Horn Hospital | Hardin, MT | $160.30 | $200.38 | $35.09 | 4.6× |
| Mayo Clinic Hospital - Rochester range across 3 matching MRF lines |
Rochester, MN | $161.09–$176.22 | $181–$198 | $35.09 | varies |
| West Tennessee Healthcare Jackson-Madison County General Hospital | Jackson, TN | $163.80 | $546 | $35.09 | 4.7× |
| West Tennessee Healthcare Milan Hospital | Milan, TN | $163.80 | $546 | $35.09 | 4.7× |
| West Tennessee Healthcare Volunteer Hospital | Martin, TN | $163.80 | $546 | $35.09 | 4.7× |
| West Tennessee Healthcare Dyersburg Hospital | Dyersburg, TN | $163.80 | $546 | $35.09 | 4.7× |
| West Tennessee Healthcare Camden Hospital | Camden, TN | $163.80 | $546 | $35.09 | 4.7× |
| West Tennessee Healthcare Bolivar Hospital | Bolivar, TN | $163.80 | $546 | $35.09 | 4.7× |
| Prisma Health Blount Memorial Hospital | Maryville, TN | $165.85 | $535 | $35.09 | 4.7× |
| Trinity Hospitals | Minot, ND | $168.80 | $211 | $35.09 | 4.8× |
| Kenmare Community Hospital | Kenmare, ND | $168.80 | $211 | $35.09 | 4.8× |
| War Memorial Hospital | Berkeley Springs, WV | $169.05 | $241.50 | $35.09 | 4.8× |
| Hampshire Memorial Hospital | Romney, WV | $169.05 | $241.50 | $35.09 | 4.8× |
| Winchester Medical Center | Winchester, VA | $169.05 | $241.50 | $35.09 | 4.8× |
| Warren Memorial Hospital | Front Royal, VA | $169.05 | $241.50 | $35.09 | 4.8× |
| Shenandoah Memorial Hospital | Woodstock, VA | $169.05 | $241.50 | $35.09 | 4.8× |
| Page Memorial Hospital | Luray, VA | $169.05 | $241.50 | $35.09 | 4.8× |
| Livingston Healthcare | Livingston, MT | $169.10 | $178 | $35.09 | 4.8× |
| Phillips County Medical Center | Malta, MT | $173 | $173 | $35.09 | 4.9× |
| UCHealth Yampa Valley Medical Center | Steamboat Springs, CO | $174 | $193.33 | $35.09 | 5.0× |
| Westchester Medical Center | Valhalla, NY | $176 | $176 | $35.09 | 5.0× |
| Mayo Clinic Health System - Albert Lea and Austin | Albert Lea, MN | $177.76 | $202 | $35.09 | 5.1× |
| Mayo Clinic Health System - Mankato | Mankato, MN | $177.76 | $202 | $35.09 | 5.1× |
| Mayo Clinic Health System - Fairmont | Fairmont, MN | $177.76 | $202 | $35.09 | 5.1× |
| Mayo Clinic Health System - St. James | St. James, MN | $177.76 | $202 | $35.09 | 5.1× |
| Mayo Clinic Health System - Lake City | Lake City, MN | $177.76 | $202 | $35.09 | 5.1× |
| Mayo Clinic Health System - Waseca | Waseca, MN | $177.76 | $202 | $35.09 | 5.1× |
| Mayo Clinic Health System - Cannon Falls | Cannon Falls, MN | $177.76 | $202 | $35.09 | 5.1× |
| Northwestern Medicine Mchenry Hospital range across 2 matching MRF lines |
Mchenry, IL | $180.60–$955.50 | $258–$1,365 | $35.09 | varies |
| Northwestern Lake Forest Hospital range across 2 matching MRF lines |
Lake Forest, IL | $180.60–$955.50 | $258–$1,365 | $35.09 | varies |
| UCHealth University of Colorado Hospital | Aurora, CO | $184.45 | $526.98 | $35.09 | 5.3× |
| MercyOne Dubuque Medical Center | Dubuque, IA | $184.60 | $284 | $35.09 | 5.3× |
| MercyOne Clinton Medical Center | Clinton, IA | $184.60 | $284 | $35.09 | 5.3× |
| Van Wert Hospital | Van Wert, OH | $185.25 | $285 | $35.09 | 5.3× |
| Mayo Clinic Health System In La Crosse | La Crosse, WI | $189 | $210 | $35.09 | 5.4× |
| Mayo Clinic Health System In Eau Claire | Eau Claire, WI | $189 | $210 | $35.09 | 5.4× |
| Mayo Clinic Health System-oakridge | Osseo, WI | $189 | $210 | $35.09 | 5.4× |
| Mayo Clinic Health System In Sparta | Sparta, WI | $189 | $210 | $35.09 | 5.4× |
| Mayo Clinic Health System-chippewa Valley | Bloomer, WI | $189 | $210 | $35.09 | 5.4× |
| Mayo Clinic Health System-northland | Barron, WI | $189 | $210 | $35.09 | 5.4× |
| Mayo Clinic Health System-red Cedar | Menomonie, WI | $189 | $210 | $35.09 | 5.4× |
| Wheatland Memorial Hospital | Harlowton, MT | $197 | $197 | $35.09 | 5.6× |
| Fairbanks Memorial Hospital | Fairbanks, AK | $204.42 | $215.18 | $35.09 | 5.8× |
| Inova Alexandria Hospital | Alexandria, VA | $209 | $418 | $35.09 | 6.0× |
| Inova Loudoun Hospital | Leesburg, VA | $209 | $418 | $35.09 | 6.0× |
| Inova Fairfax Hospital | Falls Church, VA | $209 | $418 | $35.09 | 6.0× |
| Inova Fair Oaks Hospital | Fairfax, VA | $209 | $418 | $35.09 | 6.0× |
| Inova Mount Vernon Hospital | Alexandria, VA | $209 | $418 | $35.09 | 6.0× |
| CCM Health | Montevideo, MN | $213.20 | $328 | $35.09 | 6.1× |
| Cheshire Medical Center | Keene, NH | $229.08 | $830 | $35.09 | 6.5× |
| Nantucket Cottage Hospital | Nantucket, MA | $234 | $312 | $35.09 | 6.7× |
| Central Peninsula General Hospital | Soldotna, AK | $237 | $237 | $35.09 | 6.8× |
| Dartmouth Hitchcock Medical Center | Lebanon, NH | $253.98 | $830 | $35.09 | 7.2× |
| Decatur Morgan Hospital | Decatur, AL | $262.50 | $262.50 | $35.09 | 7.5× |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $291.20 | $448 | $35.09 | 8.3× |
| Arthur M. Blank Hospital range across 2 matching MRF lines |
Atlanta, GA | $310–$537 | $310–$537 | $35.09 | varies |
| Scottish Rite Hospital range across 2 matching MRF lines |
Atlanta, GA | $310–$537 | $310–$537 | $35.09 | varies |
| The University of Chicago Medical Center | Chicago, IL | $315 | $315 | $35.09 | 9.0× |
| Dana-Farber Cancer Institute | Boston, MA | $324 | $432 | $35.09 | 9.2× |
| The University of Toledo Medical Center | Toledo, OH | $333 | $555 | $35.09 | 9.5× |
| St. Francis Medical Center | Monroe, LA | $335 | $670 | $35.09 | 9.5× |
| Prisma Health Oconee Memorial Hospital | Seneca, SC | $347.75 | $535 | $35.09 | 9.9× |
| Prisma Health Baptist Easley Hospital | Easley, SC | $347.75 | $535 | $35.09 | 9.9× |
| Prisma Health Richland Hospital | Columbia, SC | $347.75 | $535 | $35.09 | 9.9× |
| Prisma Health Greer Memorial Hospital | Greer, SC | $347.75 | $535 | $35.09 | 9.9× |
| Prisma Health Hillcrest Hospital | Simpsonville, SC | $347.75 | $535 | $35.09 | 9.9× |
| Prisma Health Laurens County Hospital | Clinton, SC | $347.75 | $535 | $35.09 | 9.9× |
| Prisma Health Tuomey Hospital | Sumter, SC | $347.75 | $535 | $35.09 | 9.9× |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | $347.75 | $535 | $35.09 | 9.9× |
| Prisma Health Baptist Hospital | Columbia, SC | $347.75 | $535 | $35.09 | 9.9× |
| Prisma Health Patewood Hospital | Greenville, SC | $347.75 | $535 | $35.09 | 9.9× |
| Prisma Health Baptist Parkridge Hospital | Columbia, SC | $347.75 | $535 | $35.09 | 9.9× |
| Southern Ohio Medical Center | Portsmouth, OH | $379.28 | $758.55 | $35.09 | 10.8× |
| New London Hospital | New London, NH | $379.31 | $830 | $35.09 | 10.8× |
| St. Catherine Hospital Inc | East Chicago, IN | $442.80 | $738 | $35.09 | 12.6× |
| St. Mary Medical Center Inc | Hobart, IN | $442.80 | $738 | $35.09 | 12.6× |
| Community Hospital | Munster, IN | $442.80 | $738 | $35.09 | 12.6× |
| Onvida Health Yuma Medical Center | Yuma, AZ | $443.95 | $683 | $35.09 | 12.7× |
| Alice Peck Day Memorial Hospital | Lebanon, NH | $447.37 | $830 | $35.09 | 12.7× |
| South Big Horn County Hospital (Three Rivers Health) | Basin, WY | $476.92 | $635.90 | $35.09 | 13.6× |
| Rady Children's Hospital Orange County | Orange, CA | $505.70 | $505.70 | $35.09 | 14.4× |
| Valley View Hospital | Glenwood Springs, CO | $515.95 | $607 | $35.09 | 14.7× |
| Campbell County Health | Gillette, WY | $540 | $600 | $35.09 | 15.4× |
| Our Lady of the Lake Regional Medical Center | Baton Rouge, LA | $557.50 | $1,115 | $35.09 | 15.9× |
| Our Lady of the Lake Assumption Community Hospital | Napoleonville, LA | $557.50 | $1,115 | $35.09 | 15.9× |
| Mercy Health - St. Rita's Medical Center | Lima, OH | $564 | $940 | $35.09 | 16.1× |
| Aurora Medical Ctr Manitowoc County | Two Rivers, WI | $625 | $1,250 | $35.09 | 17.8× |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | $625 | $1,250 | $35.09 | 17.8× |
| Aurora Medical Ctr Washington County | Hartford, WI | $625 | $1,250 | $35.09 | 17.8× |
| Aurora Medical Center Burlington | Burlington, WI | $625 | $1,250 | $35.09 | 17.8× |
| Aurora Lakeland Medical Center | Elkhorn, WI | $625 | $1,250 | $35.09 | 17.8× |
| Aurora Medical Center Bay Area | Marinette, WI | $625 | $1,250 | $35.09 | 17.8× |
| Aurora St. Lukes Medical Center | Milwaukee, WI | $625 | $1,250 | $35.09 | 17.8× |
| Aurora West Allis Medical Center | West Allis, WI | $625 | $1,250 | $35.09 | 17.8× |
| Aurora Medical Ctr Kenosha | Kenosha, WI | $625 | $1,250 | $35.09 | 17.8× |
| Aurora BayCare Medical Ctr | Green Bay, WI | $625 | $1,250 | $35.09 | 17.8× |
| Aurora Medical Ctr Oshkosh | Oshkosh, WI | $625 | $1,250 | $35.09 | 17.8× |
| Aurora Medical Center Summit | Summit, WI | $625 | $1,250 | $35.09 | 17.8× |
| Aurora Medical Center | Grafton, WI | $625 | $1,250 | $35.09 | 17.8× |
| Advocate Sherman Hospital | Elgin, IL | $625 | $1,250 | $35.09 | 17.8× |
| Advocate Trinity Hospital | Chicago, IL | $625 | $1,250 | $35.09 | 17.8× |
| Advocate Illinois Masonic Medical Center | Chicago, IL | $625 | $1,250 | $35.09 | 17.8× |
| Advocate Condell Medical Center | Libertyville, IL | $625 | $1,250 | $35.09 | 17.8× |
| Advocate Christ Hospital & Medical Center | Oak Lawn, IL | $625 | $1,250 | $35.09 | 17.8× |
| Advocate Lutheran General Hospital | Park Ridge, IL | $625 | $1,250 | $35.09 | 17.8× |
| Advocate Good Samaritan Hospital | Downers Grove, IL | $625 | $1,250 | $35.09 | 17.8× |
| Advocate Good Shepherd Hospital | Barrington, IL | $625 | $1,250 | $35.09 | 17.8× |
| Cooley Dickinson Hospital | Northampton, MA | $676.50 | $902 | $35.09 | 19.3× |
| Salem Hospital | Salem, MA | $696 | $928 | $35.09 | 19.8× |
| Newton Wellesley Hospital | Newton, MA | $696 | $928 | $35.09 | 19.8× |
| United Hospital | Saint Paul, MN | $728.21 | $1,517.10 | $35.09 | 20.8× |
| Abbott Northwestern Hospital | Minneapolis, MN | $728.21 | $1,517.10 | $35.09 | 20.8× |
| Mercy Hospital | Coon Rapids, MN | $728.21 | $1,517.10 | $35.09 | 20.8× |
| Sheridan Memorial Hospital | Sheridan, WY | $776 | $970 | $35.09 | 22.1× |
| Cambridge Medical Center | Cambridge, MN | $892.08 | $1,593 | $35.09 | 25.4× |
| Owatonna Hospital | Owatonna, MN | $892.08 | $1,593 | $35.09 | 25.4× |
| Allina Health Faribault Medical Center | Faribault, MN | $892.08 | $1,593 | $35.09 | 25.4× |
| Buffalo Hospital | Buffalo, MN | $892.08 | $1,593 | $35.09 | 25.4× |
| St. Francis Regional Medical Center | Shakopee, MN | $892.08 | $1,593 | $35.09 | 25.4× |
| River Falls Area Hospital | River Falls, WI | $892.08 | $1,593 | $35.09 | 25.4× |
| New Ulm Medical Center | New Ulm, MN | $917.56 | $1,638.50 | $35.09 | 26.1× |
| Gunnison Valley Hospital | Gunnison, CO | $923.95 | $1,087 | $35.09 | 26.3× |
| UPMC Chautauqua at WCA | Jamestown, NY | $931.80 | $1,553 | $35.09 | 26.6× |
| Mosaic Life Care at St. Joseph - Medical Center | St. Joseph, MO | $969 | $1,140 | $35.09 | 27.6× |
| Adena Regional Medical Center | Chillicothe, OH | $980 | $1,960 | $35.09 | 27.9× |
| Adena Greenfield Medical Center | Greenfield, OH | $980 | $1,960 | $35.09 | 27.9× |
| Adena Fayette Medical Center range across 2 matching MRF lines |
Washington Ch, OH | $980–$1,960 | $1,960 | $35.09 | varies |
| Adena Pike Medical Center | Waverly, OH | $980 | $1,960 | $35.09 | 27.9× |
| Gordon Memorial Hospital District | Gordon, NE | $1,073 | $1,073 | $35.09 | 30.6× |
| Atrium Health Cabarrus | Concord, NC | $1,312.50 | $2,625 | $35.09 | 37.4× |
| High Point Medical Center | High Point, NC | $1,312.50 | $2,625 | $35.09 | 37.4× |
| Atrium Health Cleveland | Shelby, NC | $1,312.50 | $2,625 | $35.09 | 37.4× |
| Atrium Health Wake Forest Baptist Medical Center | Winston-Salem, NC | $1,312.50 | $2,625 | $35.09 | 37.4× |
| Wilkes Medical Center | North Wilkesboro, NC | $1,312.50 | $2,625 | $35.09 | 37.4× |
| Atrium Health Anson | Wadesboro, NC | $1,312.50 | $2,625 | $35.09 | 37.4× |
| Lexington Medical Center | Lexington, NC | $1,312.50 | $2,625 | $35.09 | 37.4× |
| Hugh Chatham Health – Medical Center | Elkin, NC | $1,312.50 | $2,625 | $35.09 | 37.4× |
| Atrium Health Pineville | Charlotte, NC | $1,312.50 | $2,625 | $35.09 | 37.4× |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $1,312.50 | $2,625 | $35.09 | 37.4× |
| Atrium Health Stanly | Albemarle, NC | $1,312.50 | $2,625 | $35.09 | 37.4× |
| Atrium Health Union | Monroe, NC | $1,312.50 | $2,625 | $35.09 | 37.4× |
| Atrium Health Lincoln | Lincolnton, NC | $1,312.50 | $2,625 | $35.09 | 37.4× |
| Atrium Health University City | Charlotte, NC | $1,312.50 | $2,625 | $35.09 | 37.4× |
| Atrium Health Navicent The Medical Center | Macon, GA | $1,312.50 | $2,625 | $35.09 | 37.4× |
| Atrium Health Navicent Baldwin | Milledgeville, GA | $1,312.50 | $2,625 | $35.09 | 37.4× |
| Atrium Health Navicent Peach | Byron, GA | $1,312.50 | $2,625 | $35.09 | 37.4× |
| Atrium Health Floyd Polk Medical Center | Cedartown, GA | $1,371.50 | $2,743 | $35.09 | 39.1× |
| Atrium Health Floyd Medical Center | Rome, GA | $1,391.50 | $2,783 | $35.09 | 39.7× |
| Atrium Health Floyd Cherokee Medical Center | Centre, AL | $1,398 | $2,796 | $35.09 | 39.8× |
| Kittitas Valley Healthcare | Ellensburg, WA | $1,461.15 | $1,719 | $35.09 | 41.6× |
| Ohio State University Hospitals | Columbus, OH | — | $106 | $35.09 | — |
| James Cancer Hospital & Solove Research Institute | Columbus, OH | — | $106 | $35.09 | — |
| St. Barnabas Hospital | Bronx, NY | — | $107 | $35.09 | — |
| Henry Ford Jackson Hospital | Jackson, MI | — | $141 | $35.09 | — |
| North Big Horn Hospital District | Lovell, WY | — | $235.50 | $35.09 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
"Medicare pays" here is the Clinical Laboratory Fee Schedule rate: a national lab fee, the same benchmark at every hospital.