Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (CPT 92570)
92570 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.
245 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 |
|---|---|---|---|---|---|
| Bradley Medical Center | Cleveland, TN | $6.60 | $11 | $117.85 | 0.1× |
| Hamilton Medical Center | Dalton, GA | $6.60 | $11 | $130.69 | 0.1× |
| Bristol Regional Medical Center | Bristol, TN | $15.45 | $103 | $122.07 | 0.1× |
| Holston Valley Medical Center | Kingsport, TN | $15.45 | $103 | $122.07 | 0.1× |
| Hawkins County Memorial Hospital | Rogersville, TN | $15.45 | $103 | $116.74 | 0.1× |
| Greeneville Community Hospital | Greeneville, TN | $15.45 | $103 | $120.07 | 0.1× |
| OU Health University of Oklahoma Medical Center | Oklahoma City, OK | $18.60 | $186.04 | $123.75 | 0.2× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $19 | $62 | $129.26 | 0.1× |
| Piedmont Augusta | Augusta, GA | $21 | $70 | $112.76 | 0.2× |
| Piedmont McDuffie | Thomson, GA | $21 | $70 | $113.18 | 0.2× |
| Memorial Medical Center | Port Lavaca, TX | $21.99 | $31.41 | $129.26 | 0.2× |
| Baptist Hospital | Pensacola, FL | $23.25 | $155 | $134.37 | 0.2× |
| East Carroll Parish Hospital | Lake Providence, LA | $24.75 | $33 | $117.15 | 0.2× |
| Ozarks Healthcare | West Plains, MO | $25.50 | $51 | $128.88 | 0.2× |
| East Jefferson General Hospital | Metairie, LA | $26.32 | $188 | $120.78 | 0.2× |
| Baptist Memorial Hospital-Crittenden | West Memphis, AR | $27.90 | $186 | $119.22 | 0.2× |
| Lee Memorial Hospital | Fort Myers, FL | $30.80 | $154 | $134.37 | 0.2× |
| Gulf Coast Medical Center | Fort Myers, FL | $30.80 | $154 | $134.37 | 0.2× |
| Cape Coral Hospital | Cape Coral, FL | $30.80 | $154 | $134.37 | 0.2× |
| Muscogee (creek) Nation Medical Center | Okmulgee, OK | $34.65 | $57.75 | $123.75 | 0.3× |
| Unity Health - White County Medical Center | Searcy, AR | $35 | $140 | $117.16 | 0.3× |
| Unity Health - Jacksonville | Jacksonville, AR | $35 | $140 | $120.90 | 0.3× |
| Unity Health - Newport | Newport, AR | $35 | $140 | $117.16 | 0.3× |
| Ochsner Medical Center - New Orleans | New Orleans, LA | $36.96 | $168 | $120.78 | 0.3× |
| Baptist Memorial Hospital-Memphis | Memphis, TN | $39.06 | $186 | $116.74 | 0.3× |
| El Paso Children's Hospital | El Paso, TX | $43.40 | $217 | $129.26 | 0.3× |
| Ochsner LSU Health - Monroe Medical Center | Monroe, LA | $44.85 | $195 | $116.51 | 0.4× |
| Pawnee County Memorial Hospital | Pawnee City, NE | $45 | $56 | $133.61 | 0.3× |
| Driscoll Childrens Hospital | Corpus Christi, TX | $45.32 | $226.60 | $129.26 | 0.4× |
| UAB Medical West | Bessemer, AL | $48.75 | $65 | $117.70 | 0.4× |
| Driscoll Children's Hospital Rio Grande Valley | Edinburg, TX | $52.14 | $260.70 | $129.26 | 0.4× |
| Ochsner Medical Center - Baton Rouge | Baton Rouge, LA | $53.76 | $168 | $116.51 | 0.5× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $110.90 | 0.5× |
| Ochsner LSU Health - St. Mary Medical Center | Shreveport, LA | $54.60 | $195 | $116.51 | 0.5× |
| White River Medical Center | Batesville, AR | $55.50 | $74 | $117.16 | 0.5× |
| Kingman Regional Medical Center | Kingman, AZ | $55.65 | $159 | $137.30 | 0.4× |
| Alamance Regional Medical Center | Burlington, NC | $57 | $150 | $127.60 | 0.4× |
| Cone Health Moses Cone Hospital | Greensboro, NC | $57 | $150 | $126.54 | 0.5× |
| University Health Truman Medical Center | Kansas City, MO | $59.40 | $108 | $128.88 | 0.5× |
| University Health Lakewood Medical Center | Kansas City, MO | $59.40 | $108 | $128.88 | 0.5× |
| Jennie Stuart Health | Hopkinsville, KY | $59.98 | $193.48 | $120.73 | 0.5× |
| Ochsner LSU Health - Academic Medical Center | Shreveport, LA | $60.45 | $195 | $124.14 | 0.5× |
| UK King's Daughters Medical Center | Ashland, KY | $60.90 | $152.24 | $122.44 | 0.5× |
| Tampa General Hospital | Tampa, FL | $63.35 | $181 | $134.37 | 0.5× |
| Titus Regional Medical Center | Mount Pleasant, TX | $66.60 | $111 | $129.26 | 0.5× |
| Touro | New Orleans, LA | $66.64 | $476 | $120.78 | 0.6× |
| North Central Kansas Medical Center | Concordia, KS | $67.90 | $97 | $118.34 | 0.6× |
| University of Kansas Hospital | Kansas City, KS | $68.20 | $341 | $120.13 | 0.6× |
| University of Kansas Health System Olathe Hospital | Olathe, KS | $68.20 | $341 | $121.82 | 0.6× |
| The University of Kansas Health System Paola Hospital | Paola, KS | $68.20 | $341 | $122.91 | 0.6× |
| Dell Seton Med Center at The University of Tx | Austin, TX | $71.10 | $197.50 | $129.26 | 0.6× |
| Cody Regional Health | Cody, WY | $73.95 | $87 | $131.46 | 0.6× |
| Nebraska Medical Center | Omaha, NE | $74.92 | $115.25 | $133.61 | 0.6× |
| Bellevue Medical Center | Bellevue, NE | $74.92 | $115.25 | $133.61 | 0.6× |
| Ascension Seton Hays | Kyle, TX | $75.60 | $210 | $129.26 | 0.6× |
| Ascension Seton Smithville | Smithville, TX | $75.60 | $210 | $129.26 | 0.6× |
| Morrill County Community Hospital | Bridgeport, NE | $76 | $81 | $133.61 | 0.6× |
| Freeman Neosho Hospital | Neosho, MO | $79.20 | $132 | $128.88 | 0.6× |
| West Jefferson Medical Center | Marrero, LA | $80.16 | $501 | $120.78 | 0.7× |
| St. John's Medical Center | Jackson, WY | $81 | $81 | $131.46 | 0.6× |
| Children's Mercy Hospital Kansas | Overland Park, KS | $81.60 | $170 | $121.82 | 0.7× |
| Children’s Mercy Adele Hall | Kansas City, MO | $81.60 | $170 | $128.88 | 0.6× |
| CarolinaEast Medical Center | New Bern, NC | $81.60 | $136 | $122.99 | 0.7× |
| Tucson Medical Center | Tucson, AZ | $86.94 | $310.50 | $137.30 | 0.6× |
| Estes Park Medical Center | Estes Park, CO | $96.75 | $129 | $135.74 | 0.7× |
| Memorial Hospital | Abilene, KS | $97 | $97 | $118.34 | 0.8× |
| Hilton Head Medical Center | Hilton Head Island, SC | $99.69 | — | $119.68 | 0.8× |
| East Cooper Medical Center | Mount Pleasant, SC | $99.69 | — | $119.68 | 0.8× |
| Coastal Carolina Medical Center | Hardeeville, SC | $99.69 | — | $119.68 | 0.8× |
| UT Medical Center | Knoxville, TN | $100.12 | $400.50 | $116.74 | 0.9× |
| Ochsner Rush Medical Center | Meridian, MS | $100.65 | $305 | $113.63 | 0.9× |
| Butler County Health | David City, NE | $103 | $103 | $133.61 | 0.8× |
| Parkland Memorial Hospital | Dallas, TX | $103.20 | $258 | $129.26 | 0.8× |
| Sheridan Memorial Hospital | Sheridan, WY | $104.80 | $131 | $131.46 | 0.8× |
| University Health System | San Antonio, TX | $105.25 | $421 | $129.26 | 0.8× |
| Duke University Hospital | Durham, NC | $105.30 | $390 | $128.04 | 0.8× |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $105.60 | $192 | $123.75 | 0.9× |
| Candler Hospital | Savannah, GA | $105.75 | $352.50 | $112.76 | 0.9× |
| St. Joseph's Hospital | Savannah, GA | $105.75 | $352.50 | $112.76 | 0.9× |
| Banner - University Medical Center Tucson | Tucson, AZ | $106.40 | $304 | $137.30 | 0.8× |
| Cox Medical Centers | Springfield, MO | $106.40 | $422.23 | $128.88 | 0.8× |
| MUSC Health University Medical Center | Charleston, SC | $108 | $216 | $119.68 | 0.9× |
| Charlotte Hungerford Hospital | Torrington, CT | $110 | $110 | $154.26 | 0.7× |
| Bates County Memorial Hospital | Butler, MO | $112.70 | $161 | $128.88 | 0.9× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $112.81 | $389 | $122.87 | 0.9× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $112.81 | $389 | $122.15 | 0.9× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $112.81 | $389 | $123.45 | 0.9× |
| Riverview Regional Medical Center | Gadsden, AL | $114 | $265.60 | $115.41 | 1.0× |
| Cook Childrens Medical Center | Fort Worth, TX | $115.49 | $153.99 | $129.26 | 0.9× |
| Cook Childrens Medical Center Prosper | Prosper, TX | $115.49 | $153.99 | $129.26 | 0.9× |
| Denver Health Medical Center | Denver, CO | $116.36 | $332.45 | $135.74 | 0.9× |
| Onvida Health Yuma Medical Center | Yuma, AZ | $118.95 | $183 | $137.30 | 0.9× |
| Golden Valley Memorial Healthcare | Clinton, MO | $119.46 | $199.10 | $128.88 | 0.9× |
| Saint John Hospital | Leavenworth, KS | $121 | $246.79 | $121.82 | 1.0× |
| Providence Medical Center | Kansas City, KS | $121 | $246.79 | $121.82 | 1.0× |
| Nemaha Valley Community Hospital | Seneca, KS | $121.50 | $135 | $118.34 | 1.0× |
| Banner Desert Medical Center | Mesa, AZ | $121.77 | $165 | $137.30 | 0.9× |
| Owensboro Health Regional Hospital | Owensboro, KY | $122.18 | $187.97 | $127.57 | 1.0× |
| University Medical Center New Orleans | New Orleans, LA | $127.38 | $579 | $116.51 | 1.1× |
| Cape Fear Valley Medical Center | Fayetteville, NC | $127.80 | $213 | $128.11 | 1.0× |
| Cape Fear Valley Betsy Johnson Hospital | Dunn, NC | $127.80 | $213 | $128.11 | 1.0× |
| Cape Fear Valley Hoke Hospital | Raeford, NC | $127.80 | $213 | $128.11 | 1.0× |
| Cape Fear Valley Bladen County Hospital | Elizabethtown, NC | $127.80 | $213 | $122.99 | 1.0× |
| Dallas Regional Medical Center | Mesquite, TX | $128 | $265.60 | $129.26 | 1.0× |
| AdventHealth Hendersonville | Hendersonville, NC | $129 | $129 | $122.99 | 1.0× |
| Manning Family Children's | New Orleans, LA | $130.14 | $482 | $120.78 | 1.1× |
| JPS Health Network | Fort Worth, TX | $130.80 | $218 | $129.26 | 1.0× |
| UK Albert B. Chandler Hospital | Lexington, KY | $134.55 | $336.38 | $125.66 | 1.1× |
| UAMS Medical Center | Little Rock, AR | $138.60 | $231 | $120.90 | 1.1× |
| Mercy Hospital St. Louis | St. Louis, MO | $139.75 | $215 | $128.88 | 1.1× |
| Harris Health | Houston, TX | $140 | $140 | $129.26 | 1.1× |
| University Hospital – UMMC | Jackson, MS | $140 | $350 | $116.17 | 1.2× |
| UMMC Madison | Canton, MS | $140 | $350 | $116.17 | 1.2× |
| Our Lady of Lourdes Regional Medical Center | Lafayette, LA | $142 | $284 | $116.51 | 1.2× |
| Our Lady of the Lake Regional Medical Center | Baton Rouge, LA | $143 | $286 | $116.51 | 1.2× |
| Novant Health Presbyterian Medical Center | Charlotte, NC | $146.50 | $293 | $125.04 | 1.2× |
| Novant Health Ballantyne Medical Center | Charlotte, NC | $146.50 | $293 | $125.04 | 1.2× |
| Dell Children's Medical Center | Austin, TX | $147 | $210 | $129.26 | 1.1× |
| Jackson Memorial Hospital | Miami, FL | $148 | $203 | $134.37 | 1.1× |
| UCHealth University of Colorado Hospital | Aurora, CO | $150.50 | $430 | $135.74 | 1.1× |
| Childrens Medical Ctr of Dallas | Dallas, TX | $155.25 | $207 | $129.26 | 1.2× |
| Childrens Medical Center Plano | Plano, TX | $155.25 | $207 | $129.26 | 1.2× |
| Lakeside Medical Center | Belle Glade, FL | $157.05 | — | $134.37 | 1.2× |
| Valleywise Health Medical Center | Phoenix, AZ | $157.90 | $580 | $137.30 | 1.2× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $160.88 | — | $123.45 | 1.3× |
| Brodstone Healthcare | Superior, NE | $164 | $173 | $133.61 | 1.2× |
| Lawrence + Memorial Hospital | New London, CT | $168.12 | $466.99 | $154.26 | 1.1× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $171.80 | — | $116.85 | 1.5× |
| Novant Health Thomasville Medical Center | Thomasville, NC | $175.80 | $293 | $124.79 | 1.4× |
| Wellstar Mountain Lakes Medical Center | Clayton, GA | $178 | $445 | $112.76 | 1.6× |
| Ochsner Laird Hospital | Union, MS | $186.05 | $305 | $110.94 | 1.7× |
| Griffin Hospital | Derby, CT | $187.04 | — | $154.26 | 1.2× |
| William Newton Memorial Hospital | Winfield, KS | $187.60 | $187.60 | $118.34 | 1.6× |
| Children's of Alabama | Birmingham, AL | $191.99 | $446.49 | $117.70 | 1.6× |
| Ochsner Scott Regional | Morton, MS | $192.15 | $305 | $116.17 | 1.7× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $201.75 | $201.75 | $135.74 | 1.5× |
| Ochsner Watkins Hospital | Quitman, MS | $204.35 | $305 | $110.94 | 1.8× |
| Atrium Health Wake Forest Baptist Medical Center | Winston-Salem, NC | $206 | $412 | $124.79 | 1.7× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $207.50 | $415 | $129.26 | 1.6× |
| University Hospital | Columbia, MO | $208.20 | $347 | $128.88 | 1.6× |
| Vanderbilt University Hospital | Nashville, TN | $210.06 | $389 | $126.31 | 1.7× |
| Ochsner Stennis Hospital | De Kalb, MS | $210.45 | $305 | $110.94 | 1.9× |
| Woman's Hospital | Baton Rouge, LA | $212 | $212 | $116.51 | 1.8× |
| Connecticut Children's Medical Center | Hartford, CT | $213 | $355 | $154.26 | 1.4× |
| University of Miami Hospital and Clinics - Sylvester Comprehensive Cancer Center | Miami, FL | $216.27 | $801 | $134.37 | 1.6× |
| UNC Hospitals | Chapel Hill, NC | $219.60 | $366 | $127.60 | 1.7× |
| Methodist Hospital | San Antonio, TX | $221.83 | $221.83 | $129.26 | 1.7× |
| Phelps Health Hospital | Rolla, MO | $222.52 | $317.88 | $128.88 | 1.7× |
| Boone Hospital Center | Columbia, MO | $224.40 | $374 | $128.88 | 1.7× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $230.54 | $384.23 | $129.26 | 1.8× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $230.54 | $384.23 | $129.26 | 1.8× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $230.54 | $384.23 | $129.26 | 1.8× |
| Scott & White Hospital-round Rock | Round Rock, TX | $230.54 | $384.23 | $129.26 | 1.8× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $230.54 | $384.23 | $129.26 | 1.8× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $230.54 | $384.23 | $129.26 | 1.8× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $230.54 | $384.23 | $129.26 | 1.8× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $230.54 | $384.23 | $129.26 | 1.8× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $230.54 | $384.23 | $129.26 | 1.8× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $230.54 | $384.23 | $129.26 | 1.8× |
| Ochsner Choctaw General | Butler, AL | $231.80 | $305 | $110.90 | 2.1× |
| Bridgeport Hospital | Bridgeport, CT | $242.83 | $466.99 | $154.26 | 1.6× |
| Greenwich Hospital | Greenwich, CT | $242.83 | $466.99 | $154.26 | 1.6× |
| St. Joseph's Hospital | Tampa, FL | $250.80 | $418 | $134.37 | 1.9× |
| Morton Plant Hospital | Clearwater, FL | $250.80 | $418 | $134.37 | 1.9× |
| Merit Health Wesley | Hattiesburg, MS | $252.42 | $1,202 | $114.27 | 2.2× |
| Ivinson Memorial Hospital | Laramie, WY | $253 | $253 | $131.46 | 1.9× |
| ECU Health Medical Center | Greenville, NC | $255.99 | $483 | $122.99 | 2.1× |
| Howard University Hospital | Washington, DC | $256.10 | $320.12 | $152.01 | 1.7× |
| Mercy Hospital South | St. Louis, MO | $261.95 | $403 | $128.88 | 2.0× |
| HCA HealthOne Rose Medical Center | Denver, CO | $262 | $262 | $135.74 | 1.9× |
| Yale New Haven Hospital | New Haven, CT | $275.52 | $466.99 | $154.26 | 1.8× |
| Citizens Medical Center | Colby, KS | $280.15 | $431 | $118.34 | 2.4× |
| St. Louis Children’s Hospital | St. Louis, MO | $283.20 | $472 | $128.88 | 2.2× |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | $286 | $715 | $134.37 | 2.1× |
| Orlando Health - Health Central Hospital | Ocoee, FL | $286 | $715 | $134.37 | 2.1× |
| Orlando Health Bayfront Hospital | Saint Petersburg, FL | $286 | $715 | $134.37 | 2.1× |
| Orlando Health South Lake Hospital | Clermont, FL | $286 | $715 | $134.37 | 2.1× |
| Orlando Health Sebastian River Hospital | Sebastian, FL | $286 | $715 | $134.37 | 2.1× |
| Orlando Health Melbourne Hospital | Melbourne, FL | $286 | $715 | $134.37 | 2.1× |
| Orlando Health St. Cloud Hospital | Saint Cloud, FL | $286 | $715 | $134.37 | 2.1× |
| UT Health San Antonio Multispecialty & Research Ho | San Antonio, TX | $290.40 | $484 | $129.26 | 2.2× |
| Children's Hospital Colorado | Aurora, CO | $291.85 | $449 | $135.74 | 2.2× |
| Children's Hospital Colorado - Colorado Springs | Colorado Springs, CO | $291.85 | $449 | $135.74 | 2.2× |
| HCA Florida Orange Park Hospital | Orange Park, FL | $293.93 | $293.93 | $134.37 | 2.2× |
| Carondelet St. Joseph's Hospital | Tucson, AZ | $303 | $404 | $137.30 | 2.2× |
| North Oaks Medical Center | Hammond, LA | $307.93 | $992 | $117.65 | 2.6× |
| Wellstar West Georgia Medical Center | LaGrange, GA | $312.78 | $802 | $126.62 | 2.5× |
| Wellstar Spalding Medical Center | Griffin, GA | $312.78 | $802 | $129.06 | 2.4× |
| Wellstar MCG Health Medical Center | Augusta, GA | $312.78 | $802 | $112.76 | 2.8× |
| Wellstar Kennestone Regional Medical Center | Marietta, GA | $312.78 | $802 | $130.69 | 2.4× |
| Wellstar Paulding Medical Center | Hiram, GA | $312.78 | $802 | $130.69 | 2.4× |
| Wellstar Cobb Medical Center | Austell, GA | $312.78 | $802 | $130.69 | 2.4× |
| Wellstar Douglas Medical Center | Douglasville, GA | $312.78 | $802 | $129.52 | 2.4× |
| Wellstar North Fulton Medical Center | Roswell, GA | $312.78 | $802 | $130.69 | 2.4× |
| Wellstar Sylvan Grove Medical Center | Jackson, GA | $312.78 | $802 | $129.06 | 2.4× |
| Nemours Children's Hospital, Delaware | Wilmington, DE | $314 | $314 | $136.96 | 2.3× |
| Hendry Regional Medical Center | Clewiston, FL | $318.96 | $318.96 | $134.37 | 2.4× |
| Duncan Regional Hospital, Inc | Duncan, OK | $319 | — | $123.75 | 2.6× |
| Northside Hospital Forsyth | Cumming, GA | $323.25 | $431 | $130.69 | 2.5× |
| Northside Hospital Cherokee | Canton, GA | $323.25 | $431 | $130.69 | 2.5× |
| Northside Hospital Gwinnett | Lawrenceville, GA | $323.25 | $431 | $129.06 | 2.5× |
| Northside Hospital Atlanta | Atlanta, GA | $323.25 | $431 | $130.69 | 2.5× |
| Northside Hospital Duluth | Duluth, GA | $323.25 | $431 | $129.06 | 2.5× |
| Sibley Memorial Hospital | Washington, DC | $343 | $343 | $152.01 | 2.3× |
| Grady Memorial Hospital | Atlanta, GA | $344 | $344 | $130.69 | 2.6× |
| Norwalk Hospital | Norwalk, CT | $352 | $352 | $154.26 | 2.3× |
| Johns Hopkins All Children's Hospital | Saint Petersburg, FL | $361.50 | $361.50 | $134.37 | 2.7× |
| MedStar Washington Hospital Center | Washington, DC | $368.55 | $567 | $152.01 | 2.4× |
| Northwest Surgical Hospital | Oklahoma City, OK | $371.25 | — | $123.75 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $371.25 | — | $123.75 | 3.0× |
| Bethesda Hospital East | Boynton Beach, FL | $410.15 | $631 | $134.37 | 3.1× |
| AdventHealth Porter | Denver, CO | $423.87 | $423.87 | $135.74 | 3.1× |
| AdventHealth Avista | Louisville, CO | $423.87 | $423.87 | $137.24 | 3.1× |
| AdventHealth Littleton | Littleton, CO | $423.87 | $423.87 | $135.74 | 3.1× |
| AdventHealth Parker | Parker, CO | $423.87 | $423.87 | $135.74 | 3.1× |
| AdventHealth Castle Rock | Castle Rock, CO | $423.87 | $423.87 | $135.74 | 3.1× |
| Saint Francis Medical Center | Cape Girardeau, MO | $454 | $454 | $128.88 | 3.5× |
| Emory University Hospital | Atlanta, GA | $482 | $482 | $129.06 | 3.7× |
| Emory Decatur Hospital | Decatur, GA | $482 | $482 | $129.06 | 3.7× |
| Emory University Hospital Midtown | Atlanta, GA | $482 | $482 | $130.69 | 3.7× |
| Emory Saint Joseph's Hospital | Atlanta, GA | $482 | $482 | $130.69 | 3.7× |
| Emory Hillandale Hospital | Lithonia, GA | $482 | $482 | $129.06 | 3.7× |
| Emory Johns Creek Hospital | Johns Creek, GA | $482 | $482 | $130.69 | 3.7× |
| Resolute Health Hospital | New Braunfels, TX | $593.25 | $791 | $129.26 | 4.6× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $624.92 | $624.92 | $129.26 | 4.8× |
| Shriners Hospitals For Children | Galveston, TX | $636.92 | $636.92 | $129.26 | 4.9× |
| AdventHealth Orlando | Orlando, FL | $667 | $667 | $134.37 | 5.0× |
| Shriners Children’s St. Louis | St. Louis, MO | $701.88 | $701.88 | $128.88 | 5.4× |
| Shriners Children's Greenville | Greenville, SC | $709.91 | $709.91 | $122.94 | 5.8× |
| HonorHealth John C. Lincoln Medical Center | Phoenix, AZ | $720 | $720 | $137.30 | 5.2× |
| HonorHealth Tempe Medical Center | Tempe, AZ | $720 | $720 | $137.30 | 5.2× |
| HonorHealth Scottsdale Osborn Medical Center | Scottsdale, AZ | $720 | $720 | $137.30 | 5.2× |
| HonorHealth Scottsdale Shea Medical Center | Scottsdale, AZ | $720 | $720 | $137.30 | 5.2× |
| HonorHealth Deer Valley Medical Center | Phoenix, AZ | $720 | $720 | $137.30 | 5.2× |
| HonorHealth Four Peaks Medical Center | Mesa, AZ | $720 | $720 | $137.30 | 5.2× |
| HonorHealth Scottsdale Thompson Peak Medical Center | Scottsdale, AZ | $720 | $720 | $137.30 | 5.2× |
| HonorHealth Sonoran Crossing Medical Center | Phoenix, AZ | $720 | $720 | $137.30 | 5.2× |
| Memorial Regional Hospital | Hollywood, FL | $747.60 | $1,068 | $134.37 | 5.6× |
| Memorial Hospital Pembroke | Pembroke Pines, FL | $747.60 | $1,068 | $134.37 | 5.6× |
| Memorial Hospital West | Pembroke Pines, FL | $747.60 | $1,068 | $134.37 | 5.6× |
| Memorial Hospital Miramar | Miramar, FL | $747.60 | $1,068 | $134.37 | 5.6× |
| Texas Health Hospital Mansfield | Mansfield, TX | $957.16 | $957.16 | $129.26 | 7.4× |
| AdventHealth Carrollwood | Tampa, FL | $1,707.79 | $1,707.79 | $134.37 | 12.7× |
| J D McCarty Center for Children | Norman, OK | — | $45 | $123.75 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $419.05 | $137.24 | — |
"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.