Anogenital Xm Magnify Child/Suspect Trauma W Img (CPT 99170)
99170 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.
409 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 |
|---|---|---|---|---|---|
| Chi St. Joseph Health Regional Hospital | Bryan, TX | $11.20 | $64 | $203.09 | 0.1× |
| Burleson St. Joseph Health Center | Caldwell, TX | $11.20 | $64 | $203.09 | 0.1× |
| Madison St. Joseph Health Center | Madisonville, TX | $11.20 | $64 | $203.09 | 0.1× |
| Grimes St. Joseph Health Center | Navasota, TX | $11.20 | $64 | $203.09 | 0.1× |
| Oswego Hospital | Oswego, NY | $14.20 | $18.93 | $252.37 | 0.1× |
| Albany Medical Center Hospital range across 2 matching MRF lines |
Albany, NY | $21.50 | $10.99–$43 | $252.37 | 0.1× |
| Hilton Head Medical Center | Hilton Head Island, SC | $28.79 | — | $188.03 | 0.2× |
| East Cooper Medical Center | Mount Pleasant, SC | $28.79 | — | $188.03 | 0.2× |
| Coastal Carolina Medical Center | Hardeeville, SC | $28.79 | — | $188.03 | 0.2× |
| Christus Health-palestine | Palestine, TX | $30 | $150 | $203.09 | 0.1× |
| Huntsville Memorial Hospital | Huntsville, TX | $38 | $150 | $203.09 | 0.2× |
| Loyola Gottlieb Memorial Hospital | Melrose Park, IL | $40.85 | $215 | $216.65 | 0.2× |
| Memorial Hermann Texas Medical Center | Houston, TX | $40.96 | $128 | $203.09 | 0.2× |
| Memorial Hermann Hospital System | Houston, TX | $40.96 | $128 | $203.09 | 0.2× |
| Memorial Hermann Memorial City Medical Center | Houston, TX | $40.96 | $128 | $203.09 | 0.2× |
| Memorial Hermann Northeast Hospital | Humble, TX | $40.96 | $128 | $203.09 | 0.2× |
| Memorial Hermann Katy Hospital | Katy, TX | $40.96 | $128 | $203.09 | 0.2× |
| Memorial Hermann Sugar Land Hospital | Sugar Land, TX | $40.96 | $128 | $203.09 | 0.2× |
| Lutheran Kosciusko Hospital range across 2 matching MRF lines |
Warsaw, IN | $45.57–$70.35 | $217–$335 | $213.90 | varies |
| HealthAlliance Hospital Mary's Avenue Campus | Kingston, NY | $46 | $46 | $252.37 | 0.2× |
| Westchester Medical Center | Valhalla, NY | $46 | $46 | $252.37 | 0.2× |
| Margaretville Memorial Hospital | Margaretville, NY | $46 | $46 | $252.37 | 0.2× |
| CHRISTUS Santa Rosa Medical Center | San Antonio, TX | $47.19 | $143 | $203.09 | 0.2× |
| Loyola University Medical Center | Maywood, IL | $49.45 | $215 | $216.65 | 0.2× |
| Niagara Falls Memorial Medical Center | Niagara Falls, NY | $49.55 | $70.78 | $252.37 | 0.2× |
| Westfield Memorial Hospital, Inc | Westfield, NY | $51.92 | $236 | $252.37 | 0.2× |
| Lutheran Downtown Hospital range across 2 matching MRF lines |
Fort Wayne, IN | $52.08–$80.40 | $217–$335 | $213.90 | varies |
| Bluffton Regional Medical Center range across 4 matching MRF lines |
Bluffton, IN | $52.08–$109.92 | $217–$458 | $213.90 | varies |
| UT Health East Texas Athens Hospital | Athens, TX | $53.30 | $533 | $203.09 | 0.3× |
| Ascension Seton Hays range across 2 matching MRF lines |
Kyle, TX | $54–$82.71 | $150–$229.75 | $203.09 | varies |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $182.53 | 0.3× |
| Dupont Hospital LLC range across 2 matching MRF lines |
Fort Wayne, IN | $58.59–$90.45 | $217–$335 | $213.90 | varies |
| The Orthopaedic Hospital of Lutheran Health Network range across 2 matching MRF lines |
Fort Wayne, IN | $58.59–$90.45 | $217–$335 | $213.90 | varies |
| Ascension Seton Smithville range across 2 matching MRF lines |
Smithville, TX | $59.58–$88.11 | $165.50–$244.75 | $203.09 | varies |
| Covenant Medical Center range across 2 matching MRF lines |
Lubbock, TX | $63–$292.32 | $150–$696 | $203.09 | varies |
| Covenant Childrens Hospital range across 2 matching MRF lines |
Lubbock, TX | $63–$292.32 | $150–$696 | $203.09 | varies |
| Lutheran Hospital of Indiana range across 3 matching MRF lines |
Fort Wayne, IN | $65.10–$100.50 | $217–$335 | $213.90 | varies |
| MetroHealth System | Cleveland, OH | $66.15 | $189 | $191.27 | 0.3× |
| Dartmouth Hitchcock Medical Center | Lebanon, NH | $70.07 | $229 | $215.87 | 0.3× |
| Ascension St. John Jane Phillips | Bartlesville, OK | $71.50 | $193.25 | $194.44 | 0.4× |
| Ascension St. John Medical Center | Tulsa, OK | $71.50 | $193.25 | $194.44 | 0.4× |
| Ascension St. John Owasso | Owasso, OK | $71.50 | $193.25 | $194.44 | 0.4× |
| Ascension St. John Nowata | Nowata, OK | $71.50 | $193.25 | $194.44 | 0.4× |
| Ascension St. John Sapulpa | Sapulpa, OK | $71.50 | $193.25 | $194.44 | 0.4× |
| CHRISTUS Southeast Texas- St. Elizabeth | Beaumont, TX | $73.26 | $222 | $203.09 | 0.4× |
| Citizens Medical Center | Victoria, TX | $75 | $150 | $203.09 | 0.4× |
| Permian Regional Medical Center Andrews County Ho | Andrews, TX | $75 | $150 | $203.09 | 0.4× |
| INTEGRIS Miami Hospital | Miami, OK | $76 | $380 | $194.44 | 0.4× |
| INTEGRIS Grove Hospital | Grove, OK | $76 | $380 | $194.44 | 0.4× |
| Childrens Hospital of Wisconsin range across 2 matching MRF lines |
Milwaukee, WI | $76.04–$314.60 | $138.25–$572 | $201.37 | varies |
| Auburn Community Hospital | Auburn, NY | $77.85 | $321.30 | $252.37 | 0.3× |
| Atrium Health Wake Forest Baptist Medical Center | Winston-Salem, NC | $81 | $162 | $196.08 | 0.4× |
| INTEGRIS Baptist Medical Center, Inc | Oklahoma City, OK | $83.40 | $417 | $194.44 | 0.4× |
| INTEGRIS Southwest Medical Center | Oklahoma City, OK | $83.40 | $417 | $194.44 | 0.4× |
| MUSC Health University Medical Center | Charleston, SC | $84.50 | $169 | $188.03 | 0.4× |
| Casey County Hospital | Liberty, KY | $85.60 | $107 | $189.70 | 0.5× |
| Baylor University Medical Center (Baylor Scott & White) range across 2 matching MRF lines |
Dallas, TX | $90–$195.96 | $150–$326.60 | $203.09 | varies |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $90 | $150 | $203.09 | 0.4× |
| Baylor Scott and White Medical Center Irving range across 2 matching MRF lines |
Irving, TX | $90–$195.96 | $150–$326.60 | $203.09 | varies |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $90 | $150 | $203.09 | 0.4× |
| Baylor Scott and White All Saints Medical Center range across 2 matching MRF lines |
Fort Worth, TX | $90–$195.96 | $150–$326.60 | $203.09 | varies |
| Baylor Scott & White Medical Center- Waxahachie range across 2 matching MRF lines |
Waxahachie, TX | $90–$195.96 | $150–$326.60 | $203.09 | varies |
| Baylor Scott & White Medical Center Grapevine range across 2 matching MRF lines |
Grapevine, TX | $90–$195.96 | $150–$326.60 | $203.43 | varies |
| Baylor Scott and White Medical Center Lake Pointe range across 2 matching MRF lines |
Rowlett, TX | $90–$195.96 | $150–$326.60 | $203.09 | varies |
| Baylor Scott & White Heart and Vascular Hospital range across 2 matching MRF lines |
Dallas, TX | $90–$195.96 | $150–$326.60 | $203.09 | varies |
| Baylor Scott & White Medical Center - Centennial range across 2 matching MRF lines |
Frisco, TX | $90–$195.96 | $150–$326.60 | $203.09 | varies |
| Baylor Regional Medical Center at Plano range across 2 matching MRF lines |
Plano, TX | $90–$195.96 | $150–$326.60 | $203.09 | varies |
| The Heart Hospital Baylor Denton range across 2 matching MRF lines |
Denton, TX | $90–$195.96 | $150–$326.60 | $203.09 | varies |
| Baylor Scott & White Medical Center -taylor range across 3 matching MRF lines |
Taylor, TX | $90–$168.73 | $150–$281.22 | $203.09 | varies |
| Baylor Scott & White The Heart Hospital Plano range across 2 matching MRF lines |
Plano, TX | $90–$195.96 | $150–$326.60 | $203.09 | varies |
| Scott & White Hospital-round Rock range across 3 matching MRF lines |
Round Rock, TX | $90–$168.73 | $150–$281.22 | $203.09 | varies |
| Baylor Scott and White Medical Center Mckinney range across 2 matching MRF lines |
Mc Kinney, TX | $90–$195.96 | $150–$326.60 | $203.09 | varies |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $90 | $150 | $203.09 | 0.4× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $90 | $150 | $203.09 | 0.4× |
| Baylor Scott & White Medical Center - Pflugerville range across 3 matching MRF lines |
Pflugerville, TX | $90–$168.73 | $150–$281.22 | $203.09 | varies |
| Baylor Scott & White Medical Center - Buda range across 3 matching MRF lines |
Buda, TX | $90–$168.73 | $150–$281.22 | $203.09 | varies |
| Baylor Scott & White Medical Center- Austin range across 3 matching MRF lines |
Austin, TX | $90–$168.73 | $150–$281.22 | $203.09 | varies |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $90 | $150 | $203.09 | 0.4× |
| Baylor Scott and White Medical Center Frisco at Pg range across 2 matching MRF lines |
Frisco, TX | $90–$195.96 | $150–$326.60 | $203.09 | varies |
| Cuyuna Regional Medical Center range across 3 matching MRF lines |
Crosby, MN | $90.78–$220.66 | $267–$649 | $208.66 | varies |
| University of Michigan Health | Ann Arbor, MI | $90.80 | $227 | $201.44 | 0.5× |
| Val Verde Regional Medical Center | Del Rio, TX | $91.73 | $141.12 | $203.09 | 0.5× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $92 | $307 | $203.09 | 0.5× |
| Winona Health range across 2 matching MRF lines |
Winona, MN | $93.80 | $11–$268 | $208.66 | 0.4× |
| Dolly Parton Children’s Hospital range across 2 matching MRF lines |
Knoxville, TN | $95.40–$165 | $159–$275 | $183.42 | varies |
| Driscoll Childrens Hospital | Corpus Christi, TX | $101.20 | $506 | $203.09 | 0.5× |
| El Paso Children's Hospital | El Paso, TX | $105 | $525 | $203.09 | 0.5× |
| Wellstar West Georgia Medical Center | LaGrange, GA | $106.86 | $274 | $198.94 | 0.5× |
| Wellstar Spalding Medical Center | Griffin, GA | $106.86 | $274 | $202.78 | 0.5× |
| Wellstar MCG Health Medical Center | Augusta, GA | $106.86 | $274 | $177.17 | 0.6× |
| Wellstar Kennestone Regional Medical Center | Marietta, GA | $106.86 | $274 | $205.35 | 0.5× |
| Wellstar Paulding Medical Center | Hiram, GA | $106.86 | $274 | $205.35 | 0.5× |
| Wellstar Cobb Medical Center | Austell, GA | $106.86 | $274 | $205.35 | 0.5× |
| Wellstar Douglas Medical Center | Douglasville, GA | $106.86 | $274 | $203.50 | 0.5× |
| Wellstar North Fulton Medical Center | Roswell, GA | $106.86 | $274 | $205.35 | 0.5× |
| Wellstar Sylvan Grove Medical Center | Jackson, GA | $106.86 | $274 | $202.78 | 0.5× |
| West Feliciana Hospital | St. Francisville, LA | $108.36 | $180.60 | $183.07 | 0.6× |
| Dukes Memorial Hospital range across 3 matching MRF lines |
Peru, IN | $108.50–$229 | $217–$458 | $213.90 | varies |
| Concord Hospital range across 4 matching MRF lines |
Concord, NH | $110.40–$157.50 | $368–$525 | $215.87 | varies |
| Concord Hospital – Laconia range across 3 matching MRF lines |
Laconia, NH | $110.40–$157.50 | $368–$525 | $215.87 | varies |
| Concord Hospital – Franklin range across 3 matching MRF lines |
Franklin, NH | $110.40–$157.50 | $368–$525 | $215.87 | varies |
| Cook Childrens Medical Center range across 2 matching MRF lines |
Fort Worth, TX | $112.50–$776.78 | $150–$1,035.70 | $203.09 | varies |
| Dell Children's Medical Center range across 2 matching MRF lines |
Austin, TX | $115.85–$171.33 | $165.50–$244.75 | $203.09 | varies |
| Houston Methodist Baytown Hospital | Baytown, TX | $116 | $232 | $203.09 | 0.6× |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $116 | $232 | $203.09 | 0.6× |
| Houston Methodist Sugarland Hospital | Sugar Land, TX | $116 | $232 | $203.09 | 0.6× |
| Houston Methodist Willowbrook Hospital | Houston, TX | $116 | $232 | $203.09 | 0.6× |
| Houston Methodist West Hospital | Houston, TX | $116 | $232 | $203.09 | 0.6× |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $116 | $232 | $203.09 | 0.6× |
| Houston Methodist Cypress Hospital | Cypress, TX | $116 | $232 | $203.09 | 0.6× |
| Driscoll Children's Hospital Rio Grande Valley | Edinburg, TX | $116.38 | $581.90 | $203.09 | 0.6× |
| Rolling Plains Memorial Hospital | Sweetwater, TX | $118 | $182 | $203.09 | 0.6× |
| INTEGRIS Health Enid Hospital | Enid, OK | $118.20 | $591 | $194.44 | 0.6× |
| Lakeside Women's Hospital, A Member of INTEGRIS He | Oklahoma City, OK | $118.20 | $591 | $194.44 | 0.6× |
| INTEGRIS Canadian Valley Hospital | Yukon, OK | $118.20 | $591 | $194.44 | 0.6× |
| INTEGRIS Health Edmond Hospital | Edmond, OK | $118.20 | $591 | $194.44 | 0.6× |
| McLaren Greater Lansing | Lansing, MI | $118.30 | $236.60 | $201.44 | 0.6× |
| East Carroll Parish Hospital | Lake Providence, LA | $119.25 | $159 | $184.07 | 0.6× |
| Olean General Hospital | Olean, NY | $125 | $125 | $252.37 | 0.5× |
| Brooks-TLC Hospital System, Inc | Dunkirk, NY | $125 | $125 | $252.37 | 0.5× |
| Cuba Memorial Hospital, Inc | Cuba, NY | $125 | $125 | $252.37 | 0.5× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $129.34 | $446 | $193.05 | 0.7× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $129.34 | $446 | $191.93 | 0.7× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $129.34 | $446 | $193.96 | 0.7× |
| Lackey Memorial Hospital range across 2 matching MRF lines |
Forest, MS | $130.90–$199 | $130.90–$199 | $182.53 | varies |
| Providence Holy Cross Medical Center | Mission Hills, CA | $130.90 | $374 | $260.03 | 0.5× |
| Denver Health Medical Center | Denver, CO | $131.48 | $375.65 | $213.27 | 0.6× |
| McLaren Central Michigan | Mount Pleasant, MI | $139.35 | $278.70 | $201.44 | 0.7× |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $139.65 | $399 | $260.03 | 0.5× |
| Rady Children's Hospital - San Diego | San Diego, CA | $141.75 | $189 | $260.03 | 0.5× |
| Pecos County Memorial Hospital range across 2 matching MRF lines |
Fort Stockton, TX | $143–$236 | $191–$314 | $203.09 | varies |
| Saint John's Health Center | Santa Monica, CA | $145.60 | $416 | $260.03 | 0.6× |
| Children's Mercy Hospital Kansas | Overland Park, KS | $146.88 | $306 | $191.41 | 0.8× |
| Children’s Mercy Adele Hall | Kansas City, MO | $146.88 | $306 | $202.50 | 0.7× |
| CHI Health - Mercy Corning range across 2 matching MRF lines |
Corning, IA | $146.88–$221.28 | $306–$461 | $194.36 | varies |
| CHI Health Missouri Valley range across 2 matching MRF lines |
Missouri Valley, IA | $149.94–$225.89 | $306–$461 | $206.90 | varies |
| Medical Center Hospital range across 3 matching MRF lines |
Odessa, TX | $150–$402 | $150–$402 | $203.09 | varies |
| University Medical Center | Lubbock, TX | $150 | $150 | $203.09 | 0.7× |
| SCK Health | Arkansas City, KS | $150 | $150 | $185.93 | 0.8× |
| Corewell Health Lakeland Hospitals St. Joseph Hospital | St Joseph, MI | $150 | $150 | $201.44 | 0.7× |
| Corewell Health Watervliet Hospital | Watervliet, MI | $150 | $150 | $203.63 | 0.7× |
| United Regional Health Care System | Wichita Falls, TX | $152.95 | $161 | $203.09 | 0.8× |
| Claiborne County Medical Center | Port Gibson, MS | $156.44 | $173.82 | $174.30 | 0.9× |
| INTEGRIS Health Woodward | Woodward, OK | $157 | $785 | $195.05 | 0.8× |
| INTEGRIS Health Ponca City | Ponca City, OK | $157 | $785 | $194.44 | 0.8× |
| University Hospital – UMMC | Jackson, MS | $160 | $400 | $182.53 | 0.9× |
| UMMC Madison | Canton, MS | $160 | $400 | $182.53 | 0.9× |
| Trinity Regional Medical Center | Fort Dodge, IA | $161.34 | $201.67 | $194.36 | 0.8× |
| Houston Methodist Hospital | Houston, TX | $171 | $342 | $203.09 | 0.8× |
| Hurley Medical Center | Flint, MI | $171 | $171 | $201.44 | 0.8× |
| University of Michigan Health - Sparrow Lansing | Lansing, MI | $171 | $684 | $201.44 | 0.8× |
| Mission Hospital | Asheville, NC | $171.05 | $171.05 | $193.24 | 0.9× |
| Sanford USD Medical Center | Sioux Falls, SD | $171.20 | $214 | $206.55 | 0.8× |
| Glens Falls Hospital | Glens Falls, NY | $172.50 | $345 | $252.37 | 0.7× |
| Hendrick Medical Center | Abilene, TX | $174.96 | $174.96 | $203.09 | 0.9× |
| Queen's North Hawaiʻi Community Hospital | Kamuela, HI | $175.70 | $251 | $238.83 | 0.7× |
| Bayside Community Hospital | Anahuac, TX | $177 | $177 | $203.09 | 0.9× |
| Park Place Surgical Hospital | Lafayette, LA | $179.53 | — | $183.07 | 1.0× |
| Hendrick Medical Center Brownwood | Brownwood, TX | $182.02 | $182.02 | $203.09 | 0.9× |
| Harris Health range across 4 matching MRF lines |
Houston, TX | $187.78–$236 | $236 | $203.09 | varies |
| Ridgeview Sibley Medical Center | Arlington, MN | $187.85 | $289 | $209.31 | 0.9× |
| Children's Hospital of The King's Daughters | Norfolk, VA | $198.90 | $221 | $197.26 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $201.93 | — | $211.12 | 1.0× |
| Ridgeview Le Sueur Medical Center | Le Sueur, MN | $202.30 | $289 | $211.74 | 1.0× |
| Providence Regional Medical Center Everett range across 2 matching MRF lines |
Everett, WA | $204.88–$585.52 | $394–$1,126 | $230.23 | varies |
| Covenant Hospital Levelland | Levelland, TX | $205.80 | $490 | $203.09 | 1.0× |
| M Health Fairview Lakes Medical Center | Wyoming, MN | $206.52 | $515 | $211.74 | 1.0× |
| M Health Fairview Southdale Hospital | Edina, MN | $206.52 | $515 | $211.74 | 1.0× |
| M Health Fairview University of Minnesota Medical Center | Minneapolis, MN | $206.52 | $515 | $211.74 | 1.0× |
| M Health Fairview Northland Medical Center | Princeton, MN | $206.52 | $515 | $211.74 | 1.0× |
| M Health Fairview St. John's Hospital | Maplewood, MN | $206.52 | $515 | $208.66 | 1.0× |
| M Health Fairview Woodwinds Hospital | Woodbury, MN | $206.52 | $515 | $211.74 | 1.0× |
| St. Joseph's Medical Center | Yonkers, NY | $206.55 | — | $252.37 | 0.8× |
| St. Rose Hospital | Hayward, CA | $210.91 | $703.02 | $287.46 | 0.7× |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $213.78 | $509 | $209.93 | 1.0× |
| CHI Health Immanuel | Omaha, NE | $213.78 | $509 | $209.93 | 1.0× |
| CHI Health Midlands | Papillion, NE | $213.78 | $509 | $209.93 | 1.0× |
| CHI Health Lakeside | Omaha, NE | $213.78 | $509 | $209.93 | 1.0× |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $213.78 | $509 | $206.90 | 1.0× |
| Covenant Health Hobbs Hospital | Hobbs, NM | $214.62 | $511 | $200.54 | 1.1× |
| Memorial Hospital at Craig | Craig, CO | $214.98 | $330.75 | $213.27 | 1.0× |
| Lima Memorial Health System | Lima, OH | $215.10 | $239 | $193.04 | 1.1× |
| St. Patrick Hospital | Missoula, MT | $218.40 | $273 | $206.55 | 1.1× |
| M Health Fairview Ridges Hospital | Burnsville, MN | $218.88 | $515 | $208.66 | 1.0× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $220.90 | — | $183.60 | 1.2× |
| Washington Regional Medical Center range across 2 matching MRF lines |
Fayetteville, AR | $222.75–$328.50 | $297–$438 | $190.60 | varies |
| Marshfield Medical Center - Rice Lake | Rice Lake, WI | $226.10 | $238 | $196.38 | 1.2× |
| Marshfield Medical Center | Marshfield, WI | $226.10 | $238 | $196.38 | 1.2× |
| Marshfield Medical Center - Beaver Dam | Beaver Dam, WI | $226.10 | $238 | $196.38 | 1.2× |
| Marshfield Medical Center - Weston | Weston, WI | $226.10 | $238 | $196.38 | 1.2× |
| Marshfield Medical Center - Eau Claire | Eau Claire, WI | $226.10 | $238 | $201.23 | 1.1× |
| Marshfield Medical Center - Minocqua | Minocqua, WI | $226.10 | $238 | $196.38 | 1.2× |
| Marshfield Medical Center - Neillsville | Neillsville, WI | $226.10 | $238 | $196.38 | 1.2× |
| Marshfield Medical Center - Park Falls | Park Falls, WI | $226.10 | $238 | $196.38 | 1.2× |
| Marshfield Medical Center - Ladysmith | Ladysmith, WI | $226.10 | $238 | $196.38 | 1.2× |
| Southwest Memorial Hospital | Cortez, CO | $228 | $456 | $213.27 | 1.1× |
| Memorial Hospital | Dumas, TX | $233.60 | $292 | $203.09 | 1.2× |
| Ucsf Benioff Children's Hospital Oakland | Oakland, CA | $236.40 | $788 | $285.48 | 0.8× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $238.06 | — | $252.37 | 0.9× |
| Jacobi Medical Center | Bronx, NY | $238.06 | — | $252.37 | 0.9× |
| Elmhurst Hospital Center | Elmhurst, NY | $238.06 | — | $252.37 | 0.9× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $238.06 | — | $252.37 | 0.9× |
| Metropolitan Hospital Center | New York, NY | $238.06 | — | $252.37 | 0.9× |
| Kings County Hospital Center | Brooklyn, NY | $238.06 | — | $252.37 | 0.9× |
| Bellevue Hospital Center | New York, NY | $238.06 | — | $252.37 | 0.9× |
| Queens Hospital Center | Jamaica, NY | $238.06 | — | $252.37 | 0.9× |
| Harlem Hospital Center | New York, NY | $238.06 | — | $252.37 | 0.9× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $238.06 | — | $252.37 | 0.9× |
| Providence St. Mary Medical Center | Apple Valley, CA | $239.04 | $498 | $260.03 | 0.9× |
| Highland Hospital | Rochester, NY | $239.97 | — | $252.37 | 1.0× |
| Strong Memorial Hospital range across 2 matching MRF lines |
Rochester, NY | $239.97–$827.90 | — | $252.37 | varies |
| Griffin Hospital | Derby, CT | $240.49 | — | $242.37 | 1.0× |
| Vanderbilt University Hospital | Nashville, TN | $240.84 | $446 | $198.46 | 1.2× |
| The Queen's Medical Center | Honolulu, HI | $242.90 | $347 | $238.83 | 1.0× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $243.90 | $271 | $213.27 | 1.1× |
| Covenant Hospital Plainview | Plainview, TX | $246.54 | $587 | $203.09 | 1.2× |
| Valleywise Health Medical Center | Phoenix, AZ | $248.09 | — | $215.73 | 1.2× |
| Good Samaritan Regional Medical Center | Corvallis, OR | $249.60 | $312 | $224.72 | 1.1× |
| Samaritan Albany General Hospital | Albany, OR | $249.60 | $312 | $227.02 | 1.1× |
| Children's National Hospital | Washington, DC | $251.50 | $503 | $238.83 | 1.1× |
| Nyack Hospital | Nyack, NY | $252.37 | — | $252.37 | 1.0× |
| Montefiore St. Luke's Cornwall | Newburgh, NY | $252.37 | — | $252.37 | 1.0× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $252.77 | — | $193.96 | 1.3× |
| UMass Memorial Medical Center | Worcester, MA | $257 | $257 | $242.29 | 1.1× |
| CHI Health Plainview range across 2 matching MRF lines |
Plainview, NE | $257.04–$387.24 | $306–$461 | $209.93 | varies |
| J.W. Ruby Memorial Hospital | Morgantown, WV | $258.50 | $517 | $195.56 | 1.3× |
| CHI Health Schuyler range across 2 matching MRF lines |
Schuyler, NE | $260.10–$391.85 | $306–$461 | $209.93 | varies |
| Harborview Medical Center | Seattle, WA | $264.33 | $377.61 | $234.11 | 1.1× |
| Doctors Hosptal at Renaissance range across 3 matching MRF lines |
Edinburg, TX | $267.95–$502.87 | $267.95–$502.87 | $203.09 | varies |
| Providence St. Joseph Hospital | Eureka, CA | $271.83 | $533 | $260.03 | 1.0× |
| Arthur M. Blank Hospital | Atlanta, GA | $272 | $272 | $202.78 | 1.3× |
| Scottish Rite Hospital | Atlanta, GA | $272 | $272 | $202.78 | 1.3× |
| Kaleida Health range across 2 matching MRF lines |
Buffalo, NY | $272–$623 | $272–$623 | $252.37 | varies |
| Providence Redwood Memorial Hospital | Fortuna, CA | $272.85 | $535 | $260.03 | 1.0× |
| DeSoto Regional Health System | Mansfield, LA | $273 | $390 | $183.07 | 1.5× |
| Limestone Medical Center | Groesbeck, TX | $277.83 | $463.05 | $203.09 | 1.4× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $277.99 | — | $201.44 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $277.99 | — | $201.44 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $277.99 | — | $201.44 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $277.99 | — | $201.44 | 1.4× |
| Legacy Silverton Medical Center | Silverton, OR | $282.75 | $435 | $227.02 | 1.2× |
| CHI Health St. Mary's range across 2 matching MRF lines |
Nebraska City, NE | $283.03–$382.63 | $341–$461 | $209.93 | varies |
| ProMedica Charles and Virginia Hickman Hospital | Adrian, MI | $286.65 | $441 | $207.64 | 1.4× |
| Mt Sinai Hospital Medical Center | Chicago, IL | $287.02 | $410.03 | $216.65 | 1.3× |
| Holy Cross Hospital | Chicago, IL | $287.02 | $410.03 | $216.65 | 1.3× |
| McLaren Oakland | Pontiac, MI | $292.15 | $584.30 | $201.44 | 1.5× |
| Providence Alaska Medical Center | Anchorage, AK | $294.06 | $377 | $224.37 | 1.3× |
| ProMedica Memorial Hospital | Fremont, OH | $303.55 | $467 | $191.27 | 1.6× |
| Virginia Mason Medical Center | Seattle, WA | $306.51 | $601 | $234.77 | 1.3× |
| Healdsburg Hospital | Healdsburg, CA | $307.02 | $602 | $272.39 | 1.1× |
| ProMedica Fostoria Community Hospital | Fostoria, OH | $308.10 | $474 | $191.27 | 1.6× |
| ProMedica Monroe Regional Hospital | Monroe, MI | $308.10 | $474 | $203.72 | 1.5× |
| ProMedica Defiance Regional Hospital | Defiance, OH | $308.75 | $475 | $191.27 | 1.6× |
| Providence St. Joseph's Hospital | Chewelah, WA | $310.80 | $444 | $225.29 | 1.4× |
| Providence Mount Carmel Hospital | Colville, WA | $311.50 | $445 | $225.29 | 1.4× |
| Providence Little Co of Mary Med Ctr San Pedro | San Pedro, CA | $312.90 | $894 | $260.03 | 1.2× |
| Providence Little Company of Mary Med Ctr Torrance | Torrance, CA | $312.90 | $894 | $260.03 | 1.2× |
| Childrens Hospital of Wisconsin Fox Valley | Neenah, WI | $314.60 | $572 | $196.38 | 1.6× |
| St. John's Medical Center | Jackson, WY | $317 | $317 | $206.55 | 1.5× |
| Sidney Health Center | Sidney, MT | $318.89 | $515 | $206.55 | 1.5× |
| Sanford | Fargo, ND | $320 | $400 | $206.55 | 1.5× |
| JPS Health Network | Fort Worth, TX | $321.60 | $536 | $203.09 | 1.6× |
| Faith Health | Norfolk, NE | $323.66 | $528 | $209.93 | 1.5× |
| St. Peter's Hospital | Albany, NY | $330.20 | $508 | $252.37 | 1.3× |
| Samaritan Hospital | Troy, NY | $330.20 | $508 | $252.37 | 1.3× |
| Providence Medford Medical Center | Medford, OR | $333.75 | $445 | $256.11 | 1.3× |
| Providence Seaside Hospital | Seaside, OR | $333.75 | $445 | $224.72 | 1.5× |
| Titus Regional Medical Center | Mount Pleasant, TX | $335.40 | $559 | $203.09 | 1.7× |
| Providence Seward Medical Center | Seward, AK | $347.10 | $445 | $224.37 | 1.5× |
| Atrium Health Navicent The Medical Center | Macon, GA | $348.50 | $697 | $198.94 | 1.8× |
| Providence Sacred Heart Medical Center & Children's Hospital | Spokane, WA | $348.60 | $498 | $225.29 | 1.5× |
| Providence Centralia Hospital | Centralia, WA | $352.04 | $677 | $234.11 | 1.5× |
| Providence St. Peter Hospital | Olympia, WA | $352.04 | $677 | $232.51 | 1.5× |
| Baystate Wing Hospital | Palmer, MA | $356 | $356 | $242.29 | 1.5× |
| Methodist Hospitals Inc | Gary, IN | $356.30 | $509 | $213.90 | 1.7× |
| St. Lukes Hospital | Cedar Rapids, IA | $358.87 | $448.58 | $195.48 | 1.8× |
| Madison County Health Care System | Winterset, IA | $359.20 | $449 | $195.27 | 1.8× |
| Gunnison Valley Hospital | Gunnison, CO | $359.55 | $423 | $213.27 | 1.7× |
| ProMedica Toledo Hospital | Toledo, OH | $360.75 | $555 | $196.40 | 1.8× |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $363.30 | $1,038 | $260.03 | 1.4× |
| Providence St. Jude Medical Center | Fullerton, CA | $365.28 | $761 | $260.03 | 1.4× |
| Mount Sinai Hospital | New York, NY | $369 | $410 | $252.37 | 1.5× |
| Mount Sinai West | New York, NY | $369 | $410 | $252.37 | 1.5× |
| Mount Sinai Brooklyn | Brooklyn, NY | $369 | $410 | $252.37 | 1.5× |
| Montefiore Medical Center | Bronx, NY | $369.55 | $565.06 | $252.37 | 1.5× |
| Edward Hospital range across 2 matching MRF lines |
Naperville, IL | $370–$702 | $370–$702 | $216.65 | varies |
| Providence Hood River Memorial Hospital | Hood River, OR | $377.25 | $503 | $224.72 | 1.7× |
| Insight Hospital and Medical Center Coldwater | Coldwater, MI | $384 | $480 | $201.44 | 1.9× |
| Kadlec Regional Medical Center | Richland, WA | $384.30 | $549 | $225.29 | 1.7× |
| Mercy Health Kings Mills Hospital LLC | Mason, OH | $384.60 | $641 | $197.02 | 2.0× |
| Community Hospital of Huntington Park | Huntington Park, CA | $386.40 | $386.40 | $260.03 | 1.5× |
| Memorial Hospital of Gardena | Gardena, CA | $386.40 | $386.40 | $260.03 | 1.5× |
| East Los Angeles Doctors Hospital | Los Angeles, CA | $386.40 | $386.40 | $260.03 | 1.5× |
| Coast Plaza Hospital | Norwalk, CA | $386.40 | $386.40 | $260.03 | 1.5× |
| Nationwide Children's Hospital | Columbus, OH | $396 | $440 | $194.94 | 2.0× |
| Tippah County Hospital | Ripley, MS | $397 | $397 | $174.30 | 2.3× |
| Providence Valdez Medical Center | Valdez, AK | $399.36 | $512 | $224.37 | 1.8× |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $399.36 | $512 | $224.37 | 1.8× |
| Legacy Emanuel Medical Center range across 2 matching MRF lines |
Portland, OR | $401.05–$469.30 | $617–$722 | $224.72 | varies |
| Legacy Good Samaritan Medical Center range across 2 matching MRF lines |
Portland, OR | $401.05–$469.30 | $617–$722 | $224.72 | varies |
| Legacy Mount Hood Medical Center range across 2 matching MRF lines |
Gresham, OR | $401.05–$469.30 | $617–$722 | $224.72 | varies |
| Legacy Meridian Park Medical Center range across 2 matching MRF lines |
Tualatin, OR | $401.05–$469.30 | $617–$722 | $224.72 | varies |
| Providence Mission Hospital | Mission Viejo, CA | $403.68 | $841 | $260.03 | 1.6× |
| Providence St. Joseph Hospital | Orange, CA | $405.12 | $844 | $260.03 | 1.6× |
| Duncan Regional Hospital, Inc | Duncan, OK | $410.14 | — | $194.44 | 2.1× |
| Petaluma Valley Hospital | Petaluma, CA | $413.10 | $810 | $278.01 | 1.5× |
| Children's Hospital Colorado | Aurora, CO | $414.70 | $638 | $213.27 | 1.9× |
| Children's Hospital Colorado - Colorado Springs | Colorado Springs, CO | $414.70 | $638 | $213.27 | 1.9× |
| Bronson Methodist Hospital | Kalamazoo, MI | $416.16 | $520.20 | $201.44 | 2.1× |
| Bronson Battle Creek Hospital | Battle Creek, MI | $416.16 | $520.20 | $201.44 | 2.1× |
| Bronson South Haven Hospital | South Haven, MI | $416.16 | $520.20 | $201.44 | 2.1× |
| Bronson Lakeview Hospital | Paw Paw, MI | $416.16 | $520.20 | $201.44 | 2.1× |
| Memorial Hospital of Carbon County range across 3 matching MRF lines |
Rawlins, WY | $418.50–$494.25 | $558–$659 | $206.55 | varies |
| Valor Health | Emmett, ID | $421.33 | $443.50 | $204.27 | 2.1× |
| Kaiser Foundation Hospital - Panorama City | Panorama City, CA | $427.44 | $822 | $260.03 | 1.6× |
| Kaiser Foundation Hospital - Los Angeles | Los Angeles, CA | $427.44 | $822 | $260.03 | 1.6× |
| Kaiser Foundation Hospital - Downey | Downey, CA | $427.44 | $822 | $260.03 | 1.6× |
| Kaiser Foundation Hospital Fontana | Fontana, CA | $427.44 | $822 | $260.03 | 1.6× |
| Kaiser Foundation Hospital - South Bay | Harbor City, CA | $427.44 | $822 | $260.03 | 1.6× |
| Kaiser Foundation Hospital - Zion | San Diego, CA | $427.44 | $822 | $260.03 | 1.6× |
| Kaiser Foundation Hospital - West La | Los Angeles, CA | $427.44 | $822 | $260.03 | 1.6× |
| Kaiser Foundation Hospital - Orange County - Anahe | Anaheim, CA | $427.44 | $822 | $260.03 | 1.6× |
| Kaiser Foundation Hospital - Woodland Hills | Woodland Hills, CA | $427.44 | $822 | $260.03 | 1.6× |
| Kaiser Foundation Hospital, Riverside | Riverside, CA | $427.44 | $822 | $260.03 | 1.6× |
| Kaiser Foundation Hospital - Baldwin Park | Baldwin Park, CA | $427.44 | $822 | $260.03 | 1.6× |
| Kaiser Foundation Hospital-moreno Valley | Moreno Valley, CA | $427.44 | $822 | $260.03 | 1.6× |
| Kaiser Foundation Hospital - San Marcos | San Marcos, CA | $427.44 | $822 | $260.03 | 1.6× |
| MultiCare Auburn Medical Center | Auburn, WA | $430.80 | $1,077 | $234.77 | 1.8× |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $430.80 | $1,077 | $235.95 | 1.8× |
| MultiCare Tacoma General Hospital and MultiCare Allenmore Hospital | Tacoma, WA | $430.80 | $1,077 | $235.95 | 1.8× |
| MultiCare Capital Medical Center | Olympia, WA | $430.80 | $1,077 | $234.11 | 1.8× |
| MultiCare Covington Medical Center | Covington, WA | $430.80 | $1,077 | $234.77 | 1.8× |
| Mary Bridge Children's Hospital | Tacoma, WA | $430.80 | $1,077 | $235.95 | 1.8× |
| Intermountain Health Layton Hospital | Layton, UT | $434.96 | $579.94 | $204.70 | 2.1× |
| Providence St. Mary Medical Center | Walla Walla, WA | $436.10 | $623 | $225.29 | 1.9× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $441.15 | $865 | $197.02 | 2.2× |
| Legacy Salmon Creek Medical Center | Vancouver, WA | $442.65 | $681 | $225.29 | 2.0× |
| Sky Lakes Medical Center | Klamath Falls, OR | $460.88 | $614.50 | $256.11 | 1.8× |
| Corona Regional Medical Center | Corona, CA | $462 | $1,156 | $260.03 | 1.8× |
| Providence Holy Family Hospital | Spokane, WA | $463.40 | $662 | $225.29 | 2.1× |
| Portneuf Medical Center | Pocatello, ID | $475.20 | $792 | $199.73 | 2.4× |
| Nassau University Medical Center | East Meadow, NY | $489.30 | $699 | $252.37 | 1.9× |
| Providence St. Vincent Medical Center | Portland, OR | $504.75 | $673 | $224.72 | 2.2× |
| Providence Newberg Medical Center | Newberg, OR | $504.75 | $673 | $224.72 | 2.2× |
| Providence Willamette Falls Medical Center | Oregon City, OR | $504.75 | $673 | $224.72 | 2.2× |
| Providence Portland Medical Center | Portland, OR | $504.75 | $673 | $224.72 | 2.2× |
| Providence Milwaukie Hospital | Milwaukie, OR | $504.75 | $673 | $224.72 | 2.2× |
| Nashville General Hospital | Nashville, TN | $519 | $865 | $193.96 | 2.7× |
| Providence Queen of the Valley Medical Center | Napa, CA | $519.18 | $1,018 | $287.05 | 1.8× |
| Erie County Medical Center | Buffalo, NY | $521.05 | — | $252.37 | 2.1× |
| Texoma Medical Center | Denison, TX | $529.50 | $706 | $203.09 | 2.6× |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $532.95 | $1,045 | $287.05 | 1.9× |
| St. Luke's Magic Valley Medical Center | Twin Falls, ID | $562 | $562 | $210.75 | 2.7× |
| St. Luke's Boise Medical Center | Boise, ID | $562 | $562 | $218.30 | 2.6× |
| St. Luke's Nampa Medical Center | Nampa, ID | $562 | $562 | $204.27 | 2.8× |
| St. Luke's Jerome Medical Center | Jerome, ID | $562 | $562 | $200.61 | 2.8× |
| St. Luke's Elmore Medical Center | Mountain Home, ID | $562 | $562 | $199.73 | 2.8× |
| St. Luke's McCall Medical Center | McCall, ID | $562 | $562 | $199.73 | 2.8× |
| St. Luke's Wood River Medical Center | Ketchum, ID | $562 | $562 | $199.73 | 2.8× |
| Valley Presbyterian Hospital | Van Nuys, CA | $573 | $573 | $260.03 | 2.2× |
| Danbury Hospital | Danbury, CT | $580 | $580 | $242.37 | 2.4× |
| Northwest Surgical Hospital | Oklahoma City, OK | $583.32 | — | $194.44 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $583.32 | — | $194.44 | 3.0× |
| Alaska Native Medical Center range across 2 matching MRF lines |
Anchorage, AK | $599–$666 | $599–$666 | $224.37 | varies |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $644 | $1,150 | $293.55 | 2.2× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $644 | $1,150 | $292.24 | 2.2× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $644 | $1,150 | $287.05 | 2.2× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $644 | $1,150 | $297.02 | 2.2× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $644 | $1,150 | $295.74 | 2.2× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $644 | $1,150 | $292.24 | 2.2× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $644 | $1,150 | $287.05 | 2.2× |
| Kaiser Foundation Hospital | San Rafael, CA | $644 | $1,150 | $286.76 | 2.2× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $644 | $1,150 | $292.24 | 2.2× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $644 | $1,150 | $293.55 | 2.2× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $644 | $1,150 | $297.37 | 2.2× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $644 | $1,150 | $287.05 | 2.2× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $644 | $1,150 | $278.01 | 2.3× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $644 | $1,150 | $260.03 | 2.5× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $644 | $1,150 | $283.30 | 2.3× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $644 | $1,150 | $285.48 | 2.3× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $644 | $1,150 | $297.02 | 2.2× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $644 | $1,150 | $262.38 | 2.5× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $644 | $1,150 | $292.27 | 2.2× |
| Childrens Medical Ctr of Dallas | Dallas, TX | $666.75 | $889 | $203.09 | 3.3× |
| Childrens Medical Center Plano | Plano, TX | $666.75 | $889 | $203.09 | 3.3× |
| Parkland Memorial Hospital | Dallas, TX | $702 | $1,755 | $203.09 | 3.5× |
| New York Community Hospital of Brooklyn, Inc. | Brooklyn, NY | $702.79 | $702.79 | $252.37 | 2.8× |
| Maimonides Medical Center | Brooklyn, NY | $745 | $745 | $252.37 | 3.0× |
| Cleveland Clinic | Cleveland, OH | $752.05 | $1,157 | $191.27 | 3.9× |
| Reynolds Memorial Hospital | Glen Dale, WV | $767.67 | $1,535.33 | $193.93 | 4.0× |
| St. Charles Bend Campus | Bend, OR | $863.69 | $1,079.61 | $224.72 | 3.8× |
| St. Charles Medical Center Prineville | Prineville, OR | $863.69 | $1,079.61 | $224.72 | 3.8× |
| St. Charles Madras | Madras, OR | $863.69 | $1,079.61 | $224.72 | 3.8× |
| Sierra Medical Center | El Paso, TX | $909.75 | $1,213 | $203.09 | 4.5× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $939.90 | $1,446 | $211.12 | 4.5× |
| Cleveland Clinic Hospital | Weston, FL | $939.90 | $1,446 | $211.12 | 4.5× |
| Avera St. Mary's Hospital | Pierre, SD | $1,080 | $1,200 | $206.55 | 5.2× |
| Vhs Harlingen Hospital Company LLC | Harlingen, TX | $1,090.50 | $1,454 | $203.09 | 5.4× |
| New York-Presbyterian Hospital | New York, NY | $1,118 | — | $252.37 | 4.4× |
| Fairchild Medical Center | Yreka, CA | $1,233 | $1,233 | $260.03 | 4.7× |
| Putnam County Hospital | Greencastle, IN | $1,303.90 | $1,534 | $213.90 | 6.1× |
| Maniilaq Health Center | Kotzebue, AK | $1,431 | $1,431 | $224.37 | 6.4× |
| Macneal Hospital | Berwyn, IL | — | $215 | $216.65 | — |
| Graham Hospital Association | Canton, IL | — | $309.26 | $216.65 | — |
| Uvalde Memorial Hospital | Uvalde, TX | — | $431.75 | $203.09 | — |
| Temecula Valley Hospital | Temecula, CA | — | $1,159 | $260.03 | — |
| Southwest Healthcare Rancho Springs Hospital | Murrieta, CA | — | $1,287 | $260.03 | — |
| Upstate University Hospital | Syracuse, NY | — | $1,410 | $252.37 | — |
| Altus Lumberton Hospital | Lumberton, TX | — | $1,578 | $203.09 | — |
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.