Preventive visit, new patient (age 18–39) (CPT 99385)
99385 is the billing code hospitals use for “Preventive visit, new patient (age 18–39)”. Prices below are each hospital's own posted facility charge.
452 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 |
|---|---|---|---|---|---|
| University of Kansas Hospital | Kansas City, KS | $12 | $60 | — | — |
| University of Kansas Health System Olathe Hospital | Olathe, KS | $12 | $60 | — | — |
| The University of Kansas Health System Paola Hospital | Paola, KS | $12 | $60 | — | — |
| Dolly Parton Children’s Hospital | Knoxville, TN | $15 | $25 | — | — |
| University Medical Center of El Paso | El Paso, TX | $17.43 | $87.15 | — | — |
| St. Thomas More Hospital | Canon City, CO | $17.55 | $43.87 | — | — |
| Monroe County Hospital | Monroeville, AL | $28 | $70 | — | — |
| Ochsner LSU Health - Monroe Medical Center | Monroe, LA | $30.13 | $131 | — | — |
| SSM Health St. Joseph Hospital - St. Charles | St. Charles, MO | $30.80 | $56 | — | — |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $30.80 | $56 | — | — |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $30.80 | $56 | — | — |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $30.80 | $56 | — | — |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $30.80 | $56 | — | — |
| Baptist Beaumont Hospital | Beaumont, TX | $31.20 | $240 | — | — |
| Star Valley Medical Center | Afton, WY | $34.30 | $49 | — | — |
| Ochsner LSU Health - St. Mary Medical Center | Shreveport, LA | $36.68 | $131 | — | — |
| Elite Hospital Kingwood | Kingwood, TX | $37.50 | $75 | — | — |
| Arkansas Children's Hospital | Little Rock, AR | $38.70 | $43 | — | — |
| Arkansas Children's Northwest | Springdale, AR | $38.70 | $43 | — | — |
| Ochsner LSU Health - Academic Medical Center | Shreveport, LA | $40.61 | $131 | — | — |
| SSM Health Saint Louis University Hospital | St. Louis, MO | $41.25 | $75 | — | — |
| University Hospital – UMMC | Jackson, MS | $44.40 | $111 | — | — |
| UMMC Madison | Canton, MS | $44.40 | $111 | — | — |
| Hedrick Medical Center | Chillicothe, MO | $46.80 | $78 | — | — |
| Ellett Memorial Hospital | Appleton City, MO | $46.88 | $62.50 | — | — |
| Benson Hospital | Benson, AZ | $48 | $100 | — | — |
| Hardin Medical Center | Savannah, TN | $48.51 | $127 | — | — |
| King’s Daughters Medical Center | Brookhaven, MS | $48.90 | $163 | — | — |
| Trigg County Hospital | Cadiz, KY | $49.20 | $123 | — | — |
| Unity Health - White County Medical Center | Searcy, AR | $51.50 | $206 | — | — |
| Unity Health - Jacksonville | Jacksonville, AR | $51.50 | $206 | — | — |
| Unity Health - Newport | Newport, AR | $51.50 | $206 | — | — |
| Northwest Mississippi Regional Medical Center | Clarksdale, MS | $51.90 | $207.60 | — | — |
| UCHealth University of Colorado Hospital | Aurora, CO | $52.15 | $149 | — | — |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | — | — |
| Ochsner St. Martin Hospital | Breaux Bridge, LA | $54.75 | $182.50 | — | — |
| Prisma Health Blount Memorial Hospital | Maryville, TN | $55.18 | $178 | — | — |
| Ozarks Healthcare | West Plains, MO | $58.11 | $116.21 | — | — |
| Anderson County Hospital | Garnett, KS | $58.80 | $98 | — | — |
| Allen County Regional Hospital | Iola, KS | $58.80 | $98 | — | — |
| Acadia St. Landry Hospital | Church Point, LA | $60.13 | $80.17 | — | — |
| Aiken Regional Medical Centers | Aiken, SC | $60.80 | $152 | — | — |
| Mississippi Baptist Medical Center | Jackson, MS | $61.11 | $291 | — | — |
| Ochsner Abrom Kaplan Memorial Hospital | Kaplan, LA | $62.10 | $138 | — | — |
| Lawrence + Memorial Hospital | New London, CT | $62.73 | $174.24 | — | — |
| North Texas Medical Center | Gainesville, TX | $63 | $250 | — | — |
| OU Health University of Oklahoma Medical Center | Oklahoma City, OK | $63.85 | $638.50 | — | — |
| CHI St. Vincent Morrilton | Morrilton, AR | $64.44 | $253 | — | — |
| Saint Francis Hospital Muskogee | Muskogee, OK | $66.35 | $165.88 | — | — |
| Saint Francis Hospital, Inc | Tulsa, OK | $66.35 | $165.88 | — | — |
| Saint Francis Hospital South, LLC | Tulsa, OK | $66.35 | $165.88 | — | — |
| Saint Francis Hospital Vinita, Inc | Vinita, OK | $66.35 | $165.88 | — | — |
| Russell Medical | Alexander City, AL | $67.68 | $188 | — | — |
| Riverside Medical Center | Franklinton, LA | $69 | $172.50 | — | — |
| Hancock County Hospital | Sneedville, TN | $69.23 | $301 | — | — |
| Jennie Stuart Health | Hopkinsville, KY | $69.44 | $224 | — | — |
| Tampa General Hospital | Tampa, FL | $69.65 | $199 | — | — |
| Mitchell County Hospital District | Colorado City, TX | $70 | $100 | — | — |
| Bristol Regional Medical Center | Bristol, TN | $70.35 | $469 | — | — |
| Holston Valley Medical Center | Kingsport, TN | $70.35 | $469 | — | — |
| Hawkins County Memorial Hospital | Rogersville, TN | $70.35 | $469 | — | — |
| Greeneville Community Hospital | Greeneville, TN | $70.35 | $469 | — | — |
| Parkland Memorial Hospital | Dallas, TX | $71.20 | $178 | — | — |
| Alamance Regional Medical Center | Burlington, NC | $72.38 | $190.48 | — | — |
| Cone Health Moses Cone Hospital | Greensboro, NC | $72.38 | $190.48 | — | — |
| Nacogdoches Medical Center | Nacogdoches, TX | $73.50 | $98 | — | — |
| Ochsner Lafayette General Medical Center | Lafayette, LA | $74.91 | $227 | — | — |
| Graham Regional Medical Center | Graham, TX | $75 | $75 | — | — |
| Community Hospital, Onaga and St. Marys Campus | Onaga, KS | $75 | $225 | — | — |
| Washington Regional Medical Center | Plymouth, NC | $75 | $150 | — | — |
| University Health System | San Antonio, TX | $75.75 | $303 | — | — |
| Atoka County Medical Center | Atoka, OK | $76 | $189 | — | — |
| ECU Health Bertie Hospital | Windsor, NC | $76.16 | $136 | — | — |
| Neshoba General | Philadelphia, MS | $80.50 | $115 | — | — |
| Allendale County Hospital | Fairfax, SC | $80.75 | $95 | — | — |
| UAB Medical West | Bessemer, AL | $81.75 | $109 | — | — |
| Northwest Florida Community Hospital | Chipley, FL | $83.20 | $104 | — | — |
| North Sunflower Medical Center | Ruleville, MS | $83.50 | $167 | — | — |
| North Runnels Hospital | Winters, TX | $85 | $122 | — | — |
| D.W. McMillan Memorial Hospital | Brewton, AL | $86.40 | $144 | — | — |
| Atmore Community Hospital | Atmore, AL | $86.40 | $144 | — | — |
| Ochsner University Hospital & Clinics | Lafayette, LA | $86.50 | $173 | — | — |
| Highland Hills Medical Center | Senatobia, MS | $86.50 | $173 | — | — |
| LaSalle General Hospital | Jena, LA | $87 | $145 | — | — |
| St. Francis Medical Center | Monroe, LA | $87.25 | $174.50 | — | — |
| Scotland County Hospital | Memphis, MO | $87.50 | $125 | — | — |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $88.02 | $303.50 | — | — |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $88.02 | $303.50 | — | — |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $88.02 | $303.50 | — | — |
| Denver Health Medical Center | Denver, CO | $89.20 | $254.83 | — | — |
| Taylor Regional Hospital | Campbellsville, KY | $89.75 | $179.50 | — | — |
| Swisher Memorial Hospital | Tulia, TX | $90 | $180 | — | — |
| Muleshoe Area Medical Center | Muleshoe, TX | $90 | $150 | — | — |
| Methodist Fremont Health | Fremont, NE | $90.28 | $244 | — | — |
| Bridgeport Hospital | Bridgeport, CT | $90.60 | $174.24 | — | — |
| Greenwich Hospital | Greenwich, CT | $90.60 | $174.24 | — | — |
| Crittenden Community Hospital | Marion, KY | $91.14 | $217 | — | — |
| Winkler County Memorial Hospital | Kermit, TX | $93.15 | $116.44 | — | — |
| Children's National Hospital | Washington, DC | $93.50 | $187 | — | — |
| Oklahoma Heart Hospital, LLC | Oklahoma City, OK | $93.63 | $267.51 | — | — |
| Oklahoma Heart Hospital South, LLC | Oklahoma City, OK | $93.63 | $267.51 | — | — |
| Iberia Medical Center | New Iberia, LA | $94.20 | $157 | — | — |
| Mangum Regional Medical Center | Mangum, OK | $96 | $200 | — | — |
| Chambers Memorial Hospital | Danville, AR | $96.56 | $193.12 | — | — |
| Hamilton Hospital | Olney, TX | $98 | $139.50 | — | — |
| Rolling Plains Memorial Hospital | Sweetwater, TX | $99 | $152 | — | — |
| Ochsner Rush Medical Center | Meridian, MS | $99.69 | $284.82 | — | — |
| Lamb Healthcare Center | Littlefield, TX | $100 | $250 | — | — |
| Choctaw Memorial Hospital | Hugo, OK | $100 | $200 | — | — |
| Haskell Regional Hospital, Inc | Stigler, OK | $100 | $181 | — | — |
| Izard Regional Hospital | Calico Rock, AR | $100 | $253.50 | — | — |
| Ozarks Community Hospital | Gravette, AR | $100 | $547 | — | — |
| Monroe Regional Hospital | Aberdeen, MS | $100 | $191 | — | — |
| Goodall Witcher Hospital | Clifton, TX | $101.50 | $145 | — | — |
| McLeod Health Dillon | Dillon, SC | $101.53 | $143 | — | — |
| McLeod Regional Medical Center | Florence, SC | $101.53 | $143 | — | — |
| McLeod Health Loris | Loris, SC | $101.53 | $143 | — | — |
| McLeod Health Cheraw | Cheraw, SC | $101.53 | $143 | — | — |
| McLeod Health Clarendon | Manning, SC | $101.53 | $143 | — | — |
| Yale New Haven Hospital | New Haven, CT | $102.80 | $174.24 | — | — |
| Covenant Hospital Plainview | Plainview, TX | $103.32 | $246 | — | — |
| Covenant Hospital Levelland | Levelland, TX | $103.32 | $246 | — | — |
| Knox County Hospital | Knox City, TX | $105 | $105 | — | — |
| Drumright Regional Hospital | Drumright, OK | $105 | $175 | — | — |
| OCH Regional Medical Center | Starkville, MS | $106.24 | $166 | — | — |
| Wellstar Mountain Lakes Medical Center | Clayton, GA | $106.80 | $267 | — | — |
| White Mountain Regional Medical Center | Springerville, AZ | $108.93 | $191.11 | — | — |
| Muenster Memorial Hospital | Muenster, TX | $109 | $145 | — | — |
| Starr County Memorial Hospital | Rio Grande City, TX | $110 | $110 | — | — |
| Eastland Memorial Hospital | Eastland, TX | $110 | $220 | — | — |
| Doctors Memorial Hospital | Bonifay, FL | $110.25 | $245 | — | — |
| Neosho Memorial Regional Medical Center | Chanute, KS | $110.27 | $147.02 | — | — |
| Gordon Memorial Hospital District | Gordon, NE | $111 | $111 | — | — |
| Cochran Memorial Hospital | Morton, TX | $112 | $112 | — | — |
| Edwards County Medical Center | Kinsley, KS | $112 | $140 | — | — |
| Dosher Memorial Hospital | Southport, NC | $112.12 | $224.24 | — | — |
| Tyler Holmes Memorial Hospital | Winona, MS | $113.25 | $151 | — | — |
| East Carroll Parish Hospital | Lake Providence, LA | $113.71 | $151.62 | — | — |
| Valley View Medical Center | Fort Mohave, AZ | $114 | $190 | — | — |
| Samaritan Hospital | Macon, MO | $115 | $144 | — | — |
| Prisma Health Oconee Memorial Hospital | Seneca, SC | $115.70 | $178 | — | — |
| Prisma Health Baptist Easley Hospital | Easley, SC | $115.70 | $178 | — | — |
| Prisma Health Richland Hospital | Columbia, SC | $115.70 | $178 | — | — |
| Prisma Health Greer Memorial Hospital | Greer, SC | $115.70 | $178 | — | — |
| Prisma Health Hillcrest Hospital | Simpsonville, SC | $115.70 | $178 | — | — |
| Prisma Health Laurens County Hospital | Clinton, SC | $115.70 | $178 | — | — |
| Prisma Health Tuomey Hospital | Sumter, SC | $115.70 | $178 | — | — |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | $115.70 | $178 | — | — |
| Prisma Health Baptist Hospital | Columbia, SC | $115.70 | $178 | — | — |
| Prisma Health Patewood Hospital | Greenville, SC | $115.70 | $178 | — | — |
| Prisma Health Baptist Parkridge Hospital | Columbia, SC | $115.70 | $178 | — | — |
| Whitesburg ARH Hospital | Whitesburg, KY | $115.80 | $193 | — | — |
| Hazard ARH Regional Medical Center | Hazard, KY | $115.80 | $193 | — | — |
| Paintsville ARH Hospital | Paintsville, KY | $115.80 | $193 | — | — |
| McDowell ARH Hospital | Mc Dowell, KY | $115.80 | $193 | — | — |
| Franklin Medical Center | Winnsboro, LA | $115.80 | $193 | — | — |
| T.J. Samson Community Hospital | Glasgow, KY | $116.35 | $179 | — | — |
| T.J. Health Columbia | Columbia, KY | $116.35 | $179 | — | — |
| West Feliciana Hospital | St. Francisville, LA | $116.94 | $194.89 | — | — |
| North Arkansas Regional Medical Center | Harrison, AR | $117.57 | $189.63 | — | — |
| Ward Memorial Hospital | Monahans, TX | $120 | $171 | — | — |
| Cordell Memorial Hospital | Cordell, OK | $120 | $150 | — | — |
| Pike County Memorial Hospital | Louisiana, MO | $120 | $150 | — | — |
| St. Bernards Medical Center | Jonesboro, AR | $120.25 | $185 | — | — |
| Bradley County Medical Center | Warren, AR | $123 | $246 | — | — |
| Harlan County Health System | Alma, NE | $124 | $155 | — | — |
| Okeene Municipal Hospital | Okeene, OK | $124 | $155 | — | — |
| Valley County Health System | Ord, NE | $126 | $140 | — | — |
| Lallie Kemp Regional Medical Center | Independence, LA | $128 | $213.33 | — | — |
| Phelps Health Hospital | Rolla, MO | $128.62 | $183.75 | — | — |
| Baxter Health | Mountain Home, AR | $129.78 | $216.30 | — | — |
| Methodist Healthcare Memphis Hospitals | Memphis, TN | $129.80 | $590 | — | — |
| Methodist Olive Branch Hospital | Olive Branch, MS | $129.80 | $590 | — | — |
| Southwest Arkansas Regional Medical Center | Hope, AR | $130 | $325 | — | — |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $132.26 | $240.48 | — | — |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $134.70 | $224.50 | — | — |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $134.70 | $224.50 | — | — |
| Tmc- Bonham Hospital | Bonham, TX | $135.30 | $449.90 | — | — |
| Atrium Health Cabarrus | Concord, NC | $136.48 | $272.95 | — | — |
| Atrium Health Cleveland | Shelby, NC | $136.48 | $272.95 | — | — |
| Atrium Health Anson | Wadesboro, NC | $136.48 | $272.95 | — | — |
| Atrium Health Pineville | Charlotte, NC | $136.48 | $272.95 | — | — |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $136.48 | $272.95 | — | — |
| Atrium Health Stanly | Albemarle, NC | $136.48 | $272.95 | — | — |
| Atrium Health Union | Monroe, NC | $136.48 | $272.95 | — | — |
| Atrium Health Lincoln | Lincolnton, NC | $136.48 | $272.95 | — | — |
| Atrium Health University City | Charlotte, NC | $136.48 | $272.95 | — | — |
| Boone Hospital Center | Columbia, MO | $136.80 | $228 | — | — |
| Conway Medical Center | Conway, SC | $137 | $137 | — | — |
| Sweeny Community Hospital | Sweeny, TX | $137.16 | $228.60 | — | — |
| Natchitoches Regional Medical Center | Natchitoches, LA | $137.20 | $343 | — | — |
| Kiowa County Memorial Hospital | Greensburg, KS | $137.70 | $162 | — | — |
| Hospital District #1 of Rice County | Lyons, KS | $138.75 | $185 | — | — |
| Fisher County Hospital District | Rotan, TX | $139 | $163 | — | — |
| JPS Health Network | Fort Worth, TX | $139.20 | $232 | — | — |
| Saint Luke's Hospital of Kansas City | Kansas City, MO | $139.80 | $233 | — | — |
| Ochsner American Legion Hospital | Jennings, LA | $139.86 | $333 | — | — |
| Kiowa District Hospital | Kiowa, KS | $140 | $175 | — | — |
| Calhoun-Liberty Hospital | Blountstown, FL | $142.45 | $203.50 | — | — |
| Coryell Memorial Hospital | Gatesville, TX | $143 | $238 | — | — |
| Nemours Children's Hospital, Delaware | Wilmington, DE | $144 | $144 | — | — |
| Nashville General Hospital | Nashville, TN | $144 | $240 | — | — |
| Our Lady of Lourdes Regional Medical Center | Lafayette, LA | $144 | $288 | — | — |
| Medina Regional Hospital | Hondo, TX | $144.18 | $160.20 | — | — |
| Mosaic Life Care at St. Joseph - Medical Center | St. Joseph, MO | $144.50 | $170 | — | — |
| Rockcastle Regional Hospital and Respiratory Care Center | Mount Vernon, KY | $145.16 | $191 | — | — |
| Girard Medical Center | Girard, KS | $145.80 | $243 | — | — |
| Plains Memorial Hospital | Dimmitt, TX | $147 | $196 | — | — |
| Kingman Regional Medical Center | Kingman, AZ | $147.70 | $422 | — | — |
| Harris Health | Houston, TX | $148 | $148 | — | — |
| Rush County Memorial Hospital | La Crosse, KS | $148.50 | $165 | — | — |
| ECU Health Chowan Hospital | Edenton, NC | $148.96 | $266 | — | — |
| Memorial Hospital & Manor | Bainbridge, GA | $149.45 | $213.50 | — | — |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $149.50 | $230 | — | — |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $149.50 | $230 | — | — |
| Cleveland Clinic Hospital | Weston, FL | $149.50 | $230 | — | — |
| Jewell County Hospital | Mankato, KS | $150 | $200 | — | — |
| Chicot Memorial Medical Center | Lake Village, AR | $150 | $150 | — | — |
| Ste. Genevieve County Memorial Hospital | Ste. Genevieve, MO | $151.50 | $303 | — | — |
| Lexington Regional Health Center | Lexington, NE | $152.16 | $158.50 | — | — |
| Atrium Health Floyd Medical Center | Rome, GA | $152.50 | $305 | — | — |
| Ellinwood District Hospital | Ellinwood, KS | $153 | $180 | — | — |
| Livingston Hospital | Salem, KY | $153.30 | $255.50 | — | — |
| Iron County Medical Center | Pilot Knob, MO | $154.80 | $172 | — | — |
| Wayne General Hospital | Waynesboro, MS | $155 | $155 | — | — |
| Howard University Hospital | Washington, DC | $155.18 | $193.98 | — | — |
| Great Plains Health | North Platte, NE | $156 | $260 | — | — |
| F W Huston Medical Center | Winchester, KS | $156 | $195 | — | — |
| Phillips County Health Systems | Phillipsburg, KS | $156.40 | $184 | — | — |
| Weisbrod Memorial County Hospital | Eads, CO | $157.20 | $262 | — | — |
| Seymour Hospital | Seymour, TX | $157.50 | $225 | — | — |
| Wilson Medical Center | Neodesha, KS | $157.50 | $210 | — | — |
| Prowers Medical Center | Lamar, CO | $158.40 | $264 | — | — |
| Lackey Memorial Hospital | Forest, MS | $159.35 | $159.35 | — | — |
| Grove Hill Rural Emergency Hospital | Grove Hill, AL | $159.60 | $266 | — | — |
| CHRISTUS St. Frances Cabrini Hospital | Alexandria, LA | $159.64 | $614 | — | — |
| Transylvania Regional Hospital | Brevard, NC | $161.86 | $161.86 | — | — |
| Golden Valley Memorial Healthcare | Clinton, MO | $162.23 | $270.39 | — | — |
| Crane County Hospital District | Crane, TX | $163.50 | $234 | — | — |
| CarolinaEast Medical Center | New Bern, NC | $163.80 | $273 | — | — |
| Vanderbilt University Hospital | Nashville, TN | $163.89 | $303.50 | — | — |
| Dimmit Regional Hospital | Carrizo Springs, TX | $165 | $275 | — | — |
| Arbuckle Memorial Hospital Authority | Sulphur, OK | $165.50 | $207 | — | — |
| St. Bernards Five Rivers Medical Center | Pocahontas, AR | $166.50 | $185 | — | — |
| Rangely District Hospital | Rangely, CO | $167.27 | $257.34 | — | — |
| Wayne County Hospital | Monticello, KY | $167.70 | $258 | — | — |
| Hansford County Hospital | Spearman, TX | $169 | $225 | — | — |
| Jasper Memorial Hospital | Monticello, GA | $169 | $338 | — | — |
| Baxter Health Fulton County Hospital | Salem, AR | $169.40 | $242 | — | — |
| Tallahatchie General Hospital | Charleston, MS | $169.40 | $193.50 | — | — |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $170 | $567 | — | — |
| Parkview Hospital | Wheeler, TX | $170 | $200 | — | — |
| Frio Regional Hospital | Pearsall, TX | $170 | $243 | — | — |
| Franklin County Memorial Hospital | Meadville, MS | $170 | $170 | — | — |
| Memorial Hospital | Seminole, TX | $170.10 | $243 | — | — |
| Satanta District Hospital, Clinics, & LTCU | Satanta, KS | $171 | $190 | — | — |
| UK St. Claire Regional Medical Center | Morehead, KY | $172.88 | $230.50 | — | — |
| Brown County Hospital | Ainsworth, NE | $173 | $230 | — | — |
| Owensboro Health Twin Lakes Medical Center | Leitchfield, KY | $173.33 | $266.66 | — | — |
| Ochsner Laird Hospital | Union, MS | $173.74 | $284.82 | — | — |
| Greeley County Health Services | Tribune, KS | $175 | $250 | — | — |
| Nevada Regional Medical Center | Nevada, MO | $175.50 | $390 | — | — |
| Spartanburg Medical Center | Spartanburg, SC | $175.50 | $292.50 | — | — |
| Cherokee Medical Center | Gaffney, SC | $175.50 | $292.50 | — | — |
| Pelham Medical Center | Greer, SC | $175.50 | $292.50 | — | — |
| Union Medical Center | Union, SC | $175.50 | $292.50 | — | — |
| Memorial Medical Center | Port Lavaca, TX | $175.70 | $251 | — | — |
| Delta Memorial Hospital | Dumas, AR | $176.42 | $220.53 | — | — |
| Freeman Hospital West | Joplin, MO | $177.90 | $296.50 | — | — |
| Rio Grande Hospital | Del Norte, CO | $177.96 | $237.28 | — | — |
| Ochsner Scott Regional | Morton, MS | $179.44 | $284.82 | — | — |
| Ottawa County Health Center | Minneapolis, KS | $180 | $180 | — | — |
| Henderson County Community Hospital | Lexington, TN | $180 | $450 | — | — |
| Haywood County Community Hospital | Brownsville, TN | $180 | $450 | — | — |
| Houston County Community Hospital | Erin, TN | $180 | $450 | — | — |
| Pemiscot Memorial Hospital | Hayti, MO | $181.30 | $259 | — | — |
| Memorial Hospital of Carbon County | Rawlins, WY | $181.88 | $242.50 | — | — |
| North Central Kansas Medical Center | Concordia, KS | $181.93 | $259.90 | — | — |
| Weatherford Regional Hospital, Inc of Weatherford | Weatherford, OK | $182.40 | $228 | — | — |
| Golden Plains Community Hospital | Borger, TX | $183.39 | $261.98 | — | — |
| Holton Community Hospital | Holton, KS | $186 | $248 | — | — |
| Lexington Medical Center | Lexington, NC | $187.50 | $375 | — | — |
| Dignity Health, Yavapai Regional Medical Center West | Prescott, AZ | $187.73 | $253 | — | — |
| Ashland Health Center | Ashland, KS | $188 | $235 | — | — |
| Monroe Surgical Hospital | Monroe, LA | $188.25 | $251 | — | — |
| Atrium Health Wake Forest Baptist Medical Center | Winston-Salem, NC | $188.50 | $377 | — | — |
| Pratt Regional Medical Center | Pratt, KS | $189 | $270 | — | — |
| Minneola District Hospital Nbr 2 | Minneola, KS | $189 | $270 | — | — |
| Throckmorton County Memorial Hospital | Throckmorton, TX | $190 | $190 | — | — |
| Ochiltree General Hospital | Perryton, TX | $190 | $272 | — | — |
| Ochsner Watkins Hospital | Quitman, MS | $190.83 | $284.82 | — | — |
| Norton County Hospital | Norton, KS | $191.10 | $273 | — | — |
| Chadron Hospital | Chadron, NE | $192 | $274 | — | — |
| Tippah County Hospital | Ripley, MS | $192.50 | $192.50 | — | — |
| Hot Springs County Memorial Hospital | Thermopolis, WY | $193 | $193 | — | — |
| Jackson Healthcare Center | Edna, TX | $194 | $243 | — | — |
| Nebraska Medical Center | Omaha, NE | $195 | $300 | — | — |
| Bellevue Medical Center | Bellevue, NE | $195 | $300 | — | — |
| Bayou Bend Health System | Franklin, LA | $196 | $280 | — | — |
| Regional Medical Center | Memphis, TN | $196.12 | $305.01 | — | — |
| Ochsner Stennis Hospital | De Kalb, MS | $196.53 | $284.82 | — | — |
| Rhea Medical Center | Dayton, TN | $197.20 | $290 | — | — |
| Muscogee (creek) Nation Medical Center | Okmulgee, OK | $198.85 | $331.41 | — | — |
| Patterson Health Center | Anthony, KS | $200 | $250 | — | — |
| Sharkey Issaquena Community Hospital | Rolling Fork, MS | $200 | $250 | — | — |
| TidalHealth Nanticoke | Seaford, DE | $201 | $201 | — | — |
| Hermann Area District Hospital | Hermann, MO | $202.65 | $337.75 | — | — |
| Henderson Community Hospital | Henderson, NE | $204 | $255 | — | — |
| Cheyenne County Hospital | St. Francis, KS | $204 | $240 | — | — |
| Southwest Medical Center | Liberal, KS | $204.80 | $256 | — | — |
| St. Luke's Hospital | Chesterfield, MO | $205.80 | $343 | — | — |
| Rio Grande Regional Hospital | Mcallen, TX | $206.85 | $206.85 | — | — |
| Titus Regional Medical Center | Mount Pleasant, TX | $207 | $345 | — | — |
| Garden County Health Services | Oshkosh, NE | $209 | $307 | — | — |
| Jefferson Community Health & Life | Fairbury, NE | $209.25 | $279 | — | — |
| Pawnee County Memorial Hospital | Pawnee City, NE | $210 | $262 | — | — |
| Rapides Regional Medical Center | Alexandria, LA | $212.89 | $212.89 | — | — |
| Ochsner Choctaw General | Butler, AL | $216.46 | $284.82 | — | — |
| Saunders Medical Center | Wahoo, NE | $218.25 | $291 | — | — |
| North Oaks Medical Center | Hammond, LA | $221.57 | $705 | — | — |
| Family Health West Hospital | Fruita, CO | $221.90 | $317 | — | — |
| Community Memorial Healthcare, Inc | Marysville, KS | $222.50 | $222.50 | — | — |
| Memorial Hospital | Aurora, NE | $225.60 | $235 | — | — |
| Fredonia Regional Hospital | Fredonia, KS | $226.65 | $226.65 | — | — |
| Dundy County Hospital | Benkelman, NE | $227.50 | $252.50 | — | — |
| Atrium Health Navicent The Medical Center | Macon, GA | $232.50 | $465 | — | — |
| Faith Health | Norfolk, NE | $234.75 | $375 | — | — |
| Sabetha Community Hospital | Sabetha, KS | $235 | $235 | — | — |
| Piggott Community Hospital | Piggott, AR | $235.90 | $337 | — | — |
| Morrill County Community Hospital | Bridgeport, NE | $237 | $252 | — | — |
| MedStar Washington Hospital Center | Washington, DC | $237.34 | $365.14 | — | — |
| Cozad Community Hospital | Cozad, NE | $238 | $264 | — | — |
| Mary Lanning Healthcare | Hastings, NE | $239.40 | $266 | — | — |
| Mercy Hospital St. Louis | St. Louis, MO | $242.45 | $373 | — | — |
| Mercy Hospital Washington | Washington, MO | $242.45 | $373 | — | — |
| Callaway District Hospital | Callaway, NE | $243 | $270 | — | — |
| Grisell Memorial Hospital | Ransom, KS | $243.05 | $255.84 | — | — |
| Freeman Neosho Hospital | Neosho, MO | $244.50 | $407.50 | — | — |
| Community Hospital | McCook, NE | $245.70 | $273 | — | — |
| Stanton County Hospital | Johnson, KS | $246.75 | $246.75 | — | — |
| West Holt Memorial Hospital | Atkinson, NE | $247 | $309 | — | — |
| Boone County Health Center | Albion, NE | $248 | $248 | — | — |
| Mcpherson Hospital Inc | Mcpherson, KS | $248.64 | $336 | — | — |
| Cleveland Area Hospital | Cleveland, OK | $248.80 | $311 | — | — |
| Putnam County Memorial Hospital | Unionville, MO | $249.22 | $249.22 | — | — |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $249.30 | $277 | — | — |
| SCK Health | Arkansas City, KS | $250 | $250 | — | — |
| Franklin County Memorial Hospital | Franklin, NE | $251 | $279 | — | — |
| Community Hospital – Fairfax | Fairfax, MO | $251 | $251 | — | — |
| Crook County Medical Services District | Sundance, WY | $251.02 | $334.70 | — | — |
| Sheridan Memorial Hospital | Sheridan, WY | $251.20 | $314 | — | — |
| Morton County Hospital | Elkhart, KS | $252 | $280 | — | — |
| Estes Park Medical Center | Estes Park, CO | $252.75 | $337 | — | — |
| Genoa Community Hospital | Genoa, NE | $253 | $281 | — | — |
| Hardtner Medical Center | Olla, LA | $253.94 | $317.43 | — | — |
| Gunnison Valley Hospital | Gunnison, CO | $254.15 | $299 | — | — |
| ECU Health Medical Center | Greenville, NC | $254.40 | $480 | — | — |
| Phelps Memorial Health Center | Holdrege, NE | $254.70 | $283 | — | — |
| Niobrara County Hospital District | Lusk, WY | $255.20 | $319 | — | — |
| Woman's Hospital | Baton Rouge, LA | $256 | $256 | — | — |
| Webster County Community Hospital | Red Cloud, NE | $257 | $271 | — | — |
| Osmond General Hospital | Osmond, NE | $257.50 | $257.50 | — | — |
| Cogdell Memorial Hospital | Snyder, TX | $258 | $258 | — | — |
| Self Regional Healthcare | Greenwood, SC | $258 | $430 | — | — |
| Edgefield County Healthcare | Edgefield, SC | $258 | $430 | — | — |
| Bellville Medical Center | Bellville, TX | $260 | $260 | — | — |
| Falls Community Hospital and Clinic | Marlin, TX | $260 | $325 | — | — |
| Cook Childrens Medical Center | Fort Worth, TX | $260.22 | $346.96 | — | — |
| Ellsworth County Medical Center | Ellsworth, KS | $262 | $262 | — | — |
| Friend Community Healthcare System | Friend, NE | $262.41 | $437.35 | — | — |
| Decatur Health | Oberlin, KS | $269.10 | $299 | — | — |
| DeSoto Regional Health System | Mansfield, LA | $269.50 | $385 | — | — |
| Lane County Hospital | Dighton, KS | $270 | $270 | — | — |
| Liberty Dayton Regional Medical Center | Liberty, TX | $271 | $387 | — | — |
| Cody Regional Health | Cody, WY | $271.15 | $319 | — | — |
| Niobrara Valley Hospital | Lynch, NE | $274 | $274 | — | — |
| Saint Francis Hospital | Hartford, CT | $275.55 | $501 | — | — |
| Kearney County Health Services | Minden, NE | $277 | $346 | — | — |
| Kimball Health Services | Kimball, NE | $279 | $279 | — | — |
| Charlotte Hungerford Hospital | Torrington, CT | $280 | $280 | — | — |
| Windham Hospital | Willimantic, CT | $280 | $280 | — | — |
| Hartford Hospital | Hartford, CT | $280 | $280 | — | — |
| The Hospital of Central Connecticut | New Britain, CT | $280 | $280 | — | — |
| Nemaha Valley Community Hospital | Seneca, KS | $281.70 | $313 | — | — |
| Rock County Hospital | Bassett, NE | $285 | $300 | — | — |
| Tri Valley Health System | Cambridge, NE | $286.20 | $318 | — | — |
| York General Health Care Services | York, NE | $287.75 | $287.75 | — | — |
| Wickenburg Community Hospital | Wickenburg, AZ | $288.60 | $444 | — | — |
| Pender Community Health | Pender, NE | $291 | $342 | — | — |
| Clay County Medical Center | Clay Center, KS | $294 | $294 | — | — |
| Mccamey Hospital | Mccamey, TX | $295 | $295 | — | — |
| Iraan General Hospital District | Iraan, TX | $296.50 | $424 | — | — |
| Sidney Regional Medical Center | Sidney, NE | $298 | $298 | — | — |
| Abbeville Area Medical Center | Abbeville, SC | $301 | $430 | — | — |
| Beatrice Community Hospital & Health Center, Inc | Beatrice, NE | $302 | $302 | — | — |
| Powell Valley Healthcare | Powell, WY | $303.79 | $357.40 | — | — |
| Brodstone Healthcare | Superior, NE | $307 | $323 | — | — |
| Montrose Regional Health | Montrose, CO | $309.75 | $413 | — | — |
| Lake Butler Hospital | Lake Butler, FL | $310.34 | $310.34 | — | — |
| Lake Charles Memorial Hospital | Lake Charles, LA | $315.90 | $526.50 | — | — |
| Val Verde Regional Medical Center | Del Rio, TX | $318.50 | $490 | — | — |
| Amberwell Hiawatha | Hiawatha, KS | $328 | $328 | — | — |
| Amberwell Atchison Association | Atchison, KS | $328 | $328 | — | — |
| Thayer County Health Services | Hebron, NE | $330 | $330 | — | — |
| Hamilton County Hospital | Syracuse, KS | $332.26 | $332.26 | — | — |
| Share Medical Center | Alva, OK | $334.56 | $514.71 | — | — |
| Jefferson Regional | Pine Bluff, AR | $341 | $341 | — | — |
| Johnson County Hospital | Tecumseh, NE | $343 | $343 | — | — |
| Perkins County Health Services | Grant, NE | $349 | $349 | — | — |
| Seiling Municipal Hospital | Seiling, OK | $353.14 | $175.20 | — | — |
| Cherry County Hospital | Valentine, NE | $353.30 | $353.30 | — | — |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $359 | $359 | — | — |
| Memorial Hospital of Sweetwater County | Rock Springs, WY | $376 | $376 | — | — |
| Refugio County Memorial Hospital | Refugio, TX | $379.40 | $474.25 | — | — |
| Holy Cross Hospital | Fort Lauderdale, FL | $384.15 | $591 | — | — |
| St. Helena Parish Hospital & Nursing Home | Greensburg, LA | $386 | $386 | — | — |
| St. John's Medical Center | Jackson, WY | $397.50 | $397.50 | — | — |
| South Lincoln Medical Center | Kemmerer, WY | $399 | $532 | — | — |
| Saint Francis Medical Center | Cape Girardeau, MO | $416 | $416 | — | — |
| Thibodaux Regional Health System | Thibodaux, LA | $491 | $491 | — | — |
| East Valley ER & Hospital | Gilbert, AZ | $492.75 | $1,095 | — | — |
| Alexandria Emergency Hospital | Alexandria, LA | $492.75 | $1,095 | — | — |
| HCA Houston Healthcare Southeast | Pasadena, TX | $498.11 | $498.11 | — | — |
| Chase County Community Hospital | Imperial, NE | $513 | $513 | — | — |
| Colquitt Regional Medical Center | Moultrie, GA | $520 | $520 | — | — |
| Emory University Hospital | Atlanta, GA | $557 | $557 | — | — |
| Emory Decatur Hospital | Decatur, GA | $557 | $557 | — | — |
| Emory University Hospital Midtown | Atlanta, GA | $557 | $557 | — | — |
| Emory Saint Joseph's Hospital | Atlanta, GA | $557 | $557 | — | — |
| Emory Hillandale Hospital | Lithonia, GA | $557 | $557 | — | — |
| Emory Johns Creek Hospital | Johns Creek, GA | $557 | $557 | — | — |
| Baytown Medical Center Lp | Baytown, TX | $559 | $559 | — | — |
| Sedgwick County Memorial Hospital | Julesburg, CO | $615 | $615 | — | — |
| Doctors Hosptal at Renaissance | Edinburg, TX | $853.86 | $853.86 | — | — |
| Crescent Medical Center Lancaster | Lancaster, TX | $1,081 | $1,663 | — | — |
| Jackson Memorial Hospital | Miami, FL | — | $73 | — | — |
| Holdenville General Hospital | Holdenville, OK | — | $136.50 | — | — |
| Cuero Regional Hospital | Cuero, TX | — | $186 | — | — |
| Valleywise Health Medical Center | Phoenix, AZ | — | $190 | — | — |
| Cameron Regional Medical Center | Cameron, MO | — | $198 | — | — |
| University of Texas M D Anderson Cancer Center | Houston, TX | — | $206 | — | — |
| Coffey County Hospital | Burlington, KS | — | $234.84 | — | — |
| Kearny County Hospital | Lakin, KS | — | $250 | — | — |
| Cobre Valley Regional Medical Center | Globe, AZ | — | $261.50 | — | — |
| Mount Graham Regional Medical Center | Safford, AZ | — | $264 | — | — |
| Pioneers Medical Center | Meeker, CO | — | $274 | — | — |
| Antelope Memorial Hospital | Neligh, NE | — | $276 | — | — |
| La Paz Regional Hospital | Parker, AZ | — | $285 | — | — |
| Candler County Hospital | Metter, GA | — | $311 | — | — |
| Mount San Rafael Hospital | Trinidad, CO | — | $314.50 | — | — |
| Phoenix Children’s Hospital – Thomas Campus | Phoenix, AZ | — | $330 | — | — |
| Altus Lumberton Hospital | Lumberton, TX | — | $559 | — | — |
“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 for this code.