Esophagus acid perfusion test esophagitis (CPT 91030)
91030 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.
214 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 |
|---|---|---|---|---|---|
| Montrose Regional Health range across 3 matching MRF lines |
Montrose, CO | $26.25–$81 | $35–$108 | $393.64 | varies |
| Westfield Memorial Hospital, Inc | Westfield, NY | $27.94 | $127 | $465.81 | 0.1× |
| University of Michigan Health - Sparrow Carson range across 3 matching MRF lines |
Carson City, MI | $45–$143 | $90–$286 | $371.82 | varies |
| University of Michigan Health - Sparrow Lansing range across 3 matching MRF lines |
Lansing, MI | $45–$143 | $90–$286 | $371.82 | varies |
| University of Michigan Health - Sparrow Clinton range across 3 matching MRF lines |
Saint Johns, MI | $45–$143 | $90–$286 | $371.82 | varies |
| University of Michigan Health - Sparrow Eaton range across 3 matching MRF lines |
Charlotte, MI | $45–$143 | $90–$286 | $371.82 | varies |
| University of Michigan Health - Sparrow Ionia range across 3 matching MRF lines |
Ionia, MI | $45–$143 | $90–$286 | $371.82 | varies |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $336.91 | 0.2× |
| Vanderbilt Bedford Hospital range across 3 matching MRF lines |
Shelbyville, TN | $55.39–$177.77 | $191–$613 | $356.33 | varies |
| Vanderbilt Tullahoma-Harton Hospital range across 3 matching MRF lines |
Tullahoma, TN | $55.39–$177.77 | $191–$613 | $354.25 | varies |
| Vanderbilt Wilson County Hospital range across 3 matching MRF lines |
Lebanon, TN | $55.39–$177.77 | $191–$613 | $358 | varies |
| Concord Hospital | Concord, NH | $57.60 | $192 | $398.44 | 0.1× |
| Concord Hospital – Laconia | Laconia, NH | $57.60 | $192 | $398.44 | 0.1× |
| Concord Hospital – Franklin | Franklin, NH | $57.60 | $192 | $398.44 | 0.1× |
| O'connor Hospital | Delhi, NY | $61.50 | $227.76 | $465.81 | 0.1× |
| Little Falls Hospital | Little Falls, NY | $61.50 | $227.76 | $465.81 | 0.1× |
| Cobleskill Regional Hospital | Cobleskill, NY | $61.50 | $227.76 | $465.81 | 0.1× |
| UK St. Claire Regional Medical Center | Morehead, KY | $66.75 | $89 | $361.22 | 0.2× |
| Unity Health - White County Medical Center | Searcy, AR | $71 | $284 | $339.77 | 0.2× |
| Unity Health - Jacksonville | Jacksonville, AR | $71 | $284 | $350.61 | 0.2× |
| Unity Health - Newport | Newport, AR | $71 | $284 | $339.77 | 0.2× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $84 | $281 | $374.86 | 0.2× |
| John H Stroger Jr Hospital | Chicago, IL | $87.50 | $125 | $399.88 | 0.2× |
| Provident Hospital of Chicago | Chicago, IL | $87.50 | $125 | $399.88 | 0.2× |
| Altru Hospital range across 3 matching MRF lines |
Grand Forks, ND | $89.06–$459.94 | $146–$754 | $381.24 | varies |
| Titus Regional Medical Center range across 3 matching MRF lines |
Mount Pleasant, TX | $94.20–$270 | $157–$450 | $374.86 | varies |
| Norton Hospital | Louisville, KY | $96 | $480 | $369.96 | 0.3× |
| Hurley Medical Center range across 3 matching MRF lines |
Flint, MI | $96–$288 | $96–$288 | $371.82 | varies |
| Indiana University Health Ball Memorial Hospital | Muncie, IN | $96.34 | $454 | $395.40 | 0.2× |
| East Carroll Parish Hospital | Lake Providence, LA | $101.25 | $135 | $339.75 | 0.3× |
| Vanderbilt University Hospital range across 3 matching MRF lines |
Nashville, TN | $103.14–$331.02 | $191–$613 | $366.30 | varies |
| Iu Health Bloomington Hospital | Bloomington, IN | $111.77 | $454 | $394.80 | 0.3× |
| Indiana University Health Arnett Hospital | Lafayette, IN | $113.45 | $454 | $394.80 | 0.3× |
| Sidney Health Center | Sidney, MT | $116.41 | $188 | $381.24 | 0.3× |
| Mt Sinai Hospital Medical Center | Chicago, IL | $122.95 | $175.64 | $399.88 | 0.3× |
| Holy Cross Hospital | Chicago, IL | $122.95 | $175.64 | $399.88 | 0.3× |
| Indiana University Health | Indianapolis, IN | $128.89 | $454 | $394.80 | 0.3× |
| Indiana University Health Bedford Hospital | Bedford, IN | $129.62 | $454 | $394.80 | 0.3× |
| MetroHealth System | Cleveland, OH | $130.72 | $373.50 | $353.04 | 0.4× |
| Bayside Community Hospital | Anahuac, TX | $140 | $140 | $374.86 | 0.4× |
| Indiana University Health White Memorial Hospital | Monticello, IN | $141.56 | $454 | $394.80 | 0.4× |
| McLaren Bay Region | Bay City, MI | $143.60 | $287.20 | $371.82 | 0.4× |
| McLaren Central Michigan | Mount Pleasant, MI | $143.60 | $287.20 | $371.82 | 0.4× |
| McLaren Northern Michigan | Petoskey, MI | $143.60 | $287.20 | $371.82 | 0.4× |
| McLaren Flint | Flint, MI | $143.60 | $287.20 | $371.82 | 0.4× |
| McLaren Greater Lansing | Lansing, MI | $143.60 | $287.20 | $371.82 | 0.4× |
| McLaren Lapeer Region | Lapeer, MI | $143.60 | $287.20 | $371.82 | 0.4× |
| McLaren Oakland | Pontiac, MI | $143.60 | $287.20 | $371.82 | 0.4× |
| McLaren Port Huron | Port Huron, MI | $143.60 | $287.20 | $371.82 | 0.4× |
| McLaren Macomb | Mount Clemens, MI | $143.60 | $287.20 | $371.82 | 0.4× |
| McLaren Caro Region | Caro, MI | $143.60 | $287.20 | $371.82 | 0.4× |
| McLaren Thumb Region | Bad Axe, MI | $143.60 | $287.20 | $371.82 | 0.4× |
| Cuyuna Regional Medical Center | Crosby, MN | $143.82 | $423 | $385.13 | 0.4× |
| Adventist Health Bakersfield | Bakersfield, CA | $148.05 | $987 | $479.94 | 0.3× |
| San Gabriel Valley Medical Center | San Gabriel, CA | $159.75 | $532.49 | $479.94 | 0.3× |
| Indiana University Health Tipton Hospital Inc | Tipton, IN | $170.98 | $454 | $394.80 | 0.4× |
| Indiana University Health Paoli Hospital | Paoli, IN | $174.20 | $454 | $394.80 | 0.4× |
| Indiana University Health Frankfort Inc | Frankfort, IN | $183.33 | $454 | $394.80 | 0.5× |
| Iu Health Jay | Portland, IN | $203.12 | $454 | $394.80 | 0.5× |
| Washington Regional Medical Center | Fayetteville, AR | $204.75 | $273 | $351.80 | 0.6× |
| Kettering Health Greene Memorial | Xenia, OH | $204.80 | $512 | $365.71 | 0.6× |
| Kettering Health Main Campus | Kettering, OH | $204.80 | $512 | $367.68 | 0.6× |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | $204.80 | $512 | $369.96 | 0.6× |
| Kettering Health Dayton | Dayton, OH | $204.80 | $512 | $367.68 | 0.6× |
| Kettering Health Miamisburg | Miamisburg, OH | $204.80 | $512 | $369.96 | 0.6× |
| Soin Medical Center | Beaver Creek, OH | $204.80 | $512 | $367.68 | 0.6× |
| Kettering Health Troy | Troy, OH | $204.80 | $512 | $365.71 | 0.6× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $224.10 | $249 | $393.64 | 0.6× |
| Aspire Hospital | Conroe, TX | $231 | $757 | $374.86 | 0.6× |
| Emerson Hospital | West Concord, MA | $241.50 | $322 | $447.21 | 0.5× |
| Adventist Health Tehachapi Valley | Tehachapi, CA | $248.94 | $922 | $479.94 | 0.5× |
| Nebraska Medical Center | Omaha, NE | $249.80 | $384.30 | $387.48 | 0.6× |
| Bellevue Medical Center | Bellevue, NE | $249.80 | $384.30 | $387.48 | 0.6× |
| DeSoto Regional Health System | Mansfield, LA | $252 | $360 | $337.89 | 0.7× |
| UP Health System - Marquette | Marquette, MI | $255 | $425 | $371.82 | 0.7× |
| Akron Children's Hospital | Akron, OH | $257.25 | $343 | $353.04 | 0.7× |
| Erie County Medical Center | Buffalo, NY | $264.16 | — | $465.81 | 0.6× |
| Dignity Health - St. Rose Dominican, San Martín Campus | Las Vegas, NV | $297.87 | $1,453 | $407.89 | 0.7× |
| UT Medical Center | Knoxville, TN | $300.25 | $1,201 | $338.56 | 0.9× |
| Adirondack Medical Center - Saranac Lake range across 2 matching MRF lines |
Saranac Lake, NY | $308.14–$1,055.86 | $497–$1,703 | $465.81 | varies |
| Ellis Hospital | Schenectady, NY | $319.50 | $639 | $465.81 | 0.7× |
| Mercyhealth Fhn Hospital | Freeport, IL | $326.40 | $408 | $399.88 | 0.8× |
| Maria Parham Health range across 2 matching MRF lines |
Henderson, NC | $337.68–$368.08 | $844.21–$920.19 | $356.67 | varies |
| Gadsden Regional Medical Center | Gadsden, AL | $349.99 | $2,916.59 | $334.69 | 1.0× |
| Tmc- Bonham Hospital | Bonham, TX | $359.70 | $1,200.10 | $374.86 | 1.0× |
| St. John's Medical Center | Jackson, WY | $373 | $373 | $381.24 | 1.0× |
| St. Joseph's Medical Center | Yonkers, NY | $381.24 | — | $465.81 | 0.8× |
| University Hospital – UMMC | Jackson, MS | $400 | $1,000 | $336.91 | 1.2× |
| UMMC Madison | Canton, MS | $400 | $1,000 | $336.91 | 1.2× |
| Baptist Memorial Hospital-Carroll County | Huntingdon, TN | $405.26 | $1,762 | $338.56 | 1.2× |
| Dignity Health - St. Rose Dominican, Rose de Lima Campus | Henderson, NV | $415.56 | $1,453 | $407.89 | 1.0× |
| Ascension Providence | Waco, TX | $434.97 | $1,208.25 | $374.86 | 1.2× |
| Highland Hospital range across 2 matching MRF lines |
Rochester, NY | $442.93–$2,344.30 | — | $465.81 | varies |
| Strong Memorial Hospital range across 2 matching MRF lines |
Rochester, NY | $442.93–$2,344.30 | — | $465.81 | varies |
| Merit Health Wesley | Hattiesburg, MS | $443.10 | $2,110 | $331.40 | 1.3× |
| Valleywise Health Medical Center | Phoenix, AZ | $457.92 | — | $398.19 | 1.2× |
| Montefiore Medical Center range across 2 matching MRF lines |
Bronx, NY | $464.28 | $161.53–$709.91 | $465.81 | 1.0× |
| Nyack Hospital | Nyack, NY | $465.81 | — | $465.81 | 1.0× |
| Montefiore St. Luke's Cornwall | Newburgh, NY | $465.81 | — | $465.81 | 1.0× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $466.56 | — | $358 | 1.3× |
| Omega Hospital | Metairie, LA | $471.22 | $807.81 | $350.27 | 1.3× |
| Regional Medical Center | Anniston, AL | $495.33 | $762.05 | $349.47 | 1.4× |
| United Hospital | Saint Paul, MN | $505.87 | $1,053.90 | $390.82 | 1.3× |
| Abbott Northwestern Hospital | Minneapolis, MN | $505.87 | $1,053.90 | $390.82 | 1.3× |
| Mercy Hospital | Coon Rapids, MN | $505.87 | $1,053.90 | $390.82 | 1.3× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $513.11 | — | $371.82 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $513.11 | — | $371.82 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $513.11 | — | $371.82 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $513.11 | — | $371.82 | 1.4× |
| Saint Anthony Hospital | Chicago, IL | $522.60 | $1,742 | $399.88 | 1.3× |
| Cambridge Health Alliance | Cambridge, MA | $523 | $523 | $447.21 | 1.2× |
| Lakeside Medical Center | Belle Glade, FL | $532.61 | — | $389.68 | 1.4× |
| Trinity Hospitals | Minot, ND | $545.60 | $682 | $381.24 | 1.4× |
| Kenmare Community Hospital | Kenmare, ND | $545.60 | $682 | $381.24 | 1.4× |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San Diego, CA | $556.05 | $1,011 | $479.94 | 1.2× |
| Our Lady of the Lake Regional Medical Center | Baton Rouge, LA | $569 | $1,138 | $337.89 | 1.7× |
| Sutter Lakeside Hospital | Lakeport, CA | $579 | $579 | $479.94 | 1.2× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $582.62 | — | $338.88 | 1.7× |
| St. Dominic Hospital | Jackson, MS | $597 | $1,194 | $336.91 | 1.8× |
| Lima Memorial Health System | Lima, OH | $612 | $680 | $356.31 | 1.7× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $627.89 | $1,707.36 | $465.81 | 1.3× |
| Jacobi Medical Center | Bronx, NY | $627.89 | $1,929.95 | $465.81 | 1.3× |
| Elmhurst Hospital Center | Elmhurst, NY | $627.89 | $1,707.36 | $465.81 | 1.3× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $627.89 | $1,707.36 | $465.81 | 1.3× |
| Metropolitan Hospital Center | New York, NY | $627.89 | $1,707.36 | $465.81 | 1.3× |
| Kings County Hospital Center | Brooklyn, NY | $627.89 | $1,929.95 | $465.81 | 1.3× |
| Bellevue Hospital Center | New York, NY | $627.89 | $1,929.95 | $465.81 | 1.3× |
| Queens Hospital Center | Jamaica, NY | $627.89 | $1,929.95 | $465.81 | 1.3× |
| Harlem Hospital Center | New York, NY | $627.89 | $1,707.36 | $465.81 | 1.3× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $627.89 | $1,929.95 | $465.81 | 1.3× |
| Griffin Hospital | Derby, CT | $634.32 | — | $447.35 | 1.4× |
| Cedar-sinai Marina Del Rey Hospital range across 5 matching MRF lines |
Marina Del Rey, CA | $655.63–$18,447.52 | $1,008.66–$28,380.80 | $479.94 | varies |
| UNM Hospital | Albuquerque, NM | $696.85 | $1,267 | $369.41 | 1.9× |
| Carson Valley Health | Gardnerville, NV | $710.50 | $1,015 | $393.84 | 1.8× |
| Mills-peninsula Medical Center | Burlingame, CA | $727 | $727 | $541.82 | 1.3× |
| California Pacific Medical Ctr-davies Campus Hosp | San Francisco, CA | $727 | $727 | $539.46 | 1.3× |
| California Pacific Medical Center- Van Ness Campus | San Francisco, CA | $727 | $727 | $539.46 | 1.3× |
| Novato Community Hospital | Novato, CA | $727 | $727 | $529.28 | 1.4× |
| Cambridge Medical Center | Cambridge, MN | $755.27 | $1,348.70 | $390.82 | 1.9× |
| Owatonna Hospital | Owatonna, MN | $755.27 | $1,348.70 | $386.34 | 2.0× |
| Allina Health Faribault Medical Center | Faribault, MN | $755.27 | $1,348.70 | $388.13 | 1.9× |
| Buffalo Hospital | Buffalo, MN | $755.27 | $1,348.70 | $390.82 | 1.9× |
| St. Francis Regional Medical Center | Shakopee, MN | $755.27 | $1,348.70 | $390.82 | 1.9× |
| River Falls Area Hospital | River Falls, WI | $755.27 | $1,348.70 | $390.82 | 1.9× |
| Boston Medical Center | Boston, MA | $760.50 | $1,690 | $447.21 | 1.7× |
| University of Iowa Health Care Medical Center Downtown | Iowa City, IA | $789.60 | $1,128 | $358.73 | 2.2× |
| University of Iowa Health Care Medical Center | Iowa City, IA | $789.60 | $1,128 | $358.73 | 2.2× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $820.41 | — | $381.24 | 2.2× |
| Virginia Mason Medical Center | Seattle, WA | $840.99 | $1,649 | $433.33 | 1.9× |
| Hilton Head Medical Center | Hilton Head Island, SC | $845.19 | — | $347.07 | 2.4× |
| East Cooper Medical Center | Mount Pleasant, SC | $845.19 | — | $347.07 | 2.4× |
| Coastal Carolina Medical Center | Hardeeville, SC | $845.19 | — | $347.07 | 2.4× |
| Womans Hospital of Texas,the | Houston, TX | $890.47 | $890.47 | $374.86 | 2.4× |
| Jamaica Hospital Medical Center | Jamaica, NY | $930 | $930 | $465.81 | 2.0× |
| Flushing Hospital Medical Center | Flushing, NY | $930 | $930 | $465.81 | 2.0× |
| Kaiser Permanente Moanalua Medical Center | Honolulu, HI | $971.25 | $1,295 | $440.83 | 2.2× |
| TriState Health | Clarkston, WA | $1,017.72 | $1,028 | $415.83 | 2.4× |
| Northwest Surgical Hospital | Oklahoma City, OK | $1,076.67 | — | $358.89 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $1,076.67 | — | $358.89 | 3.0× |
| Duncan Regional Hospital, Inc | Duncan, OK | $1,081.78 | — | $358.89 | 3.0× |
| Mercy General Hospital | Sacramento, CA | $1,108.32 | $5,084 | $484.29 | 2.3× |
| Community Hospital of Huntington Park | Huntington Park, CA | $1,224.30 | $1,224.30 | $479.94 | 2.6× |
| Memorial Hospital of Gardena | Gardena, CA | $1,224.30 | $1,224.30 | $479.94 | 2.6× |
| East Los Angeles Doctors Hospital | Los Angeles, CA | $1,224.30 | $1,224.30 | $479.94 | 2.6× |
| Coast Plaza Hospital | Norwalk, CA | $1,224.30 | $1,224.30 | $479.94 | 2.6× |
| Connecticut Children's Medical Center | Hartford, CT | $1,267.20 | $2,112 | $447.35 | 2.8× |
| Woodland Memorial Hospital | Woodland, CA | $1,393.02 | $5,084 | $484.29 | 2.9× |
| Mercy San Juan Medical Center | Carmichael, CA | $1,393.02 | $5,084 | $484.29 | 2.9× |
| Methodist Hospital of Sacramento | Sacramento, CA | $1,464.20 | $5,084 | $484.29 | 3.0× |
| Kaleida Health | Buffalo, NY | $1,466 | $1,466 | $465.81 | 3.1× |
| Tufts Medical Center | Boston, MA | $1,473.50 | $2,105 | $447.21 | 3.3× |
| St. Luke's Magic Valley Medical Center | Twin Falls, ID | $1,475 | $1,475 | $388.99 | 3.8× |
| St. Luke's Boise Medical Center | Boise, ID | $1,475 | $1,475 | $402.92 | 3.7× |
| St. Luke's Nampa Medical Center | Nampa, ID | $1,475 | $1,475 | $377.03 | 3.9× |
| St. Luke's Jerome Medical Center | Jerome, ID | $1,475 | $1,475 | $370.28 | 4.0× |
| St. Luke's Elmore Medical Center | Mountain Home, ID | $1,475 | $1,475 | $368.66 | 4.0× |
| St. Luke's McCall Medical Center | McCall, ID | $1,475 | $1,475 | $368.66 | 4.0× |
| St. Luke's Wood River Medical Center | Ketchum, ID | $1,475 | $1,475 | $368.66 | 4.0× |
| Huntington Hospital range across 4 matching MRF lines |
Pasadena, CA | $1,730.27–$15,116.08 | $2,661.95–$23,255.50 | $479.94 | varies |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $1,881.60 | $3,360 | $541.82 | 3.5× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $1,881.60 | $3,360 | $539.39 | 3.5× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $1,881.60 | $3,360 | $529.83 | 3.6× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $1,881.60 | $3,360 | $548.22 | 3.4× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $1,881.60 | $3,360 | $545.87 | 3.4× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $1,881.60 | $3,360 | $539.39 | 3.5× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $1,881.60 | $3,360 | $529.83 | 3.6× |
| Kaiser Foundation Hospital | San Rafael, CA | $1,881.60 | $3,360 | $529.28 | 3.6× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $1,881.60 | $3,360 | $539.39 | 3.5× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $1,881.60 | $3,360 | $541.82 | 3.5× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $1,881.60 | $3,360 | $548.86 | 3.4× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $1,881.60 | $3,360 | $529.83 | 3.6× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $1,881.60 | $3,360 | $513.13 | 3.7× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $1,881.60 | $3,360 | $479.94 | 3.9× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $1,881.60 | $3,360 | $522.90 | 3.6× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $1,881.60 | $3,360 | $526.93 | 3.6× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $1,881.60 | $3,360 | $548.22 | 3.4× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $1,881.60 | $3,360 | $484.29 | 3.9× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $1,881.60 | $3,360 | $539.46 | 3.5× |
| Essentia Health Fargo | Fargo, ND | $1,907.25 | $2,543 | $381.24 | 5.0× |
| Mercy Hospital of Folsom | Folsom, CA | $1,977.68 | $5,084 | $484.29 | 4.1× |
| Portsmouth Regional Hospital | Portsmouth, NH | $2,237 | $2,237 | $402.08 | 5.6× |
| Rady Children's Hospital Orange County | Orange, CA | $2,297 | $2,297 | $479.94 | 4.8× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $2,355.10 | $2,355.10 | $393.64 | 6.0× |
| Santa Clara Valley Medical Center | San Jose, CA | $2,392.60 | $3,418 | $548.86 | 4.4× |
| Regional Medical Center of San Jose | San Jose, CA | $2,392.60 | $3,418 | $548.86 | 4.4× |
| UW Medical Center | Seattle, WA | $2,785.13 | $3,978.76 | $432.11 | 6.4× |
| Frisbie Memorial Hospital | Rochester, NH | $3,360 | $3,360 | $398.44 | 8.4× |
| Fred Hutch Cancer Center | Seattle, WA | $3,580.88 | $3,978.76 | $433.33 | 8.3× |
| Cedars-sinai Medical Center range across 4 matching MRF lines |
Los Angeles, CA | $3,964.84–$24,184.55 | $6,099.75–$37,207 | $479.94 | varies |
| North Austin Medical Center | Austin, TX | $6,657 | $6,657 | $374.86 | 17.8× |
| Graham Hospital Association | Canton, IL | — | $265.36 | $399.88 | — |
| Brookdale Hospital Medical Center | Brooklyn, NY | — | $1,066.41 | $465.81 | — |
| Ohio State University Hospitals | Columbus, OH | — | $1,210 | $367.68 | — |
| James Cancer Hospital & Solove Research Institute | Columbus, OH | — | $1,210 | $359.81 | — |
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" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.