Cptrized oph dx img pst segment uni/bi optic nrv (CPT 92133)
92133 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.
242 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 |
|---|---|---|---|---|---|
| Ochsner Lafayette General Medical Center | Lafayette, LA | $13.86 | $42 | $53.42 | 0.3× |
| Harris Health | Houston, TX | $14.08 | $45.03 | $59.26 | 0.2× |
| Winona Health | Winona, MN | $17.64 | $50.40 | $60.88 | 0.3× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $21 | $69 | $59.26 | 0.4× |
| Concord Hospital | Concord, NH | $24.60 | $82 | $62.99 | 0.4× |
| Concord Hospital – Laconia | Laconia, NH | $24.60 | $82 | $62.99 | 0.4× |
| Concord Hospital – Franklin | Franklin, NH | $24.60 | $82 | $62.99 | 0.4× |
| New Orleans East Hospital | New Orleans, LA | $27.36 | $171 | $55.37 | 0.5× |
| Straub Benioff Medical Center | Honolulu, HI | $28.80 | $48 | $69.69 | 0.4× |
| Memorial Medical Center | Port Lavaca, TX | $29.90 | $42.71 | $59.26 | 0.5× |
| St. Luke's Magic Valley Medical Center | Twin Falls, ID | $30 | $30 | $61.50 | 0.5× |
| St. Luke's Boise Medical Center | Boise, ID | $30 | $30 | $63.70 | 0.5× |
| St. Luke's Nampa Medical Center | Nampa, ID | $30 | $30 | $59.60 | 0.5× |
| St. Luke's Jerome Medical Center | Jerome, ID | $30 | $30 | $58.54 | 0.5× |
| St. Luke's Elmore Medical Center | Mountain Home, ID | $30 | $30 | $58.28 | 0.5× |
| St. Luke's McCall Medical Center | McCall, ID | $30 | $30 | $58.28 | 0.5× |
| St. Luke's Wood River Medical Center | Ketchum, ID | $30 | $30 | $58.28 | 0.5× |
| University of Kansas Hospital | Kansas City, KS | $30.80 | $154 | $55.08 | 0.6× |
| University of Kansas Health System Olathe Hospital | Olathe, KS | $30.80 | $154 | $55.85 | 0.6× |
| The University of Kansas Health System Paola Hospital | Paola, KS | $30.80 | $154 | $56.35 | 0.5× |
| East Carroll Parish Hospital | Lake Providence, LA | $33 | $44 | $53.71 | 0.6× |
| St. Mary's Medical Center | Huntington, WV | $33.38 | $33.38 | $56.59 | 0.6× |
| Covenant Hospital Plainview | Plainview, TX | $33.60 | $80 | $59.26 | 0.6× |
| Mercy Hospital Joplin | Joplin, MO | $33.80 | $52 | $59.09 | 0.6× |
| Mercy Hospital Springfield | Springfield, MO | $33.80 | $52 | $59.09 | 0.6× |
| Prisma Health Baptist Easley Hospital | Easley, SC | $35.75 | $55 | $56.36 | 0.6× |
| Prisma Health Richland Hospital | Columbia, SC | $35.75 | $55 | $56.87 | 0.6× |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | $35.75 | $55 | $56.21 | 0.6× |
| Prisma Health Baptist Parkridge Hospital | Columbia, SC | $35.75 | $55 | $57.02 | 0.6× |
| SSM Health Saint Louis University Hospital | St. Louis, MO | $37.62 | $68.40 | $59.09 | 0.6× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $38.86 | $134 | $56.33 | 0.7× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $38.86 | $134 | $56 | 0.7× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $38.86 | $134 | $56.60 | 0.7× |
| Touro | New Orleans, LA | $39.90 | $285 | $55.37 | 0.7× |
| University Health System | San Antonio, TX | $41.75 | $167 | $59.26 | 0.7× |
| Dartmouth Hitchcock Medical Center | Lebanon, NH | $41.92 | $137 | $62.99 | 0.7× |
| Denver Health Medical Center | Denver, CO | $43.48 | $124.22 | $62.23 | 0.7× |
| Valley Medical Center | Renton, WA | $44.80 | $64 | $68.50 | 0.7× |
| Saint Alphonsus Regional Medical Center | Boise, ID | $44.85 | $69 | $63.70 | 0.7× |
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | $44.85 | $69 | $63.70 | 0.7× |
| Titus Regional Medical Center | Mount Pleasant, TX | $45.60 | $76 | $59.26 | 0.8× |
| Larkin Community Hospital | South Miami, FL | $46.55 | $66.50 | $61.60 | 0.8× |
| MUSC Health Black River Medical Center | Cades, SC | $47 | $94 | $54.87 | 0.9× |
| Ochsner University Hospital & Clinics | Lafayette, LA | $48.62 | $187 | $53.42 | 0.9× |
| Ellett Memorial Hospital | Appleton City, MO | $48.75 | $65 | $59.09 | 0.8× |
| University Hospital – UMMC | Jackson, MS | $50 | $125 | $53.26 | 0.9× |
| UMMC Madison | Canton, MS | $50 | $125 | $53.26 | 0.9× |
| Golden Valley Memorial Healthcare | Clinton, MO | $50.36 | $83.94 | $59.09 | 0.9× |
| Citizens Memorial Hospital | Bolivar, MO | $50.40 | $63 | $59.09 | 0.9× |
| Leonard J. Chabert Medical Center | Houma, LA | $52.64 | $112 | $54.95 | 1.0× |
| Skagit Valley Hospital | Mount Vernon, WA | $53.60 | $67 | $65.74 | 0.8× |
| Larkin Community Hospital Palm Springs Campus | Hialeah, FL | $53.90 | $77 | $61.60 | 0.9× |
| Atrium Health Wake Forest Baptist Medical Center | Winston-Salem, NC | $54 | $108 | $57.21 | 0.9× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $50.84 | 1.1× |
| West Jefferson Medical Center | Marrero, LA | $55.20 | $345 | $55.37 | 1.0× |
| CHRISTUS St. Frances Cabrini Hospital | Alexandria, LA | $56.16 | $216 | $55.67 | 1.0× |
| Ascension Saint Thomas Hospital West | Nashville, TN | $57.29 | $190.95 | $56.60 | 1.0× |
| MUSC Health University Medical Center | Charleston, SC | $58 | $116 | $54.87 | 1.1× |
| Avera Marshall Regional Medical Center | Marshall, MN | $59.17 | $61 | $60.88 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $59.62 | — | $61.60 | 1.0× |
| Aspirus St. Luke's Hospital | Duluth, MN | $60.11 | $110.50 | $61.08 | 1.0× |
| East Jefferson General Hospital | Metairie, LA | $61.04 | $436 | $55.37 | 1.1× |
| Conway Medical Center | Conway, SC | $62.07 | $62.07 | $54.87 | 1.1× |
| Kaiser Permanente Moanalua Medical Center | Honolulu, HI | $63.75 | $85 | $69.69 | 0.9× |
| Ochsner Medical Center - New Orleans | New Orleans, LA | $64.02 | $291 | $55.37 | 1.2× |
| Lee Memorial Hospital | Fort Myers, FL | $64.20 | $321 | $61.60 | 1.0× |
| Gulf Coast Medical Center | Fort Myers, FL | $64.20 | $321 | $61.60 | 1.0× |
| Cape Coral Hospital | Cape Coral, FL | $64.20 | $321 | $61.60 | 1.0× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $65.22 | — | $53.57 | 1.2× |
| Confluence Health Hospital | Central Campus | Wenatchee, WA | $66.60 | $74 | $67.85 | 1.0× |
| Muscogee (creek) Nation Medical Center | Okmulgee, OK | $66.64 | $111.07 | $56.74 | 1.2× |
| Onvida Health Yuma Medical Center | Yuma, AZ | $68.25 | $105 | $62.95 | 1.1× |
| University Health Truman Medical Center | Kansas City, MO | $68.42 | $124.40 | $59.09 | 1.2× |
| University Health Lakewood Medical Center | Kansas City, MO | $68.42 | $124.40 | $59.09 | 1.2× |
| Driscoll Childrens Hospital | Corpus Christi, TX | $68.64 | $343.20 | $59.26 | 1.2× |
| Pikeville Medical Center | Pikeville, KY | $69.60 | $232 | $55.35 | 1.3× |
| Griffin Hospital | Derby, CT | $71.01 | — | $70.72 | 1.0× |
| Vanderbilt University Hospital | Nashville, TN | $72.36 | $134 | $57.91 | 1.2× |
| Valleywise Health Medical Center | Phoenix, AZ | $72.39 | $160 | $62.95 | 1.1× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $73.76 | — | $56.60 | 1.3× |
| University Medical Center New Orleans | New Orleans, LA | $74.80 | $340 | $53.42 | 1.4× |
| Nebraska Medical Center | Omaha, NE | $76.48 | $117.65 | $61.26 | 1.2× |
| Bellevue Medical Center | Bellevue, NE | $76.48 | $117.65 | $61.26 | 1.2× |
| Estes Park Medical Center | Estes Park, CO | $76.50 | $102 | $62.23 | 1.2× |
| Our Lady of Lourdes Regional Medical Center | Lafayette, LA | $76.50 | $153 | $53.42 | 1.4× |
| Our Lady of the Angels Hospital | Bogalusa, LA | $76.50 | $153 | $53.49 | 1.4× |
| Incline Village Community Hospital | Incline Village, NV | $76.50 | $76.50 | $62.26 | 1.2× |
| University Hospital | Columbia, MO | $76.80 | $128 | $59.09 | 1.3× |
| Manning Family Children's | New Orleans, LA | $78.30 | $290 | $55.37 | 1.4× |
| Driscoll Children's Hospital Rio Grande Valley | Edinburg, TX | $78.98 | $394.90 | $59.26 | 1.3× |
| Wellstar West Georgia Medical Center | LaGrange, GA | $79.56 | $204 | $58.05 | 1.4× |
| Wellstar Spalding Medical Center | Griffin, GA | $79.56 | $204 | $59.17 | 1.3× |
| Wellstar MCG Health Medical Center | Augusta, GA | $79.56 | $204 | $51.70 | 1.5× |
| Wellstar Kennestone Regional Medical Center | Marietta, GA | $79.56 | $204 | $59.92 | 1.3× |
| Wellstar Paulding Medical Center | Hiram, GA | $79.56 | $204 | $59.92 | 1.3× |
| Wellstar Cobb Medical Center | Austell, GA | $79.56 | $204 | $59.92 | 1.3× |
| Wellstar Douglas Medical Center | Douglasville, GA | $79.56 | $204 | $59.38 | 1.3× |
| Wellstar North Fulton Medical Center | Roswell, GA | $79.56 | $204 | $59.92 | 1.3× |
| Wellstar Sylvan Grove Medical Center | Jackson, GA | $79.56 | $204 | $59.17 | 1.3× |
| Ogallala Community Hospital | Ogallala, NE | $79.80 | $150 | $61.26 | 1.3× |
| UVA Health Culpeper Medical Center | Culpeper, VA | $84.50 | $169 | $61.03 | 1.4× |
| UVA Health Prince William Medical Center | Manassas, VA | $84.50 | $169 | $61.03 | 1.4× |
| UVA Health Haymarket Medical Center | Haymarket, VA | $84.50 | $169 | $61.03 | 1.4× |
| St. Anthony Summit Medical Center | Frisco, CO | $84.64 | $211.59 | $62.23 | 1.4× |
| Children's Mercy Hospital Kansas | Overland Park, KS | $84.96 | $177 | $55.85 | 1.5× |
| Children’s Mercy Adele Hall | Kansas City, MO | $84.96 | $177 | $59.09 | 1.4× |
| Ochsner Medical Center - Baton Rouge | Baton Rouge, LA | $88.64 | $277 | $53.42 | 1.7× |
| Aspirus Lake View Hospital | Two Harbors, MN | $90.94 | $110.50 | $60.88 | 1.5× |
| Charleston Area Medical Center | Charleston, WV | $91 | $91 | $56.59 | 1.6× |
| Nashville General Hospital | Nashville, TN | $91.80 | $153 | $56.60 | 1.6× |
| Sentara Norfolk General Hospital | Norfolk, VA | $93 | $186 | $57.56 | 1.6× |
| Sentara Obici Hospital | Suffolk, VA | $93 | $186 | $57.56 | 1.6× |
| Sentara Leigh Hospital | Norfolk, VA | $93 | $186 | $57.56 | 1.6× |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | $93 | $186 | $57.56 | 1.6× |
| Sentara CarePlex Hospital | Hampton, VA | $93 | $186 | $57.56 | 1.6× |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | $93 | $186 | $57.56 | 1.6× |
| Sentara Princess Anne Hospital | Virginia Beach, VA | $93 | $186 | $57.56 | 1.6× |
| United Hospital Center | Bridgeport, WV | $95.50 | $191 | $57.06 | 1.7× |
| Camden Clark Medical Center | Parkersburg, WV | $95.50 | $191 | $56.59 | 1.7× |
| Lallie Kemp Regional Medical Center | Independence, LA | $101.72 | $169.54 | $53.42 | 1.9× |
| Tippah County Hospital | Ripley, MS | $103 | $103 | $50.86 | 2.0× |
| Stevens Community Medical Center Inc | Morris, MN | $104.25 | $139 | $60.88 | 1.7× |
| Howard University Hospital | Washington, DC | $104.30 | $130.38 | $69.69 | 1.5× |
| Great Plains Health | North Platte, NE | $105.50 | $203 | $61.26 | 1.7× |
| Massachusetts Eye and Ear | Boston, MA | $106.50 | $142 | $70.70 | 1.5× |
| Hennepin County Medical Center | Minneapolis, MN | $107.10 | $238 | $61.79 | 1.7× |
| Virginia Mason Medical Center | Seattle, WA | $108.63 | $213 | $68.50 | 1.6× |
| UAMS Medical Center | Little Rock, AR | $111 | $185 | $55.43 | 2.0× |
| St. John's Medical Center | Jackson, WY | $114 | $114 | $60.27 | 1.9× |
| UT Health San Antonio Multispecialty & Research Ho | San Antonio, TX | $114 | $190 | $59.26 | 1.9× |
| Yale New Haven Hospital | New Haven, CT | $118.34 | $200.57 | $70.72 | 1.7× |
| USA Health University Hospital | Mobile, AL | $119 | $119 | $53.26 | 2.2× |
| USA Health Children's & Women's Hospital | Mobile, AL | $119 | $119 | $53.26 | 2.2× |
| Inova Alexandria Hospital | Alexandria, VA | $119 | $238 | $63.95 | 1.9× |
| Inova Loudoun Hospital | Leesburg, VA | $119 | $238 | $61.03 | 1.9× |
| Inova Fairfax Hospital | Falls Church, VA | $119 | $238 | $63.24 | 1.9× |
| Inova Fair Oaks Hospital | Fairfax, VA | $119 | $238 | $61.03 | 1.9× |
| Inova Mount Vernon Hospital | Alexandria, VA | $119 | $238 | $63.95 | 1.9× |
| Duncan Regional Hospital, Inc | Duncan, OK | $121.10 | — | $56.74 | 2.1× |
| JPS Health Network | Fort Worth, TX | $122.40 | $204 | $59.26 | 2.1× |
| North Oaks Medical Center | Hammond, LA | $122.44 | $668 | $53.94 | 2.3× |
| Duke University Hospital | Durham, NC | $127.17 | $471 | $58.70 | 2.2× |
| Boston Medical Center | Boston, MA | $134.10 | $298 | $70.70 | 1.9× |
| Parkland Memorial Hospital | Dallas, TX | $136 | $340 | $59.26 | 2.3× |
| Lanai Community Hospital | Lanai City, HI | $136.88 | $232 | $69.69 | 2.0× |
| Kula Hospital | Kula, HI | $136.88 | $232 | $69.69 | 2.0× |
| Hilton Head Medical Center | Hilton Head Island, SC | $137.36 | — | $54.87 | 2.5× |
| East Cooper Medical Center | Mount Pleasant, SC | $137.36 | — | $54.87 | 2.5× |
| Coastal Carolina Medical Center | Hardeeville, SC | $137.36 | — | $54.87 | 2.5× |
| Children's National Hospital | Washington, DC | $138.50 | $277 | $69.69 | 2.0× |
| Tufts Medical Center | Boston, MA | $144.90 | $207 | $70.70 | 2.0× |
| M Health Fairview Lakes Medical Center | Wyoming, MN | $145.94 | $363.94 | $61.79 | 2.4× |
| M Health Fairview Southdale Hospital | Edina, MN | $145.94 | $363.94 | $61.79 | 2.4× |
| M Health Fairview University of Minnesota Medical Center | Minneapolis, MN | $145.94 | $363.94 | $61.79 | 2.4× |
| M Health Fairview Northland Medical Center | Princeton, MN | $145.94 | $363.94 | $61.79 | 2.4× |
| M Health Fairview St. John's Hospital | Maplewood, MN | $145.94 | $363.94 | $60.88 | 2.4× |
| M Health Fairview Woodwinds Hospital | Woodbury, MN | $145.94 | $363.94 | $61.79 | 2.4× |
| Boston Children's Hospital | Boston, MA | $148 | $148 | $70.70 | 2.1× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $150.49 | $250.82 | $59.26 | 2.5× |
| Scott & White Hospital-round Rock | Round Rock, TX | $150.49 | $250.82 | $59.26 | 2.5× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $150.49 | $250.82 | $59.26 | 2.5× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $150.49 | $250.82 | $59.26 | 2.5× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $150.49 | $250.82 | $59.26 | 2.5× |
| Our Lady of the Lake Regional Medical Center | Baton Rouge, LA | $153 | $306 | $53.42 | 2.9× |
| M Health Fairview Ridges Hospital | Burnsville, MN | $154.68 | $363.94 | $60.88 | 2.5× |
| Harborview Medical Center | Seattle, WA | $159.80 | $228.28 | $68.31 | 2.3× |
| Kaiser Permanente Central Hospital | Seattle, WA | $160 | $200 | $68.50 | 2.3× |
| Madison Healthcare Services - Madison Hospital | Madison, MN | $160.65 | $189 | $60.88 | 2.6× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $162.29 | $270.48 | $59.26 | 2.7× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $162.29 | $270.48 | $59.26 | 2.7× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $162.29 | $270.48 | $59.26 | 2.7× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $162.29 | $270.48 | $59.26 | 2.7× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $162.29 | $270.48 | $59.26 | 2.7× |
| Arkansas Children's Hospital | Little Rock, AR | $166.72 | $185.24 | $55.43 | 3.0× |
| Arkansas Children's Northwest | Springdale, AR | $166.72 | $185.24 | $55.06 | 3.0× |
| Signature Healthcare Brockton Hospital | Brockton, MA | $167.30 | $239 | $70.70 | 2.4× |
| Wheeling Hospital | Wheeling, WV | $169.75 | $339.50 | $57.06 | 3.0× |
| Northwest Surgical Hospital | Oklahoma City, OK | $170.22 | — | $56.74 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $170.22 | — | $56.74 | 3.0× |
| UW Medical Center | Seattle, WA | $173.39 | $247.70 | $68.31 | 2.5× |
| Vandalia Health Davis Medical Center | Elkins, WV | $175.31 | $250.43 | $56.59 | 3.1× |
| Goodland Regional Medical Center | Goodland, KS | $176.40 | $196 | $54.25 | 3.3× |
| Perkins County Health Services | Grant, NE | $178 | $178 | $61.26 | 2.9× |
| UCHealth University of Colorado Hospital | Aurora, CO | $178.15 | $509 | $62.23 | 2.9× |
| Winchester Hospital | Winchester, MA | $182 | $182 | $70.70 | 2.6× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $192.93 | $192.93 | $59.26 | 3.3× |
| MedStar Washington Hospital Center | Washington, DC | $193.23 | $297.27 | $69.69 | 2.8× |
| Brigham and Women's Hospital | Boston, MA | $195.75 | $261 | $70.70 | 2.8× |
| University of Miami Hospital and Clinics - Sylvester Comprehensive Cancer Center | Miami, FL | $200.07 | $741 | $61.60 | 3.2× |
| CAMC Greenbrier Valley Medical Center | Ronceverte, WV | $202 | $202 | $56.59 | 3.6× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $207.29 | $345.49 | $59.26 | 3.5× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $207.29 | $345.49 | $59.26 | 3.5× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $207.29 | $345.49 | $59.26 | 3.5× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $207.29 | $345.49 | $59.26 | 3.5× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $207.29 | $345.49 | $59.36 | 3.5× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $207.29 | $345.49 | $59.26 | 3.5× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $207.29 | $345.49 | $59.26 | 3.5× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $207.29 | $345.49 | $59.26 | 3.5× |
| Baylor Regional Medical Center at Plano | Plano, TX | $207.29 | $345.49 | $59.26 | 3.5× |
| The Heart Hospital Baylor Denton | Denton, TX | $207.29 | $345.49 | $59.26 | 3.5× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $207.29 | $345.49 | $59.26 | 3.5× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $207.29 | $345.49 | $59.26 | 3.5× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $207.29 | $345.49 | $59.26 | 3.5× |
| Baylor Scott and White The Heart Hospital Corinth | Denton, TX | $207.29 | $345.49 | $59.26 | 3.5× |
| Texas Childrens Hospital | Houston, TX | $211.72 | $316 | $59.26 | 3.6× |
| Texas Childrens Hospital North Austin Campus | Austin, TX | $211.72 | $316 | $59.26 | 3.6× |
| New England Baptist Hospital | Boston, MA | $214 | $214 | $70.70 | 3.0× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $221.65 | $341 | $61.60 | 3.6× |
| Childrens Medical Ctr of Dallas | Dallas, TX | $225 | $300 | $59.26 | 3.8× |
| Childrens Medical Center Plano | Plano, TX | $225 | $300 | $59.26 | 3.8× |
| Cambridge Health Alliance | Cambridge, MA | $225 | $225 | $70.70 | 3.2× |
| UK Albert B. Chandler Hospital | Lexington, KY | $227.24 | $568.10 | $57.61 | 3.9× |
| Fred Hutch Cancer Center | Seattle, WA | $247.70 | $275.22 | $68.50 | 3.6× |
| Nemours Children's Hospital, Delaware | Wilmington, DE | $255 | $255 | $62.79 | 4.1× |
| United Hospital | Saint Paul, MN | $258.62 | $538.80 | $61.79 | 4.2× |
| Abbott Northwestern Hospital | Minneapolis, MN | $258.62 | $538.80 | $61.79 | 4.2× |
| Mercy Hospital | Coon Rapids, MN | $258.62 | $538.80 | $61.79 | 4.2× |
| Rapides Regional Medical Center | Alexandria, LA | $282.17 | $282.17 | $55.67 | 5.1× |
| UMass Memorial Medical Center | Worcester, MA | $332 | $332 | $70.70 | 4.7× |
| UVA Health University Medical Center | Charlottesville, VA | $350.40 | $584 | $59.19 | 5.9× |
| Mayo Clinic Hospital — Phoenix | Phoenix, AZ | $361.50 | $482 | $62.95 | 5.7× |
| St. Joseph's Hospital | Buckhannon, WV | $378.25 | $756.50 | $56.59 | 6.7× |
| Children's Hospital Colorado | Aurora, CO | $410.15 | $631 | $62.23 | 6.6× |
| Children's Hospital Colorado - Colorado Springs | Colorado Springs, CO | $410.15 | $631 | $62.23 | 6.6× |
| Longmont United Hospital | Longmont, CO | $446.26 | $1,115.64 | $62.92 | 7.1× |
| St. Anthony Hospital | Lakewood, CO | $446.26 | $1,115.64 | $62.23 | 7.2× |
| Penrose Hospital | Colorado Springs, CO | $446.26 | $1,115.64 | $62.23 | 7.2× |
| St. Anthony North Health Campus | Westminster, CO | $446.26 | $1,115.64 | $62.23 | 7.2× |
| OrthoColorado Hospital | Lakewood, CO | $446.26 | $1,115.64 | $62.23 | 7.2× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $446.26 | $1,115.64 | $62.23 | 7.2× |
| Grady Memorial Hospital | Atlanta, GA | $500 | $500 | $59.92 | 8.3× |
| J.W. Ruby Memorial Hospital | Morgantown, WV | $640 | $1,280 | $57.06 | 11.2× |
| Beth Israel Deaconess Medical Center | Boston, MA | $654 | $654 | $70.70 | 9.3× |
| Seattle Children's Hospital | Seattle, WA | $699.55 | — | $68.50 | 10.2× |
| St. Louis Children’s Hospital | St. Louis, MO | $878.40 | $1,464 | $59.09 | 14.9× |
| Lahey Hospital & Medical Center | Burlington, MA | $1,032 | $1,032 | $70.70 | 14.6× |
| Ephraim McDowell James B. Haggin Hospital | Harrodsburg, KY | — | $24 | $55.35 | — |
| Hiram W. Davis Medical Center | Petersburg, VA | — | $51 | $57.56‡ | — |
| Stormont Vail Health Flint Hills, LLC | Junction City, KS | — | $113.70 | $54.25 | — |
| Phoenix Children’s Hospital – Thomas Campus | Phoenix, AZ | — | $147 | $62.95 | — |
| University of Texas M D Anderson Cancer Center | Houston, TX | — | $234 | $59.26 | — |
| St. Jude Children's Research Hospital | Memphis, TN | — | $238 | $54.66 | — |
"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.
‡ Price taken from the hospital's inpatient list; no outpatient price posted.