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.
1220 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 |
|---|---|---|---|---|---|
| Atoka County Medical Center range across 3 matching MRF lines |
Atoka, OK | $8–$162 | $20–$404 | — | varies |
| United Hospital Center | Bridgeport, WV | $9.50 | $19 | — | — |
| Camden Clark Medical Center range across 2 matching MRF lines |
Parkersburg, WV | $9.50–$76.50 | $19–$153 | — | varies |
| Adventist Health Sonora range across 3 matching MRF lines |
Sonora, CA | $10.20–$43.69 | $60–$257 | — | varies |
| 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 | — | — |
| Morris Hospital & Healthcare Centers range across 2 matching MRF lines |
Morris, IL | $12.03–$54.14 | $50–$225 | — | varies |
| Lima Memorial Health System range across 2 matching MRF lines |
Lima, OH | $13.50–$193.50 | $15–$215 | — | varies |
| University Medical Center of El Paso range across 22 matching MRF lines |
El Paso, TX | $13.94–$43.48 | $69.72–$217.39 | — | varies |
| Memorial Medical Center range across 3 matching MRF lines |
Port Lavaca, TX | $14–$182.70 | $20–$261 | — | varies |
| Ellett Memorial Hospital range across 4 matching MRF lines |
Appleton City, MO | $15–$146.25 | $20–$195 | — | varies |
| Dolly Parton Children’s Hospital | Knoxville, TN | $15 | $25 | — | — |
| Adventist Health Lodi Memorial range across 3 matching MRF lines |
Lodi, CA | $16.73–$23.03 | $239–$329 | — | varies |
| University of Michigan Health - West | Wyoming, MI | $16.80 | $42 | — | — |
| St. Thomas More Hospital range across 3 matching MRF lines |
Canon City, CO | $17.32–$18.12 | $43.28–$45.30 | — | varies |
| Ward Memorial Hospital range across 3 matching MRF lines |
Monahans, TX | $18–$143 | $25–$204 | — | varies |
| Arkansas Children's Hospital range across 3 matching MRF lines |
Little Rock, AR | $18.45–$39.60 | $20.50–$44 | — | varies |
| Arkansas Children's Northwest range across 3 matching MRF lines |
Springdale, AR | $18.45–$39.60 | $20.50–$44 | — | varies |
| Sidney Health Center range across 4 matching MRF lines |
Sidney, MT | $18.58–$235.92 | $30–$381 | — | varies |
| Valor Health range across 4 matching MRF lines |
Emmett, ID | $19–$322.24 | $20–$339.20 | — | varies |
| Pioneers Memorial Healthcare District range across 2 matching MRF lines |
Brawley, CA | $19.69–$84.38 | $65.63–$187.50 | — | varies |
| Ringgold County Hospital range across 10 matching MRF lines |
Mount Ayr, IA | $19.80–$229.50 | $22–$255 | — | varies |
| Community Hospital of Anaconda range across 3 matching MRF lines |
Anaconda, MT | $19.95–$264.08 | $26.60–$352.10 | — | varies |
| Riverside Medical Center range across 2 matching MRF lines |
Franklinton, LA | $20–$118 | $50–$295 | — | varies |
| Children's Hospital of The King's Daughters | Norfolk, VA | $20.84 | $23.15 | — | — |
| MetroHealth System range across 3 matching MRF lines |
Cleveland, OH | $21–$119 | $60–$340 | — | varies |
| O'connor Hospital range across 2 matching MRF lines |
Delhi, NY | $23.22–$36.36 | $86–$134.65 | — | varies |
| Little Falls Hospital range across 2 matching MRF lines |
Little Falls, NY | $23.22–$74.57 | $86–$276.17 | — | varies |
| Cobleskill Regional Hospital range across 2 matching MRF lines |
Cobleskill, NY | $23.22–$37.72 | $86–$139.69 | — | varies |
| Lexington Regional Health Center range across 2 matching MRF lines |
Lexington, NE | $24–$280.32 | $25–$292 | — | varies |
| Cape Cod Hospital range across 2 matching MRF lines |
Hyannis, MA | $24.02–$24.74 | $56.51–$58.21 | — | varies |
| Adventist Health Castle range across 2 matching MRF lines |
Kailua, HI | $24.32–$32.96 | $76–$103 | — | varies |
| Oneida Health Hospital range across 2 matching MRF lines |
Oneida, NY | $24.67 | $158–$163 | — | — |
| Falmouth Hospital | Falmouth, MA | $24.74 | $58.21 | — | — |
| Mercy Health System Corp | Janesville, WI | $24.97 | $33.29 | — | — |
| Regions Hospital range across 2 matching MRF lines |
Saint Paul, MN | $25.48–$90.74 | $98–$349 | — | varies |
| Schuyler Hospital | Montour Falls, NY | $25.83 | $129.15 | — | — |
| Coalinga Regional Medical Center range across 2 matching MRF lines |
Coalinga, CA | $26.40–$189.60 | $44–$316 | — | varies |
| Adventist Health St. Helena range across 3 matching MRF lines |
Saint Helena, CA | $27.15–$44.70 | $181–$298 | — | varies |
| Waverly Health Center range across 5 matching MRF lines |
Waverly, IA | $27.56–$179.40 | $53–$345 | — | varies |
| Monroe County Hospital | Monroeville, AL | $28 | $70 | — | — |
| University of Michigan Health | Ann Arbor, MI | $29.20 | $73 | — | — |
| Steele Memorial Medical Center range across 4 matching MRF lines |
Salmon, ID | $30–$187.50 | $40–$250 | — | varies |
| Glendale Adventist Medical Center | Glendale, CA | $30 | $200 | — | — |
| Davis County Hospital range across 3 matching MRF lines |
Bloomfield, IA | $30–$242 | $30–$242 | — | varies |
| 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 | — | — |
| Indiana University Health Ball Memorial Hospital range across 4 matching MRF lines |
Muncie, IN | $31.41–$66.21 | $148–$312 | — | varies |
| Nicholas H Noyes Memorial Hospital | Dansville, NY | $32 | — | — | — |
| Aurelia Osborn Fox Memorial Hospital | Oneonta, NY | $32.04 | $118.65 | — | — |
| Mary Imogene Bassett Hospital | Cooperstown, NY | $32.19 | $119.22 | — | — |
| Saint Francis Hospital Muskogee range across 2 matching MRF lines |
Muskogee, OK | $32.30–$100.40 | $80.75–$251 | — | varies |
| Saint Francis Hospital, Inc range across 2 matching MRF lines |
Tulsa, OK | $32.30–$100.40 | $80.75–$251 | — | varies |
| Saint Francis Hospital South, LLC range across 2 matching MRF lines |
Tulsa, OK | $32.30–$100.40 | $80.75–$251 | — | varies |
| Saint Francis Hospital Vinita, Inc range across 2 matching MRF lines |
Vinita, OK | $32.30–$100.40 | $80.75–$251 | — | varies |
| Monadnock Community Hospital range across 2 matching MRF lines |
Peterborough, NH | $33–$96.60 | $55–$161 | — | varies |
| Barrett Hospital & Healthcare range across 2 matching MRF lines |
Dillon, MT | $33.25–$188.10 | $35–$198 | — | varies |
| Adventist Health White Memorial range across 2 matching MRF lines |
Los Angeles, CA | $33.48–$36 | $186–$200 | — | varies |
| Adventist Health White Memorial Montebello range across 2 matching MRF lines |
Montebello, CA | $33.48–$36 | $186–$200 | — | varies |
| West Feliciana Hospital range across 4 matching MRF lines |
St. Francisville, LA | $33.60–$133.67 | $56–$222.78 | — | varies |
| Star Valley Medical Center | Afton, WY | $34.30 | $49 | — | — |
| Trinity Hospital Twin City | Dennison, OH | $34.72 | $70 | — | — |
| Lutheran Kosciusko Hospital range across 8 matching MRF lines |
Warsaw, IN | $35.07–$47.46 | $167–$226 | — | varies |
| Adventist Health Bakersfield | Bakersfield, CA | $35.85 | $239 | — | — |
| Samaritan Hospital range across 2 matching MRF lines |
Macon, MO | $36–$194 | $45–$243 | — | varies |
| Lake Region Healthcare - Elbow Lake Hospital | Elbow Lake, MN | $36.20 | $57 | — | — |
| Adventist Health Tulare range across 2 matching MRF lines |
Tulare, CA | $36.29–$45.41 | $191–$239 | — | varies |
| Iu Health Bloomington Hospital range across 4 matching MRF lines |
Bloomington, IN | $36.44–$76.81 | $148–$312 | — | varies |
| Ochsner LSU Health - St. Mary Medical Center | Shreveport, LA | $36.68 | $131 | — | — |
| Indiana University Health Arnett Hospital range across 4 matching MRF lines |
Lafayette, IN | $36.99–$77.97 | $148–$312 | — | varies |
| University of Michigan Health - Sparrow Carson | Carson City, MI | $37.25 | $149 | — | — |
| University of Michigan Health - Sparrow Lansing | Lansing, MI | $37.25 | $149 | — | — |
| University of Michigan Health - Sparrow Clinton | Saint Johns, MI | $37.25 | $149 | — | — |
| University of Michigan Health - Sparrow Eaton | Charlotte, MI | $37.25 | $149 | — | — |
| University of Michigan Health - Sparrow Ionia | Ionia, MI | $37.25 | $149 | — | — |
| Elite Hospital Kingwood | Kingwood, TX | $37.50 | $75 | — | — |
| Madison County Health Care System range across 6 matching MRF lines |
Winterset, IA | $37.60–$243.20 | $47–$304 | — | varies |
| Cayuga Medical Center at Ithaca | Ithaca, NY | $37.80 | $189 | — | — |
| Elmhurst Memorial Hospital range across 2 matching MRF lines |
Elmhurst, IL | $38–$301 | $38–$301 | — | varies |
| Edward Hospital range across 2 matching MRF lines |
Naperville, IL | $38–$301 | $38–$301 | — | varies |
| Neshoba General range across 2 matching MRF lines |
Philadelphia, MS | $38.50–$122.50 | $55–$175 | — | varies |
| Rolling Plains Memorial Hospital range across 2 matching MRF lines |
Sweetwater, TX | $39–$159 | $60–$244 | — | varies |
| Redlands Community Hospital | Redlands, CA | $39.36 | $164 | — | — |
| Mountainview Medical Center range across 4 matching MRF lines |
White Sulphur Spring, MT | $40–$139.71 | $50–$174.64 | — | varies |
| Lutheran Downtown Hospital range across 6 matching MRF lines |
Fort Wayne, IN | $40.08–$46.08 | $167–$192 | — | varies |
| Bluffton Regional Medical Center range across 10 matching MRF lines |
Bluffton, IN | $40.08–$60.96 | $167–$254 | — | varies |
| Ochsner LSU Health - Academic Medical Center | Shreveport, LA | $40.61 | $131 | — | — |
| Trigg County Hospital range across 3 matching MRF lines |
Cadiz, KY | $41–$52.20 | $102.50–$130.50 | — | varies |
| SSM Health Saint Louis University Hospital | St. Louis, MO | $41.25 | $75 | — | — |
| Ochsner St. Martin Hospital range across 2 matching MRF lines |
Breaux Bridge, LA | $41.40–$68.10 | $138–$227 | — | varies |
| Indiana University Health range across 4 matching MRF lines |
Indianapolis, IN | $42.02–$88.58 | $148–$312 | — | varies |
| Indiana University Health Bedford Hospital range across 4 matching MRF lines |
Bedford, IN | $42.25–$89.08 | $148–$312 | — | varies |
| Arnot Ogden Medical Center | Elmira, NY | $42.81 | $214.03 | — | — |
| Ira Davenport Memorial Hospital | Bath, NY | $42.81 | $214.03 | — | — |
| Manning Regional Healthcare Center range across 3 matching MRF lines |
Manning, IA | $43.31–$168.27 | $61–$237 | — | varies |
| Rush Oak Park Hospital | Oak Park, IL | $44 | $88 | — | — |
| University Hospital – UMMC | Jackson, MS | $44.40 | $111 | — | — |
| UMMC Madison | Canton, MS | $44.40 | $111 | — | — |
| Dupont Hospital LLC range across 6 matching MRF lines |
Fort Wayne, IN | $45.09–$51.84 | $167–$192 | — | varies |
| The Orthopaedic Hospital of Lutheran Health Network range across 6 matching MRF lines |
Fort Wayne, IN | $45.09–$51.84 | $167–$192 | — | varies |
| OU Health University of Oklahoma Medical Center range across 4 matching MRF lines |
Oklahoma City, OK | $45.10–$78.50 | $451–$785 | — | varies |
| Adventist Health Hanford | Hanford, CA | $45.41 | $239 | — | — |
| Adventist Health Reedley range across 2 matching MRF lines |
Reedley, CA | $45.41–$48.83 | $239–$257 | — | varies |
| Indiana University Health White Memorial Hospital range across 4 matching MRF lines |
Monticello, IN | $46.15–$97.28 | $148–$312 | — | varies |
| Hedrick Medical Center | Chillicothe, MO | $46.80 | $78 | — | — |
| Perham Health range across 7 matching MRF lines |
Perham, MN | $46.80–$217.75 | $72–$335 | — | varies |
| Albany Medical Center Hospital | Albany, NY | $47 | $94 | — | — |
| Parkview Regional Medical Center | Fort Wayne, IN | $47.08 | $94.15 | — | — |
| Parkview Logansport Hospital, Inc | Logansport, IN | $47.08 | $94.15 | — | — |
| Lutheran Hospital of Indiana range across 9 matching MRF lines |
Fort Wayne, IN | $47.70–$76.20 | $159–$254 | — | varies |
| Adventist Health Ukiah Valley range across 2 matching MRF lines |
Ukiah, CA | $47.80–$51.40 | $239–$257 | — | varies |
| Benson Hospital | Benson, AZ | $48 | $100 | — | — |
| Community Memorial Hospital range across 4 matching MRF lines |
Cloquet, MN | $48–$192 | $75–$300 | — | varies |
| Meeker Memorial Hospital & Clinics range across 5 matching MRF lines |
Litchfield, MN | $48–$189.44 | $75–$296 | — | varies |
| Hardin Medical Center | Savannah, TN | $48.51 | $127 | — | — |
| Jefferson Healthcare range across 3 matching MRF lines |
Port Townsend, WA | $48.80–$256 | $61–$320 | — | varies |
| King’s Daughters Medical Center | Brookhaven, MS | $48.90 | $163 | — | — |
| Saint Anthony Hospital | Chicago, IL | $49.20 | $164 | — | — |
| Straub Benioff Medical Center | Honolulu, HI | $49.80 | $83 | — | — |
| CHI St. Gabriel's Hospital range across 3 matching MRF lines |
Little Falls, MN | $49.88–$201.26 | $86–$347 | — | varies |
| Glens Falls Hospital | Glens Falls, NY | $50 | $100 | — | — |
| Marietta Memorial Hospital | Marietta, OH | $51 | $85 | — | — |
| Selby General Hospital range across 3 matching MRF lines |
Marietta, OH | $51–$187.15 | $85–$311.91 | — | varies |
| 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 | — | — |
| Braxton County Memorial Hospital | Gassaway, WV | $51.50 | $103 | — | — |
| Windom Area Health | Windom, MN | $51.68 | $76 | — | — |
| Northwest Mississippi Regional Medical Center | Clarksdale, MS | $51.90 | $207.60 | — | — |
| Trinity Health Oakland Hospital | Pontiac, MI | $52 | $80 | — | — |
| Trinity Health Ann Arbor | Ypsilanti, MI | $52 | $80 | — | — |
| Chelsea Hospital | Chelsea, MI | $52 | $80 | — | — |
| UCHealth University of Colorado Hospital | Aurora, CO | $52.15 | $149 | — | — |
| Whitman Hospital & Medical Clinics range across 3 matching MRF lines |
Colfax, WA | $52.80–$262.40 | $66–$328 | — | varies |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | — | — |
| CHI St. Alexius Health Williston range across 2 matching MRF lines |
Williston, ND | $54.52–$164.72 | $94–$284 | — | varies |
| Prisma Health Blount Memorial Hospital | Maryville, TN | $55.18 | $178 | — | — |
| Indiana University Health Tipton Hospital Inc range across 4 matching MRF lines |
Tipton, IN | $55.74–$117.50 | $148–$312 | — | varies |
| Fallon Medical Complex Hospital range across 11 matching MRF lines |
Baker, MT | $56–$249 | $56–$249 | — | varies |
| Lake District Hospital range across 3 matching MRF lines |
Lakeview, OR | $56.10–$297.50 | $66–$350 | — | varies |
| CHI St. Francis Health range across 2 matching MRF lines |
Breckenridge, MN | $56.40–$170.40 | $94–$284 | — | varies |
| Adventist Health Howard Memorial range across 3 matching MRF lines |
Willits, CA | $56.40–$77.10 | $188–$257 | — | varies |
| Indiana University Health Paoli Hospital range across 4 matching MRF lines |
Paoli, IN | $56.79–$119.71 | $148–$312 | — | varies |
| Ingalls Memorial Hospital | Harvey, IL | $57 | $57 | — | — |
| Ozarks Healthcare | West Plains, MO | $58.11 | $116.21 | — | — |
| Eisenhower Medical Center | Rancho Mirage, CA | $58.41 | $177 | — | — |
| Winona Health range across 3 matching MRF lines |
Winona, MN | $58.52–$146.30 | $167.20–$418 | — | varies |
| Anderson County Hospital | Garnett, KS | $58.80 | $98 | — | — |
| Allen County Regional Hospital | Iola, KS | $58.80 | $98 | — | — |
| CHI St. Alexius Health Dickinson range across 2 matching MRF lines |
Dickinson, ND | $59.22–$178.92 | $94–$284 | — | varies |
| Indiana University Health Frankfort Inc range across 4 matching MRF lines |
Frankfort, IN | $59.76–$125.99 | $148–$312 | — | varies |
| Jefferson Medical Center | Ranson, WV | $60 | $120 | — | — |
| Acadia St. Landry Hospital | Church Point, LA | $60.13 | $80.17 | — | — |
| Medina Regional Hospital range across 4 matching MRF lines |
Hondo, TX | $60.15–$151.39 | $66.83–$168.21 | — | varies |
| Adventist Health Portland | Portland, OR | $60.16 | $188 | — | — |
| Potomac Valley Hospital | Keyser, WV | $60.50 | $121 | — | — |
| Westfield Memorial Hospital, Inc | Westfield, NY | $60.72 | $276 | — | — |
| Aiken Regional Medical Centers | Aiken, SC | $60.80 | $152 | — | — |
| Samaritan North Lincoln Hospital | Lincoln City, OR | $60.80 | $76 | — | — |
| Samaritan Pacific Community Hospital | Newport, OR | $60.80 | $76 | — | — |
| Samaritan Lebanon Community Hospital | Lebanon, OR | $60.80 | $76 | — | — |
| Mountrail County Medical Center Inc range across 3 matching MRF lines |
Stanley, ND | $61–$315 | $68–$350 | — | varies |
| OhioHealth O'Bleness Hospital | Athens, OH | $61.10 | $94 | — | — |
| Mississippi Baptist Medical Center | Jackson, MS | $61.11 | $291 | — | — |
| Martha's Vineyard Hospital range across 2 matching MRF lines |
Oak Bluffs, MA | $61.50–$189.75 | $82–$253 | — | varies |
| Southwest Health Center | Platteville, WI | $61.50 | $82 | — | — |
| WinnMed range across 2 matching MRF lines |
Decorah, IA | $61.60–$310.10 | $88–$443 | — | varies |
| Billings Clinic Broadwater range across 2 matching MRF lines |
Townsend, MT | $62–$182 | $62–$182 | — | varies |
| Ochsner Abrom Kaplan Memorial Hospital | Kaplan, LA | $62.10 | $138 | — | — |
| Adventist Health Delano | Delano, CA | $62.40 | $312 | — | — |
| Lawrence + Memorial Hospital | New London, CT | $62.73 | $174.24 | — | — |
| North Texas Medical Center | Gainesville, TX | $63 | $250 | — | — |
| Princeton Community Hospital range across 2 matching MRF lines |
Princeton, WV | $63–$64.50 | $126–$129 | — | varies |
| Thomas H Boyd Memorial Hospital | Carrollton, IL | $64 | $80 | — | — |
| Clarinda Regional Health Center range across 4 matching MRF lines |
Clarinda, IA | $64.31–$207.09 | $109–$351 | — | varies |
| CHI St. Vincent Morrilton | Morrilton, AR | $64.44 | $253 | — | — |
| Adventist Health Tehachapi Valley range across 2 matching MRF lines |
Tehachapi, CA | $64.53–$69.39 | $239–$257 | — | varies |
| Clark Fork Valley Hospital range across 4 matching MRF lines |
Plains, MT | $64.90–$237.90 | $64.90–$237.90 | — | varies |
| Ellis Hospital range across 10 matching MRF lines |
Schenectady, NY | $65–$179.50 | $130–$359 | — | varies |
| Franciscan Health Rensselaer, Inc | Rensselaer, IN | $65.87 | $184 | — | — |
| Iu Health Jay range across 4 matching MRF lines |
Portland, IN | $66.22–$139.59 | $148–$312 | — | varies |
| Adventist Health Tillamook range across 3 matching MRF lines |
Tillamook, OR | $66.42–$165.78 | $123–$307 | — | varies |
| Ochsner Rush Medical Center range across 2 matching MRF lines |
Meridian, MS | $66.79–$132.59 | $190.82–$378.82 | — | varies |
| Berkeley Medical Center range across 2 matching MRF lines |
Martinsburg, WV | $67–$73 | $134–$146 | — | varies |
| Central Montana Medical Center range across 2 matching MRF lines |
Lewistown, MT | $67.15–$181.90 | $79–$214 | — | varies |
| Glendale Mem Hospital & Hlth Center | Glendale, CA | $67.49 | $207 | — | — |
| Russell Medical | Alexander City, AL | $67.68 | $188 | — | — |
| Huggins Hospital | Wolfeboro, NH | $68.50 | $137 | — | — |
| Sauk Prairie Hospital range across 3 matching MRF lines |
Prairie Du Sac, WI | $68.93–$377.98 | $126–$691 | — | varies |
| 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 | — | — |
| Graham Regional Medical Center range across 2 matching MRF lines |
Graham, TX | $70–$80 | $70–$80 | — | varies |
| Wheeling Hospital range across 2 matching MRF lines |
Wheeling, WV | $70–$75.50 | $140–$151 | — | varies |
| Swedish Edmonds Campus | Edmonds, WA | $70.08 | $146 | — | — |
| 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 | — | — |
| Lonesome Pine Hospital | Big Stone Gap, VA | $70.35 | $469 | — | — |
| Brookings Health System | Brookings, SD | $70.50 | $141 | — | — |
| Parkland Memorial Hospital | Dallas, TX | $71.20 | $178 | — | — |
| Dayton Children's Hospital | Dayton, OH | $71.40 | $102 | — | — |
| Taylor Regional Hospital range across 2 matching MRF lines |
Campbellsville, KY | $71.50–$117 | $143–$234 | — | varies |
| Mercyhealth Fhn Hospital range across 2 matching MRF lines |
Freeport, IL | $72–$225.60 | $90–$282 | — | varies |
| Holland Hospital range across 2 matching MRF lines |
Holland, MI | $72–$165 | $120–$275 | — | varies |
| Alamance Regional Medical Center | Burlington, NC | $72.38 | $190.48 | — | — |
| Cone Health Moses Cone Hospital | Greensboro, NC | $72.38 | $190.48 | — | — |
| Boone Memorial Health range across 2 matching MRF lines |
Madison, WV | $72.50–$110.60 | $145–$158 | — | varies |
| North Central Kansas Medical Center range across 3 matching MRF lines |
Concordia, KS | $73.43–$202.02 | $104.90–$288.60 | — | varies |
| Nacogdoches Medical Center | Nacogdoches, TX | $73.50 | $98 | — | — |
| Hurley Medical Center range across 2 matching MRF lines |
Flint, MI | $74.25–$219 | $74.25–$219 | — | varies |
| Alice Peck Day Memorial Hospital range across 2 matching MRF lines |
Lebanon, NH | $74.38–$112.11 | $138–$208 | — | varies |
| Ochsner Lafayette General Medical Center | Lafayette, LA | $74.91 | $227 | — | — |
| Community Hospital, Onaga and St. Marys Campus | Onaga, KS | $75 | $225 | — | — |
| Washington Regional Medical Center | Plymouth, NC | $75 | $150 | — | — |
| Sarah Bush Lincoln Health Center range across 4 matching MRF lines |
Mattoon, IL | $75–$193 | $75–$193 | — | varies |
| Intermountain Health Utah Valley Hospital | Provo, UT | $75.33 | $100.44 | — | — |
| Intermountain Health Park City Hospital range across 2 matching MRF lines |
Park City, UT | $75.33–$197.03 | $100.44–$262.71 | — | varies |
| University Health System | San Antonio, TX | $75.75 | $303 | — | — |
| Lower Umpqua Hospital District range across 4 matching MRF lines |
Reedsport, OR | $75.98–$218 | $140.70–$403.70 | — | varies |
| ECU Health Bertie Hospital | Windsor, NC | $76.16 | $136 | — | — |
| Allendale County Hospital range across 2 matching MRF lines |
Fairfax, SC | $76.50–$85 | $90–$100 | — | varies |
| Bertrand Chaffee Hospital | Springville, NY | $76.50 | $90 | — | — |
| Aurora St. Lukes Medical Center range across 2 matching MRF lines |
Milwaukee, WI | $77.50–$347.50 | $155–$695 | — | varies |
| Northwest Health-la Porte range across 2 matching MRF lines |
La Porte, IN | $77.55–$124.08 | $235–$376 | — | varies |
| St. Francis Medical Center range across 2 matching MRF lines |
Monroe, LA | $78–$96.50 | $156–$193 | — | varies |
| Jackson General Hospital | Ripley, WV | $78 | $156 | — | — |
| Contra Costa Regional Medical Center range across 2 matching MRF lines |
Martinez, CA | $78–$193 | $78–$193 | — | varies |
| Buchanan General Hospital | Grundy, VA | $78.40 | $224 | — | — |
| United Hospital District range across 6 matching MRF lines |
Blue Earth, MN | $79.05–$263.50 | $93–$310 | — | varies |
| Bayside Community Hospital range across 2 matching MRF lines |
Anahuac, TX | $80–$241 | $80–$241 | — | varies |
| Richland Hospital range across 2 matching MRF lines |
Richland Center, WI | $80–$400 | $100–$500 | — | varies |
| Carthage Area Hospital | Carthage, NY | $80.48 | $268.28 | — | — |
| Rush Copley Medical Center | Aurora, IL | $80.50 | $161 | — | — |
| Rush University Medical Center | Chicago, IL | $80.50 | $161 | — | — |
| Wetzel County Hospital range across 3 matching MRF lines |
New Martinsville, WV | $81–$151.50 | $162–$303 | — | varies |
| Henry County Hospital, Inc range across 3 matching MRF lines |
Napoleon, OH | $81–$405 | $108–$540 | — | varies |
| UAB Medical West | Bessemer, AL | $81.75 | $109 | — | — |
| Berger Hospital | Circleville, OH | $81.90 | $126 | — | — |
| Mitchell County Regional Health range across 2 matching MRF lines |
Osage, IA | $82.35–$340.57 | $91.50–$378.41 | — | varies |
| East Carroll Parish Hospital range across 2 matching MRF lines |
Lake Providence, LA | $82.50–$144.92 | $110–$193.23 | — | varies |
| North Sunflower Medical Center range across 2 matching MRF lines |
Ruleville, MS | $82.50–$84.50 | $165–$169 | — | varies |
| J.W. Ruby Memorial Hospital range across 2 matching MRF lines |
Morgantown, WV | $82.50–$87.50 | $165–$175 | — | varies |
| Akron Children's Hospital range across 2 matching MRF lines |
Akron, OH | $82.50–$91.50 | $110–$122 | — | varies |
| Lincoln Hospital range across 2 matching MRF lines |
Davenport, WA | $82.89–$202.53 | $92.10–$225.03 | — | varies |
| St. Joseph's Hospital | Buckhannon, WV | $83 | $166 | — | — |
| Northwest Florida Community Hospital | Chipley, FL | $83.20 | $104 | — | — |
| Grady Memorial Hospital | Delaware, OH | $83.20 | $128 | — | — |
| Bon Secours Maryview Medical Center | Portsmouth, VA | $83.40 | $139 | — | — |
| Dukes Memorial Hospital range across 8 matching MRF lines |
Peru, IN | $83.50–$113 | $167–$226 | — | varies |
| Cochran Memorial Hospital range across 2 matching MRF lines |
Morton, TX | $84–$140 | $84–$140 | — | varies |
| Wynn Hospital range across 2 matching MRF lines |
Utica, NY | $84–$156.11 | $140–$260.18 | — | varies |
| Knoxville Hospital & Clinics range across 2 matching MRF lines |
Knoxville, IA | $84–$154.20 | $140–$257 | — | varies |
| Freeman Medical Center - Cah | Freeman, SD | $84.39 | $87 | — | — |
| North Runnels Hospital | Winters, TX | $85 | $122 | — | — |
| Barnesville Hospital range across 3 matching MRF lines |
Barnesville, OH | $85–$116.50 | $170–$233 | — | varies |
| St. Mary Medical Center range across 2 matching MRF lines |
Long Beach, CA | $85.14–$183.61 | $198–$427 | — | varies |
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | $85.15 | $131 | — | — |
| Saint Alphonsus Medical Center Ontario | Ontario, OR | $85.15 | $131 | — | — |
| Rockcastle Regional Hospital and Respiratory Care Center range across 2 matching MRF lines |
Mount Vernon, KY | $85.88–$204.44 | $113–$269 | — | varies |
| Crane County Hospital District range across 2 matching MRF lines |
Crane, TX | $86–$241 | $123–$345 | — | varies |
| D.W. McMillan Memorial Hospital | Brewton, AL | $86.40 | $144 | — | — |
| Atmore Community Hospital | Atmore, AL | $86.40 | $144 | — | — |
| Vanderbilt Bedford Hospital range across 2 matching MRF lines |
Shelbyville, TN | $86.42–$89.61 | $298–$309 | — | varies |
| Vanderbilt Tullahoma-Harton Hospital range across 2 matching MRF lines |
Tullahoma, TN | $86.42–$89.61 | $298–$309 | — | varies |
| Vanderbilt Wilson County Hospital range across 2 matching MRF lines |
Lebanon, TN | $86.42–$89.61 | $298–$309 | — | varies |
| Ochsner University Hospital & Clinics | Lafayette, LA | $86.50 | $173 | — | — |
| Highland Hills Medical Center | Senatobia, MS | $86.50 | $173 | — | — |
| St. Charles Madras range across 2 matching MRF lines |
Madras, OR | $86.82–$345.98 | $108.52–$432.48 | — | varies |
| LaSalle General Hospital | Jena, LA | $87 | $145 | — | — |
| Scotland County Hospital | Memphis, MO | $87.50 | $125 | — | — |
| Paulding County Hospital range across 2 matching MRF lines |
Paulding, OH | $87.55–$131.75 | $103–$155 | — | varies |
| St. Clare Hospital range across 2 matching MRF lines |
Lakewood, WA | $87.67–$163.16 | $304.14–$566.04 | — | varies |
| Mount Carmel St. Ann's | Westerville, OH | $87.75 | $135 | — | — |
| Mount Carmel East | Columbus, OH | $87.75 | $135 | — | — |
| Mount Carmel Dublin Hospital | Dublin, OH | $87.75 | $135 | — | — |
| Marion General Hospital | Marion, OH | $88.40 | $136 | — | — |
| OhioHealth Mansfield Hospital | Mansfield, OH | $88.40 | $136 | — | — |
| OhioHealth Shelby Hospital | Shelby, OH | $88.40 | $136 | — | — |
| Denver Health Medical Center | Denver, CO | $89.20 | $254.83 | — | — |
| Swisher Memorial Hospital | Tulia, TX | $90 | $180 | — | — |
| Muleshoe Area Medical Center | Muleshoe, TX | $90 | $150 | — | — |
| Thomas Memorial Hospital | South Charleston, WV | $90 | $180 | — | — |
| Desert View Hospital | Pahrump, NV | $90 | $226 | — | — |
| Mountains Community Hospital | Lake Arrowhead, CA | $90 | $225 | — | — |
| Grande Ronde Hospital range across 2 matching MRF lines |
La Grande, OR | $90–$236.19 | $150–$393.65 | — | varies |
| Methodist Fremont Health | Fremont, NE | $90.28 | $244 | — | — |
| Bridgeport Hospital | Bridgeport, CT | $90.60 | $174.24 | — | — |
| Greenwich Hospital | Greenwich, CT | $90.60 | $174.24 | — | — |
| Cuyuna Regional Medical Center range across 3 matching MRF lines |
Crosby, MN | $90.78–$182.24 | $267–$536 | — | varies |
| Ucsf Medical Center | San Francisco, CA | $90.90 | $303 | — | — |
| Crittenden Community Hospital | Marion, KY | $91.14 | $217 | — | — |
| Edgerton Hospital and Health Services range across 2 matching MRF lines |
Edgerton, WI | $91.25–$286.07 | $125–$391.87 | — | varies |
| Rio Grande Hospital range across 2 matching MRF lines |
Del Norte, CO | $91.40–$264.53 | $121.86–$352.71 | — | varies |
| Mangum Regional Medical Center | Mangum, OK | $92 | $200 | — | — |
| Rainy Lake Medical Center range across 4 matching MRF lines |
International Falls, MN | $92.12–$307.05 | $119.63–$398.76 | — | varies |
| St. Anthony Hospital range across 2 matching MRF lines |
Gig Harbor, WA | $92.51–$172.17 | $304.14–$566.04 | — | varies |
| Adventist Health Clearlake | Clearlake, CA | $92.52 | $257 | — | — |
| Westfields Hospital and Clinic range across 2 matching MRF lines |
New Richmond, WI | $92.58–$179.37 | $176–$341 | — | varies |
| St. Anne Hospital range across 2 matching MRF lines |
Burien, WA | $92.88–$172.85 | $304.14–$566.04 | — | varies |
| HealthAlliance-Clinton Hospital (Leominster and Clinton campuses) | Leominster, MA | $93 | $93 | — | — |
| Osf Little Company of Mary Medical Center range across 3 matching MRF lines |
Evergreen Park, IL | $93–$164.40 | $155–$274 | — | varies |
| Winkler County Memorial Hospital | Kermit, TX | $93.15 | $116.44 | — | — |
| Ridgecrest Regional Hospital | Ridgecrest, CA | $93.36 | $176.16 | — | — |
| 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 | — | — |
| Hamilton Hospital range across 2 matching MRF lines |
Olney, TX | $95–$101 | $135–$144 | — | varies |
| St. Francis Hospital range across 2 matching MRF lines |
Federal Way, WA | $95.45–$177.64 | $304.14–$566.04 | — | varies |
| Chambers Memorial Hospital | Danville, AR | $96.56 | $193.12 | — | — |
| Mosaic Life Care at St. Joseph - Medical Center range across 2 matching MRF lines |
St. Joseph, MO | $97.75–$191.25 | $115–$225 | — | varies |
| Spartanburg Medical Center range across 2 matching MRF lines |
Spartanburg, SC | $97.80–$253.20 | $163–$422 | — | varies |
| Cherokee Medical Center range across 2 matching MRF lines |
Gaffney, SC | $97.80–$253.20 | $163–$422 | — | varies |
| Pelham Medical Center range across 2 matching MRF lines |
Greer, SC | $97.80–$253.20 | $163–$422 | — | varies |
| Union Medical Center range across 2 matching MRF lines |
Union, SC | $97.80–$253.20 | $163–$422 | — | varies |
| Eaton Rapids Medical Center | Eaton Rapids, MI | $97.90 | $195.81 | — | — |
| Bear Valley Community Hospital | Big Bear Lake, CA | $99.40 | $142 | — | — |
| 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 range across 4 matching MRF lines |
Gravette, AR | $100 | $443–$651 | — | — |
| Monroe Regional Hospital range across 3 matching MRF lines |
Aberdeen, MS | $100–$191 | $181–$191 | — | varies |
| Ascension Calumet Hospital range across 3 matching MRF lines |
Chilton, WI | $100.32–$212.61 | $176–$373 | — | varies |
| Phelps Health Hospital range across 2 matching MRF lines |
Rolla, MO | $100.45–$156.80 | $143.50–$224 | — | varies |
| St. Joseph Medical Center range across 2 matching MRF lines |
Tacoma, WA | $100.74–$187.48 | $304.14–$566.04 | — | varies |
| Gundersen St. Josephs Hospital and Clinics | Hillsboro, WI | $100.99 | $192 | — | — |
| Saint Francis Medical Center range across 3 matching MRF lines |
Peoria, IL | $101.40–$144 | $169–$240 | — | varies |
| 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 | — | — |
| Drumright Regional Hospital range across 3 matching MRF lines |
Drumright, OK | $102–$105 | $170–$175 | — | varies |
| Summersville Regional Medical Center range across 2 matching MRF lines |
Summersville, WV | $102–$110 | $204–$220 | — | varies |
| Riverside Methodist Hospital | Columbus, OH | $102.70 | $158 | — | — |
| Grant Medical Center | Columbus, OH | $102.70 | $158 | — | — |
| Doctors Hospital | Columbus, OH | $102.70 | $158 | — | — |
| Dublin Methodist Hospital | Dublin, OH | $102.70 | $158 | — | — |
| Yale New Haven Hospital | New Haven, CT | $102.80 | $174.24 | — | — |
| Ucsf Benioff Children's Hospital Oakland | Oakland, CA | $102.90 | $343 | — | — |
| Humboldt Park Health | Chicago, IL | $102.90 | $367.50 | — | — |
| Covenant Hospital Plainview | Plainview, TX | $103.32 | $246 | — | — |
| Covenant Hospital Levelland | Levelland, TX | $103.32 | $246 | — | — |
| Knox County Hospital | Knox City, TX | $105 | $105 | — | — |
| Madera Community Hospital | Madera, CA | $105 | $175 | — | — |
| Oak Valley Hospital District | Oakdale, CA | $105.75 | $141 | — | — |
| OCH Regional Medical Center | Starkville, MS | $106.24 | $166 | — | — |
| Wellstar Mountain Lakes Medical Center | Clayton, GA | $106.80 | $267 | — | — |
| St. Elizabeth Hospital range across 2 matching MRF lines |
Enumclaw, WA | $107.48–$200.02 | $304.14–$566.04 | — | varies |
| Satanta District Hospital, Clinics, & LTCU range across 2 matching MRF lines |
Satanta, KS | $108–$171 | $120–$190 | — | varies |
| Weirton Medical Center | Weirton, WV | $108.50 | $217 | — | — |
| Floyd County Medical Center | Charles City, IA | $108.80 | $272 | — | — |
| Trinity Hospitals | Minot, ND | $108.80 | $136 | — | — |
| Kenmare Community Hospital | Kenmare, ND | $108.80 | $136 | — | — |
| Massac Memorial Hospital | Metropolis, IL | $108.87 | $155.53 | — | — |
| White Mountain Regional Medical Center | Springerville, AZ | $108.93 | $191.11 | — | — |
| Muenster Memorial Hospital | Muenster, TX | $109 | $145 | — | — |
| Oroville Hospital | Oroville, CA | $109 | $217 | — | — |
| Altru Hospital range across 5 matching MRF lines |
Grand Forks, ND | $109.19–$279.99 | $179–$459 | — | varies |
| Memorial Hospital & Manor range across 2 matching MRF lines |
Bainbridge, GA | $109.20–$189.70 | $156–$271 | — | varies |
| Nationwide Children's Hospital Toledo | Toledo, OH | $109.20 | $182 | — | — |
| Harrison Community Hospital range across 2 matching MRF lines |
Cadiz, OH | $109.50–$116.50 | $219–$233 | — | varies |
| Providence Redwood Memorial Hospital | Fortuna, CA | $109.65 | $215 | — | — |
| Concord Hospital range across 3 matching MRF lines |
Concord, NH | $109.80–$123.60 | $366–$412 | — | varies |
| Concord Hospital – Laconia range across 3 matching MRF lines |
Laconia, NH | $109.80–$123.60 | $366–$412 | — | varies |
| Concord Hospital – Franklin range across 3 matching MRF lines |
Franklin, NH | $109.80–$123.60 | $366–$412 | — | varies |
| 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 | — | — |
| MercyOne North Iowa Medical Center | Mason City, IA | $110.50 | $170 | — | — |
| Amery Hospital & Clinic range across 2 matching MRF lines |
Amery, WI | $110.54–$165.81 | $212–$318 | — | varies |
| F F Thompson Hospital | Canandaigua, NY | $111 | — | — | — |
| Dosher Memorial Hospital range across 2 matching MRF lines |
Southport, NC | $111.24–$113 | $222.48–$226 | — | varies |
| Edwards County Medical Center | Kinsley, KS | $112 | $140 | — | — |
| Memorial Healthcare | Owosso, MI | $112 | $140 | — | — |
| Gouverneur Hospital | Gouverneur, NY | $112.46 | $173.02 | — | — |
| Children's Hospital of Michigan range across 2 matching MRF lines |
Detroit, MI | $112.50–$134.25 | $150–$179 | — | varies |
| Bozeman Health Deaconess Regional Medical Center | Bozeman, MT | $112.80 | $141 | — | — |
| Tyler Holmes Memorial Hospital | Winona, MS | $113.25 | $151 | — | — |
| Kane County Hospital | Kanab, UT | $113.40 | $126 | — | — |
| Harrison County Hospital | Corydon, IN | $113.40 | $189 | — | — |
| UK St. Claire Regional Medical Center range across 2 matching MRF lines |
Morehead, KY | $114–$231.75 | $152–$309 | — | varies |
| Valley View Medical Center | Fort Mohave, AZ | $114 | $190 | — | — |
| 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 | — | — |
| Southeastern Medical Center | Cambridge, OH | $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 | — | — |
| Beckley ARH Hospital | Beckley, WV | $115.80 | $193 | — | — |
| Orchard Hospital | Gridley, CA | $116.09 | $193.49 | — | — |
| Rush Memorial Hospital | Rushville, IN | $116.21 | $154.94 | — | — |
| T.J. Samson Community Hospital | Glasgow, KY | $116.35 | $179 | — | — |
| T.J. Health Columbia | Columbia, KY | $116.35 | $179 | — | — |
| Ochsner Laird Hospital range across 2 matching MRF lines |
Union, MS | $116.40–$231.08 | $190.82–$378.82 | — | varies |
| Franklin Hospital range across 8 matching MRF lines |
Benton, IL | $116.63–$228.38 | $155.50–$304.50 | — | varies |
| Sturdy Memorial Hospital | Attleboro, MA | $116.80 | $238.36 | — | — |
| The Christ Hospital range across 2 matching MRF lines |
Cincinnati, OH | $117–$156 | $195–$260 | — | varies |
| Boston Medical Center Brighton | Brighton, MA | $117.01 | $260.03 | — | — |
| NYU Langone Hospitals | New York, NY | $117.09 | $616.27 | — | — |
| Mahaska Health Partnership range across 3 matching MRF lines |
Oskaloosa, IA | $117.30–$257.55 | $138–$303 | — | varies |
| North Arkansas Regional Medical Center | Harrison, AR | $117.57 | $189.63 | — | — |
| Jones Memorial Hospital | Wellsville, NY | $118 | — | — | — |
| Javon Bea Hospital | Rockford, IL | $118.57 | $158.09 | — | — |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San Diego, CA | $119.35 | $217 | — | — |
| Union Hospital | Dover, OH | $119.60 | $184 | — | — |
| Akron General | Akron, OH | $119.60 | $184 | — | — |
| Mercy Hospital | Canton, OH | $119.60 | $184 | — | — |
| Fairview Hospital | Cleveland, OH | $119.60 | $184 | — | — |
| Euclid Hospital | Euclid, OH | $119.60 | $184 | — | — |
| Lutheran Hospital | Cleveland, OH | $119.60 | $184 | — | — |
| Medina Hospital | Medina, OH | $119.60 | $184 | — | — |
| Marymount Hospital | Garfield Heights, OH | $119.60 | $184 | — | — |
| South Pointe Hospital | Warrensville Heights, OH | $119.60 | $184 | — | — |
| Cleveland Clinic | Cleveland, OH | $119.60 | $184 | — | — |
| Hillcrest Hospital | Mayfield Heights, OH | $119.60 | $184 | — | — |
| Cleveland Clinic Avon Hospital | Avon, OH | $119.60 | $184 | — | — |
| Sky Lakes Medical Center | Klamath Falls, OR | $119.62 | $159.50 | — | — |
| Hospital District #1 of Rice County range across 2 matching MRF lines |
Lyons, KS | $120–$157.50 | $160–$210 | — | varies |
| Cordell Memorial Hospital | Cordell, OK | $120 | $150 | — | — |
| Pike County Memorial Hospital | Louisiana, MO | $120 | $150 | — | — |
| Bay Area Hospital range across 2 matching MRF lines |
Coos Bay, OR | $120–$332.28 | $160–$443.04 | — | varies |
| Billings Clinic Hospital range across 2 matching MRF lines |
Billings, MT | $120–$238 | $120–$238 | — | varies |
| Ochsner Scott Regional range across 2 matching MRF lines |
Morton, MS | $120.22–$238.66 | $190.82–$378.82 | — | varies |
| St. Bernards Medical Center | Jonesboro, AR | $120.25 | $185 | — | — |
| Mercy Health - Defiance Hospital | Defiance, OH | $121.20 | $202 | — | — |
| Reynolds Memorial Hospital range across 2 matching MRF lines |
Glen Dale, WV | $121.50–$128 | $243–$256 | — | varies |
| Berkshire Medical Center | Pittsfield, MA | $121.60 | $128 | — | — |
| Fairview Hospital range across 3 matching MRF lines |
Great Barrington, MA | $121.60–$347.70 | $128–$366 | — | varies |
| North Adams Regional Hospital | North Adams, MA | $121.60 | $128 | — | — |
| Schneck Medical Center range across 7 matching MRF lines |
Seymour, IN | $121.80–$154 | $174–$220 | — | varies |
| OHSU Hospital and Clinics | Portland, OR | $122.20 | $188 | — | — |
| Hillsboro Medical Center | Hillsboro, OR | $122.20 | $188 | — | — |
| Sioux Center Health | Sioux Center, IA | $122.22 | $126 | — | — |
| Vandalia Health Broaddus Hospital | Philippi, WV | $122.43 | $174.90 | — | — |
| Bradley County Medical Center | Warren, AR | $123 | $246 | — | — |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) range across 3 matching MRF lines |
Fort Worth, TX | $123.90–$184.95 | $206.50–$308.25 | — | varies |
| Harlan County Health System | Alma, NE | $124 | $155 | — | — |
| Okeene Municipal Hospital | Okeene, OK | $124 | $155 | — | — |
| Broadlawns Medical Center range across 3 matching MRF lines |
Des Moines, IA | $124–$254 | $124–$254 | — | varies |
| Franklin County Memorial Hospital range across 3 matching MRF lines |
Meadville, MS | $125–$170 | $125–$170 | — | varies |
| Valley County Health System range across 6 matching MRF lines |
Ord, NE | $126–$208.80 | $140–$232 | — | varies |
| Lackey Memorial Hospital range across 2 matching MRF lines |
Forest, MS | $126.70–$192 | $126.70–$192 | — | varies |
| Massena Hospital | Massena, NY | $126.78 | $195.04 | — | — |
| Cibola General Hospital | Grants, NM | $126.90 | $158.62 | — | — |
| Sarah Bush Lincoln Fayette County Hospital range across 2 matching MRF lines |
Vandalia, IL | $127–$266.50 | $127–$266.50 | — | varies |
| River Hospital range across 2 matching MRF lines |
Alexandria Bay, NY | $127.45–$275.44 | $155–$335 | — | varies |
| Bath Community Hospital | Hot Springs, VA | $127.82 | $182.60 | — | — |
| Ochsner Watkins Hospital range across 2 matching MRF lines |
Quitman, MS | $127.85–$253.81 | $190.82–$378.82 | — | varies |
| San Juan Hospital | Monticello, UT | $127.94 | $182.77 | — | — |
| Lallie Kemp Regional Medical Center | Independence, LA | $128 | $213.33 | — | — |
| Community Memorial Hospital range across 2 matching MRF lines |
Burke, SD | $128.16–$242.08 | $180–$340 | — | varies |
| Canton-Potsdam Hospital | Potsdam, NY | $128.58 | $197.82 | — | — |
| Jefferson County Health Center | Fairfield, IA | $129 | $215 | — | — |
| Our Lady of Lourdes Memorial Hospital, Inc | Binghamton, NY | $129.20 | $258.40 | — | — |
| Atrium Health Cabarrus range across 2 matching MRF lines |
Concord, NC | $129.70–$143.25 | $259.40–$286.50 | — | varies |
| Atrium Health Cleveland range across 2 matching MRF lines |
Shelby, NC | $129.70–$143.25 | $259.40–$286.50 | — | varies |
| Atrium Health Anson range across 2 matching MRF lines |
Wadesboro, NC | $129.70–$143.25 | $259.40–$286.50 | — | varies |
| Atrium Health Pineville range across 2 matching MRF lines |
Charlotte, NC | $129.70–$143.25 | $259.40–$286.50 | — | varies |
| Atrium Health Carolinas Medical Center range across 2 matching MRF lines |
Charlotte, NC | $129.70–$143.25 | $259.40–$286.50 | — | varies |
| Atrium Health Stanly range across 2 matching MRF lines |
Albemarle, NC | $129.70–$143.25 | $259.40–$286.50 | — | varies |
| Atrium Health Union range across 2 matching MRF lines |
Monroe, NC | $129.70–$143.25 | $259.40–$286.50 | — | varies |
| Atrium Health Lincoln range across 2 matching MRF lines |
Lincolnton, NC | $129.70–$143.25 | $259.40–$286.50 | — | varies |
| Atrium Health University City range across 2 matching MRF lines |
Charlotte, NC | $129.70–$143.25 | $259.40–$286.50 | — | varies |
| 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 | — | — |
| St. Joseph's Medical Center | Yonkers, NY | $130.09 | $1,894 | — | — |
| Nassau University Medical Center range across 2 matching MRF lines |
East Meadow, NY | $130.39–$180.84 | $186.27–$258.34 | — | varies |
| Columbia Memorial Hospital range across 3 matching MRF lines |
Astoria, OR | $130.40–$264.80 | $163–$331 | — | varies |
| University of Illinois Hospital and Clinics | Chicago, IL | $130.50 | $435 | — | — |
| Natchitoches Regional Medical Center range across 4 matching MRF lines |
Natchitoches, LA | $130.80–$139.60 | $327–$349 | — | varies |
| University of California Davis Medical Center | Sacramento, CA | $131.07 | $327.68 | — | — |
| Ochsner Stennis Hospital range across 2 matching MRF lines |
De Kalb, MS | $131.67–$261.39 | $190.82–$378.82 | — | varies |
| Natividad Medical Center range across 2 matching MRF lines |
Salinas, CA | $132–$190 | $132–$190 | — | varies |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $132.26 | $240.48 | — | — |
| Witham Health Services | Lebanon, IN | $132.30 | $189 | — | — |
| Henderson County Community Hospital range across 2 matching MRF lines |
Lexington, TN | $132.83–$180 | $332.08–$450 | — | varies |
| Incline Village Community Hospital range across 2 matching MRF lines |
Incline Village, NV | $133–$416 | $133–$416 | — | varies |
| Tahoe Forest Hospital range across 2 matching MRF lines |
Truckee, CA | $133–$416 | $133–$416 | — | varies |
| Washington Regional Medical Center | Fayetteville, AR | $133.50 | $178 | — | — |
| The University of Toledo Medical Center | Toledo, OH | $133.80 | $223 | — | — |
| Great Plains Health range across 2 matching MRF lines |
North Platte, NE | $134–$178 | $224–$296 | — | varies |
| St. Michael Medical Center range across 2 matching MRF lines |
Silverdale, WA | $134.24–$249.83 | $304.14–$566.04 | — | varies |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $134.70 | $224.50 | — | — |
| Tippah County Hospital range across 2 matching MRF lines |
Ripley, MS | $135–$250 | $135–$250 | — | varies |
| Tmc- Bonham Hospital | Bonham, TX | $135.30 | $449.90 | — | — |
| Long Island Community Hospital | Patchogue, NY | $135.66 | $714 | — | — |
| Phillips County Health Systems range across 2 matching MRF lines |
Phillipsburg, KS | $136–$176.80 | $160–$208 | — | varies |
| Boone Hospital Center | Columbia, MO | $136.80 | $228 | — | — |
| Conway Medical Center | Conway, SC | $137 | $137 | — | — |
| Sweeny Community Hospital | Sweeny, TX | $137.16 | $228.60 | — | — |
| Sullivan County Community Hospital range across 2 matching MRF lines |
Sullivan, IN | $137.25–$204 | $183–$272 | — | varies |
| Gateway Regional Medical Center | Granite City, IL | $137.40 | $229 | — | — |
| Kiowa County Memorial Hospital | Greensburg, KS | $137.70 | $162 | — | — |
| University Hospitals Cleveland Medical Center | Cleveland, OH | $138 | $184 | — | — |
| UH Rainbow Babies & Children's Hospital | Cleveland, OH | $138 | $184 | — | — |
| Fisher County Hospital District | Rotan, TX | $139 | $163 | — | — |
| JPS Health Network | Fort Worth, TX | $139.20 | $232 | — | — |
| South Lincoln Medical Center range across 3 matching MRF lines |
Kemmerer, WY | $139.23–$819 | $185.64–$1,092 | — | varies |
| Marshfield Medical Center - Rice Lake | Rice Lake, WI | $139.65 | $147 | — | — |
| Marshfield Medical Center | Marshfield, WI | $139.65 | $147 | — | — |
| Marshfield Medical Center - Beaver Dam | Beaver Dam, WI | $139.65 | $147 | — | — |
| Marshfield Medical Center - Weston | Weston, WI | $139.65 | $147 | — | — |
| Marshfield Medical Center - Eau Claire | Eau Claire, WI | $139.65 | $147 | — | — |
| Marshfield Medical Center - Minocqua | Minocqua, WI | $139.65 | $147 | — | — |
| Marshfield Medical Center - Neillsville | Neillsville, WI | $139.65 | $147 | — | — |
| Marshfield Medical Center - Park Falls | Park Falls, WI | $139.65 | $147 | — | — |
| Marshfield Medical Center - Ladysmith | Ladysmith, WI | $139.65 | $147 | — | — |
| 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 | — | — |
| Munising Memorial Hospital | Munising, MI | $140 | $140 | — | — |
| Kingman Regional Medical Center range across 3 matching MRF lines |
Kingman, AZ | $140.70–$187.60 | $402–$536 | — | varies |
| Crouse Hospital | Syracuse, NY | $141 | $141 | — | — |
| Shenandoah Medical Center range across 2 matching MRF lines |
Shenandoah, IA | $141.70–$143.65 | $218–$221 | — | varies |
| Calhoun-Liberty Hospital | Blountstown, FL | $142.45 | $203.50 | — | — |
| Niagara Falls Memorial Medical Center range across 2 matching MRF lines |
Niagara Falls, NY | $142.60–$156.86 | $203.71–$224.08 | — | varies |
| Columbia Memorial Hospital | Hudson, NY | $143 | $286 | — | — |
| Lakewood Health System | Staples, MN | $143.84 | $232 | — | — |
| Nemours Children's Hospital, Delaware | Wilmington, DE | $144 | $144 | — | — |
| Iron County Medical Center range across 2 matching MRF lines |
Pilot Knob, MO | $144–$165.60 | $160–$184 | — | varies |
| Nashville General Hospital | Nashville, TN | $144 | $240 | — | — |
| Our Lady of Lourdes Regional Medical Center | Lafayette, LA | $144 | $288 | — | — |
| Heywood Hospital range across 3 matching MRF lines |
Gardner, MA | $144–$478 | $144–$478 | — | varies |
| Athol Hospital range across 2 matching MRF lines |
Athol, MA | $144–$335 | $144–$335 | — | varies |
| Hardin County General Hospital | Rosiclare, IL | $144 | $160 | — | — |
| Ochsner Choctaw General range across 2 matching MRF lines |
Butler, AL | $145.02–$287.90 | $190.82–$378.82 | — | varies |
| Memorial Hospital of Carbon County range across 2 matching MRF lines |
Rawlins, WY | $145.50–$218.25 | $194–$291 | — | varies |
| Prosser Memorial Health Hospital | Prosser, WA | $145.75 | $265 | — | — |
| Girard Medical Center | Girard, KS | $145.80 | $243 | — | — |
| Queen's North Hawaiʻi Community Hospital | Kamuela, HI | $146.30 | $209 | — | — |
| Plains Memorial Hospital | Dimmitt, TX | $147 | $196 | — | — |
| Iowa Specialty Hospital - Clarion range across 2 matching MRF lines |
Clarion, IA | $147–$177 | $245–$295 | — | varies |
| Harris Health | Houston, TX | $148 | $148 | — | — |
| McKenzie County Healthcare Systems Inc range across 3 matching MRF lines |
Watford City, ND | $148.20–$401.05 | $228–$617 | — | varies |
| Rush County Memorial Hospital | La Crosse, KS | $148.50 | $165 | — | — |
| Johnson Memorial Hospital range across 2 matching MRF lines |
Franklin, IN | $148.80–$149.36 | $186–$186.70 | — | varies |
| ECU Health Chowan Hospital | Edenton, NC | $148.96 | $266 | — | — |
| Rehoboth Mckinley Christian Health Care Services | Gallup, NM | $149 | $497 | — | — |
| 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 | — | — |
| Coryell Memorial Hospital | Gatesville, TX | $150 | $250 | — | — |
| Jewell County Hospital | Mankato, KS | $150 | $200 | — | — |
| Chicot Memorial Medical Center | Lake Village, AR | $150 | $150 | — | — |
| Valley Regional Hospital | Claremont, NH | $150.70 | $274 | — | — |
| Imperial Valley Health - El Centro Hospital | El Centro, CA | $151.20 | $216 | — | — |
| Ste. Genevieve County Memorial Hospital | Ste. Genevieve, MO | $151.50 | $303 | — | — |
| Hennepin County Medical Center range across 3 matching MRF lines |
Minneapolis, MN | $152.10–$208.35 | $338–$463 | — | varies |
| Atrium Health Floyd Medical Center | Rome, GA | $152.50 | $305 | — | — |
| Ellinwood District Hospital | Ellinwood, KS | $153 | $180 | — | — |
| Vandalia Health Davis Medical Center | Elkins, WV | $153.05 | $218.63 | — | — |
| Hardtner Medical Center range across 3 matching MRF lines |
Olla, LA | $153.60–$322.45 | $192–$403.06 | — | varies |
| Southwest General Health Center | Middleburg Heights, OH | $153.75 | $205 | — | — |
| New England Baptist Hospital | Boston, MA | $154 | $154 | — | — |
| Riverside Smithfield Hospital | Smithfield, VA | $154.57 | $309.13 | — | — |
| University of Cincinnati Medical Center, LLC range across 2 matching MRF lines |
Cincinnati, OH | $154.80–$156.60 | $258–$261 | — | varies |
| West Chester Hospital range across 2 matching MRF lines |
West Chester, OH | $154.80–$156.60 | $258–$261 | — | varies |
| Chadron Hospital range across 2 matching MRF lines |
Chadron, NE | $155–$223 | $221–$318 | — | varies |
| Wayne General Hospital | Waynesboro, MS | $155 | $155 | — | — |
| Howard University Hospital | Washington, DC | $155.18 | $193.98 | — | — |
| F W Huston Medical Center | Winchester, KS | $156 | $195 | — | — |
| Kern Valley Healthcare District range across 3 matching MRF lines |
Lake Isabella, CA | $156.56 | $432–$520 | — | — |
| University of WI Hospitals & Clinics Authority | Madison, WI | $157.20 | $262 | — | — |
| Van Wert Hospital | Van Wert, OH | $157.30 | $242 | — | — |
| Seymour Hospital | Seymour, TX | $157.50 | $225 | — | — |
| Wilson Medical Center | Neodesha, KS | $157.50 | $210 | — | — |
| Rosebud Health Care Center | Forsyth, MT | $157.50 | $157.50 | — | — |
| Cass County Memorial Hospital | Atlantic, IA | $157.50 | $225 | — | — |
| Intermountain Health Primary Children's Hospital | Salt Lake City, UT | $157.63 | $210.17 | — | — |
| Adventist Health Mendocino Coast range across 2 matching MRF lines |
Fort Bragg, CA | $157.74–$169.62 | $239–$257 | — | varies |
| Livingston Hospital | Salem, KY | $157.95 | $263.25 | — | — |
| Prowers Medical Center | Lamar, CO | $158.40 | $264 | — | — |
| Grove Hill Rural Emergency Hospital | Grove Hill, AL | $159.60 | $266 | — | — |
| Iroquois Memorial Hospital range across 2 matching MRF lines |
Watseka, IL | $159.60–$259 | $228–$370 | — | varies |
| CHRISTUS St. Frances Cabrini Hospital | Alexandria, LA | $159.64 | $614 | — | — |
| Gibson Community Hospital range across 2 matching MRF lines |
Gibson City, IL | $160–$303 | $160–$303 | — | varies |
| Healdsburg Hospital | Healdsburg, CA | $160.14 | $314 | — | — |
| Weisbrod Memorial County Hospital | Eads, CO | $160.20 | $267 | — | — |
| Vanderbilt University Hospital range across 2 matching MRF lines |
Nashville, TN | $160.92–$166.86 | $298–$309 | — | varies |
| Transylvania Regional Hospital | Brevard, NC | $161.86 | $161.86 | — | — |
| Black River Memorial Hospital | Black River Falls, WI | $162 | $180 | — | — |
| Golden Valley Memorial Healthcare | Clinton, MO | $162.23 | $270.39 | — | — |
| Arbuckle Memorial Hospital Authority range across 2 matching MRF lines |
Sulphur, OK | $163–$168 | $204–$210 | — | varies |
| Lakes Regional Healthcare | Spirit Lake, IA | $163.40 | $172 | — | — |
| CarolinaEast Medical Center | New Bern, NC | $163.80 | $273 | — | — |
| Providence Valdez Medical Center range across 3 matching MRF lines |
Valdez, AK | $163.80–$297.18 | $210–$381 | — | varies |
| Mackinac Straits Health System | Saint Ignace, MI | $163.80 | $273 | — | — |
| McKenzie Health System range across 2 matching MRF lines |
Sandusky, MI | $164–$164.80 | $205–$206 | — | varies |
| Cordova Community Medical Center range across 2 matching MRF lines |
Cordova, AK | $164.50–$255.50 | $329–$511 | — | varies |
| Wilbarger General Hospital | Vernon, TX | $165 | $275 | — | — |
| Dimmit Regional Hospital | Carrizo Springs, TX | $165 | $275 | — | — |
| Adventist Health Columbia Gorge | The Dalles, OR | $165.60 | $345 | — | — |
| Astria Toppenish Hospital | Toppenish, WA | $166.40 | $256 | — | — |
| St. Bernards Five Rivers Medical Center | Pocahontas, AR | $166.50 | $185 | — | — |
| Woodlawn Hospital | Rochester, IN | $167.25 | $223 | — | — |
| University Hospitals Samaritan Medical Center | Ashland, OH | $167.25 | $223 | — | — |
| University Hospitals Parma Medical Center | Parma, OH | $167.25 | $223 | — | — |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $167.25 | $223 | — | — |
| University Hospitals Portage Medical Center | Ravenna, OH | $167.25 | $223 | — | — |
| Lake Health | Concord, OH | $167.25 | $223 | — | — |
| University Hospitals St. John Medical Center | Westlake, OH | $167.25 | $223 | — | — |
| University Hospitals Elyria Medical Center | Elyria, OH | $167.25 | $223 | — | — |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $167.25 | $223 | — | — |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $167.25 | $223 | — | — |
| Rangely District Hospital | Rangely, CO | $167.27 | $257.34 | — | — |
| Wayne County Hospital | Monticello, KY | $167.70 | $258 | — | — |
| Salem Hospital | Salem, MA | $168 | $224 | — | — |
| Newton Wellesley Hospital | Newton, MA | $168 | $224 | — | — |
| UMass Memorial Medical Center | Worcester, MA | $168 | $168 | — | — |
| Washington County Hospital and Clinics | Washington, IA | $168 | $224 | — | — |
| Lake Chelan Health Hospital | Chelan, WA | $168.80 | $168.80 | — | — |
| St. Mary's Healthcare range across 2 matching MRF lines |
Amsterdam, NY | $168.83–$175.03 | $245–$254 | — | varies |
| Hansford County Hospital | Spearman, TX | $169 | $225 | — | — |
| Jasper Memorial Hospital | Monticello, GA | $169 | $338 | — | — |
| Mercy Medical Center - Cedar Rapids | Cedar Rapids, IA | $169.20 | $282 | — | — |
| Baxter Health Fulton County Hospital | Salem, AR | $169.40 | $242 | — | — |
| Tallahatchie General Hospital range across 2 matching MRF lines |
Charleston, MS | $169.40 | $145–$242 | — | — |
| Carlinville Area Hospital | Carlinville, IL | $169.40 | $242 | — | — |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $170 | $567 | — | — |
| Parkview Hospital | Wheeler, TX | $170 | $200 | — | — |
| Frio Regional Hospital | Pearsall, TX | $170 | $243 | — | — |
| Memorial Hospital | Seminole, TX | $170.10 | $243 | — | — |
| Klickitat Valley Health | Goldendale, WA | $170.88 | $356 | — | — |
| Glenn Medical Center | Willows, CA | $171.99 | $286.65 | — | — |
| Dundy County Hospital range across 2 matching MRF lines |
Benkelman, NE | $172–$305 | $191–$339 | — | varies |
| Owensboro Health Twin Lakes Medical Center | Leitchfield, KY | $173.33 | $266.66 | — | — |
| MercyOne Genesis Dewitt Medical Center | Dewitt, IA | $174.60 | $291 | — | — |
| MercyOne Genesis | Aledo, IL | $174.60 | $291 | — | — |
| Greeley County Health Services | Tribune, KS | $175 | $250 | — | — |
| Central Valley Medical Center - Cah | Nephi, UT | $175 | $175 | — | — |
| Blessing Hospital | Quincy, IL | $175.03 | $291.71 | — | — |
| Pipestone County Medical Center & Family Clinic Avera | Pipestone, MN | $175.45 | $175 | — | — |
| Nevada Regional Medical Center | Nevada, MO | $175.50 | $390 | — | — |
| Grant Memorial Hospital range across 2 matching MRF lines |
Petersburg, WV | $176–$184.80 | $220–$231 | — | varies |
| Delta Memorial Hospital | Dumas, AR | $176.42 | $220.53 | — | — |
| Mt Sinai Hospital Medical Center range across 2 matching MRF lines |
Chicago, IL | $176.74–$179.38 | $252.49–$256.25 | — | varies |
| Holy Cross Hospital range across 2 matching MRF lines |
Chicago, IL | $176.74–$179.38 | $252.49–$256.25 | — | varies |
| Iowa Specialty Hospital - Belmond | Belmond, IA | $177 | $295 | — | — |
| Freeman Hospital West | Joplin, MO | $177.90 | $296.50 | — | — |
| Pulaski Memorial Hospital | Winamac, IN | $178.15 | $254.50 | — | — |
| Ottawa County Health Center | Minneapolis, KS | $180 | $180 | — | — |
| Houston County Community Hospital | Erin, TN | $180 | $450 | — | — |
| Lahey Hospital & Medical Center | Burlington, MA | $180 | $180 | — | — |
| RiverView Health range across 2 matching MRF lines |
Crookston, MN | $180–$390.60 | $200–$434 | — | varies |
| Hazel Hawkins Memorial Hospital | Hollister, CA | $180 | $661.50 | — | — |
| Hancock Regional Hospital | Greenfield, IN | $180 | $225 | — | — |
| Nationwide Children's Hospital | Columbus, OH | $180 | $200 | — | — |
| Scheurer Health - Pigeon | Pigeon, MI | $180.05 | $277 | — | — |
| Mercy Medical Center | Merced, CA | $180.77 | $351 | — | — |
| Douglas County Memorial Hospital-cah | Armour, SD | $180.90 | $201 | — | — |
| Pemiscot Memorial Hospital | Hayti, MO | $181.30 | $259 | — | — |
| Hopedale Hospital | Hopedale, IL | $182 | $260 | — | — |
| Weatherford Regional Hospital, Inc of Weatherford | Weatherford, OK | $182.40 | $228 | — | — |
| Good Samaritan Regional Medical Center | Corvallis, OR | $182.40 | $228 | — | — |
| Samaritan Albany General Hospital | Albany, OR | $182.40 | $228 | — | — |
| Brown County Hospital | Ainsworth, NE | $183 | $244 | — | — |
| Dallas County Hospital | Perry, IA | $183 | $282 | — | — |
| Golden Plains Community Hospital | Borger, TX | $183.39 | $261.98 | — | — |
| Rooks County Health Center | Plainville, KS | $183.75 | $245 | — | — |
| North Canyon Medical Center range across 2 matching MRF lines |
Gooding, ID | $184–$232 | $230–$290 | — | varies |
| Lowell General Hospital | Lowell, MA | $184.80 | $264 | — | — |
| Fairfield Memorial Hospital 1 | Fairfield, IL | $184.80 | $231 | — | — |
| Community Memorial Healthcare, Inc range across 2 matching MRF lines |
Marysville, KS | $185–$260 | $185–$260 | — | varies |
| Hardin Memorial Hospital | Kenton, OH | $185.90 | $286 | — | — |
| Holton Community Hospital | Holton, KS | $186 | $248 | — | — |
| Avera Holy Family Hospital | Estherville, IA | $187.21 | $193 | — | — |
| Lexington Medical Center | Lexington, NC | $187.50 | $375 | — | — |
| MelroseWakefield Hospital | Melrose, MA | $187.60 | $268 | — | — |
| Dignity Health, Yavapai Regional Medical Center West | Prescott, AZ | $187.73 | $253 | — | — |
| Adirondack Medical Center - Saranac Lake | Saranac Lake, NY | $187.86 | $303 | — | — |
| Olivia Hospital & Clinic | Olivia, MN | $187.88 | $308 | — | — |
| 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 | — | — |
| ThedaCare Regional Medical Center - Neenah Inc range across 2 matching MRF lines |
Neenah, WI | $188.66–$251.44 | $336.90–$449 | — | varies |
| ThedaCare Regional Medical Center - Appleton Inc range across 2 matching MRF lines |
Appleton, WI | $188.66–$251.44 | $336.90–$449 | — | varies |
| ThedaCare Medical Center - Wild Rose Inc range across 2 matching MRF lines |
Wild Rose, WI | $188.66–$251.44 | $336.90–$449 | — | varies |
| ThedaCare Medical Center New London range across 2 matching MRF lines |
New London, WI | $188.66–$251.44 | $336.90–$449 | — | varies |
| ThedaCare Medical Center - Waupaca Inc range across 2 matching MRF lines |
Waupaca, WI | $188.66–$251.44 | $336.90–$449 | — | varies |
| ThedaCare Medical Center - Shawano Inc range across 2 matching MRF lines |
Shawano, WI | $188.66–$251.44 | $336.90–$449 | — | varies |
| ThedaCare Medical Center - Berlin Inc range across 2 matching MRF lines |
Berlin, WI | $188.66–$251.44 | $336.90–$449 | — | varies |
| 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 | — | — |
| Frisbie Memorial Hospital | Rochester, NH | $190 | $190 | — | — |
| BronxCare Hospital Center range across 2 matching MRF lines |
Bronx, NY | $190–$373 | $190–$373 | — | varies |
| Dahl Memorial Healthcare Association Inc | Ekalaka, MT | $190.19 | $190.19 | — | — |
| Norton County Hospital | Norton, KS | $191.10 | $273 | — | — |
| Providence St. Joseph Medical Center range across 3 matching MRF lines |
Polson, MT | $191.20–$193.60 | $239–$242 | — | varies |
| Mary Rutan Health | Bellefontaine, OH | $192 | $240 | — | — |
| Helen Newberry Joy Hospital | Newberry, MI | $193.10 | $306.50 | — | — |
| Jackson Healthcare Center | Edna, TX | $194 | $243 | — | — |
| Nebraska Medical Center | Omaha, NE | $195 | $300 | — | — |
| Bellevue Medical Center | Bellevue, NE | $195 | $300 | — | — |
| Garfield County Memorial Hospital | Pomeroy, WA | $195.50 | $230 | — | — |
| MercyOne Elkader Medical Center | Elkader, IA | $195.65 | $301 | — | — |
| MercyOne New Hampton Medical Center | New Hampton, IA | $195.65 | $301 | — | — |
| Bayou Bend Health System | Franklin, LA | $196 | $280 | — | — |
| Regional Medical Center range across 6 matching MRF lines |
Memphis, TN | $196.12–$196.12 | $305.01 | — | varies |
| Orange City Area Health System | Orange City, IA | $196.80 | $246 | — | — |
| Cassia Regional Hospital | Burley, ID | $197.03 | $262.71 | — | — |
| Intermountain Health Cedar City Hospital | Cedar City, UT | $197.03 | $262.71 | — | — |
| Intermountain Health Logan Regional Hospital | Logan, UT | $197.03 | $262.71 | — | — |
| Intermountain Health St. George Regional Hospital | St. George, UT | $197.03 | $262.71 | — | — |
| Intermountain Health Sevier Valley Hospital | Richfield, UT | $197.03 | $262.71 | — | — |
| Intermountain Health Bear River Valley Hospital | Tremonton, UT | $197.03 | $262.71 | — | — |
| Intermountain Health Delta Community Hospital | Delta, UT | $197.03 | $262.71 | — | — |
| Intermountain Health Fillmore Community Hospital | Fillmore, UT | $197.03 | $262.71 | — | — |
| Intermountain Health Sanpete Valley Hospital | Mount Pleasant, UT | $197.03 | $262.71 | — | — |
| Intermountain Health Heber Valley Hospital | Heber City, UT | $197.03 | $262.71 | — | — |
| Intermountain Health Garfield Memorial Hospital | Panguitch, UT | $197.03 | $262.71 | — | — |
| Montgomery General Hospital | Montgomery, WV | $197.18 | $262.91 | — | — |
| Rhea Medical Center | Dayton, TN | $197.20 | $290 | — | — |
| Rome Memorial Hospital, Inc | Rome, NY | $198.22 | $491 | — | — |
| Logan Health - Chester | Chester, MT | $198.74 | $305.75 | — | — |
| Muscogee (creek) Nation Medical Center | Okmulgee, OK | $198.85 | $331.41 | — | — |
| Artesia General Hospital | Artesia, NM | $199.20 | $332 | — | — |
| Hermann Area District Hospital range across 2 matching MRF lines |
Hermann, MO | $199.80–$205.50 | $333–$342.50 | — | varies |
| Patterson Health Center | Anthony, KS | $200 | $250 | — | — |
| Sharkey Issaquena Community Hospital | Rolling Fork, MS | $200 | $250 | — | — |
| CCM Health | Montevideo, MN | $200.20 | $308 | — | — |
| TidalHealth Nanticoke | Seaford, DE | $201 | $201 | — | — |
| Freeman Neosho Hospital range across 2 matching MRF lines |
Neosho, MO | $201–$288 | $335–$480 | — | varies |
| Fred Hutch Cancer Center | Seattle, WA | $201.24 | $223.60 | — | — |
| Coteau Des Prairies Health Care System | Sisseton, SD | $202 | $202 | — | — |
| Guthrie Cortland Regional Medical Center | Cortland, NY | $202.27 | $252.84 | — | — |
| Corning Hospital | Corning, NY | $202.27 | $252.84 | — | — |
| Rio Grande Regional Hospital range across 2 matching MRF lines |
Mcallen, TX | $202.65–$211.05 | $202.65–$211.05 | — | varies |
| Harbor Regional Health Community Hospital | Aberdeen, WA | $202.80 | $312 | — | — |
| Henderson Community Hospital | Henderson, NE | $204 | $255 | — | — |
| Cheyenne County Hospital range across 2 matching MRF lines |
St. Francis, KS | $204 | $234–$240 | — | — |
| Lucas County Health Center | Chariton, IA | $204.30 | $227 | — | — |
| Marshall Browning Hospital | Du Quoin, IL | $204.40 | $292 | — | — |
| St. Luke's Hospital range across 2 matching MRF lines |
Chesterfield, MO | $204.60–$207 | $341–$345 | — | varies |
| Southwest Medical Center | Liberal, KS | $204.80 | $256 | — | — |
| Beth Israel Deaconess Medical Center | Boston, MA | $205 | $205 | — | — |
| Arbor Health—Morton Hospital | Morton, WA | $205.22 | $331 | — | — |
| Morrison Community Hospital range across 2 matching MRF lines |
Morrison, IL | $206–$315.75 | $206–$315.75 | — | varies |
| Republic County Hospital | Belleville, KS | $206.25 | $275 | — | — |
| Adair County Memorial Hospital range across 2 matching MRF lines |
Greenfield, IA | $206.25–$296.25 | $275–$395 | — | varies |
| Titus Regional Medical Center | Mount Pleasant, TX | $207 | $345 | — | — |
| Stevens Community Medical Center Inc | Morris, MN | $208.50 | $278 | — | — |
| Garden County Health Services | Oshkosh, NE | $209 | $307 | — | — |
| Jersey Community Hospital | Jerseyville, IL | $209 | $209 | — | — |
| Jefferson Community Health & Life | Fairbury, NE | $209.25 | $279 | — | — |
| Munson Healthcare Cadillac Hospital | Cadillac, MI | $209.95 | $247 | — | — |
| Pawnee County Memorial Hospital | Pawnee City, NE | $210 | $262 | — | — |
| Knox Community Hospital | Mount Vernon, OH | $210.40 | $263 | — | — |
| Sistersville General Hospital | Sistersville, WV | $210.43 | $350.72 | — | — |
| Faulkton Area Medical Center | Faulkton, SD | $210.43 | $233.81 | — | — |
| Coquille Valley Hospital | Coquille, OR | $210.53 | $300.76 | — | — |
| Hancock County Health System | Britt, IA | $210.75 | $281 | — | — |
| Trinity Hospital range across 3 matching MRF lines |
Weaverville, CA | $211.50 | $411–$423 | — | — |
| Veterans Memorial Hospital | Waukon, IA | $212.04 | $372 | — | — |
| Hutchinson Health | Hutchinson, MN | $212.52 | $462 | — | — |
| Rapides Regional Medical Center | Alexandria, LA | $212.89 | $212.89 | — | — |
| Northern Rockies Medical Center | Cut Bank, MT | $213.04 | $327.75 | — | — |
| Mammoth Hospital | Mammoth Lakes, CA | $213.50 | $305 | — | — |
| Bon Secours St. Mary's Hospital | Richmond, VA | $213.60 | $356 | — | — |
| Bon Secours St. Francis Medical Center | Midlothian, VA | $213.60 | $356 | — | — |
| Sierra View Medical Center range across 3 matching MRF lines |
Porterville, CA | $216.30–$314.37 | $309–$449.10 | — | varies |
| Dana-Farber Cancer Institute range across 4 matching MRF lines |
Boston, MA | $216.75–$590.25 | $289–$787 | — | varies |
| Washington County Hospital | Nashville, IL | $216.80 | $271 | — | — |
| Avera Granite Falls | Granite Falls, MN | $217.28 | $224 | — | — |
| Lost Rivers Medical Center | Arco, ID | $217.60 | $272 | — | — |
| Corewell Health Dearborn Hospital | Dearborn, MI | $218 | $218 | — | — |
| McLaren Bay Region | Bay City, MI | $218 | $436 | — | — |
| McLaren Central Michigan | Mount Pleasant, MI | $218 | $436 | — | — |
| Corewell Health Beaumont Grosse Pointe Hospital | Grosse Pointe, MI | $218 | $218 | — | — |
| McLaren Northern Michigan | Petoskey, MI | $218 | $436 | — | — |
| Corewell Health William Beaumont University Hospital | Royal Oak, MI | $218 | $218 | — | — |
| McLaren Flint | Flint, MI | $218 | $436 | — | — |
| Corewell Health Wayne Hospital | Wayne, MI | $218 | $218 | — | — |
| Corewell Health Farmington Hills Hospital | Farmington Hills, MI | $218 | $218 | — | — |
| McLaren Greater Lansing | Lansing, MI | $218 | $436 | — | — |
| Corewell Health Trenton Hospital | Trenton, MI | $218 | $218 | — | — |
| McLaren Lapeer Region | Lapeer, MI | $218 | $436 | — | — |
| McLaren Oakland | Pontiac, MI | $218 | $436 | — | — |
| McLaren Port Huron | Port Huron, MI | $218 | $436 | — | — |
| McLaren Macomb | Mount Clemens, MI | $218 | $436 | — | — |
| Corewell Health Beaumont Troy Hospital | Troy, MI | $218 | $218 | — | — |
| Corewell Health Taylor Hospital | Taylor, MI | $218 | $218 | — | — |
| McLaren Caro Region | Caro, MI | $218 | $436 | — | — |
| McLaren Thumb Region | Bad Axe, MI | $218 | $436 | — | — |
| Saunders Medical Center | Wahoo, NE | $218.25 | $291 | — | — |
| Ridgeview Medical Center | Waconia, MN | $218.54 | $446 | — | — |
| Decatur County Hospital | Leon, IA | $219.20 | $274 | — | — |
| Logan Health - Shelby | Shelby, MT | $219.54 | $337.75 | — | — |
| George L Mee Memorial Hospital range across 3 matching MRF lines |
King City, CA | $219.75–$228.75 | $293–$305 | — | varies |
| Henry County Memorial Hospital range across 2 matching MRF lines |
New Castle, IN | $220.43–$277.41 | $314.90–$396.30 | — | varies |
| Cambridge Health Alliance | Cambridge, MA | $221 | $221 | — | — |
| North Oaks Medical Center | Hammond, LA | $221.57 | $705 | — | — |
| Family Health West Hospital | Fruita, CO | $221.90 | $317 | — | — |
| Corewell Health Zeeland Hospital | Zeeland, MI | $223 | $223 | — | — |
| Corewell Health Greenville | Greenville, MI | $223 | $223 | — | — |
| Corewell Health Big Rapids Hospital | Big Rapids, MI | $223 | $223 | — | — |
| Corewell Health Ludington Hospital | Ludington, MI | $223 | $223 | — | — |
| Corewell Health Reed City Hospital | Reed City, MI | $223 | $223 | — | — |
| Corewell Health Gerber Hospital | Fremont, MI | $223 | $223 | — | — |
| Corewell Health Pennock Hospital | Hastings, MI | $223 | $223 | — | — |
| Uci Health-orange | Orange, CA | $223.20 | $558 | — | — |
| Southern Ohio Medical Center | Portsmouth, OH | $223.50 | $447 | — | — |
| Kossuth Regional Health Center | Algona, IA | $223.58 | $279.47 | — | — |
| Ridgeview Le Sueur Medical Center range across 2 matching MRF lines |
Le Sueur, MN | $224–$312.20 | $320–$446 | — | varies |
| College Medical Center | Long Beach, CA | $225 | $300 | — | — |
| Memorial Hospital | Aurora, NE | $225.60 | $235 | — | — |
| Decatur County Memorial Hospital | Greensburg, IN | $226.50 | $302 | — | — |
| Fredonia Regional Hospital | Fredonia, KS | $226.65 | $226.65 | — | — |
| St. Joseph Medical Center | Houston, TX | $226.94 | $226.94 | — | — |
| TriState Health | Clarkston, WA | $227.70 | $230 | — | — |
| Island Hospital | Anacortes, WA | $228 | $228 | — | — |
| South Lyon Medical Center | Yerington, NV | $228.20 | $326 | — | — |
| Massachusetts General Hospital range across 2 matching MRF lines |
Boston, MA | $229.50–$305.25 | $306–$407 | — | varies |
| Brigham and Women's Hospital range across 2 matching MRF lines |
Boston, MA | $229.50–$305.25 | $306–$407 | — | varies |
| Wayne County Hospital range across 2 matching MRF lines |
Corydon, IA | $231–$475 | $231–$475 | — | varies |
| Greenwood County Hospital | Eureka, KS | $232 | $290 | — | — |
| Avera St. Mary's Hospital | Pierre, SD | $232.20 | $258 | — | — |
| Avera McKennan Hospital & University Health Center | Sioux Falls, SD | $232.20 | $258 | — | — |
| Atrium Health Navicent The Medical Center | Macon, GA | $232.50 | $465 | — | — |
| Lake Charles Memorial Hospital range across 2 matching MRF lines |
Lake Charles, LA | $232.80–$399 | $388–$665 | — | varies |
| Grisell Memorial Hospital | Ransom, KS | $233.70 | $246 | — | — |
| Sabetha Community Hospital | Sabetha, KS | $235 | $235 | — | — |
| Story County Hospital | Nevada, IA | $235.20 | $294 | — | — |
| Faith Health | Norfolk, NE | $235.39 | $384 | — | — |
| Piggott Community Hospital | Piggott, AR | $235.90 | $337 | — | — |
| Crawford County Memorial Hospital | Denison, IA | $236 | $295 | — | — |
| Boone County Hospital | Boone, IA | $236.40 | $295.50 | — | — |
| Wyandot Memorial Hospital | Upper Sandusky, OH | $236.55 | $262.83 | — | — |
| Syringa Hospital & Clinics | Grangeville, ID | $236.70 | $263 | — | — |
| MedStar Washington Hospital Center | Washington, DC | $237.34 | $365.14 | — | — |
| Cozad Community Hospital | Cozad, NE | $238 | $264 | — | — |
| Southwest Healthcare Services | Bowman, ND | $238.50 | $265 | — | — |
| John H Stroger Jr Hospital range across 2 matching MRF lines |
Chicago, IL | $238.70–$319.90 | $341–$457 | — | varies |
| Provident Hospital of Chicago range across 2 matching MRF lines |
Chicago, IL | $238.70–$319.90 | $341–$457 | — | varies |
| Mary Lanning Healthcare | Hastings, NE | $239.40 | $266 | — | — |
| Kimball Health Services range across 3 matching MRF lines |
Kimball, NE | $239.58–$294 | $239.58–$294 | — | varies |
| Blue Mountain Hospital range across 2 matching MRF lines |
John Day, OR | $241.50–$288 | $322–$384 | — | varies |
| Kittitas Valley Healthcare | Ellensburg, WA | $242.25 | $285 | — | — |
| Clearwater Valley Health | Orofino, ID | $242.25 | $323 | — | — |
| St. Mary's Health | Cottonwood, ID | $242.25 | $323 | — | — |
| 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 | — | — |
| Hawarden Regional Healthcare | Hawarden, IA | $244.38 | $287.50 | — | — |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $244.80 | $480 | — | — |
| Community Hospital | McCook, NE | $245.70 | $273 | — | — |
| Cogdell Memorial Hospital range across 2 matching MRF lines |
Snyder, TX | $246–$270 | $246–$270 | — | varies |
| Sheridan Memorial Hospital range across 2 matching MRF lines |
Sheridan, WY | $246.40–$256 | $308–$320 | — | varies |
| Stanton County Hospital | Johnson, KS | $246.75 | $246.75 | — | — |
| West Holt Memorial Hospital | Atkinson, NE | $247 | $309 | — | — |
| Wabash General Hospital 1 range across 2 matching MRF lines |
Mount Carmel, IL | $247.20–$267.37 | $247.20–$267.37 | — | varies |
| Pullman Regional Hospital | Pullman, WA | $247.35 | $291 | — | — |
| Boone County Health Center | Albion, NE | $248 | $248 | — | — |
| Grover C. Dils Medical Center | Caliente, NV | $248.25 | $331 | — | — |
| Mcpherson Hospital Inc | Mcpherson, KS | $248.64 | $336 | — | — |
| Cleveland Area Hospital | Cleveland, OK | $248.80 | $311 | — | — |
| WhidbeyHealth Medical Center range across 3 matching MRF lines |
Coupeville, WA | $249–$301 | $249–$301 | — | varies |
| The University of Chicago Medical Center range across 5 matching MRF lines |
Chicago, IL | $249–$924 | $249–$924 | — | varies |
| 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 | — | — |
| Avera Dells Area Hospital - Cah | Dell Rapids, SD | $250.26 | $258 | — | — |
| Franklin County Memorial Hospital | Franklin, NE | $251 | $279 | — | — |
| Community Hospital – Fairfax | Fairfax, MO | $251 | $251 | — | — |
| Westchester Medical Center | Valhalla, NY | $251 | $251 | — | — |
| Crook County Medical Services District | Sundance, WY | $251.02 | $334.70 | — | — |
| Morton County Hospital | Elkhart, KS | $252 | $280 | — | — |
| Estes Park Medical Center | Estes Park, CO | $252.75 | $337 | — | — |
| Avera St. Lukes | Aberdeen, SD | $252.90 | $281 | — | — |
| Genoa Community Hospital | Genoa, NE | $253 | $281 | — | — |
| Gordon Memorial Hospital District | Gordon, NE | $253 | $253 | — | — |
| Jackson County Regional Health Center | Maquoketa, IA | $254 | $254 | — | — |
| 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 | — | — |
| Samaritan Medical Center | Watertown, NY | $255 | $255 | — | — |
| Sierra Vista Hospital | T Or C, NM | $255 | $340 | — | — |
| Niobrara County Hospital District | Lusk, WY | $255.20 | $319 | — | — |
| Mid-Valley Hospital | Omak, WA | $255.50 | $365 | — | — |
| Woman's Hospital | Baton Rouge, LA | $256 | $256 | — | — |
| Webster County Community Hospital | Red Cloud, NE | $257 | $271 | — | — |
| Livingston Healthcare | Livingston, MT | $257.45 | $271 | — | — |
| Osmond General Hospital | Osmond, NE | $257.50 | $257.50 | — | — |
| Power County Hospital District | American Falls, ID | $257.90 | $258 | — | — |
| Self Regional Healthcare | Greenwood, SC | $258 | $430 | — | — |
| Edgefield County Healthcare | Edgefield, SC | $258 | $430 | — | — |
| Samaritan Hospital | Moses Lake, WA | $258 | $258 | — | — |
| Trinity Health Grand Rapids Hospital | Grand Rapids, MI | $258.05 | — | — | — |
| Weiser Memorial Hospital | Weiser, ID | $258.81 | $345.08 | — | — |
| 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 | — | — |
| Plumas District Hospital | Quincy, CA | $264 | $330 | — | — |
| Hansen Family Hospital | Iowa Falls, IA | $265.10 | $265.10 | — | — |
| Gritman Medical Center | Moscow, ID | $266 | $266 | — | — |
| Summa Health System | Akron, OH | $266 | $266 | — | — |
| Appleton Area Health | Appleton, MN | $266.05 | $313 | — | — |
| Madison Healthcare Services - Madison Hospital | Madison, MN | $266.90 | $314 | — | — |
| Nor-lea Hospital District | Lovington, NM | $267 | $267 | — | — |
| Providence Seaside Hospital | Seaside, OR | $268.50 | $358 | — | — |
| Providence Hood River Memorial Hospital | Hood River, OR | $268.50 | $358 | — | — |
| Adams Memorial Hospital | Decatur, IN | $269 | $269 | — | — |
| Decatur Health | Oberlin, KS | $269.10 | $299 | — | — |
| DeSoto Regional Health System | Mansfield, LA | $269.50 | $385 | — | — |
| Lane County Hospital | Dighton, KS | $270 | $270 | — | — |
| Ruby Valley Medical Center | Sheridan, MT | $270.90 | $301 | — | — |
| Liberty Dayton Regional Medical Center | Liberty, TX | $271 | $387 | — | — |
| Cody Regional Health | Cody, WY | $271.15 | $319 | — | — |
| Tufts Medical Center | Boston, MA | $271.60 | $388 | — | — |
| Memorial Hospital | Chester, IL | $272 | $340 | — | — |
| Union County General Hospital | Clayton, NM | $273 | $390 | — | — |
| Niobrara Valley Hospital | Lynch, NE | $274 | $274 | — | — |
| MercyOne Genesis | Davenport, IA | $274.20 | $457 | — | — |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $274.20 | $457 | — | — |
| Charlotte Hungerford Hospital range across 2 matching MRF lines |
Torrington, CT | $275–$285 | $275–$285 | — | varies |
| Windham Hospital range across 2 matching MRF lines |
Willimantic, CT | $275–$285 | $275–$285 | — | varies |
| Hartford Hospital range across 2 matching MRF lines |
Hartford, CT | $275–$285 | $275–$285 | — | varies |
| The Hospital of Central Connecticut range across 2 matching MRF lines |
New Britain, CT | $275–$285 | $275–$285 | — | varies |
| Saint Francis Hospital | Hartford, CT | $275.55 | $501 | — | — |
| Glacial Ridge Hospital | Glenwood, MN | $275.78 | $367.71 | — | — |
| Kearney County Health Services | Minden, NE | $277 | $346 | — | — |
| Clay County Hospital | Flora, IL | $277 | $277 | — | — |
| Iraan General Hospital District range across 2 matching MRF lines |
Iraan, TX | $279–$314 | $399–$449 | — | varies |
| Guthrie County Hospital | Guthrie Center, IA | $279 | $279 | — | — |
| Nelson County Health System | Mcville, ND | $279 | $279 | — | — |
| Northwood Deaconess Health Center | Northwood, ND | $279 | $349 | — | — |
| St. John's Episcopal Hospital at South Shore | Far Rockaway, NY | $280.48 | $280.48 | — | — |
| Nemaha Valley Community Hospital | Seneca, KS | $281.70 | $313 | — | — |
| Mayo Clinic Health System in Red Wing | Red Wing, MN | $282.07 | $421 | — | — |
| Caribou Medical Center | Soda Springs, ID | $282.72 | $403.89 | — | — |
| Franklin General Hospital | Hampton, IA | $284.40 | $316 | — | — |
| St. John's Medical Center range across 2 matching MRF lines |
Jackson, WY | $285–$510 | $285–$510 | — | varies |
| Rock County Hospital | Bassett, NE | $285 | $300 | — | — |
| Johnson Memorial Hospital | Dawson, MN | $285.86 | $336.31 | — | — |
| Carle Bromenn Medical Center | Normal, IL | $286 | $286 | — | — |
| Carle Eureka Hospital | Eureka, IL | $286 | $286 | — | — |
| Tri Valley Health System | Cambridge, NE | $286.20 | $318 | — | — |
| Wickenburg Community Hospital | Wickenburg, AZ | $288.60 | $444 | — | — |
| Midwest Medical Center | Galena, IL | $288.74 | $317.30 | — | — |
| Mayers Memorial Hospital | Fall River Mills, CA | $289 | $289 | — | — |
| Pender Community Health | Pender, NE | $291 | $342 | — | — |
| Indianhead Medical Center Shell Lake | Shell Lake, WI | $292 | $365 | — | — |
| Deer Lodge Medical Center range across 2 matching MRF lines |
Deer Lodge, MT | $293–$366 | $366 | — | varies |
| Clay County Medical Center | Clay Center, KS | $294 | $294 | — | — |
| South Shore University Hospital | Bay Shore, NY | $294.97 | — | — | — |
| Huntington Hospital | Huntington, NY | $294.97 | — | — | — |
| North Shore University Hospital | Manhasset, NY | $294.97 | — | — | — |
| Peconic Bay Medical Center | Riverhead, NY | $294.97 | — | — | — |
| Lenox Hill Hospital | New York, NY | $294.97 | — | — | — |
| Staten Island University Hospital | Staten Island, NY | $294.97 | — | — | — |
| Northern Westchester Hospital | Mount Kisco, NY | $294.97 | — | — | — |
| Glen Cove Hospital | Glen Cove, NY | $294.97 | — | — | — |
| Mather Hospital | Port Jefferson, NY | $294.97 | — | — | — |
| Long Island Jewish Medical Center | New Hyde Park, NY | $294.97 | — | — | — |
| Phelps Hospital | Sleepy Hollow, NY | $294.97 | — | — | — |
| Plainview Hospital | Plainview, NY | $294.97 | — | — | — |
| Mccamey Hospital | Mccamey, TX | $295 | $295 | — | — |
| Lifecare Medical Center | Roseau, MN | $295.68 | $336 | — | — |
| Holyoke Medical Center | Holyoke, MA | $297 | $297 | — | — |
| Sidney Regional Medical Center | Sidney, NE | $298 | $298 | — | — |
| Jamestown Regional Medical Center | Jamestown, ND | $298 | $373 | — | — |
| UMass Memorial Health–Milford Regional Medical Center | Milford, MA | $300 | $300 | — | — |
| Abbeville Area Medical Center | Abbeville, SC | $301 | $430 | — | — |
| Endeavor Health Clinical Operations | Evanston, IL | $301 | $301 | — | — |
| Swedish Hospital | Chicago, IL | $301 | $301 | — | — |
| Montefiore New Rochelle Hospital | New Rochelle, NY | $301.60 | $464 | — | — |
| Beatrice Community Hospital & Health Center, Inc | Beatrice, NE | $302 | $302 | — | — |
| Odessa Memorial Healthcare Center | Odessa, WA | $303.35 | $337.05 | — | — |
| Powell Valley Healthcare | Powell, WY | $303.79 | $357.40 | — | — |
| York General Health Care Services | York, NE | $305.50 | $305.50 | — | — |
| Brodstone Healthcare | Superior, NE | $307 | $323 | — | — |
| St. John's Riverside Hospital range across 2 matching MRF lines |
Yonkers, NY | $308.55–$629.85 | $363–$741 | — | varies |
| Montrose Regional Health | Montrose, CO | $309.75 | $413 | — | — |
| Lake Butler Hospital | Lake Butler, FL | $310.34 | $310.34 | — | — |
| Corewell Health Grand Rapids Hospitals Butterworth | Grand Rapids, MI | $311 | $311 | — | — |
| Smith County Memorial Hospital | Smith Center, KS | $313 | $313 | — | — |
| Stillwater Billings Clinic | Columbus, MT | $313 | $313 | — | — |
| Pinckneyville Community Hospital | Pinckneyville, IL | $314 | $314 | — | — |
| Catalina Island Medical Center | Avalon, CA | $314.30 | $449 | — | — |
| Mayo Clinic Health System - New Prague | New Prague, MN | $315.75 | $421 | — | — |
| Stony Brook University Hospital range across 2 matching MRF lines |
Stony Brook, NY | $317–$339 | $317–$339 | — | varies |
| Fairchild Medical Center | Yreka, CA | $317 | $317 | — | — |
| Fairbanks Memorial Hospital range across 2 matching MRF lines |
Fairbanks, AK | $318.25–$374.30 | $335–$394 | — | varies |
| Val Verde Regional Medical Center | Del Rio, TX | $318.50 | $490 | — | — |
| Virginia Gay Hospital | Vinton, IA | $320 | $400 | — | — |
| Saint Alphonsus Regional Medical Center | Boise, ID | $320.45 | — | — | — |
| Olean General Hospital | Olean, NY | $321 | $321 | — | — |
| Brooks-TLC Hospital System, Inc | Dunkirk, NY | $321 | $321 | — | — |
| Cuba Memorial Hospital, Inc | Cuba, NY | $321 | $321 | — | — |
| Frances Mahon Deaconess Hospital | Glasgow, MT | $321.30 | $357 | — | — |
| Newark-Wayne Community Hospital | Newark, NY | $323.10 | $497.07 | — | — |
| Rochester General Hospital | Rochester, NY | $323.10 | $497.07 | — | — |
| United Memorial Medical Center | Batavia, NY | $323.18 | $497.20 | — | — |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $323.18 | $497.20 | — | — |
| Highland Hospital range across 2 matching MRF lines |
Rochester, NY | $323.85–$544 | — | — | varies |
| Strong Memorial Hospital range across 4 matching MRF lines |
Rochester, NY | $323.85–$544 | — | — | varies |
| Trinity Health Muskegon Hospital | Muskegon, MI | $326.30 | — | — | — |
| Amberwell Hiawatha | Hiawatha, KS | $328 | $328 | — | — |
| Amberwell Atchison Association | Atchison, KS | $328 | $328 | — | — |
| Thayer County Health Services | Hebron, NE | $330 | $330 | — | — |
| DMC Harper University Hospital | Detroit, MI | $330.75 | $441 | — | — |
| Hamilton County Hospital | Syracuse, KS | $332.26 | $332.26 | — | — |
| Hammond Henry Hospital | Geneseo, IL | $333.90 | $371 | — | — |
| Skyline Health range across 2 matching MRF lines |
White Salmon, WA | $334.44–$347.76 | $464.50–$483 | — | varies |
| Share Medical Center | Alva, OK | $334.56 | $514.71 | — | — |
| Olympic Medical Center | Port Angeles, WA | $335.20 | $419 | — | — |
| Santiam Hospital & Clinics | Stayton, OR | $338 | $338 | — | — |
| Lewis County General Hospital range across 5 matching MRF lines |
Lowville, NY | $339.58–$513.89 | $413–$625 | — | varies |
| Jefferson Regional | Pine Bluff, AR | $341 | $341 | — | — |
| CAMC Greenbrier Valley Medical Center | Ronceverte, WV | $342 | $342 | — | — |
| Cumberland Memorial Hospital | Cumberland, WI | $342.25 | $342.25 | — | — |
| Johnson County Hospital | Tecumseh, NE | $343 | $343 | — | — |
| Mobridge Regional Hospital - Cah | Mobridge, SD | $344 | $344 | — | — |
| Jamaica Hospital Medical Center range across 2 matching MRF lines |
Jamaica, NY | $345–$593 | $345–$593 | — | varies |
| Ashley Medical Center range across 2 matching MRF lines |
Ashley, ND | $347–$354 | $347–$354 | — | varies |
| Montefiore Mount Vernon Hospital | Mount Vernon, NY | $347.10 | $534 | — | — |
| Perkins County Health Services | Grant, NE | $349 | $349 | — | — |
| SMP Health St. Aloisius | Harvey, ND | $349 | $388 | — | — |
| South Peninsula Hospital | Homer, AK | $352.23 | $469.64 | — | — |
| Bitterroot Health - Daly Hospital | Hamilton, MT | $353 | $353 | — | — |
| Seiling Municipal Hospital | Seiling, OK | $353.14 | $175.20 | — | — |
| Cherry County Hospital | Valentine, NE | $353.30 | $353.30 | — | — |
| Kaweah Health Medical Center range across 2 matching MRF lines |
Visalia, CA | $357–$378 | $357–$378 | — | varies |
| Boston Medical Center | Boston, MA | $358.20 | $796 | — | — |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $359 | $359 | — | — |
| Charleston Area Medical Center | Charleston, WV | $363 | $363 | — | — |
| Sarah D Culbertson Memorial Hospital range across 2 matching MRF lines |
Rushville, IL | $363.60–$405 | $404–$450 | — | varies |
| Towner County Medical Center | Cando, ND | $366 | $366 | — | — |
| First Care Health Center | Park River, ND | $367 | $367 | — | — |
| Crossing Rivers Health Medical Center | Prairie Du Chien, WI | $369 | $369 | — | — |
| Mayo Clinic Health System - Albert Lea and Austin | Albert Lea, MN | $370.48 | $421 | — | — |
| Mayo Clinic Health System - Mankato | Mankato, MN | $370.48 | $421 | — | — |
| Mayo Clinic Health System - Fairmont | Fairmont, MN | $370.48 | $421 | — | — |
| Mayo Clinic Health System - St. James | St. James, MN | $370.48 | $421 | — | — |
| Mayo Clinic Health System - Lake City | Lake City, MN | $370.48 | $421 | — | — |
| Mayo Clinic Health System - Waseca | Waseca, MN | $370.48 | $421 | — | — |
| Mayo Clinic Health System - Cannon Falls | Cannon Falls, MN | $370.48 | $421 | — | — |
| Baystate Franklin Medical Center | Greenfield, MA | $373 | $373 | — | — |
| Baystate Wing Hospital | Palmer, MA | $373 | $373 | — | — |
| Baystate Medical Center | Springfield, MA | $373 | $373 | — | — |
| Wyckoff Heights Medical Center | Brooklyn, NY | $373.80 | $373.80 | — | — |
| Presentation Medical Center | Rolla, ND | $374 | $415 | — | — |
| Mayo Clinic Health System In Eau Claire | Eau Claire, WI | $374.40 | $416 | — | — |
| Mayo Clinic Health System-oakridge | Osseo, WI | $374.40 | $416 | — | — |
| Mayo Clinic Health System-chippewa Valley | Bloomer, WI | $374.40 | $416 | — | — |
| Mayo Clinic Health System-northland | Barron, WI | $374.40 | $416 | — | — |
| Mayo Clinic Health System-red Cedar | Menomonie, WI | $374.40 | $416 | — | — |
| Memorial Hospital of Sweetwater County | Rock Springs, WY | $376 | $376 | — | — |
| Refugio County Memorial Hospital | Refugio, TX | $379.40 | $474.25 | — | — |
| Southern Coos Hospital & Health Center | Bandon, OR | $380.36 | $380.36 | — | — |
| Wallowa Memorial Hospital | Enterprise, OR | $383 | $383 | — | — |
| Wheatland Memorial Hospital | Harlowton, MT | $384 | $384 | — | — |
| Holy Cross Hospital | Fort Lauderdale, FL | $384.15 | $591 | — | — |
| St. Helena Parish Hospital & Nursing Home | Greensburg, LA | $386 | $386 | — | — |
| Jerold Phelps Community Hospital | Garberville, CA | $386.68 | $483.35 | — | — |
| Yukon Kuskokwim Delta Reg Hospital | Bethel, AK | $388.40 | $388.40 | — | — |
| Clifton-Fine Hospital | Star Lake, NY | $390.87 | $390.87 | — | — |
| Samaritan Hospital range across 2 matching MRF lines |
Troy, NY | $391.30–$609.05 | — | — | varies |
| Mount Sinai Hospital | New York, NY | $391.50 | $435 | — | — |
| Mount Sinai West | New York, NY | $391.50 | $435 | — | — |
| Mount Sinai Brooklyn | Brooklyn, NY | $391.50 | $435 | — | — |
| Maimonides Medical Center range across 3 matching MRF lines |
Brooklyn, NY | $392–$468 | $392–$468 | — | varies |
| Ventura County Medical Center | Ventura, CA | $396.50 | $793 | — | — |
| Unity Hospital of Rochester | Rochester, NY | $397.74 | $497.18 | — | — |
| Unity Specialty Hospital | Rochester, NY | $397.74 | $497.18 | — | — |
| Erie County Medical Center | Buffalo, NY | $398.55 | $480.17 | — | — |
| Flushing Hospital Medical Center | Flushing, NY | $400 | $400 | — | — |
| St. Andrews Health Center - Cah | Bottineau, ND | $400 | $444 | — | — |
| Dayton General Hospital | Dayton, WA | $404.10 | $449 | — | — |
| Northbay Medical Center range across 4 matching MRF lines |
Fairfield, CA | $409.80–$512.24 | $409.80–$512.24 | — | varies |
| Phillips County Medical Center | Malta, MT | $411 | $411 | — | — |
| Western Reserve Hospital | Cuyahoga Falls, OH | $412.50 | $750 | — | — |
| The Carle Foundation Hospital | Urbana, IL | $415 | $415 | — | — |
| Saint Francis Medical Center | Cape Girardeau, MO | $416 | $416 | — | — |
| Northern Inyo Hospital range across 2 matching MRF lines |
Bishop, CA | $418–$419 | $418–$419 | — | varies |
| Norton Sound Regional Hospital | Nome, AK | $421 | $842 | — | — |
| Cascade Medical | Leavenworth, WA | $422.40 | $528 | — | — |
| Hillsboro Area Hospital range across 2 matching MRF lines |
Hillsboro, IL | $422.73–$435.42 | $469.70–$483.80 | — | varies |
| St. Luke's Magic Valley Medical Center | Twin Falls, ID | $428 | $428 | — | — |
| St. Luke's Boise Medical Center | Boise, ID | $428 | $428 | — | — |
| St. Luke's Nampa Medical Center | Nampa, ID | $428 | $428 | — | — |
| St. Luke's Jerome Medical Center | Jerome, ID | $428 | $428 | — | — |
| St. Luke's Elmore Medical Center | Mountain Home, ID | $428 | $428 | — | — |
| St. Luke's McCall Medical Center | McCall, ID | $428 | $428 | — | — |
| St. Luke's Wood River Medical Center | Ketchum, ID | $428 | $428 | — | — |
| Tioga Medical Center | Tioga, ND | $430 | $430 | — | — |
| DMC Sinai-Grace Hospital | Detroit, MI | $430.50 | $574 | — | — |
| Columbia Basin Hospital range across 2 matching MRF lines |
Ephrata, WA | $434–$459 | $434–$459 | — | varies |
| Central Peninsula General Hospital | Soldotna, AK | $443 | $443 | — | — |
| MercyOne Waterloo Medical Center range across 2 matching MRF lines |
Waterloo, IA | $444–$1,069 | — | — | varies |
| Forks Community Hospital | Forks, WA | $448.80 | $561 | — | — |
| University of Iowa Health Care Medical Center Downtown | Iowa City, IA | $461.30 | $659 | — | — |
| University of Iowa Health Care Medical Center | Iowa City, IA | $461.30 | $659 | — | — |
| Memorialcare Long Beach Medical Center | Long Beach, CA | $463 | $463 | — | — |
| Memorialcare Saddleback Medical Center | Laguna Hills, CA | $463 | $463 | — | — |
| Memorialcare Orange Coast Medical Center | Fountain Valley, CA | $463 | $463 | — | — |
| Memorial Care Miller Children's & Women's Hosp Lb | Long Beach, CA | $463 | $463 | — | — |
| Alaska Native Medical Center range across 2 matching MRF lines |
Anchorage, AK | $471–$487 | $471–$487 | — | varies |
| Larabida Childrens Hospital I | Chicago, IL | $473.90 | $473.90 | — | — |
| Roswell Park Comprehensive Cancer Center range across 2 matching MRF lines |
Buffalo, NY | $480.26–$480.87 | $480.26–$480.87 | — | varies |
| Brooklyn Hospital Center - Downtown Campus range across 3 matching MRF lines |
Brooklyn, NY | $488.75–$628.68 | $488.75–$628.68 | — | varies |
| Thibodaux Regional Health System | Thibodaux, LA | $491 | $491 | — | — |
| Roundup Memorial Healthcare | Roundup, MT | $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 | — | — |
| Coast Plaza Hospital | Norwalk, CA | $506 | $506 | — | — |
| Chase County Community Hospital | Imperial, NE | $513 | $513 | — | — |
| Doctors Hosptal at Renaissance range across 7 matching MRF lines |
Edinburg, TX | $518.40–$887.75 | $518.40–$887.75 | — | varies |
| Colquitt Regional Medical Center | Moultrie, GA | $520 | $520 | — | — |
| Curry General Hospital | Gold Beach, OR | $527 | $527 | — | — |
| 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 | — | — |
| Sanavate Hospital | Houston, TX | $559 | $559 | — | — |
| North Valley Health Center | Warren, MN | $560 | $560 | — | — |
| Sedgwick County Memorial Hospital | Julesburg, CO | $615 | $615 | — | — |
| Kaleida Health | Buffalo, NY | $617 | $617 | — | — |
| Maniilaq Health Center | Kotzebue, AK | $627 | $627 | — | — |
| Zuckerberg San Francisco General Hosp & Trauma Ctr | San Francisco, CA | $641 | $641 | — | — |
| New York-Presbyterian Hospital | New York, NY | $715 | — | — | — |
| Boston Children's Hospital | Boston, MA | $817 | $817 | — | — |
| New York-Presbyterian/Queens | Flushing, NY | $1,014 | — | — | — |
| Crescent Medical Center Lancaster | Lancaster, TX | $1,081 | $1,663 | — | — |
| St. Peter's Hospital | Albany, NY | $1,099.80 | — | — | — |
| St. Joseph's Hospital Health Center | Syracuse, NY | $1,233.05 | — | — | — |
| Wyoming County Community Health System | Warsaw, NY | $3,051.49 | $4,359.27 | — | — |
| University Hospital at Downstate | Brooklyn, NY | $12,839 | $12,839 | — | — |
| Vandalia Health Webster Memorial Hospital range across 2 matching MRF lines |
Webster Springs, WV | $5,683,569.50–$5,816,569.50 | $8,119,385–$8,309,385 | — | varies |
| Coshocton Regional Medical Center | Coshocton, OH | — | $68.53 | — | — |
| Jackson Memorial Hospital | Miami, FL | — | $73 | — | — |
| Loretto Hospital | Chicago, IL | — | $82.40 | — | — |
| Roseland Community Hospital | Chicago, IL | — | $85 | — | — |
| Henry Ford Hospital | Detroit, MI | — | $133 | — | — |
| Henry Ford Jackson Hospital | Jackson, MI | — | $133 | — | — |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | — | $133 | — | — |
| Holdenville General Hospital | Holdenville, OK | — | $136.50 | — | — |
| Ohio State University Hospitals | Columbus, OH | — | $159 | — | — |
| James Cancer Hospital & Solove Research Institute | Columbus, OH | — | $159 | — | — |
| Mount San Rafael Hospital range across 6 matching MRF lines |
Trinidad, CO | — | $183.50–$348.50 | — | — |
| Graham Hospital Association | Canton, IL | — | $184.17 | — | — |
| Cuero Regional Hospital | Cuero, TX | — | $186 | — | — |
| Cameron Regional Medical Center range across 4 matching MRF lines |
Cameron, MO | — | $188–$260 | — | — |
| Valleywise Health Medical Center | Phoenix, AZ | — | $190 | — | — |
| Uvalde Memorial Hospital | Uvalde, TX | — | $200 | — | — |
| Lac/olive View-ucla Medical Center | Sylmar, CA | — | $200 | — | — |
| Los Angeles General Medical Center | Los Angeles, CA | — | $200 | — | — |
| Lac/harbor-ucla Med Center | Torrance, CA | — | $200 | — | — |
| Lac/rancho Los Amigos National Rehabilitation Ctr | Downey, CA | — | $200 | — | — |
| University of Texas M D Anderson Cancer Center | Houston, TX | — | $206 | — | — |
| St. Luke Community Hospital | Ronan, MT | — | $220 | — | — |
| Cobre Valley Regional Medical Center range across 4 matching MRF lines |
Globe, AZ | — | $221–$268 | — | — |
| Moab Regional Hospital range across 2 matching MRF lines |
Moab, UT | — | $221.40–$246 | — | — |
| Pella Regional Health Center | Pella, IA | — | $231 | — | — |
| Coffey County Hospital | Burlington, KS | — | $234.84 | — | — |
| Henry County Health Center | Mount Pleasant, IA | — | $235 | — | — |
| Mccone County Health Center | Circle, MT | — | $236 | — | — |
| Kearny County Hospital | Lakin, KS | — | $250 | — | — |
| 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 | — | — |
| Richmond University Medical Center | Staten Island, NY | — | $297 | — | — |
| Candler County Hospital | Metter, GA | — | $311 | — | — |
| Phoenix Children’s Hospital – Thomas Campus | Phoenix, AZ | — | $330 | — | — |
| Summit Pacific Medical Center | Elma, WA | — | $355 | — | — |
| St. Barnabas Hospital | Bronx, NY | — | $358 | — | — |
| Montefiore Medical Center | Bronx, NY | — | $367 | — | — |
| Lawrence County Memorial Hospital | Lawrenceville, IL | — | $370 | — | — |
| Mineral Community Hospital | Superior, MT | — | $395 | — | — |
| Adams County Regional Medical Center | Seaman, OH | — | $398 | — | — |
| Schoolcraft Memorial Hospital | Manistique, MI | — | $413 | — | — |
| Nyack Hospital | Nyack, NY | — | $436 | — | — |
| Ridgeview Sibley Medical Center | Arlington, MN | — | $446 | — | — |
| Brookdale Hospital Medical Center | Brooklyn, NY | — | $539 | — | — |
| Altus Lumberton Hospital | Lumberton, TX | — | $559 | — | — |
| Lincoln Medical & Mental Health Center | Bronx, NY | — | $751.51 | — | — |
| Jacobi Medical Center | Bronx, NY | — | $751.51 | — | — |
| Elmhurst Hospital Center | Elmhurst, NY | — | $751.51 | — | — |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | — | $751.51 | — | — |
| Metropolitan Hospital Center | New York, NY | — | $751.51 | — | — |
| Kings County Hospital Center | Brooklyn, NY | — | $751.51 | — | — |
| Bellevue Hospital Center | New York, NY | — | $751.51 | — | — |
| Queens Hospital Center | Jamaica, NY | — | $751.51 | — | — |
| Harlem Hospital Center | New York, NY | — | $751.51 | — | — |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | — | $751.51 | — | — |
| Upstate University Hospital | Syracuse, NY | — | $1,186 | — | — |
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 for this code.