Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) Facility (CPT 87905)
87905 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.
265 of 2639 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 |
|---|---|---|---|---|---|
| Russell Medical | Alexander City, AL | $8.28 | $23 | $12.22 | 0.7× |
| Manning Family Children's | New Orleans, LA | $9.18 | $34 | $12.22 | 0.8× |
| UK St. Claire Regional Medical Center | Morehead, KY | $9.75 | $13 | $12.22 | 0.8× |
| Crittenden Community Hospital | Marion, KY | $10.08 | $24 | $12.22 | 0.8× |
| UofL Health – UofL Hospital | Louisville, KY | $11.04 | $46 | $12.22 | 0.9× |
| Astria Sunnyside Hospital | Sunnyside, WA | $11.40 | $20 | $12.22 | 0.9× |
| Dallas Regional Medical Center | Mesquite, TX | $12 | $85 | $12.22 | 1.0× |
| Saint John Hospital | Leavenworth, KS | $12 | $68.66 | $12.22 | 1.0× |
| Pike County Memorial Hospital | Louisiana, MO | $12 | $15 | $12.22 | 1.0× |
| Riverview Regional Medical Center | Gadsden, AL | $12 | $85 | $12.22 | 1.0× |
| North Vista Hospital | North Las Vegas, NV | $12 | $85 | $12.22 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $12.22 | — | $12.22 | 1.0× |
| Harris Health | Houston, TX | $12.22 | $25 | $12.22 | 1.0× |
| Griffin Hospital | Derby, CT | $12.22 | — | $12.22 | 1.0× |
| TriStar Hendersonville Medical Center | Hendersonville, TN | $12.22 | $12.22 | $12.22 | 1.0× |
| Astria Toppenish Hospital | Toppenish, WA | $13 | $20 | $12.22 | 1.1× |
| West Jefferson Medical Center | Marrero, LA | $13.44 | $84 | $12.22 | 1.1× |
| Lake Martin Community Hospital | Dadeville, AL | $13.82 | $18.42 | $12.22 | 1.1× |
| Tucson Medical Center | Tucson, AZ | $14 | $50 | $12.22 | 1.1× |
| Valleywise Health Medical Center | Phoenix, AZ | $14.05 | — | $12.22 | 1.1× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $14.66 | $55 | $12.22 | 1.2× |
| HCA Florida South Tampa Hospital | Tampa, FL | $14.78 | $14.78 | $12.22 | 1.2× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $15.89 | — | $12.22 | 1.3× |
| Raleigh General Hospital | Beckley, WV | $16 | $40 | $12.22 | 1.3× |
| University Hospital – UMMC | Jackson, MS | $16.80 | $42 | $12.22 | 1.4× |
| UMMC Madison | Canton, MS | $16.80 | $42 | $12.22 | 1.4× |
| UofL Health – Shelbyville Hospital | Shelbyville, KY | $17.48 | $46 | $12.22‡ | 1.4× |
| Yalobusha General Hospital | Water Valley, MS | $17.50 | $25 | $12.22 | 1.4× |
| North Sunflower Medical Center | Ruleville, MS | $17.50 | $35 | $12.22 | 1.4× |
| Boston Medical Center South | Brockton, MA | $19.24 | $42.75 | $12.22 | 1.6× |
| Hancock County Hospital | Sneedville, TN | $20.93 | $91 | $12.22 | 1.7× |
| Centra Health | Lynchburg, VA | $21.12 | $64 | $12.22 | 1.7× |
| Centra Bedford Memorial Hospital | Bedford, VA | $21.12 | $64 | $12.22 | 1.7× |
| Centra Southside Community Hospital | Farmville, VA | $21.12 | $64 | $12.22 | 1.7× |
| Bristol Regional Medical Center | Bristol, TN | $21.30 | $142 | $12.22 | 1.7× |
| Holston Valley Medical Center | Kingsport, TN | $21.30 | $142 | $12.22 | 1.7× |
| Hawkins County Memorial Hospital | Rogersville, TN | $21.30 | $142 | $12.22 | 1.7× |
| Greeneville Community Hospital | Greeneville, TN | $21.30 | $142 | $12.22 | 1.7× |
| Lonesome Pine Hospital | Big Stone Gap, VA | $21.30 | $142 | $12.22 | 1.7× |
| Boston Medical Center Brighton | Brighton, MA | $21.57 | $47.94 | $12.22 | 1.8× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $22 | $72 | $12.22 | 1.8× |
| Cape Fear Valley Medical Center | Fayetteville, NC | $22.78 | $37.98 | $12.22 | 1.9× |
| Cape Fear Valley Betsy Johnson Hospital | Dunn, NC | $22.78 | $37.98 | $12.22 | 1.9× |
| Cape Fear Valley Hoke Hospital | Raeford, NC | $22.78 | $37.98 | $12.22 | 1.9× |
| Cape Fear Valley Bladen County Hospital | Elizabethtown, NC | $22.78 | $37.98 | $12.22 | 1.9× |
| MultiCare Auburn Medical Center | Auburn, WA | $24.80 | $62 | $12.22 | 2.0× |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $24.80 | $62 | $12.22 | 2.0× |
| MultiCare Tacoma General Hospital and MultiCare Allenmore Hospital | Tacoma, WA | $24.80 | $62 | $12.22 | 2.0× |
| MultiCare Capital Medical Center | Olympia, WA | $24.80 | $62 | $12.22 | 2.0× |
| MultiCare Covington Medical Center | Covington, WA | $24.80 | $62 | $12.22 | 2.0× |
| Mary Bridge Children's Hospital | Tacoma, WA | $24.80 | $62 | $12.22 | 2.0× |
| St. Catherine Hospital - Garden City | Garden City, KS | $24.86 | $62.13 | $12.22 | 2.0× |
| Bob Wilson Memorial Hospital | Ulysses, KS | $24.86 | $62.13 | $12.22 | 2.0× |
| Northwest Medical Center Sahuarita | Sahuarita, AZ | $26.10 | $145 | $12.22 | 2.1× |
| Duncan Regional Hospital, Inc | Duncan, OK | $26.18 | — | $12.22 | 2.1× |
| Our Lady of the Angels Hospital | Bogalusa, LA | $26.50 | $53 | $12.22 | 2.2× |
| Longmont United Hospital | Longmont, CO | $27.24 | $68.10 | $12.22 | 2.2× |
| St. Anthony Hospital | Lakewood, CO | $27.24 | $68.10 | $12.22 | 2.2× |
| Penrose Hospital | Colorado Springs, CO | $27.24 | $68.10 | $12.22 | 2.2× |
| St. Anthony North Health Campus | Westminster, CO | $27.24 | $68.10 | $12.22 | 2.2× |
| OrthoColorado Hospital | Lakewood, CO | $27.24 | $68.10 | $12.22 | 2.2× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $27.24 | $68.10 | $12.22 | 2.2× |
| St. Mary-Corwin Hospital | Pueblo, CO | $27.45 | $68.62 | $12.22 | 2.2× |
| St. Thomas More Hospital | Canon City, CO | $27.46 | $68.63 | $12.22 | 2.2× |
| Caldwell Medical Center | Princeton, KY | $27.50 | $36.66 | $12.22 | 2.3× |
| St. Anthony Summit Medical Center | Frisco, CO | $27.76 | $69.40 | $12.22 | 2.3× |
| UofL Health – Jewish Hospital | Louisville, KY | $29.70 | $66 | $12.22 | 2.4× |
| Parkland Memorial Hospital | Dallas, TX | $30 | $75 | $12.22 | 2.5× |
| Alice Peck Day Memorial Hospital | Lebanon, NH | $30.18 | $56 | $12.22 | 2.5× |
| Olympic Medical Center | Port Angeles, WA | $30.40 | $38 | $12.22 | 2.5× |
| Mercy Hospital Durango | Durango, CO | $30.70 | $76.75 | $12.22 | 2.5× |
| HCA Healthcare Trident Hospital | Charleston, SC | $31 | $31 | $12.22 | 2.5× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $31.20 | $104 | $12.22 | 2.6× |
| Mary Lanning Healthcare | Hastings, NE | $31.50 | $35 | $12.22 | 2.6× |
| Titus Regional Medical Center | Mount Pleasant, TX | $31.80 | $53 | $12.22 | 2.6× |
| Virginia Mason Medical Center | Seattle, WA | $32.13 | $63 | $12.22 | 2.6× |
| Lexington Medical Center | West Columbia, SC | $34 | $34 | $12.22 | 2.8× |
| Northwest Medical Center | Tucson, AZ | $34.80 | $145 | $12.22 | 2.8× |
| Oro Valley Hospital | Oro Valley, AZ | $34.80 | $145 | $12.22 | 2.8× |
| Stephens County Hospital | Toccoa, GA | $35.40 | $59 | $12.22 | 2.9× |
| UK King's Daughters Medical Center | Ashland, KY | $35.64 | $89.08 | $12.22 | 2.9× |
| Family Health West Hospital | Fruita, CO | $35.70 | $51 | $12.22 | 2.9× |
| Longs Peak Hospital | Longmont, CO | $36.40 | $104 | $12.22 | 3.0× |
| UCHealth Broomfield Hospital | Broomfield, CO | $36.40 | $104 | $12.22 | 3.0× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $36.40 | $104 | $12.22 | 3.0× |
| Our Lady of the Lake Regional Medical Center | Baton Rouge, LA | $36.50 | $73 | $12.22 | 3.0× |
| Benson Hospital | Benson, AZ | $36.55 | $76.14 | $12.22 | 3.0× |
| Hsa Port Arthur, LLC | Port Arthur, TX | $36.66 | $36.66 | $12.22 | 3.0× |
| Northwest Surgical Hospital | Oklahoma City, OK | $36.66 | — | $12.22 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $36.66 | — | $12.22 | 3.0× |
| UK Albert B. Chandler Hospital | Lexington, KY | $36.69 | $91.73 | $12.22 | 3.0× |
| Cheshire Medical Center | Keene, NH | $36.98 | $134 | $12.22 | 3.0× |
| Sabetha Community Hospital | Sabetha, KS | $37 | $37 | $12.22 | 3.0× |
| Tampa General Hospital | Tampa, FL | $37.10 | $106 | $12.22 | 3.0× |
| Augusta Health | Fishersville, VA | $37.75 | $75.50 | $12.22 | 3.1× |
| Valley Regional Hospital | Claremont, NH | $37.95 | $69 | $12.22 | 3.1× |
| University of Miami Hospital and Clinics - Sylvester Comprehensive Cancer Center | Miami, FL | $39.15 | $145 | $12.22 | 3.2× |
| Palmetto General Hospital | Hialeah, FL | $39.95 | $39.95 | $12.22 | 3.3× |
| Our Lady of Lourdes Regional Medical Center | Lafayette, LA | $40.50 | $81 | $12.22 | 3.3× |
| White Mountain Regional Medical Center | Springerville, AZ | $41.04 | $72 | $12.22 | 3.4× |
| Glenwood Regional Medical Center | West Monroe, LA | $41.16 | $41.16 | $12.22 | 3.4× |
| Lake Regional Hospital | Osage Beach, MO | $41.70 | $139 | $12.22 | 3.4× |
| Fort Duncan Medical Center | Eagle Pass, TX | $42 | $105 | $12.22 | 3.4× |
| Arbor Health—Morton Hospital | Morton, WA | $42.16 | $68 | $12.22 | 3.5× |
| Brown University Health Morton Hospital | Taunton, MA | $42.75 | $42.75 | $12.22 | 3.5× |
| Portsmouth Regional Hospital | Portsmouth, NH | $46 | $46 | $12.22 | 3.8× |
| Highland Hills Medical Center | Senatobia, MS | $47.50 | $95 | $12.22 | 3.9× |
| Weirton Medical Center | Weirton, WV | $48.75 | $97.50 | $12.22 | 4.0× |
| HCA Florida North Florida Hospital | Gainesville, FL | $48.88 | $48.88 | $12.22 | 4.0× |
| TriStar Southern Hills Medical Center | Nashville, TN | $48.88 | $48.88 | $12.22 | 4.0× |
| Swedish Cherry Hill Campus | Seattle, WA | $49.44 | $103 | $12.22 | 4.0× |
| Swedish First Hill Campus | Seattle, WA | $49.44 | $103 | $12.22 | 4.0× |
| Swedish Issaquah | Issaquah, WA | $49.44 | $103 | $12.22 | 4.0× |
| Dartmouth Hitchcock Medical Center | Lebanon, NH | $50.18 | $164 | $12.22 | 4.1× |
| Elmore Community Hospital | Wetumpka, AL | $50.36 | $125.90 | $12.22 | 4.1× |
| Rangely District Hospital | Rangely, CO | $52.73 | $81.13 | $12.22 | 4.3× |
| HCA Florida Kendall Hospital | Miami, FL | $53 | $53 | $12.22 | 4.3× |
| Pampa Regional Medical Center | Pampa, TX | $53 | $281.85 | $12.22 | 4.3× |
| Centerpoint Medical Center | Independence, MO | $53.28 | $53.28 | $12.22 | 4.4× |
| Bon Secours St. Francis Downtown | Greenville, SC | $54 | $90 | $12.22 | 4.4× |
| St. Luke's Boise Medical Center | Boise, ID | $54 | $54 | $12.22 | 4.4× |
| St. Luke's Elmore Medical Center | Mountain Home, ID | $54 | $54 | $12.22 | 4.4× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $12.22 | 4.4× |
| Kaiser Permanente Central Hospital | Seattle, WA | $54.40 | $68 | $12.22 | 4.5× |
| West Feliciana Hospital | St. Francisville, LA | $55.05 | $91.75 | $12.22 | 4.5× |
| Memorial Hospital at Craig | Craig, CO | $55.15 | $84.85 | $12.22 | 4.5× |
| Brown University Health Saint Anne's Hospital | Fall River, MA | $55.50 | $55.50 | $12.22 | 4.5× |
| HCA Florida Westside Hospital | Plantation, FL | $57 | $57 | $12.22 | 4.7× |
| Progressive Health of Batesville | Batesville, MS | $58.50 | $150 | $12.22 | 4.8× |
| Ellett Memorial Hospital | Appleton City, MO | $59.16 | $78.88 | $12.22 | 4.8× |
| Southwest Arkansas Regional Medical Center | Hope, AR | $60 | $150 | $12.22 | 4.9× |
| New London Hospital | New London, NH | $60.78 | $133 | $12.22 | 5.0× |
| Memorial Medical Center | Port Lavaca, TX | $60.90 | $87 | $12.22 | 5.0× |
| Summit Medical Center | Casper, WY | $61.09 | $149 | $12.22 | 5.0× |
| Holy Cross Hospital | Fort Lauderdale, FL | $61.10 | $94 | $12.22 | 5.0× |
| Lakeland Regional Medical Center | Lakeland, FL | $63 | $314 | $12.22 | 5.2× |
| Parkland Medical Center | Derry, NH | $65 | $65 | $12.22 | 5.3× |
| Citizens Memorial Hospital | Bolivar, MO | $66.40 | $83 | $12.22 | 5.4× |
| HCA Florida Fawcett Hospital | Port Charlotte, FL | $67.21 | $67.21 | $12.22 | 5.5× |
| HCA Florida South Shore Hospital | Sun City Center, FL | $67.21 | $67.21 | $12.22 | 5.5× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $67.50 | $150 | $12.22 | 5.5× |
| North Valley Hospital | Tonasket, WA | $67.50 | $135 | $12.22 | 5.5× |
| Island Hospital | Anacortes, WA | $72 | $72 | $12.22 | 5.9× |
| HCA Florida Sarasota Doctors Hospital | Sarasota, FL | $73.93 | $73.93 | $12.22 | 6.0× |
| HCA Florida Blake Hospital | Bradenton, FL | $73.93 | $73.93 | $12.22 | 6.0× |
| HCA Florida Largo Hospital | Largo, FL | $73.93 | $73.93 | $12.22 | 6.0× |
| Kaiser Permanente Moanalua Medical Center | Honolulu, HI | $74.25 | $99 | $12.22 | 6.1× |
| AdventHealth Porter | Denver, CO | $75.63 | $75.63 | $12.22 | 6.2× |
| AdventHealth Avista | Louisville, CO | $75.63 | $75.63 | $12.22 | 6.2× |
| AdventHealth Littleton | Littleton, CO | $75.63 | $75.63 | $12.22 | 6.2× |
| AdventHealth Parker | Parker, CO | $75.63 | $75.63 | $12.22 | 6.2× |
| AdventHealth Castle Rock | Castle Rock, CO | $75.63 | $75.63 | $12.22 | 6.2× |
| Iron County Medical Center | Pilot Knob, MO | $76.50 | $85 | $12.22 | 6.3× |
| Marshall Medical Center South | Boaz, AL | $81 | $81 | $12.22 | 6.6× |
| Sublette County Health | Pinedale, WY | $81.90 | $91 | $12.22 | 6.7× |
| Lincoln Hospital | Davenport, WA | $82.10 | $91.22 | $12.22 | 6.7× |
| AdventHealth Orlando | Orlando, FL | $83 | $83 | $12.22 | 6.8× |
| AdventHealth Hendersonville | Hendersonville, NC | $83 | $83 | $12.22 | 6.8× |
| Crook County Medical Services District | Sundance, WY | $84.52 | $112.70 | $12.22 | 6.9× |
| Memorial Hospital of Converse County | Douglas, WY | $84.93 | $149 | $12.22 | 7.0× |
| Blue Ridge Medical Center | Blue Ridge, GA | $89.11 | $148.53 | $12.22 | 7.3× |
| Northern Nevada Medical Center | Sparks, NV | $89.60 | $224 | $12.22 | 7.3× |
| AdventHealth Carrollwood | Tampa, FL | $89.82 | $89.82 | $12.22 | 7.4× |
| St. Luke's Magic Valley Medical Center | Twin Falls, ID | $94 | $94 | $12.22 | 7.7× |
| St. Luke's Nampa Medical Center | Nampa, ID | $94 | $94 | $12.22 | 7.7× |
| St. Luke's Jerome Medical Center | Jerome, ID | $94 | $94 | $12.22 | 7.7× |
| St. Luke's McCall Medical Center | McCall, ID | $94 | $94 | $12.22 | 7.7× |
| St. Luke's Wood River Medical Center | Ketchum, ID | $94 | $94 | $12.22 | 7.7× |
| Dignity Health - St. Rose Dominican, North Las Vegas Campus | North Las Vegas, NV | $96.87 | $322.91 | $12.22 | 7.9× |
| Children's Hospital Colorado | Aurora, CO | $97.50 | $150 | $12.22 | 8.0× |
| Children's Hospital Colorado - Colorado Springs | Colorado Springs, CO | $97.50 | $150 | $12.22 | 8.0× |
| Huntsville Hospital | Huntsville, AL | $98.40 | $98.40 | $12.22 | 8.1× |
| Frisbie Memorial Hospital | Rochester, NH | $98.50 | $98.50 | $12.22 | 8.1× |
| Coleman County Medical Center Company | Coleman, TX | $100 | $200 | $12.22 | 8.2× |
| United Hospital District | Blue Earth, MN | $101.15 | $119 | $12.22 | 8.3× |
| St. Mary's Regional Medical Center | Enid, OK | $101.40 | $253.50 | $12.22 | 8.3× |
| Odessa Memorial Healthcare Center | Odessa, WA | $103.01 | $114.45 | $12.22 | 8.4× |
| Snoqualmie Valley Hospital | Snoqualmie, WA | $104.10 | $179.49 | $12.22 | 8.5× |
| Middle Park Medical Center | Kremmling, CO | $105.39 | $131.73 | $12.22 | 8.6× |
| RiverView Health | Crookston, MN | $106.20 | $118 | $12.22 | 8.7× |
| Baptist Hospital of Miami | Miami, FL | $107.25 | $165 | $12.22 | 8.8× |
| South Miami Hospital | South Miami, FL | $107.25 | $165 | $12.22 | 8.8× |
| Salem Hospital | Salem, MA | $107.25 | $143 | $12.22 | 8.8× |
| Community Memorial Healthcare, Inc | Marysville, KS | $112 | $112 | $12.22 | 9.2× |
| Jackson Hospital | Montgomery, AL | $119.70 | $630 | $12.22 | 9.8× |
| Providence St. Mary Medical Center | Walla Walla, WA | $122.50 | $175 | $12.22 | 10.0× |
| Mission Hospital | Asheville, NC | $125.37 | $125.37 | $12.22 | 10.3× |
| Texas Health Hospital Mansfield | Mansfield, TX | $132.17 | $132.17 | $12.22 | 10.8× |
| Manatee Memorial Hospital | Bradenton, FL | $133.60 | $334 | $12.22 | 10.9× |
| Lakewood Ranch Medical Center | Bradenton, FL | $133.60 | $334 | $12.22 | 10.9× |
| HCA Florida Highlands Hospital | Sebring, FL | $141 | $141 | $12.22 | 11.5× |
| St. Francis Medical Center | Monroe, LA | $141.50 | $283 | $12.22 | 11.6× |
| Coralvita Richardson | Richardson, TX | $141.90 | $141.90 | $12.22‡ | 11.6× |
| Bon Secours Maryview Medical Center | Portsmouth, VA | $142.80 | $238 | $12.22 | 11.7× |
| Bon Secours Mary Immaculate Hospital | Newport News, VA | $142.80 | $238 | $12.22 | 11.7× |
| T.J. Samson Community Hospital | Glasgow, KY | $144.95 | $223 | $12.22 | 11.9× |
| T.J. Health Columbia | Columbia, KY | $144.95 | $223 | $12.22 | 11.9× |
| HCA Florida Trinity Hospital | Trinity, FL | $147.62 | $147.62 | $12.22 | 12.1× |
| Inova Alexandria Hospital | Alexandria, VA | $148 | $296 | $12.22 | 12.1× |
| Inova Loudoun Hospital | Leesburg, VA | $148 | $296 | $12.22 | 12.1× |
| Inova Fairfax Hospital | Falls Church, VA | $148 | $296 | $12.22 | 12.1× |
| Inova Fair Oaks Hospital | Fairfax, VA | $148 | $296 | $12.22 | 12.1× |
| Inova Mount Vernon Hospital | Alexandria, VA | $148 | $296 | $12.22 | 12.1× |
| Vandalia Health Mon Preston Memorial Hospital | Kingwood, WV | $153.75 | $307.50 | $12.22 | 12.6× |
| Brigham and Women's Hospital | Boston, MA | $153.75 | $205 | $12.22 | 12.6× |
| Newman Memorial Hospital | Shattuck, OK | $155.20 | $194 | $12.22 | 12.7× |
| Wellington Regional Medical Center | Wellington, FL | $157.50 | $210 | $12.22 | 12.9× |
| LewisGale Hospital Montgomery | Blacksburg, VA | $159 | $159 | $12.22 | 13.0× |
| Lanai Community Hospital | Lanai City, HI | $161.66 | $274 | $12.22 | 13.2× |
| Kula Hospital | Kula, HI | $161.66 | $274 | $12.22 | 13.2× |
| Rapides Regional Medical Center | Alexandria, LA | $172.61 | $172.61 | $12.22 | 14.1× |
| MetroWest Medical Center | Framingham, MA | $193.50 | $258 | $12.22 | 15.8× |
| Rockcastle Regional Hospital and Respiratory Care Center | Mount Vernon, KY | $197.60 | $260 | $12.22 | 16.2× |
| North Shore Medical Center | Miami, FL | $198.38 | $198.38 | $12.22 | 16.2× |
| Northwest Texas Hospital | Amarillo, TX | $199.60 | $499 | $12.22 | 16.3× |
| Great Plains Regional Medical Center | Elk City, OK | $204.46 | $314.56 | $12.22 | 16.7× |
| Rhea Medical Center | Dayton, TN | $214.54 | $315.50 | $12.22 | 17.6× |
| Syracuse Area Health | Syracuse, NE | $219 | $219 | $12.22 | 17.9× |
| Baptist Health Hardin | Elizabethtown, KY | $238.26 | $317.68 | $12.22 | 19.5× |
| Baptist Health Richmond | Richmond, KY | $238.26 | $317.68 | $12.22 | 19.5× |
| Baptist Health Corbin | Corbin, KY | $238.26 | $317.68 | $12.22 | 19.5× |
| Baptist Health Lexington | Lexington, KY | $238.26 | $317.68 | $12.22 | 19.5× |
| Baptist Health Paducah | Paducah, KY | $238.26 | $317.68 | $12.22 | 19.5× |
| Baptist Health Louisville | Louisville, KY | $238.26 | $317.68 | $12.22 | 19.5× |
| Baptist Health La Grange | La Grange, KY | $238.26 | $317.68 | $12.22 | 19.5× |
| INTEGRIS Community Hospital - Council Crossing | Oklahoma City, OK | $247.49 | $313.28 | $12.22 | 20.3× |
| Labette Health | Parsons, KS | $266.07 | $380.10 | $12.22 | 21.8× |
| Helen Keller Hospital | Sheffield, AL | $315 | $315 | $12.22 | 25.8× |
| South Texas Health System Behavioral | Edinburg, TX | $378.80 | $947 | $12.22 | 31.0× |
| The Hospitals of Providence Horizon City Campus | Horizon City, TX | $379.93 | $474.91 | $12.22 | 31.1× |
| Evanston Regional Hospital | Evanston, WY | $380.43 | $634.05 | $12.22 | 31.1× |
| Quincy Valley Medical Center | Quincy, WA | $395.77 | $395.77 | $12.22 | 32.4× |
| Medical City Weatherford | Weatherford, TX | $397 | $397 | $12.22 | 32.5× |
| Doctors Hospital of Laredo | Laredo, TX | $404.40 | $1,011 | $12.22 | 33.1× |
| Methodist Hospital | San Antonio, TX | $407.51 | $407.51 | $12.22 | 33.3× |
| Baptist Neighborhood Hospital Thousand Oaks | San Antonio, TX | $509.96 | $637.45 | $12.22 | 41.7× |
| Red Bay Hospital | Red Bay, AL | $611.50 | $611.50 | $12.22 | 50.0× |
| Hill Regional Hospital | Hillsboro, TX | $803 | $803 | $12.22 | 65.7× |
| Baylor Scott & White Emergency Hospital | Aubrey, TX | $1,043.11 | $1,738.51 | $12.22 | 85.4× |
| Baylor Scott and White Emergency Hospital | Burleson, TX | $1,043.11 | $1,738.51 | $12.22 | 85.4× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $1,188 | $1,980 | $12.22 | 97.2× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $1,188 | $1,980 | $12.22 | 97.2× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $1,188 | $1,980 | $12.22 | 97.2× |
| Scott & White Hospital-round Rock | Round Rock, TX | $1,188 | $1,980 | $12.22 | 97.2× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $1,188 | $1,980 | $12.22 | 97.2× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $1,188 | $1,980 | $12.22 | 97.2× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $1,188 | $1,980 | $12.22 | 97.2× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $1,188 | $1,980 | $12.22 | 97.2× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $1,188 | $1,980 | $12.22 | 97.2× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $1,188 | $1,980 | $12.22 | 97.2× |
| Vandalia Health Webster Memorial Hospital | Webster Springs, WV | $2,806,957.30 | $4,009,939 | $12.22 | 229701.9× |
| Hiram W. Davis Medical Center | Petersburg, VA | — | $16 | $12.22‡ | — |
| St. Luke Hospital & Living Center | Marion, KS | — | $31 | $12.22 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $35.60 | $12.22 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $35.60 | $12.22 | — |
| La Paz Regional Hospital | Parker, AZ | — | $99 | $12.22 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $105.63 | $12.22 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $105.63 | $12.22 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $105.63 | $12.22 | — |
| Matagorda Regional Medical Center | Bay City, TX | — | $109 | $12.22 | — |
| Aspen Mountain Medical Center | Rock Springs, WY | — | $146.65 | $12.22 | — |
| Canyon Vista Medical Center | Sierra Vista, AZ | — | $154 | $12.22 | — |
| Altus Lumberton Hospital | Lumberton, TX | — | $210 | $12.22 | — |
| Jackson Memorial Hospital | Miami, FL | — | $232 | $12.22 | — |
| University of Texas M D Anderson Cancer Center | Houston, TX | — | $1,307 | $12.22 | — |
"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.