Hpv types 16 & 18 only (CPT 87625)
87625 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.
670 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 |
|---|---|---|---|---|---|
| CHRISTUS Santa Rosa Medical Center | San Antonio, TX | $1.32 | $4 | $40.55 | 0.0× |
| Baptist Beaumont Hospital | Beaumont, TX | $8.45 | $65 | $40.55 | 0.2× |
| Holy Cross Hospital | Fort Lauderdale, FL | $15.28 | $23.50 | $40.55 | 0.4× |
| Singing River Gulfport | Gulfport, MS | $18.40 | $92 | $40.55 | 0.5× |
| East Jefferson General Hospital | Metairie, LA | $19.60 | $140 | $40.55 | 0.5× |
| Banner Gateway Medical Center | Gilbert, AZ | $19.89 | $122 | $40.55 | 0.5× |
| Banner Heart Hospital | Mesa, AZ | $20.01 | $122 | $40.55 | 0.5× |
| INTEGRIS Baptist Medical Center, Inc | Oklahoma City, OK | $20.20 | $101 | $40.55 | 0.5× |
| INTEGRIS Southwest Medical Center | Oklahoma City, OK | $20.20 | $101 | $40.55 | 0.5× |
| Banner – University Medical Center South | Tucson, AZ | $20.37 | $122 | $40.55 | 0.5× |
| UNC Hospitals | Chapel Hill, NC | $20.40 | $34 | $40.55 | 0.5× |
| Baptist Memorial Hospital-Crittenden | West Memphis, AR | $20.55 | $137 | $40.55 | 0.5× |
| Ascension St. Vincent's Riverside | Jacksonville, FL | $20.72 | $56 | $40.55 | 0.5× |
| Ascension St. Vincent's Southside | Jacksonville, FL | $20.72 | $56 | $40.55 | 0.5× |
| Ascension St. Vincent's Clay County | Middleburg, FL | $20.72 | $56 | $40.55 | 0.5× |
| Ascension St. Vincent's St. Johns County | St. Johns, FL | $20.72 | $56 | $40.55 | 0.5× |
| East Georgia Regional Medical Center | Statesboro, GA | $20.79 | $77 | $40.55 | 0.5× |
| UK Albert B. Chandler Hospital | Lexington, KY | $21.60 | $54 | $40.55 | 0.5× |
| Banner Boswell Medical Center | Sun City, AZ | $22.20 | $122 | $40.55 | 0.5× |
| Banner Goldfield Medical Center | Apache Junction, AZ | $22.45 | $122 | $40.55 | 0.6× |
| North Mississippi Medical Center-Hamilton | Hamilton, AL | $22.58 | $52.50 | $40.55 | 0.6× |
| Chi St. Joseph Health Regional Hospital | Bryan, TX | $23.10 | $132 | $40.55 | 0.6× |
| Burleson St. Joseph Health Center | Caldwell, TX | $23.10 | $132 | $40.55 | 0.6× |
| Madison St. Joseph Health Center | Madisonville, TX | $23.10 | $132 | $40.55 | 0.6× |
| Grimes St. Joseph Health Center | Navasota, TX | $23.10 | $132 | $40.55 | 0.6× |
| Ochsner Lafayette General Medical Center | Lafayette, LA | $23.31 | $111 | $40.55 | 0.6× |
| North Mississippi Medical Center-Iuka | Iuka, MS | $23.65 | $55 | $40.55 | 0.6× |
| North Mississippi Medical Center-Tupelo | Tupelo, MS | $23.65 | $55 | $40.55 | 0.6× |
| North Mississippi Medical Center-Eupora | Eupora, MS | $23.65 | $55 | $40.55 | 0.6× |
| North Mississippi Medical Center Gilmore-Amory | Amory, MS | $23.65 | $55 | $40.55 | 0.6× |
| North Mississippi Medical Center-Pontotoc | Pontotoc, MS | $23.65 | $55 | $40.55 | 0.6× |
| Jefferson County Hospital | Waurika, OK | $23.86 | $68 | $40.55 | 0.6× |
| Banner Del E. Webb Medical Center | Sun City West, AZ | $24.52 | $122 | $40.55 | 0.6× |
| H. Lee Moffitt Cancer Center & Research Institute | Tampa, FL | $25 | $50 | $40.55 | 0.6× |
| Banner Casa Grande Medical Center | Casa Grande, AZ | $25.25 | $122 | $40.55 | 0.6× |
| Ochsner Acadia General Hospital | Crowley, LA | $25.53 | $111 | $40.55 | 0.6× |
| NEA Baptist Memorial Hospital | Jonesboro, AR | $26.03 | $137 | $40.55 | 0.6× |
| LMH Health | Lawrence, KS | $26.25 | $105 | $40.55 | 0.6× |
| University Medical Center of El Paso | El Paso, TX | $26.40 | $132 | $40.55 | 0.7× |
| Baptist Memorial Hospital-Union City | Union City, TN | $26.40 | $132 | $40.55 | 0.7× |
| Banner - University Medical Center Phoenix | Phoenix, AZ | $26.96 | $122 | $40.55 | 0.7× |
| Pascagoula Hospital | Pascagoula, MS | $27 | $90 | $40.55 | 0.7× |
| Banner Baywood Medical Center | Mesa, AZ | $27.21 | $122 | $40.55 | 0.7× |
| Baptist Memorial Hospital-DeSoto | Southaven, MS | $27.40 | $137 | $40.55 | 0.7× |
| Tucson Medical Center | Tucson, AZ | $27.44 | $98 | $40.55 | 0.7× |
| Banner - University Medical Center Tucson | Tucson, AZ | $28.55 | $122 | $40.55 | 0.7× |
| Baptist Memorial Hospital-Memphis | Memphis, TN | $28.77 | $137 | $40.55 | 0.7× |
| Mississippi Baptist Medical Center | Jackson, MS | $28.77 | $137 | $40.55 | 0.7× |
| Ochsner University Hospital & Clinics | Lafayette, LA | $28.86 | $111 | $40.55 | 0.7× |
| Baptist Medical Center South | Montgomery, AL | $29.25 | $48.75 | $40.55 | 0.7× |
| Touro | New Orleans, LA | $29.54 | $211 | $40.55 | 0.7× |
| Banner Desert Medical Center | Mesa, AZ | $29.77 | $122 | $40.55 | 0.7× |
| Baptist Anderson Regional Medical Center | Meridian, MS | $30.14 | $137 | $40.55 | 0.7× |
| Holmes Regional Medical Center | Melbourne, FL | $30.50 | $122 | $40.55 | 0.8× |
| Chi St. Lukes Health Memorial Lufkin | Lufkin, TX | $30.75 | $205 | $40.55 | 0.8× |
| Chi St. Lukes Health Memorial Livingston | Livingston, TX | $30.75 | $205 | $40.55 | 0.8× |
| Chi St. Lukes Health Memorial San Augustine | San Augustine, TX | $30.75 | $205 | $40.55 | 0.8× |
| University Health Truman Medical Center | Kansas City, MO | $30.80 | $56 | $40.55 | 0.8× |
| University Health Lakewood Medical Center | Kansas City, MO | $30.80 | $56 | $40.55 | 0.8× |
| Banner Thunderbird Medical Center | Glendale, AZ | $30.87 | $122 | $40.55 | 0.8× |
| Baptist Health Medical Center-Little Rock | Little Rock, AR | $31.20 | $124.80 | $40.55 | 0.8× |
| Baptist Memorial Hospital-Carroll County | Huntingdon, TN | $31.51 | $137 | $40.55 | 0.8× |
| Baptist Memorial Hospital-North Mississippi | Oxford, MS | $31.51 | $137 | $40.55 | 0.8× |
| Coffey County Hospital | Burlington, KS | $32.40 | $108 | $40.55 | 0.8× |
| Mercy Health — Lourdes Hospital | Paducah, KY | $32.40 | $54 | $40.55 | 0.8× |
| Banner Ironwood Medical Center | Queen Creek, AZ | $32.70 | $122 | $40.55 | 0.8× |
| Baptist Memorial Hospital-Tipton | Covington, TN | $32.88 | $137 | $40.55 | 0.8× |
| Baptist Memorial Hospital-Union County | New Albany, MS | $32.88 | $137 | $40.55 | 0.8× |
| Baptist Memorial Hospital-Booneville | Booneville, MS | $32.88 | $137 | $40.55 | 0.8× |
| Grandview Medical Center | Birmingham, AL | $33 | $220 | $40.55 | 0.8× |
| Banner Estrella Medical Center | Phoenix, AZ | $33.06 | $122 | $40.55 | 0.8× |
| Norton Hospital | Louisville, KY | $33.20 | $166 | $40.55 | 0.8× |
| Ochsner St. Martin Hospital | Breaux Bridge, LA | $33.30 | $111 | $40.55 | 0.8× |
| Hancock County Hospital | Sneedville, TN | $33.35 | $145 | $40.55 | 0.8× |
| Bristol Regional Medical Center | Bristol, TN | $33.90 | $226 | $40.55 | 0.8× |
| Holston Valley Medical Center | Kingsport, TN | $33.90 | $226 | $40.55 | 0.8× |
| Sycamore Shoals Hospital | Elizabethton, TN | $33.90 | $226 | $40.55 | 0.8× |
| Hawkins County Memorial Hospital | Rogersville, TN | $33.90 | $226 | $40.55 | 0.8× |
| Greeneville Community Hospital | Greeneville, TN | $33.90 | $226 | $40.55 | 0.8× |
| Johnson City Medical Center | Johnson City, TN | $33.90 | $226 | $40.55 | 0.8× |
| Indian Path Community Hospital | Kingsport, TN | $33.90 | $226 | $40.55 | 0.8× |
| Franklin Woods Community Hospital | Johnson City, TN | $33.90 | $226 | $40.55 | 0.8× |
| Banner North Colorado Medical Center | Greeley, CO | $34.04 | $122 | $40.55 | 0.8× |
| Baptist Memorial Hospital-Golden Triangle | Columbus, MS | $34.25 | $137 | $40.55 | 0.8× |
| Ochsner American Legion Hospital | Jennings, LA | $34.34 | $101 | $40.55 | 0.8× |
| North Arkansas Regional Medical Center | Harrison, AR | $34.50 | $55.65 | $40.55 | 0.9× |
| Ste. Genevieve County Memorial Hospital | Ste. Genevieve, MO | $35.25 | $70.50 | $40.55 | 0.9× |
| Methodist Hospital | Omaha, NE | $36.36 | $101 | $40.55 | 0.9× |
| St. Anthony Summit Medical Center | Frisco, CO | $37.01 | $92.52 | $40.55 | 0.9× |
| HCA Florida Trinity Hospital | Trinity, FL | $38 | $38 | $40.55 | 0.9× |
| Methodist Fremont Health | Fremont, NE | $38.11 | $103 | $40.55 | 0.9× |
| West Jefferson Medical Center | Marrero, LA | $38.24 | $239 | $40.55 | 0.9× |
| Piedmont Athens Regional | Athens, GA | $39.30 | $131 | $40.55 | 1.0× |
| St. Joseph Medical Center | Houston, TX | $39.39 | $101 | $40.55 | 1.0× |
| Knapp Medical Center | Weslaco, TX | $40 | $202.75 | $40.55 | 1.0× |
| Dallas Regional Medical Center | Mesquite, TX | $40 | $336.98 | $40.55 | 1.0× |
| Providence Medical Center | Kansas City, KS | $40 | $219.89 | $40.55 | 1.0× |
| Riverview Regional Medical Center | Gadsden, AL | $40 | $334.32 | $40.55 | 1.0× |
| Southern Regional Medical Center | Riverdale, GA | $40 | $202.75 | $40.55 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $40.55 | — | $40.55 | 1.0× |
| Harris Health | Houston, TX | $40.55 | $72 | $40.55 | 1.0× |
| Griffin Hospital | Derby, CT | $40.55 | $348.03 | $40.55 | 1.0× |
| UT Medical Center | Knoxville, TN | $40.75 | $163 | $40.55 | 1.0× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $40.89 | $141 | $40.55 | 1.0× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $40.89 | $141 | $40.55 | 1.0× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $40.89 | $141 | $40.55 | 1.0× |
| Mercy Hospital Durango | Durango, CO | $40.93 | $102.31 | $40.55 | 1.0× |
| Banner Ocotillo Medical Center | Chandler, AZ | $40.99 | $122 | $40.55 | 1.0× |
| University of Kansas Hospital | Kansas City, KS | $41 | $205 | $40.55 | 1.0× |
| University of Kansas Health System Olathe Hospital | Olathe, KS | $41 | $205 | $40.55 | 1.0× |
| The University of Kansas Health System Paola Hospital | Paola, KS | $41 | $205 | $40.55 | 1.0× |
| University of Kansas Health System Great Bend Campus | Great Bend, KS | $41 | $205 | $40.55 | 1.0× |
| Denver Health Medical Center | Denver, CO | $41.32 | $118.04 | $40.55 | 1.0× |
| Hillcrest Hospital Pryor | Pryor, OK | $41.40 | $138 | $40.55 | 1.0× |
| UF Health Leesburg Hospital | Leesburg, FL | $41.80 | $76 | $40.55 | 1.0× |
| Flagler Hospital | Saint Augustine, FL | $41.80 | $76 | $40.55 | 1.0× |
| UF Health Shands Hospital | Gainesville, FL | $41.80 | $76 | $40.55 | 1.0× |
| UF Health Spanish Plaines Hospital | The Villages, FL | $41.80 | $76 | $40.55 | 1.0× |
| Duke University Hospital | Durham, NC | $41.85 | $155 | $40.55 | 1.0× |
| Duke Regional Hospital | Durham, NC | $41.85 | $155 | $40.55 | 1.0× |
| Memorial Regional Hospital | Hollywood, FL | $42 | $60 | $40.55 | 1.0× |
| Memorial Hospital Pembroke | Pembroke Pines, FL | $42 | $60 | $40.55 | 1.0× |
| Memorial Hospital West | Pembroke Pines, FL | $42 | $60 | $40.55 | 1.0× |
| Memorial Hospital Miramar | Miramar, FL | $42 | $60 | $40.55 | 1.0× |
| NKC Health | North Kansas City, MO | $42.05 | $145 | $40.55 | 1.0× |
| Crittenden Community Hospital | Marion, KY | $42.84 | $102 | $40.55 | 1.1× |
| ECU Health Medical Center | Greenville, NC | $42.93 | $81 | $40.55 | 1.1× |
| Trigg County Hospital | Cadiz, KY | $43 | $107.50 | $40.55 | 1.1× |
| WakeMed Raleigh Campus | Raleigh, NC | $43.70 | $115 | $40.55 | 1.1× |
| WakeMed Cary Hospital | Cary, NC | $43.70 | $115 | $40.55 | 1.1× |
| Methodist Dallas Medical Center | Dallas, TX | $44 | $88 | $40.55 | 1.1× |
| Methodist Richardson Medical Center | Richardson, TX | $44 | $88 | $40.55 | 1.1× |
| Methodist Charlton Medical Center | Dallas, TX | $44 | $88 | $40.55 | 1.1× |
| Methodist Mansfield Medical Center | Mansfield, TX | $44 | $88 | $40.55 | 1.1× |
| Methodist Southlake Medical Center | Southlake, TX | $44 | $88 | $40.55 | 1.1× |
| Methodist Midlothian Medical Center | Midlothian, TX | $44 | $88 | $40.55 | 1.1× |
| Methodist Celina Medical Center | Celina, TX | $44 | $88 | $40.55 | 1.1× |
| Alamance Regional Medical Center | Burlington, NC | $44.08 | $116 | $40.55 | 1.1× |
| Cone Health Moses Cone Hospital | Greensboro, NC | $44.08 | $116 | $40.55 | 1.1× |
| Southeast Health Medical Center | Dothan, AL | $44.31 | $110.78 | $40.55 | 1.1× |
| St. Dominic Hospital | Jackson, MS | $44.50 | $89 | $40.55 | 1.1× |
| Flowers Hospital | Dothan, AL | $44.73 | $298.18 | $40.55 | 1.1× |
| Erlanger Bledsoe Hospital | Pikeville, TN | $44.80 | $155 | $40.55 | 1.1× |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | $45.10 | $82 | $40.55 | 1.1× |
| St. Bernards Medical Center | Jonesboro, AR | $45.50 | $70 | $40.55 | 1.1× |
| Progressive Health of Batesville | Batesville, MS | $45.63 | $117 | $40.55 | 1.1× |
| Seiling Municipal Hospital | Seiling, OK | $45.92 | $112 | $40.55 | 1.1× |
| Valleywise Health Medical Center | Phoenix, AZ | $46.63 | $190 | $40.55 | 1.1× |
| Three Rivers Medical Center | Louisa, KY | $47.38 | $78.97 | $40.55 | 1.2× |
| Riverside Medical Center | Franklinton, LA | $48 | $120 | $40.55 | 1.2× |
| Cullman Regional Medical Center | Cullman, AL | $48.66 | $90 | $40.55 | 1.2× |
| Southwest Arkansas Regional Medical Center | Hope, AR | $48.66 | $121.65 | $40.55 | 1.2× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $48.66 | — | $40.55 | 1.2× |
| Ochsner Medical Center - New Orleans | New Orleans, LA | $49.28 | $224 | $40.55 | 1.2× |
| Ochsner Abrom Kaplan Memorial Hospital | Kaplan, LA | $49.95 | $111 | $40.55 | 1.2× |
| Pardee Hospital | Hendersonville, NC | $50.40 | $84 | $40.55 | 1.2× |
| Banner Wyoming Medical Center | Casper, WY | $51.24 | $122 | $40.55 | 1.3× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $52.72 | — | $40.55 | 1.3× |
| UofL Health – UofL Hospital | Louisville, KY | $53.04 | $221 | $40.55 | 1.3× |
| Labette Health | Parsons, KS | $53.34 | $76.20 | $40.55 | 1.3× |
| CommonSpirit - Memorial Hospital - North Georgia | Ringgold, GA | $53.58 | $181 | $40.55 | 1.3× |
| Tmc- Bonham Hospital | Bonham, TX | $53.90 | $178.20 | $40.55 | 1.3× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $40.55 | 1.3× |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | $54.45 | $99 | $40.55 | 1.3× |
| Alliancehealth Seminole | Seminole, OK | $54.45 | $99 | $40.55 | 1.3× |
| Baptist Anderson Regional Medical Center-South | Meridian, MS | $54.80 | $137 | $40.55 | 1.4× |
| Huntsville Memorial Hospital | Huntsville, TX | $55 | $221 | $40.55 | 1.4× |
| Cape Fear Valley Medical Center | Fayetteville, NC | $55.92 | $93.19 | $40.55 | 1.4× |
| Cape Fear Valley Betsy Johnson Hospital | Dunn, NC | $55.92 | $93.19 | $40.55 | 1.4× |
| Cape Fear Valley Hoke Hospital | Raeford, NC | $55.92 | $93.19 | $40.55 | 1.4× |
| Cape Fear Valley Bladen County Hospital | Elizabethtown, NC | $55.92 | $93.19 | $40.55 | 1.4× |
| Baptist Memorial Hospital-Yazoo | Yazoo City, MS | $56.17 | $137 | $40.55 | 1.4× |
| LaSalle General Hospital | Jena, LA | $57.60 | $96 | $40.55 | 1.4× |
| Banner Payson Medical Center | Payson, AZ | $57.71 | $122 | $40.55 | 1.4× |
| Big Bend Regional Medical Center | Alpine, TX | $58.93 | $294.67 | $40.55 | 1.5× |
| St. Catherine Hospital - Garden City | Garden City, KS | $59.16 | $147.89 | $40.55 | 1.5× |
| Bob Wilson Memorial Hospital | Ulysses, KS | $59.16 | $147.89 | $40.55 | 1.5× |
| St. Luke's Hospital | Chesterfield, MO | $59.25 | $98.75 | $40.55 | 1.5× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $60.12 | $92.50 | $40.55 | 1.5× |
| Cleveland Clinic Hospital | Weston, FL | $60.12 | $92.50 | $40.55 | 1.5× |
| Baptist Memorial Hospital-Attala | Kosciusko, MS | $60.28 | $137 | $40.55 | 1.5× |
| St. Charles Parish Hospital | Luling, LA | $60.48 | $224 | $40.55 | 1.5× |
| San Luis Valley Health Regional Medical Center | Alamosa, CO | $60.50 | $110 | $40.55 | 1.5× |
| MUSC Health Black River Medical Center | Cades, SC | $60.50 | $121 | $40.55 | 1.5× |
| CHI Health St. Mary's | Nebraska City, NE | $60.59 | $73 | $40.55 | 1.5× |
| Hillcrest Hospital Henryetta | Henryetta, OK | $60.90 | $203 | $40.55 | 1.5× |
| Tidelands Georgetown Memorial Hospital | Georgetown, SC | $61 | $94 | $40.55 | 1.5× |
| MUSC Health Lancaster Medical Center | Lancaster, SC | $61 | $122 | $40.55 | 1.5× |
| MUSC Health Marion Medical Center | Mullins, SC | $61 | $122 | $40.55 | 1.5× |
| Tidelands Waccamaw Community Hospital | Murrells Inlet, SC | $61 | $94 | $40.55 | 1.5× |
| Saint Mary's Hospital | Waterbury, CT | $61.05 | $111 | $40.55 | 1.5× |
| University Health System | San Antonio, TX | $61.25 | $245 | $40.55 | 1.5× |
| Baptist Memorial Hospital-Leake | Carthage, MS | $61.65 | $137 | $40.55 | 1.5× |
| Nevada Regional Medical Center | Nevada, MO | $62.55 | $139 | $40.55 | 1.5× |
| Ochsner Medical Center - Kenner | Kenner, LA | $62.72 | $224 | $40.55 | 1.5× |
| St. Bernards Five Rivers Medical Center | Pocahontas, AR | $63 | $70 | $40.55 | 1.6× |
| Dignity Health St. Joseph's Hospital and Medical Center | Phoenix, AZ | $63.03 | $165 | $40.55 | 1.6× |
| Mercy Hospital Northwest Arkansas | Rogers, AR | $63.05 | $97 | $40.55 | 1.6× |
| Mercy Hospital Southeast | Cape Girardeau, MO | $63.70 | $98 | $40.55 | 1.6× |
| East Alabama Medical Center | Opelika, AL | $63.80 | $116 | $40.55 | 1.6× |
| Marion General Hospital | Columbia, MS | $64.38 | $321.86 | $40.55 | 1.6× |
| Highland Community Hospital | Picayune, MS | $64.38 | $321.86 | $40.55 | 1.6× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $64.58 | $107.64 | $40.55 | 1.6× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $64.58 | $107.64 | $40.55 | 1.6× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $64.58 | $107.64 | $40.55 | 1.6× |
| Scott & White Hospital-round Rock | Round Rock, TX | $64.58 | $107.64 | $40.55 | 1.6× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $64.58 | $107.64 | $40.55 | 1.6× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $64.58 | $107.64 | $40.55 | 1.6× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $64.58 | $107.64 | $40.55 | 1.6× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $64.58 | $107.64 | $40.55 | 1.6× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $64.58 | $107.64 | $40.55 | 1.6× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $64.58 | $107.64 | $40.55 | 1.6× |
| Newberry Health Hospital | Newberry, SC | $65.49 | $177 | $40.55 | 1.6× |
| T.J. Samson Community Hospital | Glasgow, KY | $66.30 | $102 | $40.55 | 1.6× |
| T.J. Health Columbia | Columbia, KY | $66.30 | $102 | $40.55 | 1.6× |
| Memorial Hermann Hospital System | Houston, TX | $66.80 | $208.75 | $40.55 | 1.6× |
| Memorial Hermann Memorial City Medical Center | Houston, TX | $66.80 | $208.75 | $40.55 | 1.6× |
| Memorial Hermann Northeast Hospital | Humble, TX | $66.80 | $208.75 | $40.55 | 1.6× |
| Memorial Hermann Katy Hospital | Katy, TX | $66.80 | $208.75 | $40.55 | 1.6× |
| Memorial Hermann Sugar Land Hospital | Sugar Land, TX | $66.80 | $208.75 | $40.55 | 1.6× |
| Ozarks Healthcare | West Plains, MO | $67.10 | $134.20 | $40.55 | 1.7× |
| Parkland Health Center | Farmington, MO | $67.20 | $112 | $40.55 | 1.7× |
| Missouri Baptist Sullivan Hospital | Sullivan, MO | $67.20 | $112 | $40.55 | 1.7× |
| Sentara Albemarle Medical Center | Elizabeth City, NC | $67.25 | $134.50 | $40.55 | 1.7× |
| MUSC Health Florence Medical Center | Florence, SC | $67.50 | $135 | $40.55 | 1.7× |
| AnMed Cannon | Pickens, SC | $68 | $136 | $40.55 | 1.7× |
| AnMed Medical Center | Anderson, SC | $68 | $136 | $40.55 | 1.7× |
| Holton Community Hospital | Holton, KS | $68.25 | $91 | $40.55 | 1.7× |
| Page Hospital | Page, AZ | $68.32 | $122 | $40.55 | 1.7× |
| Northeast Georgia Medical Center Gainesville | Gainesville, GA | $68.54 | $149 | $40.55 | 1.7× |
| Northeast Georgia Medical Center Habersham | Demorest, GA | $68.54 | $149 | $40.55 | 1.7× |
| Northeast Georgia Medical Center Barrow | Winder, GA | $68.54 | $149 | $40.55 | 1.7× |
| Northeast Georgia Medical Center Lumpkin | Dahlonega, GA | $68.54 | $149 | $40.55 | 1.7× |
| Bothwell Regional Health Center | Sedalia, MO | $69 | $92 | $40.55 | 1.7× |
| Hannibal Regional Hospital | Hannibal, MO | $69.60 | $116 | $40.55 | 1.7× |
| Parkland Health Center – Bonne Terre | Bonne Terre, MO | $69.60 | $116 | $40.55 | 1.7× |
| Moberly Regional Medical Center | Moberly, MO | $69.61 | $257.80 | $40.55 | 1.7× |
| Missouri Baptist Medical Center | Town and Country, MO | $70.20 | $117 | $40.55 | 1.7× |
| Barnes-Jewish West County Hospital | Creve Coeur, MO | $70.20 | $117 | $40.55 | 1.7× |
| Christian Hospital | St. Louis, MO | $70.20 | $117 | $40.55 | 1.7× |
| Barnes-Jewish St. Peters Hospital | St. Peters, MO | $70.20 | $117 | $40.55 | 1.7× |
| Progress West Hospital | O'Fallon, MO | $70.20 | $117 | $40.55 | 1.7× |
| UF Health Jacksonville | Jacksonville, FL | $70.53 | $128.23 | $40.55 | 1.7× |
| Sweetwater Hospital Association | Sweetwater, TN | $70.88 | $157.50 | $40.55 | 1.7× |
| Northeastern Health System | Tahlequah, OK | $70.92 | $94.56 | $40.55‡ | 1.7× |
| Baptist Memorial Hospital-Calhoun | Calhoun City, MS | $71.24 | $137 | $40.55 | 1.8× |
| Ochsner Medical Center - Baton Rouge | Baton Rouge, LA | $71.68 | $224 | $40.55 | 1.8× |
| St. Bernard Parish Hospital | Chalmette, LA | $71.68 | $224 | $40.55 | 1.8× |
| Baxter Health | Mountain Home, AR | $72 | $120 | $40.55 | 1.8× |
| Community Hospital, Onaga and St. Marys Campus | Onaga, KS | $72.42 | $90.53 | $40.55‡ | 1.8× |
| Mercy Hospital South | St. Louis, MO | $72.80 | $112 | $40.55 | 1.8× |
| Cozad Community Hospital | Cozad, NE | $73 | $81 | $40.55 | 1.8× |
| Muscogee (creek) Nation Medical Center | Okmulgee, OK | $73.65 | $122.75 | $40.55 | 1.8× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $73.95 | $87 | $40.55 | 1.8× |
| Memorial Hospital at Craig | Craig, CO | $74.25 | $114.24 | $40.55 | 1.8× |
| Piedmont Newton | Covington, GA | $74.95 | $249.85 | $40.55 | 1.8× |
| Piedmont Augusta | Augusta, GA | $74.95 | $249.85 | $40.55 | 1.8× |
| Piedmont Walton | Monroe, GA | $74.95 | $249.85 | $40.55 | 1.8× |
| Piedmont Columbus Regional - Midtown | Columbus, GA | $74.95 | $249.85 | $40.55 | 1.8× |
| Piedmont Atlanta | Atlanta, GA | $74.95 | $249.85 | $40.55 | 1.8× |
| Piedmont Rockdale | Conyers, GA | $74.95 | $249.85 | $40.55 | 1.8× |
| Piedmont McDuffie | Thomson, GA | $74.95 | $249.85 | $40.55 | 1.8× |
| Piedmont Henry Hospital | Stockbridge, GA | $74.95 | $249.85 | $40.55 | 1.8× |
| Piedmont Columbus Regional Northside | Columbus, GA | $74.95 | $249.85 | $40.55 | 1.8× |
| Piedmont Fayette | Fayetteville, GA | $74.95 | $249.85 | $40.55 | 1.8× |
| Piedmont Mountainside | Jasper, GA | $74.95 | $249.85 | $40.55 | 1.8× |
| Piedmont Newnan | Newnan, GA | $74.95 | $249.85 | $40.55 | 1.8× |
| Vanderbilt University Hospital | Nashville, TN | $76.14 | $141 | $40.55 | 1.9× |
| CommonSpirit - Memorial Hospital - Chattanooga | Chattanooga, TN | $76.57 | $181 | $40.55 | 1.9× |
| Boone Hospital Center | Columbia, MO | $77.25 | $128.75 | $40.55 | 1.9× |
| Val Verde Regional Medical Center | Del Rio, TX | $78 | $120 | $40.55 | 1.9× |
| Newman Regional Health | Emporia, KS | $78.40 | $98 | $40.55 | 1.9× |
| St. Mary's Hospital | Athens, GA | $78.65 | $121 | $40.55 | 1.9× |
| University Medical Center New Orleans | New Orleans, LA | $78.76 | $358 | $40.55 | 1.9× |
| Piedmont Cartersville Medical Center | Cartersville, GA | $78.90 | $263 | $40.55 | 1.9× |
| Piedmont Macon Medical Center | Macon, GA | $78.90 | $263 | $40.55 | 1.9× |
| Piedmont Eastside | Snellville, GA | $78.90 | $263 | $40.55 | 1.9× |
| Piedmont Macon North | Macon, GA | $78.90 | $263 | $40.55 | 1.9× |
| UT Health San Antonio Multispecialty & Research Ho | San Antonio, TX | $79.20 | $132 | $40.55 | 2.0× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $79.30 | $122 | $40.55 | 2.0× |
| UT Health East Texas Jacksonville Hospital | Jacksonville, TX | $79.70 | $797 | $40.55 | 2.0× |
| Manning Family Children's | New Orleans, LA | $79.92 | $296 | $40.55 | 2.0× |
| Memorial Hermann Texas Medical Center | Houston, TX | $80.16 | $250.50 | $40.55 | 2.0× |
| MUSC Health Chester Medical Center | Chester, SC | $80.50 | $161 | $40.55 | 2.0× |
| Saint Francis Hospital | Hartford, CT | $80.85 | $147 | $40.55 | 2.0× |
| Lincoln Health Hospital | Hugo, CO | $81 | $81 | $40.55 | 2.0× |
| Jackson Purchase Medical Center | Mayfield, KY | $81.73 | $204.33 | $40.55 | 2.0× |
| Parkview Medical Center | Pueblo, CO | $82.40 | $206 | $40.55 | 2.0× |
| West Tennessee Healthcare Jackson-Madison County General Hospital | Jackson, TN | $82.50 | $275 | $40.55 | 2.0× |
| West Tennessee Healthcare Milan Hospital | Milan, TN | $82.50 | $275 | $40.55 | 2.0× |
| West Tennessee Healthcare Volunteer Hospital | Martin, TN | $82.50 | $275 | $40.55 | 2.0× |
| West Tennessee Healthcare Dyersburg Hospital | Dyersburg, TN | $82.50 | $275 | $40.55 | 2.0× |
| West Tennessee Healthcare Camden Hospital | Camden, TN | $82.50 | $275 | $40.55 | 2.0× |
| West Tennessee Healthcare Bolivar Hospital | Bolivar, TN | $82.50 | $275 | $40.55 | 2.0× |
| MUSC Health University Medical Center | Charleston, SC | $82.50 | $165 | $40.55 | 2.0× |
| Mercy Health — Marcum and Wallace Hospital | Irvine, KY | $82.80 | $138 | $40.55 | 2.0× |
| Prisma Health Blount Memorial Hospital | Maryville, TN | $83.39 | $269 | $40.55 | 2.1× |
| Johnson Memorial Hospital | Stafford Springs, CT | $83.60 | $152 | $40.55 | 2.1× |
| Caldwell Medical Center | Princeton, KY | $83.69 | $111.58 | $40.55 | 2.1× |
| Ogallala Community Hospital | Ogallala, NE | $83.81 | $122 | $40.55 | 2.1× |
| UofL Health – Shelbyville Hospital | Shelbyville, KY | $83.98 | $221 | $40.55‡ | 2.1× |
| Pike County Memorial Hospital | Louisiana, MO | $84 | $105 | $40.55 | 2.1× |
| MUSC Health Columbia Medical Center Downtown | Columbia, SC | $84.50 | $169 | $40.55 | 2.1× |
| Frio Regional Hospital | Pearsall, TX | $85 | $122 | $40.55 | 2.1× |
| Mosaic Life Care at St. Joseph - Medical Center | St. Joseph, MO | $85 | $100 | $40.55 | 2.1× |
| Mosaic Medical Center - Maryville | Maryville, MO | $85 | $100 | $40.55 | 2.1× |
| Adventhealth Central Texas | Killeen, TX | $86.52 | $86.52 | $40.55 | 2.1× |
| Erlanger Baroness Hospital | Chattanooga, TN | $86.59 | $164 | $40.55 | 2.1× |
| Memorial Hospital | Dumas, TX | $86.80 | $108.50 | $40.55 | 2.1× |
| Duncan Regional Hospital, Inc | Duncan, OK | $86.86 | $79.50 | $40.55 | 2.1× |
| Hazard ARH Regional Medical Center | Hazard, KY | $87 | $145 | $40.55 | 2.1× |
| Harlan ARH Hospital | Harlan, KY | $87 | $145 | $40.55 | 2.1× |
| Tug Valley ARH Regional Medical Center | South Williamson, KY | $87 | $145 | $40.55 | 2.1× |
| Mary Breckinridge ARH Hospital | Hyden, KY | $87 | $145 | $40.55 | 2.1× |
| Barbourville ARH Hospital | Barbourville, KY | $87 | $145 | $40.55 | 2.1× |
| Lawrence + Memorial Hospital | New London, CT | $87.59 | $243.30 | $40.55 | 2.2× |
| Connecticut Children's Medical Center | Hartford, CT | $87.60 | $146 | $40.55‡ | 2.2× |
| Archbold Memorial | Thomasville, GA | $88.80 | $148 | $40.55 | 2.2× |
| Pineville Community Health Center | Pineville, KY | $89.10 | $89.10 | $40.55 | 2.2× |
| Iron County Medical Center | Pilot Knob, MO | $89.42 | $99.35 | $40.55 | 2.2× |
| Mercy Hospital Carthage | Carthage, MO | $89.70 | $138 | $40.55 | 2.2× |
| UConn Health Waterbury Hospital | Waterbury, CT | $90 | $180 | $40.55 | 2.2× |
| AdventHealth Palm Coast | Palm Coast, FL | $90.08 | $90.08 | $40.55 | 2.2× |
| Forrest General Hospital | Hattiesburg, MS | $90.13 | $321.86 | $40.55 | 2.2× |
| Walthall General Hospital | Tylertown, MS | $90.13 | $321.86 | $40.55 | 2.2× |
| ECU Health Edgecombe Hospital | Tarboro, NC | $90.16 | $161 | $40.55 | 2.2× |
| Mercy Hospital Fort Smith | Fort Smith, AR | $90.35 | $139 | $40.55 | 2.2× |
| Mercy Hospital Watonga, Inc | Watonga, OK | $91 | $140 | $40.55 | 2.2× |
| Mercy Hospital Kingfisher, Inc | Kingfisher, OK | $91 | $140 | $40.55 | 2.2× |
| Mercy Hospital Logan County, Inc | Guthrie, OK | $91 | $140 | $40.55 | 2.2× |
| CHRISTUS Southeast Texas- St. Elizabeth | Beaumont, TX | $91.08 | $276 | $40.55 | 2.2× |
| Titus Regional Medical Center | Mount Pleasant, TX | $91.20 | $152 | $40.55 | 2.2× |
| Terrebonne General Health System | Houma, LA | $91.61 | $123.75 | $40.55 | 2.3× |
| Mercy Hospital Tishomingo | Tishomingo, OK | $91.65 | $141 | $40.55 | 2.3× |
| Mercy Hospital Healdton, Inc. | Healdton, OK | $91.65 | $141 | $40.55 | 2.3× |
| ECU Health Roanoke-Chowan Hospital | Ahoskie, NC | $91.84 | $164 | $40.55 | 2.3× |
| ECU Health Chowan Hospital | Edenton, NC | $91.84 | $164 | $40.55 | 2.3× |
| Mercy Hospital Columbus | Columbus, KS | $92.30 | $142 | $40.55 | 2.3× |
| Mercy Hospital Joplin | Joplin, MO | $92.30 | $142 | $40.55 | 2.3× |
| Henderson Community Hospital | Henderson, NE | $92.80 | $116 | $40.55 | 2.3× |
| Kit Carson County Memorial Hospital | Burlington, CO | $93.18 | $109.62 | $40.55 | 2.3× |
| SSM Health St. Joseph Hospital - St. Charles | St. Charles, MO | $93.50 | $170 | $40.55 | 2.3× |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $93.50 | $170 | $40.55 | 2.3× |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $93.50 | $170 | $40.55 | 2.3× |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $93.50 | $170 | $40.55 | 2.3× |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $93.50 | $170 | $40.55 | 2.3× |
| ECU Health Duplin Hospital | Kenansville, NC | $93.52 | $167 | $40.55 | 2.3× |
| Mercy Hospital Paris | Paris, AR | $93.60 | $144 | $40.55 | 2.3× |
| Mercy Hospital Ozark | Ozark, AR | $93.60 | $144 | $40.55 | 2.3× |
| Mercy Hospital Waldron | Waldron, AR | $93.60 | $144 | $40.55 | 2.3× |
| Mercy Hospital Booneville | Booneville, AR | $93.60 | $144 | $40.55 | 2.3× |
| Bristol Hospital | Bristol, CT | $93.68 | $170.31 | $40.55 | 2.3× |
| Prowers Medical Center | Lamar, CO | $94.80 | $158 | $40.55 | 2.3× |
| JPS Health Network | Fort Worth, TX | $94.80 | $158 | $40.55 | 2.3× |
| Mercy Hospital Perry | Perryville, MO | $94.90 | $146 | $40.55 | 2.3× |
| Chadron Hospital | Chadron, NE | $95 | $136 | $40.55 | 2.3× |
| SSM Health Saint Louis University Hospital | St. Louis, MO | $95.70 | $174 | $40.55 | 2.4× |
| ECU Health Bertie Hospital | Windsor, NC | $95.76 | $171 | $40.55 | 2.4× |
| Mercy Hospital Jefferson | Festus, MO | $96.85 | $149 | $40.55 | 2.4× |
| Mercy Hospital Washington | Washington, MO | $96.85 | $149 | $40.55 | 2.4× |
| Wilson Medical Center | Neodesha, KS | $97.50 | $130 | $40.55 | 2.4× |
| Mercy Hospital Aurora | Aurora, MO | $97.50 | $150 | $40.55 | 2.4× |
| Mercy Hospital Cassville | Cassville, MO | $97.50 | $150 | $40.55 | 2.4× |
| Mercy St. Francis Hospital | Mountain View, MO | $97.50 | $150 | $40.55 | 2.4× |
| Mercy Hospital Berryville | Berryville, AR | $97.50 | $150 | $40.55 | 2.4× |
| Our Lady of Lourdes Regional Medical Center | Lafayette, LA | $98.50 | $197 | $40.55 | 2.4× |
| Our Lady of the Angels Hospital | Bogalusa, LA | $98.50 | $197 | $40.55 | 2.4× |
| Ochsner St. Anne Hospital | Raceland, LA | $98.56 | $224 | $40.55 | 2.4× |
| MUSC Health Kershaw Medical Center | Camden, SC | $99 | $198 | $40.55 | 2.4× |
| Outer Banks Health Hospital | Nags Head, NC | $99.12 | $177 | $40.55 | 2.4× |
| Mercy Hospital Ada | Ada, OK | $99.45 | $153 | $40.55 | 2.5× |
| UofL Health – Jewish Hospital | Louisville, KY | $99.45 | $221 | $40.55 | 2.5× |
| Freeman Neosho Hospital | Neosho, MO | $99.60 | $166 | $40.55 | 2.5× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $100 | $100 | $40.55 | 2.5× |
| AdventHealth Carrollwood | Tampa, FL | $100.14 | $100.14 | $40.55 | 2.5× |
| ECU Health North Hospital | Roanoke Rapids, NC | $100.80 | $180 | $40.55 | 2.5× |
| TidalHealth Nanticoke | Seaford, DE | $101.38 | $101.38 | $40.55 | 2.5× |
| Wellstar West Georgia Medical Center | LaGrange, GA | $101.70 | $260.75 | $40.55 | 2.5× |
| Wellstar Spalding Medical Center | Griffin, GA | $101.70 | $260.75 | $40.55 | 2.5× |
| Wellstar MCG Health Medical Center | Augusta, GA | $101.70 | $260.75 | $40.55 | 2.5× |
| Wellstar Kennestone Regional Medical Center | Marietta, GA | $101.70 | $260.75 | $40.55 | 2.5× |
| Wellstar Paulding Medical Center | Hiram, GA | $101.70 | $260.75 | $40.55 | 2.5× |
| Wellstar Cobb Medical Center | Austell, GA | $101.70 | $260.75 | $40.55 | 2.5× |
| Wellstar Douglas Medical Center | Douglasville, GA | $101.70 | $260.75 | $40.55 | 2.5× |
| Wellstar North Fulton Medical Center | Roswell, GA | $101.70 | $260.75 | $40.55 | 2.5× |
| Wellstar Sylvan Grove Medical Center | Jackson, GA | $101.70 | $260.75 | $40.55 | 2.5× |
| UCHealth Greeley Hospital | Greeley, CO | $102.15 | $170.24 | $40.55 | 2.5× |
| Boca Raton Regional Hospital | Boca Raton, FL | $104 | $160 | $40.55 | 2.6× |
| Mercy Hospital St. Louis | St. Louis, MO | $104.65 | $161 | $40.55 | 2.6× |
| Ward Memorial Hospital | Monahans, TX | $105 | $150 | $40.55 | 2.6× |
| Drumright Regional Hospital | Drumright, OK | $105 | $175 | $40.55 | 2.6× |
| Eastern Oklahoma Medical Center | Poteau, OK | $105.27 | $105.27 | $40.55 | 2.6× |
| Leonard J. Chabert Medical Center | Houma, LA | $105.28 | $224 | $40.55 | 2.6× |
| Norman Regional | Norman, OK | $105.60 | $176 | $40.55 | 2.6× |
| Nebraska Medical Center | Omaha, NE | $108.22 | $166.50 | $40.55 | 2.7× |
| Bellevue Medical Center | Bellevue, NE | $108.22 | $166.50 | $40.55 | 2.7× |
| Tippah County Hospital | Ripley, MS | $109 | $109 | $40.55 | 2.7× |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $109.18 | $198.50 | $40.55 | 2.7× |
| CommonSpirit Saint Joseph Medical Center - East Lexington | Lexington, KY | $110.06 | $274 | $40.55 | 2.7× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $110.70 | $184.50 | $40.55 | 2.7× |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $110.70 | $184.50 | $40.55 | 2.7× |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $110.70 | $184.50 | $40.55 | 2.7× |
| Texas Health Hospital Frisco | Frisco, TX | $110.70 | $184.50 | $40.55 | 2.7× |
| Barnes-Jewish Hospital | St. Louis, MO | $111.60 | $186 | $40.55 | 2.8× |
| Montrose Regional Health | Montrose, CO | $111.75 | $149 | $40.55 | 2.8× |
| Tift Regional Medical Center | Tifton, GA | $112.50 | $225 | $40.55 | 2.8× |
| Southwell Medical | Adel, GA | $112.50 | $225 | $40.55 | 2.8× |
| UK King's Daughters Medical Center | Ashland, KY | $112.57 | $281.41 | $40.55 | 2.8× |
| Jefferson Davis Community Hospital | Prentiss, MS | $112.66 | $321.86 | $40.55 | 2.8× |
| Hilton Head Medical Center | Hilton Head Island, SC | $112.99 | — | $40.55 | 2.8× |
| East Cooper Medical Center | Mount Pleasant, SC | $112.99 | — | $40.55 | 2.8× |
| Coastal Carolina Medical Center | Hardeeville, SC | $112.99 | — | $40.55 | 2.8× |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | $114.33 | $381.10 | $40.55 | 2.8× |
| Ascension Saint Thomas Hospital West | Nashville, TN | $114.33 | $381.10 | $40.55 | 2.8× |
| Ascension Saint Thomas DeKalb | Smithville, TN | $114.33 | $381.10 | $40.55 | 2.8× |
| Ascension Saint Thomas River Park | McMinnville, TN | $114.33 | $381.10 | $40.55 | 2.8× |
| Ascension Saint Thomas Highlands | Sparta, TN | $114.33 | $381.10 | $40.55 | 2.8× |
| Ascension Saint Thomas Stones River | Woodbury, TN | $114.33 | $381.10 | $40.55 | 2.8× |
| Mercy Hospital Ardmore, Inc | Ardmore, OK | $114.40 | $176 | $40.55 | 2.8× |
| Lake Regional Hospital | Osage Beach, MO | $114.60 | $382 | $40.55 | 2.8× |
| Citizens Memorial Hospital | Bolivar, MO | $114.80 | $143.50 | $40.55 | 2.8× |
| Erlanger Western Carolina Hospital | Murphy, NC | $114.80 | $164 | $40.55 | 2.8× |
| Perry County General Hospital | Richton, MS | $115.87 | $321.86 | $40.55 | 2.9× |
| AdventHealth Daytona Beach | Daytona Beach, FL | $118.13 | $118.13 | $40.55 | 2.9× |
| Mercy Hospital Oklahoma City, Inc | Oklahoma City, OK | $118.30 | $182 | $40.55 | 2.9× |
| Poudre Valley Hospital | Fort Collins, CO | $119.17 | $170.24 | $40.55 | 2.9× |
| Medical Center of the Rockies | Loveland, CO | $119.17 | $170.24 | $40.55 | 2.9× |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | $119.35 | $217 | $40.55 | 2.9× |
| Emory University Hospital | Atlanta, GA | $121 | $121 | $40.55 | 3.0× |
| Emory Decatur Hospital | Decatur, GA | $121 | $121 | $40.55 | 3.0× |
| Emory University Hospital Midtown | Atlanta, GA | $121 | $121 | $40.55 | 3.0× |
| Emory Saint Joseph's Hospital | Atlanta, GA | $121 | $121 | $40.55 | 3.0× |
| Emory Hillandale Hospital | Lithonia, GA | $121 | $121 | $40.55 | 3.0× |
| Emory Johns Creek Hospital | Johns Creek, GA | $121 | $121 | $40.55 | 3.0× |
| Hsa Port Arthur, LLC | Port Arthur, TX | $121.65 | $121.65 | $40.55 | 3.0× |
| Jackson County Memorial Hospital Authority | Altus, OK | $121.65 | $121.65 | $40.55 | 3.0× |
| Northwest Surgical Hospital | Oklahoma City, OK | $121.65 | — | $40.55 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $121.65 | — | $40.55 | 3.0× |
| Harmon Memorial Hospital | Hollis, OK | $121.65 | $121.65 | $40.55 | 3.0× |
| Hartford Hospital | Hartford, CT | $121.65 | $121.65 | $40.55 | 3.0× |
| The Hospital of Central Connecticut | New Britain, CT | $121.65 | $121.65 | $40.55 | 3.0× |
| St. Elizabeth Healthcare Ft. Thomas Hospital | Fort Thomas, KY | $121.65 | $121.65 | $40.55 | 3.0× |
| St. Elizabeth Healthcare Edgewood Hospital | Edgewood, KY | $121.65 | $121.65 | $40.55 | 3.0× |
| St. Elizabeth Healthcare Florence Hospital | Florence, KY | $121.65 | $121.65 | $40.55 | 3.0× |
| St. Elizabeth Healthcare Grant Hospital | Williamstown, KY | $121.65 | $121.65 | $40.55 | 3.0× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $121.76 | $405.84 | $40.55 | 3.0× |
| Children's Hospital Colorado | Aurora, CO | $122.20 | $188 | $40.55 | 3.0× |
| Children's Hospital Colorado - Colorado Springs | Colorado Springs, CO | $122.20 | $188 | $40.55 | 3.0× |
| Anderson County Hospital | Garnett, KS | $122.40 | $204 | $40.55 | 3.0× |
| Allen County Regional Hospital | Iola, KS | $122.40 | $204 | $40.55 | 3.0× |
| Wright Memorial Hospital | Trenton, MO | $122.40 | $204 | $40.55 | 3.0× |
| Hedrick Medical Center | Chillicothe, MO | $122.40 | $204 | $40.55 | 3.0× |
| Danbury Hospital | Danbury, CT | $123 | $123 | $40.55 | 3.0× |
| Norwalk Hospital | Norwalk, CT | $123 | $123 | $40.55 | 3.0× |
| Regional West Medical Center | Scottsbluff, NE | $123.60 | $206 | $40.55 | 3.0× |
| Mercy Hospital Lincoln | Troy, MO | $124.15 | $191 | $40.55 | 3.1× |
| Bon Secours St. Francis Downtown | Greenville, SC | $124.80 | $208 | $40.55 | 3.1× |
| Kingman Regional Medical Center | Kingman, AZ | $125.30 | $358 | $40.55 | 3.1× |
| Morrill County Community Hospital | Bridgeport, NE | $126 | $134 | $40.55 | 3.1× |
| Bridgeport Hospital | Bridgeport, CT | $126.52 | $243.30 | $40.55 | 3.1× |
| Greenwich Hospital | Greenwich, CT | $126.52 | $243.30 | $40.55 | 3.1× |
| Cody Regional Health | Cody, WY | $127.26 | $149.72 | $40.55 | 3.1× |
| Heart of Texas Memorial Hospital | Brady, TX | $128.50 | $257 | $40.55 | 3.2× |
| Grove Hill Rural Emergency Hospital | Grove Hill, AL | $129 | $215 | $40.55 | 3.2× |
| CommonSpirit Saint Joseph Hospital - Lexington | Lexington, KY | $129.08 | $274 | $40.55 | 3.2× |
| George Washington University Hospital | Washington, DC | $130 | $325 | $40.55 | 3.2× |
| Cedar Hill Regional Medical Center GW Health | Washington, DC | $130 | $325 | $40.55 | 3.2× |
| Prisma Health Oconee Memorial Hospital | Seneca, SC | $130 | $200 | $40.55 | 3.2× |
| Prisma Health Baptist Easley Hospital | Easley, SC | $130 | $200 | $40.55 | 3.2× |
| Prisma Health Richland Hospital | Columbia, SC | $130 | $200 | $40.55 | 3.2× |
| Prisma Health Greer Memorial Hospital | Greer, SC | $130 | $200 | $40.55 | 3.2× |
| Prisma Health Hillcrest Hospital | Simpsonville, SC | $130 | $200 | $40.55 | 3.2× |
| Prisma Health Laurens County Hospital | Clinton, SC | $130 | $200 | $40.55 | 3.2× |
| Prisma Health Tuomey Hospital | Sumter, SC | $130 | $200 | $40.55 | 3.2× |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | $130 | $200 | $40.55 | 3.2× |
| Prisma Health Baptist Hospital | Columbia, SC | $130 | $200 | $40.55 | 3.2× |
| Prisma Health Patewood Hospital | Greenville, SC | $130 | $200 | $40.55 | 3.2× |
| Prisma Health Baptist Parkridge Hospital | Columbia, SC | $130 | $200 | $40.55 | 3.2× |
| Onvida Health Yuma Medical Center | Yuma, AZ | $130.98 | $201.50 | $40.55 | 3.2× |
| Owensboro Health Regional Hospital | Owensboro, KY | $131.22 | $201.87 | $40.55 | 3.2× |
| Fitzgibbon Hospital | Marshall, MO | $131.30 | $164.13 | $40.55 | 3.2× |
| MedStar Washington Hospital Center | Washington, DC | $133.20 | $204.93 | $40.55 | 3.3× |
| Valley County Health System | Ord, NE | $133.65 | $148.50 | $40.55 | 3.3× |
| Sublette County Health | Pinedale, WY | $134.10 | $149 | $40.55 | 3.3× |
| Shannon Medical Center | San Angelo, TX | $135 | $270 | $40.55 | 3.3× |
| Scenic Mountain Medical Center | Big Spring, TX | $135 | $270 | $40.55 | 3.3× |
| Texoma Medical Center | Denison, TX | $135.38 | $180.50 | $40.55 | 3.3× |
| Glenwood Regional Medical Center | West Monroe, LA | $136.58 | $136.58 | $40.55 | 3.4× |
| Pawnee County Memorial Hospital | Pawnee City, NE | $138 | $173 | $40.55 | 3.4× |
| Ascension St. John Jane Phillips | Bartlesville, OK | $140.32 | $379.25 | $40.55 | 3.5× |
| Ascension St. John Medical Center | Tulsa, OK | $140.32 | $379.25 | $40.55 | 3.5× |
| Ascension St. John Owasso | Owasso, OK | $140.32 | $379.25 | $40.55 | 3.5× |
| Ascension St. John Broken Arrow | Broken Arrow, OK | $140.32 | $379.25 | $40.55 | 3.5× |
| Ascension St. John Nowata | Nowata, OK | $140.32 | $379.25 | $40.55 | 3.5× |
| Ascension St. John Sapulpa | Sapulpa, OK | $140.32 | $379.25 | $40.55 | 3.5× |
| Mercy Hospital Springfield | Springfield, MO | $141.70 | $218 | $40.55 | 3.5× |
| Longs Peak Hospital | Longmont, CO | $142.05 | $405.84 | $40.55 | 3.5× |
| UCHealth Broomfield Hospital | Broomfield, CO | $142.05 | $405.84 | $40.55 | 3.5× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $142.05 | $405.84 | $40.55 | 3.5× |
| Avera St. Anthony's Hospital | O'Neill, NE | $142.59 | $147 | $40.55 | 3.5× |
| Baton Rouge General - Bluebonnet | Baton Rouge, LA | $142.94 | $204.20 | $40.55 | 3.5× |
| Baton Rouge General - Mid City | Baton Rouge, LA | $142.94 | $204.20 | $40.55 | 3.5× |
| Self Regional Healthcare | Greenwood, SC | $143.03 | $238.38 | $40.55 | 3.5× |
| Edgefield County Healthcare | Edgefield, SC | $143.03 | $238.38 | $40.55 | 3.5× |
| Lake Charles Memorial Hospital | Lake Charles, LA | $143.40 | $239 | $40.55 | 3.5× |
| Yale New Haven Hospital | New Haven, CT | $143.55 | $243.30 | $40.55 | 3.5× |
| Cedar County Memorial Hospital | El Dorado Springs, MO | $144 | $240 | $40.55 | 3.6× |
| Conway Medical Center | Conway, SC | $145 | $145 | $40.55 | 3.6× |
| Novant Health Presbyterian Medical Center | Charlotte, NC | $145.75 | $291.50 | $40.55 | 3.6× |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $147 | $147 | $40.55 | 3.6× |
| Columbus Regional Healthcare System | Whiteville, NC | $147 | $210 | $40.55 | 3.6× |
| William Newton Memorial Hospital | Winfield, KS | $147.80 | $147.80 | $40.55 | 3.6× |
| Medical Center Hospital | Odessa, TX | $149 | $149 | $40.55 | 3.7× |
| USA Health University Hospital | Mobile, AL | $151 | $151 | $40.55 | 3.7× |
| USA Health Children's & Women's Hospital | Mobile, AL | $151 | $151 | $40.55 | 3.7× |
| Melissa Memorial Hospital | Holyoke, CO | $152 | $190 | $40.55 | 3.7× |
| Beatrice Community Hospital & Health Center, Inc | Beatrice, NE | $152 | $152 | $40.55 | 3.7× |
| Woman's Hospital | Baton Rouge, LA | $153 | $153 | $40.55 | 3.8× |
| Watauga Medical Center | Boone, NC | $153.60 | $256 | $40.55 | 3.8× |
| Cannon Memorial Hospital | Linville, NC | $153.60 | $256 | $40.55 | 3.8× |
| Swain Community Hospital | Bryson City, NC | $154.43 | $386.08 | $40.55 | 3.8× |
| Newman Memorial Hospital | Shattuck, OK | $155.20 | $194 | $40.55 | 3.8× |
| Memorial Health | Lawton, OK | $158.44 | $126.75 | $40.55 | 3.9× |
| Prague Regional Memorial Hospital | Prague, OK | $160 | $160 | $40.55 | 3.9× |
| Parkland Memorial Hospital | Dallas, TX | $160.80 | $402 | $40.55 | 4.0× |
| Manchester Memorial Hospital | Manchester, CT | $162.05 | $162.05 | $40.55 | 4.0× |
| Haskell Regional Hospital, Inc | Stigler, OK | $162.65 | $162.65 | $40.55 | 4.0× |
| Novant Health Pender Medical Center | Burgaw, NC | $165.60 | $368 | $40.55 | 4.1× |
| Abbeville Area Medical Center | Abbeville, SC | $166.87 | $238.38 | $40.55 | 4.1× |
| AdventHealth Orlando | Orlando, FL | $167 | $167 | $40.55 | 4.1× |
| Franciscan Healthcare | West Point, NE | $167 | $167 | $40.55 | 4.1× |
| Harris Regional Hospital | Sylva, NC | $167.34 | $418.36 | $40.55 | 4.1× |
| Midland Memorial Hospital | Midland, TX | $168 | $224 | $40.55 | 4.1× |
| Saint Francis Hospital | Wilmington, DE | $169.65 | $261 | $40.55 | 4.2× |
| The Hospitals of Providence Transmountain Campus | El Paso, TX | $170.25 | $227 | $40.55 | 4.2× |
| FirstHealth Moore Regional Hospital | Pinehurst, NC | $170.25 | $170.25 | $40.55 | 4.2× |
| FirstHealth Montgomery Memorial Hospital | Troy, NC | $170.25 | $170.25 | $40.55 | 4.2× |
| Ivinson Memorial Hospital | Laramie, WY | $172 | $172 | $40.55 | 4.2× |
| W J Mangold Memorial Hospital | Lockney, TX | $172 | $172 | $40.55 | 4.2× |
| Golden Valley Memorial Healthcare | Clinton, MO | $173.29 | $288.82 | $40.55 | 4.3× |
| Middle Park Medical Center | Kremmling, CO | $174.80 | $218.50 | $40.55 | 4.3× |
| Sharon Hospital | Sharon, CT | $182 | $182 | $40.55 | 4.5× |
| Atrium Health Navicent The Medical Center | Macon, GA | $182 | $364 | $40.55 | 4.5× |
| Longmont United Hospital | Longmont, CO | $182.08 | $455.18 | $40.55 | 4.5× |
| St. Anthony Hospital | Lakewood, CO | $182.08 | $455.18 | $40.55 | 4.5× |
| Penrose Hospital | Colorado Springs, CO | $182.08 | $455.18 | $40.55 | 4.5× |
| St. Anthony North Health Campus | Westminster, CO | $182.08 | $455.18 | $40.55 | 4.5× |
| OrthoColorado Hospital | Lakewood, CO | $182.08 | $455.18 | $40.55 | 4.5× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $182.08 | $455.18 | $40.55 | 4.5× |
| Mercy Hospital Lebanon | Lebanon, MO | $182.65 | $281 | $40.55 | 4.5× |
| St. Mary-Corwin Hospital | Pueblo, CO | $183.47 | $458.66 | $40.55 | 4.5× |
| St. Thomas More Hospital | Canon City, CO | $183.53 | $458.81 | $40.55 | 4.5× |
| UAMS Medical Center | Little Rock, AR | $186 | $310 | $40.55 | 4.6× |
| Nemours Children's Hospital, Delaware | Wilmington, DE | $188 | $188 | $40.55 | 4.6× |
| Memorial Satilla Health | Waycross, GA | $188 | $188 | $40.55 | 4.6× |
| Sedgwick County Memorial Hospital | Julesburg, CO | $190 | $190 | $40.55 | 4.7× |
| Kearney Regional Medical Center | Kearney, NE | $190.20 | $317 | $40.55 | 4.7× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $190.40 | $423.09 | $40.55 | 4.7× |
| Rapides Regional Medical Center | Alexandria, LA | $192 | $192 | $40.55 | 4.7× |
| Genoa Community Hospital | Genoa, NE | $198.50 | $220.50 | $40.55 | 4.9× |
| St. Vincent General Hospital District | Leadville, CO | $199.50 | $285 | $40.55 | 4.9× |
| Merrick Medical Center | Central City, NE | $199.80 | $333 | $40.55 | 4.9× |
| Crete Area Medical Center | Crete, NE | $199.80 | $333 | $40.55 | 4.9× |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | $201.54 | $201.54 | $40.55 | 5.0× |
| Texas Health Hospital Mansfield | Mansfield, TX | $201.54 | $201.54 | $40.55 | 5.0× |
| MedStar Georgetown University Hospital | Washington, DC | $201.62 | $310.18 | $40.55 | 5.0× |
| Howard University Hospital | Washington, DC | $203.76 | $254.70 | $40.55 | 5.0× |
| City of Hope Cancer Center Phoenix | Goodyear, AZ | $206.55 | $459 | $40.55 | 5.1× |
| Person Memorial Hospital | Roxboro, NC | $207.60 | $519 | $40.55 | 5.1× |
| Optim Medical Center-Screven | Sylvania, GA | $213.60 | $213.60 | $40.55 | 5.3× |
| Optim Medical Center-Tattnall | Reidsville, GA | $213.60 | $213.60 | $40.55 | 5.3× |
| Granville Medical Center | Oxford, NC | $215.20 | $269 | $40.55 | 5.3× |
| Goodland Regional Medical Center | Goodland, KS | $216 | $240 | $40.55 | 5.3× |
| Novant Health Forsyth Medical Center | Winston-Salem, NC | $222.60 | $371 | $40.55 | 5.5× |
| Lexington Medical Center | West Columbia, SC | $224 | $224 | $40.55 | 5.5× |
| Wray Community District Hospital | Wray, CO | $224.35 | $299.13 | $40.55 | 5.5× |
| University Hospital | Columbia, MO | $227.50 | $379.18 | $40.55 | 5.6× |
| CaroMont Regional Medical Center | Gastonia, NC | $231 | $231 | $40.55 | 5.7× |
| St. Tammany Parish Hospital | Covington, LA | $235.20 | $392 | $40.55 | 5.8× |
| Freeman Hospital West | Joplin, MO | $238.20 | $397 | $40.55 | 5.9× |
| Baptist Health Hardin | Elizabethtown, KY | $241.26 | $321.68 | $40.55 | 5.9× |
| Baptist Health Richmond | Richmond, KY | $241.26 | $321.68 | $40.55 | 5.9× |
| Baptist Health Corbin | Corbin, KY | $241.26 | $321.68 | $40.55 | 5.9× |
| Baptist Health Lexington | Lexington, KY | $241.26 | $321.68 | $40.55 | 5.9× |
| Baptist Health Paducah | Paducah, KY | $241.26 | $321.68 | $40.55 | 5.9× |
| Baptist Health Louisville | Louisville, KY | $241.26 | $321.68 | $40.55 | 5.9× |
| Baptist Health La Grange | La Grange, KY | $241.26 | $321.68 | $40.55 | 5.9× |
| Saint Francis Hospital Muskogee | Muskogee, OK | $242.40 | $606 | $40.55 | 6.0× |
| Saint Francis Hospital, Inc | Tulsa, OK | $242.40 | $606 | $40.55 | 6.0× |
| Saint Francis Hospital South, LLC | Tulsa, OK | $242.40 | $606 | $40.55 | 6.0× |
| Saint Francis Hospital Vinita, Inc | Vinita, OK | $242.40 | $606 | $40.55 | 6.0× |
| Novant Health Matthews Medical Center | Matthews, NC | $243.50 | $487 | $40.55 | 6.0× |
| Novant Health Huntersville Medical Center | Huntersville, NC | $243.50 | $487 | $40.55 | 6.0× |
| Novant Health Mint Hill Medical Center | Charlotte, NC | $243.50 | $487 | $40.55 | 6.0× |
| Novant Health Ballantyne Medical Center | Charlotte, NC | $243.50 | $487 | $40.55 | 6.0× |
| UConn John Dempsey Hospital | Farmington, CT | $249 | $415 | $40.55 | 6.1× |
| Vanderbilt Clarksville Hospital | Clarksville, TN | $249.76 | $1,287.38 | $40.55 | 6.2× |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $256.62 | $611 | $40.55 | 6.3× |
| CHI Health Immanuel | Omaha, NE | $256.62 | $611 | $40.55 | 6.3× |
| CHI Health Midlands | Papillion, NE | $256.62 | $611 | $40.55 | 6.3× |
| CHI Health Lakeside | Omaha, NE | $256.62 | $611 | $40.55 | 6.3× |
| Wesley Medical Center | Wichita, KS | $268 | $268 | $40.55 | 6.6× |
| Amberwell Hiawatha | Hiawatha, KS | $283 | $283 | $40.55 | 7.0× |
| Amberwell Atchison Association | Atchison, KS | $283 | $283 | $40.55 | 7.0× |
| Novant Health Thomasville Medical Center | Thomasville, NC | $292.20 | $487 | $40.55 | 7.2× |
| CHI Health St. Elizabeth | Lincoln, NE | $295 | $590 | $40.55 | 7.3× |
| Novant Health Rowan Medical Center | Salisbury, NC | $301.50 | $603 | $40.55 | 7.4× |
| Izard Regional Hospital | Calico Rock, AR | $304 | $304 | $40.55 | 7.5× |
| Southwest Medical Center | Liberal, KS | $310.40 | $388 | $40.55 | 7.7× |
| Grady Memorial Hospital | Atlanta, GA | $319 | $319 | $40.55 | 7.9× |
| Novant Health Brunswick Medical Center | Bolivia, NC | $323 | $646 | $40.55 | 8.0× |
| Boys Town National Research Hospital | Boys Town, NE | $324.80 | $406 | $40.55 | 8.0× |
| Nemaha County Hospital | Auburn, NE | $359 | $359 | $40.55 | 8.9× |
| Novant Health Medical Park Hospital | Winston-Salem, NC | $387.60 | $646 | $40.55 | 9.6× |
| University Medical Center | Lubbock, TX | $425.50 | $425.50 | $40.55 | 10.5× |
| Ascension Seton Cedar Park | Cedar Park, TX | $442.11 | $1,228.07 | $40.55 | 10.9× |
| Coralvita Richardson | Richardson, TX | $468.60 | $468.60 | $40.55‡ | 11.6× |
| Riceland Medical Center | Winnie, TX | $472 | $486 | $40.55 | 11.6× |
| HonorHealth John C. Lincoln Medical Center | Phoenix, AZ | $481 | $481 | $40.55 | 11.9× |
| HonorHealth Tempe Medical Center | Tempe, AZ | $481 | $481 | $40.55 | 11.9× |
| HonorHealth Scottsdale Osborn Medical Center | Scottsdale, AZ | $481 | $481 | $40.55 | 11.9× |
| HonorHealth Scottsdale Shea Medical Center | Scottsdale, AZ | $481 | $481 | $40.55 | 11.9× |
| HonorHealth Deer Valley Medical Center | Phoenix, AZ | $481 | $481 | $40.55 | 11.9× |
| HonorHealth Four Peaks Medical Center | Mesa, AZ | $481 | $481 | $40.55 | 11.9× |
| HonorHealth Scottsdale Thompson Peak Medical Center | Scottsdale, AZ | $481 | $481 | $40.55 | 11.9× |
| HonorHealth Sonoran Crossing Medical Center | Phoenix, AZ | $481 | $481 | $40.55 | 11.9× |
| AdventHealth Porter | Denver, CO | $505.57 | $505.57 | $40.55 | 12.5× |
| AdventHealth Avista | Louisville, CO | $505.57 | $505.57 | $40.55 | 12.5× |
| AdventHealth Littleton | Littleton, CO | $505.57 | $505.57 | $40.55 | 12.5× |
| AdventHealth Parker | Parker, CO | $505.57 | $505.57 | $40.55 | 12.5× |
| AdventHealth Castle Rock | Castle Rock, CO | $505.57 | $505.57 | $40.55 | 12.5× |
| AdventHealth Sebring | Sebring, FL | $510.14 | $510.14 | $40.55 | 12.6× |
| Crescent Medical Center Lancaster | Lancaster, TX | $524 | $806 | $40.55 | 12.9× |
| CHI Health Plainview | Plainview, NE | $567.84 | $676 | $40.55 | 14.0× |
| CHI Health Schuyler | Schuyler, NE | $574.60 | $676 | $40.55 | 14.2× |
| Research Medical Center | Kansas City, MO | $607 | $607 | $40.55 | 15.0× |
| Doctors Hospital | Augusta, GA | $614.56 | $614.56 | $40.55 | 15.2× |
| Centerpoint Medical Center | Independence, MO | $676.99 | $676.99 | $40.55 | 16.7× |
| Las Palmas Medical Center A Campus of Lpds Healthc | El Paso, TX | $702 | $702 | $40.55 | 17.3× |
| Sidney Regional Medical Center | Sidney, NE | $728 | $728 | $40.55 | 18.0× |
| Jackson Memorial Hospital | Miami, FL | — | $79 | $40.55 | — |
| Ouachita County Medical Center | Camden, AR | — | $105.37 | $40.55 | — |
| Western Missouri Medical Center | Warrensburg, MO | — | $107.10 | $40.55 | — |
| Mount Graham Regional Medical Center | Safford, AZ | — | $116 | $40.55 | — |
| Tallahatchie General Hospital | Charleston, MS | — | $120 | $40.55 | — |
| Magnolia Regional Health Center | Corinth, MS | — | $121.65 | $40.55 | — |
| Highlands Medical Center | Scottsboro, AL | — | $121.75 | $40.55 | — |
| Holdenville General Hospital | Holdenville, OK | — | $128 | $40.55 | — |
| The Medical Center at Bowling Green | Bowling Green, KY | — | $128.50 | $40.55 | — |
| The Medical Center at Russellville | Russellville, KY | — | $128.50 | $40.55 | — |
| The Medical Center at Caverna | Horse Cave, KY | — | $128.50 | $40.55 | — |
| The Medical Center at Franklin | Franklin, KY | — | $128.50 | $40.55 | — |
| The Medical Center at Scottsville | Scottsville, KY | — | $128.50 | $40.55 | — |
| The Medical Center at Albany | Albany, KY | — | $128.50 | $40.55 | — |
| Cameron Regional Medical Center | Cameron, MO | — | $135 | $40.55 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $136.07 | $40.55 | — |
| North Alabama Medical Center | Florence, AL | — | $139.66 | $40.55 | — |
| North Alabama Shoals Hospital | Muscle Shoals, AL | — | $139.66 | $40.55 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $158.92 | $40.55 | — |
| Morgan Medical Center | Madison, GA | — | $160 | $40.55 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $162.03 | $40.55 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $162.03 | $40.55 | — |
| Stormont Vail Health Flint Hills, LLC | Junction City, KS | — | $167 | $40.55 | — |
| Stormont Vail Hospital | Topeka, KS | — | $171.50 | $40.55 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $177.48 | $40.55 | — |
| Antelope Memorial Hospital | Neligh, NE | — | $203 | $40.55 | — |
| Ephraim McDowell James B. Haggin Hospital | Harrodsburg, KY | — | $203 | $40.55 | — |
| La Paz Regional Hospital | Parker, AZ | — | $249 | $40.55 | — |
| Mount San Rafael Hospital | Trinidad, CO | — | $301 | $40.55 | — |
| UAB Hospital | Birmingham, AL | — | $337.50 | $40.55 | — |
"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.