Gi wireless capsule measure (CPT 91112)
91112 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.
213 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 |
|---|---|---|---|---|---|
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $781.69 | 0.1× |
| University Medical Center of El Paso | El Paso, TX | $147.85 | $739.27 | $911.12 | 0.2× |
| University of Kansas Hospital | Kansas City, KS | $305.60 | $1,528 | $846.79 | 0.4× |
| University of Kansas Health System Olathe Hospital | Olathe, KS | $305.60 | $1,528 | $858.69 | 0.4× |
| The University of Kansas Health System Paola Hospital | Paola, KS | $305.60 | $1,528 | $866.36 | 0.4× |
| Norton Hospital | Louisville, KY | $309 | $1,545 | $899.22 | 0.3× |
| MUSC Health Black River Medical Center | Cades, SC | $374.50 | $749 | $843.57 | 0.4× |
| Grandview Medical Center | Birmingham, AL | $378.90 | $2,526 | $829.61 | 0.5× |
| Touro | New Orleans, LA | $400.54 | $2,861 | $851.35 | 0.5× |
| MUSC Health Columbia Medical Center Downtown | Columbia, SC | $416 | $832 | $876.70 | 0.5× |
| Ochsner LSU Health - Monroe Medical Center | Monroe, LA | $428.26 | $1,862 | $821.27 | 0.5× |
| Ochsner Medical Center - New Orleans | New Orleans, LA | $451 | $2,050 | $851.35 | 0.5× |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | $502.40 | $1,256 | $947.15 | 0.5× |
| Orlando Health - Health Central Hospital | Ocoee, FL | $502.40 | $1,256 | $947.15 | 0.5× |
| Orlando Health Bayfront Hospital | Saint Petersburg, FL | $502.40 | $1,256 | $947.15 | 0.5× |
| Orlando Health South Lake Hospital | Clermont, FL | $502.40 | $1,256 | $947.15 | 0.5× |
| Orlando Health Sebastian River Hospital | Sebastian, FL | $502.40 | $1,256 | $947.15 | 0.5× |
| Orlando Health Melbourne Hospital | Melbourne, FL | $502.40 | $1,256 | $947.15 | 0.5× |
| Orlando Health St. Cloud Hospital | Saint Cloud, FL | $502.40 | $1,256 | $947.15 | 0.5× |
| Baptist Memorial Hospital-Carroll County | Huntingdon, TN | $504.16 | $2,192 | $822.88 | 0.6× |
| Ochsner LSU Health - St. Mary Medical Center | Shreveport, LA | $521.36 | $1,862 | $821.27 | 0.6× |
| Prisma Health Blount Memorial Hospital | Maryville, TN | $537.54 | $1,734 | $865.36 | 0.6× |
| Methodist Healthcare Memphis Hospitals | Memphis, TN | $544.50 | $2,475 | $840.34 | 0.6× |
| Methodist Olive Branch Hospital | Olive Branch, MS | $544.50 | $2,475 | $840.34 | 0.6× |
| West Jefferson Medical Center | Marrero, LA | $556.32 | $3,477 | $851.35 | 0.7× |
| Ochsner LSU Health - Academic Medical Center | Shreveport, LA | $577.22 | $1,862 | $875.04 | 0.7× |
| Iredell Memorial Hospital | Statesville, NC | $594 | $2,200 | $881.37 | 0.7× |
| University of Miami Hospital and Clinics - Sylvester Comprehensive Cancer Center | Miami, FL | $615.33 | $2,279 | $947.15 | 0.6× |
| MUSC Health University Medical Center | Charleston, SC | $622 | $1,244 | $843.57 | 0.7× |
| Ochsner Medical Center - Baton Rouge | Baton Rouge, LA | $623.36 | $1,948 | $821.27 | 0.8× |
| MUSC Health Kershaw Medical Center | Camden, SC | $654.50 | $1,309 | $876.70 | 0.7× |
| Mease Dunedin Hospital | Dunedin, FL | $659.40 | $1,099 | $947.15 | 0.7× |
| Winter Haven Hospital | Winter Haven, FL | $659.40 | $1,099 | $947.15 | 0.7× |
| Morton Plant North Bay Hospital | New Port Richey, FL | $659.40 | $1,099 | $947.15 | 0.7× |
| St. Anthony's Hospital | Saint Petersburg, FL | $659.40 | $1,099 | $947.15 | 0.7× |
| St. Joseph's Hospital | Tampa, FL | $659.40 | $1,099 | $947.15 | 0.7× |
| Bartow Regional Medical Center | Bartow, FL | $659.40 | $1,099 | $947.15 | 0.7× |
| Morton Plant Hospital | Clearwater, FL | $659.40 | $1,099 | $947.15 | 0.7× |
| South Florida Baptist Hospital | Plant City, FL | $659.40 | $1,099 | $947.15 | 0.7× |
| Mease Countryside Hospital | Safety Harbor, FL | $659.40 | $1,099 | $947.15 | 0.7× |
| BayCare Hospital Wesley Chapel | Wesley Chapel, FL | $659.40 | $1,099 | $947.15 | 0.7× |
| Memorial Health | Lawton, OK | $698.14 | $558.51 | $872.31 | 0.8× |
| Memorial Medical Center | Port Lavaca, TX | $698.31 | $997.59 | $911.12 | 0.8× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $710.42 | $1,184.03 | $911.12 | 0.8× |
| Scott & White Hospital-round Rock | Round Rock, TX | $710.42 | $1,184.03 | $911.12 | 0.8× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $710.42 | $1,184.03 | $911.12 | 0.8× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $710.42 | $1,184.03 | $911.12 | 0.8× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $710.42 | $1,184.03 | $911.12 | 0.8× |
| Manning Family Children's | New Orleans, LA | $717.93 | $2,659 | $851.35 | 0.8× |
| University Hospital – UMMC | Jackson, MS | $720 | $1,800 | $818.88 | 0.9× |
| UMMC Madison | Canton, MS | $720 | $1,800 | $818.88 | 0.9× |
| Viera Hospital | Melbourne, FL | $722.50 | $2,890 | $947.15 | 0.8× |
| Palm Bay Hospital | Palm Bay, FL | $722.50 | $2,890 | $947.15 | 0.8× |
| MUSC Health Chester Medical Center | Chester, SC | $733 | $1,466 | $881.37 | 0.8× |
| Ascension Providence | Waco, TX | $740.07 | $2,055.75 | $911.12 | 0.8× |
| Hilton Head Medical Center | Hilton Head Island, SC | $757.48 | — | $843.57 | 0.9× |
| East Cooper Medical Center | Mount Pleasant, SC | $757.48 | — | $843.57 | 0.9× |
| Coastal Carolina Medical Center | Hardeeville, SC | $757.48 | — | $843.57 | 0.9× |
| CommonSpirit Saint Joseph Hospital - London | London, KY | $759.35 | $2,128 | $851.02 | 0.9× |
| El Paso Children's Hospital | El Paso, TX | $768.20 | $3,841 | $911.12 | 0.8× |
| East Carroll Parish Hospital | Lake Providence, LA | $788.25 | $1,051 | $825.78 | 1.0× |
| CommonSpirit Saint Joseph Hospital - Mount Sterling | Mount Sterling, KY | $794.90 | $2,169 | $877.98 | 0.9× |
| Centerpoint Health – Georgetown | Georgetown, KY | $803.50 | $2,008.76 | $885.77 | 0.9× |
| UofL Health – Jewish Hospital | Louisville, KY | $817.65 | $1,817 | $872.03 | 0.9× |
| University Medical Center New Orleans | New Orleans, LA | $825.88 | $3,754 | $821.27 | 1.0× |
| University Health System | San Antonio, TX | $898.75 | $3,595 | $911.12 | 1.0× |
| CommonSpirit Saint Joseph Hospital - Bardstown | Bardstown, KY | $920.27 | $2,169 | $893.60 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $941.10 | — | $947.15 | 1.0× |
| CommonSpirit Saint Joseph Medical Center - East Lexington | Lexington, KY | $949.56 | $2,364 | $885.77 | 1.1× |
| UNC Hospitals | Chapel Hill, NC | $956.10 | $1,593.50 | $899.44 | 1.1× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $965 | $3,215 | $911.12 | 1.1× |
| MUSC Health Lancaster Medical Center | Lancaster, SC | $971.50 | $1,943 | $881.37 | 1.1× |
| UCHealth Greeley Hospital | Greeley, CO | $1,003.80 | $1,673 | $958.04 | 1.0× |
| UK Albert B. Chandler Hospital | Lexington, KY | $1,014.94 | $2,537.36 | $885.77 | 1.1× |
| Owensboro Health Regional Hospital | Owensboro, KY | $1,025.32 | $1,577.42 | $899.22 | 1.1× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $1,029.48 | — | $823.66 | 1.2× |
| CommonSpirit Saint Joseph Hospital - Berea | Berea, KY | $1,045.58 | $2,169 | $851.02 | 1.2× |
| Wellstar West Georgia Medical Center | LaGrange, GA | $1,049.49 | $2,691 | $892.49 | 1.2× |
| Wellstar Spalding Medical Center | Griffin, GA | $1,049.49 | $2,691 | $909.73 | 1.2× |
| Wellstar MCG Health Medical Center | Augusta, GA | $1,049.49 | $2,691 | $794.81 | 1.3× |
| Wellstar Kennestone Regional Medical Center | Marietta, GA | $1,049.49 | $2,691 | $921.24 | 1.1× |
| Wellstar Paulding Medical Center | Hiram, GA | $1,049.49 | $2,691 | $921.24 | 1.1× |
| Wellstar Cobb Medical Center | Austell, GA | $1,049.49 | $2,691 | $921.24 | 1.1× |
| Wellstar Douglas Medical Center | Douglasville, GA | $1,049.49 | $2,691 | $912.95 | 1.1× |
| Wellstar North Fulton Medical Center | Roswell, GA | $1,049.49 | $2,691 | $921.24 | 1.1× |
| Wellstar Sylvan Grove Medical Center | Jackson, GA | $1,049.49 | $2,691 | $909.73 | 1.2× |
| Longmont United Hospital | Longmont, CO | $1,063.56 | $2,658.89 | $967.38 | 1.1× |
| St. Anthony Hospital | Lakewood, CO | $1,063.56 | $2,658.89 | $956.76 | 1.1× |
| Penrose Hospital | Colorado Springs, CO | $1,063.56 | $2,658.89 | $956.76 | 1.1× |
| St. Anthony North Health Campus | Westminster, CO | $1,063.56 | $2,658.89 | $956.76 | 1.1× |
| OrthoColorado Hospital | Lakewood, CO | $1,063.56 | $2,658.89 | $956.76 | 1.1× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $1,063.56 | $2,658.89 | $956.76 | 1.1× |
| Valleywise Health Medical Center | Phoenix, AZ | $1,113 | $800 | $967.83 | 1.1× |
| CommonSpirit Saint Joseph Hospital - Lexington | Lexington, KY | $1,113.65 | $2,364 | $885.77 | 1.3× |
| Griffin Hospital | Derby, CT | $1,120.83 | — | $1,087.31 | 1.0× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $1,125 | $2,250 | $911.12 | 1.2× |
| Prisma Health Oconee Memorial Hospital | Seneca, SC | $1,127.10 | $1,734 | $866.58 | 1.3× |
| Prisma Health Baptist Easley Hospital | Easley, SC | $1,127.10 | $1,734 | $866.58 | 1.3× |
| Prisma Health Richland Hospital | Columbia, SC | $1,127.10 | $1,734 | $874.42 | 1.3× |
| Prisma Health Greer Memorial Hospital | Greer, SC | $1,127.10 | $1,734 | $868.75 | 1.3× |
| Prisma Health Hillcrest Hospital | Simpsonville, SC | $1,127.10 | $1,734 | $868.75 | 1.3× |
| Prisma Health Laurens County Hospital | Clinton, SC | $1,127.10 | $1,734 | $864.14 | 1.3× |
| Prisma Health Tuomey Hospital | Sumter, SC | $1,127.10 | $1,734 | $884.15 | 1.3× |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | $1,127.10 | $1,734 | $864.14 | 1.3× |
| Prisma Health Baptist Hospital | Columbia, SC | $1,127.10 | $1,734 | $876.70 | 1.3× |
| Prisma Health Patewood Hospital | Greenville, SC | $1,127.10 | $1,734 | $868.75 | 1.3× |
| Prisma Health Baptist Parkridge Hospital | Columbia, SC | $1,127.10 | $1,734 | $876.70 | 1.3× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $1,134 | — | $870.14 | 1.3× |
| Tampa General Hospital | Tampa, FL | $1,152.55 | $3,293 | $947.15 | 1.2× |
| Evanston Regional Hospital | Evanston, WY | $1,156.42 | $1,927.36 | $926.63 | 1.2× |
| Poudre Valley Hospital | Fort Collins, CO | $1,171.10 | $1,673 | $956.76 | 1.2× |
| Medical Center of the Rockies | Loveland, CO | $1,171.10 | $1,673 | $956.76 | 1.2× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $1,201.70 | $2,002.83 | $911.12 | 1.3× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $1,201.70 | $2,002.83 | $911.12 | 1.3× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $1,201.70 | $2,002.83 | $911.12 | 1.3× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $1,201.70 | $2,002.83 | $911.12 | 1.3× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $1,201.70 | $2,002.83 | $911.12 | 1.3× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $1,278.61 | $4,409 | $866.08 | 1.5× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $1,278.61 | $4,409 | $861.02 | 1.5× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $1,278.61 | $4,409 | $870.14 | 1.5× |
| Memorial Hermann Texas Medical Center | Houston, TX | $1,429.12 | $4,466 | $911.12 | 1.6× |
| Memorial Hermann Hospital System | Houston, TX | $1,429.12 | $4,466 | $911.12 | 1.6× |
| Memorial Hermann Memorial City Medical Center | Houston, TX | $1,429.12 | $4,466 | $911.12 | 1.6× |
| Memorial Hermann Northeast Hospital | Humble, TX | $1,429.12 | $4,466 | $911.12 | 1.6× |
| Memorial Hermann Katy Hospital | Katy, TX | $1,429.12 | $4,466 | $911.12 | 1.6× |
| Memorial Hermann Sugar Land Hospital | Sugar Land, TX | $1,429.12 | $4,466 | $911.12 | 1.6× |
| University Health Truman Medical Center | Kansas City, MO | $1,478.40 | $2,688 | $908.45 | 1.6× |
| University Health Lakewood Medical Center | Kansas City, MO | $1,478.40 | $2,688 | $908.45 | 1.6× |
| Nebraska Medical Center | Omaha, NE | $1,519.15 | $2,337.15 | $941.81 | 1.6× |
| Bellevue Medical Center | Bellevue, NE | $1,519.15 | $2,337.15 | $941.81 | 1.6× |
| MUSC Health Florence Medical Center | Florence, SC | $1,547.50 | $3,095 | $843.57 | 1.8× |
| Houston Methodist Hospital | Houston, TX | $1,556 | $3,112 | $911.12 | 1.7× |
| Atrium Health Cabarrus | Concord, NC | $1,579.30 | $3,158.60 | $881.37 | 1.8× |
| Atrium Health Cleveland | Shelby, NC | $1,579.30 | $3,158.60 | $874.42 | 1.8× |
| Atrium Health Anson | Wadesboro, NC | $1,579.30 | $3,158.60 | $881.37 | 1.8× |
| Atrium Health Pineville | Charlotte, NC | $1,579.30 | $3,158.60 | $881.37 | 1.8× |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $1,579.30 | $3,158.60 | $881.37 | 1.8× |
| Atrium Health Stanly | Albemarle, NC | $1,579.30 | $3,158.60 | $881.37 | 1.8× |
| Atrium Health Union | Monroe, NC | $1,579.30 | $3,158.60 | $881.37 | 1.8× |
| Atrium Health Lincoln | Lincolnton, NC | $1,579.30 | $3,158.60 | $881.37 | 1.8× |
| Atrium Health University City | Charlotte, NC | $1,579.30 | $3,158.60 | $881.37 | 1.8× |
| National Jewish Health | Denver, CO | $1,646.40 | $2,352 | $956.76 | 1.7× |
| UNC Rex Hospital | Raleigh, NC | $1,729.80 | $2,883 | $919.07 | 1.9× |
| Ascension Seton Hays | Kyle, TX | $1,761.03 | $4,891.75 | $911.12 | 1.9× |
| Ascension Seton Smithville | Smithville, TX | $1,761.03 | $4,891.75 | $911.12 | 1.9× |
| Regional Medical Center | Anniston, AL | $1,797.25 | $2,765 | $849.40 | 2.1× |
| Missouri Baptist Medical Center | Town and Country, MO | $1,898.40 | $3,164 | $908.45 | 2.1× |
| Duncan Regional Hospital, Inc | Duncan, OK | $1,911.50 | — | $872.31 | 2.2× |
| Titus Regional Medical Center | Mount Pleasant, TX | $1,917.60 | $3,196 | $911.12 | 2.1× |
| St. Louis Children’s Hospital | St. Louis, MO | $1,968 | $3,280 | $908.45 | 2.2× |
| Lexington Medical Center | West Columbia, SC | $1,970 | $1,970 | $876.70 | 2.2× |
| MUSC Health Marion Medical Center | Mullins, SC | $2,036 | $4,072 | $843.57 | 2.4× |
| MedStar Georgetown University Hospital | Washington, DC | $2,097.08 | $3,226.28 | $1,071.46 | 2.0× |
| Medical Center Hospital | Odessa, TX | $2,168 | $2,168 | $911.12 | 2.4× |
| MedStar Washington Hospital Center | Washington, DC | $2,287.73 | $3,519.58 | $1,071.46 | 2.1× |
| UConn John Dempsey Hospital | Farmington, CT | $2,314.80 | $3,858 | $1,087.31 | 2.1× |
| Vanderbilt University Hospital | Nashville, TN | $2,380.86 | $4,409 | $890.32 | 2.7× |
| Lawrence + Memorial Hospital | New London, CT | $2,393.71 | $6,649.20 | $1,087.31 | 2.2× |
| Bethesda Hospital East | Boynton Beach, FL | $2,484.95 | $3,823 | $947.15 | 2.6× |
| Baptist Hospital of Miami | Miami, FL | $2,484.95 | $3,823 | $947.15 | 2.6× |
| Homestead Hospital | Homestead, FL | $2,484.95 | $3,823 | $947.15 | 2.6× |
| South Miami Hospital | South Miami, FL | $2,484.95 | $3,823 | $947.15 | 2.6× |
| Doctors Hospital | Coral Gables, FL | $2,484.95 | $3,823 | $947.15 | 2.6× |
| West Kendall Baptist Hospital | Miami, FL | $2,484.95 | $3,823 | $947.15 | 2.6× |
| Fishermen's Community Hospital | Marathon, FL | $2,484.95 | $3,823 | $947.15 | 2.6× |
| Mariners Hospital | Tavernier, FL | $2,484.95 | $3,823 | $947.15 | 2.6× |
| SSM Health Saint Louis University Hospital | St. Louis, MO | $2,580.60 | $4,692 | $908.45 | 2.8× |
| Northwest Surgical Hospital | Oklahoma City, OK | $2,616.93 | — | $872.31 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $2,616.93 | — | $872.31 | 3.0× |
| UF Health Leesburg Hospital | Leesburg, FL | $2,619.10 | $4,762 | $947.15 | 2.8× |
| Flagler Hospital | Saint Augustine, FL | $2,619.10 | $4,762 | $947.15 | 2.8× |
| UF Health Shands Hospital | Gainesville, FL | $2,619.10 | $4,762 | $947.15 | 2.8× |
| UF Health Spanish Plaines Hospital | The Villages, FL | $2,619.10 | $4,762 | $947.15 | 2.8× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $2,685.60 | $2,984 | $956.76 | 2.8× |
| Broward Health Medical Center | Fort Lauderdale, FL | $2,735.13 | $2,735.13 | $947.15 | 2.9× |
| Broward Health North | Pompano Beach, FL | $2,735.13 | $2,735.13 | $947.15 | 2.9× |
| Broward Health Imperial Point | Fort Lauderdale, FL | $2,735.13 | $2,735.13 | $947.15 | 2.9× |
| Broward Health Coral Springs | Coral Springs, FL | $2,735.13 | $2,735.13 | $947.15 | 2.9× |
| St. John's Medical Center | Jackson, WY | $2,970 | $2,970 | $926.63 | 3.2× |
| Bayhealth Hospital, Kent Campus | Dover, DE | $3,010.56 | $3,584 | $1,011.47 | 3.0× |
| Bayhealth Hospital, Sussex Campus | Milford, DE | $3,010.56 | $3,584 | $980.12 | 3.1× |
| Memorial Regional Hospital | Hollywood, FL | $3,278.10 | $4,683 | $947.15 | 3.5× |
| Memorial Hospital Pembroke | Pembroke Pines, FL | $3,278.10 | $4,683 | $947.15 | 3.5× |
| Memorial Hospital West | Pembroke Pines, FL | $3,278.10 | $4,683 | $947.15 | 3.5× |
| Memorial Hospital Miramar | Miramar, FL | $3,278.10 | $4,683 | $947.15 | 3.5× |
| Saint Francis Medical Center | Cape Girardeau, MO | $3,333 | $3,333 | $908.45 | 3.7× |
| Dell Children's Medical Center | Austin, TX | $3,424.23 | $4,891.75 | $911.12 | 3.8× |
| Bridgeport Hospital | Bridgeport, CT | $3,457.58 | $6,649.20 | $1,087.31 | 3.2× |
| Greenwich Hospital | Greenwich, CT | $3,457.58 | $6,649.20 | $1,087.31 | 3.2× |
| Hartford Hospital | Hartford, CT | $3,483 | $3,483 | $1,087.31 | 3.2× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $3,504.15 | $5,391 | $947.15 | 3.7× |
| Cleveland Clinic Hospital | Weston, FL | $3,504.15 | $5,391 | $947.15 | 3.7× |
| Texas Childrens Hospital | Houston, TX | $3,721.85 | $5,555 | $911.12 | 4.1× |
| Texas Childrens Hospital North Austin Campus | Austin, TX | $3,721.85 | $5,555 | $911.12 | 4.1× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $3,725.73 | $3,725.73 | $911.12 | 4.1× |
| Yale New Haven Hospital | New Haven, CT | $3,923.03 | $6,649.20 | $1,087.31 | 3.6× |
| Covenant Medical Center | Lubbock, TX | $4,001.34 | $9,527 | $911.12 | 4.4× |
| Covenant Childrens Hospital | Lubbock, TX | $4,001.34 | $9,527 | $911.12 | 4.4× |
| Shriners Hospitals For Children | Galveston, TX | $4,012.29 | $4,012.29 | $911.12 | 4.4× |
| UCHealth University of Colorado Hospital | Aurora, CO | $4,289.95 | $12,257 | $956.76 | 4.5× |
| Tanner Medical Center/Villa Rica | Villa Rica, GA | $4,309.34 | $7,182.24 | $909.73 | 4.7× |
| Shriners Children’s St. Louis | St. Louis, MO | $4,421.53 | $4,421.53 | $908.45 | 4.9× |
| Shriners Children's Greenville | Greenville, SC | $4,472.16 | $4,472.16 | $866.58 | 5.2× |
| Children's Mercy Hospital Kansas | Overland Park, KS | $4,914.24 | $10,238 | $858.69 | 5.7× |
| Children’s Mercy Adele Hall | Kansas City, MO | $4,914.24 | $10,238 | $908.45 | 5.4× |
| Northside Hospital Forsyth | Cumming, GA | $5,131.50 | $6,842 | $921.24 | 5.6× |
| Northside Hospital Cherokee | Canton, GA | $5,131.50 | $6,842 | $921.24 | 5.6× |
| Northside Hospital Gwinnett | Lawrenceville, GA | $5,131.50 | $6,842 | $909.73 | 5.6× |
| Northside Hospital Atlanta | Atlanta, GA | $5,131.50 | $6,842 | $921.24 | 5.6× |
| Northside Hospital Duluth | Duluth, GA | $5,131.50 | $6,842 | $909.73 | 5.6× |
| Bon Secours St. Francis Downtown | Greenville, SC | $17,528.89 | $29,214.82 | $868.75 | 20.2× |
| UAB Hospital | Birmingham, AL | — | $1,277 | $829.61 | — |
| University of Texas M D Anderson Cancer Center | Houston, TX | — | $13,469 | $911.12 | — |
"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.