Preventive visit, new patient (age 40–64) (CPT 99386)
99386 is the billing code hospitals use for “Preventive visit, new patient (age 40–64)”. Prices below are each hospital's own posted facility charge.
1198 of 4255 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
See something wrong with these prices? Tell us →
Compare interactively: filter by region, set your location, pin hospitals →
| Hospital | Location | Posted cash | Posted gross | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Atoka County Medical Center range across 2 matching MRF lines |
Atoka, OK | $8–$88 | $20–$221 | — | varies |
| United Hospital Center | Bridgeport, WV | $9.50 | $19 | — | — |
| Camden Clark Medical Center range across 2 matching MRF lines |
Parkersburg, WV | $9.50–$89.50 | $19–$179 | — | varies |
| Adventist Health Sonora range across 3 matching MRF lines |
Sonora, CA | $10.20–$53.72 | $60–$316 | — | varies |
| University of Kansas Hospital | Kansas City, KS | $11.80 | $59 | — | — |
| University of Kansas Health System Olathe Hospital | Olathe, KS | $11.80 | $59 | — | — |
| The University of Kansas Health System Paola Hospital | Paola, KS | $11.80 | $59 | — | — |
| Memorial Medical Center range across 3 matching MRF lines |
Port Lavaca, TX | $14–$199.50 | $20–$285 | — | varies |
| University of Michigan Health - West | Wyoming, MI | $16.80 | $42 | — | — |
| Lima Memorial Health System range across 2 matching MRF lines |
Lima, OH | $17.10–$244.80 | $19–$272 | — | varies |
| St. Thomas More Hospital range across 2 matching MRF lines |
Canon City, CO | $17.32–$18.12 | $43.28–$45.30 | — | 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 |
| Adventist Health Castle range across 2 matching MRF lines |
Kailua, HI | $19.84–$40 | $62–$125 | — | varies |
| Community Hospital of Anaconda range across 3 matching MRF lines |
Anaconda, MT | $19.95–$319.88 | $26.60–$426.50 | — | varies |
| Riverside Medical Center range across 2 matching MRF lines |
Franklinton, LA | $20–$128 | $50–$320 | — | varies |
| John C Fremont Healthcare District range across 2 matching MRF lines |
Mariposa, CA | $20–$119.70 | $40–$239.40 | — | varies |
| Pioneers Memorial Healthcare District range across 2 matching MRF lines |
Brawley, CA | $20.89–$89.53 | $69.64–$198.96 | — | varies |
| MetroHealth System range across 3 matching MRF lines |
Cleveland, OH | $21–$119 | $60–$340 | — | varies |
| Ringgold County Hospital range across 9 matching MRF lines |
Mount Ayr, IA | $21.60–$236.70 | $24–$263 | — | varies |
| Adventist Health Lodi Memorial range across 3 matching MRF lines |
Lodi, CA | $21.84–$23.03 | $312–$329 | — | varies |
| Lexington Regional Health Center range across 2 matching MRF lines |
Lexington, NE | $24–$316.80 | $25–$330 | — | varies |
| Knoxville Hospital & Clinics range across 2 matching MRF lines |
Knoxville, IA | $24–$177.60 | $40–$296 | — | varies |
| Oneida Health Hospital range across 2 matching MRF lines |
Oneida, NY | $24.67 | $192–$198 | — | — |
| Cape Cod Hospital | Hyannis, MA | $24.74 | $58.21 | — | — |
| Falmouth Hospital | Falmouth, MA | $24.74 | $58.21 | — | — |
| Mercy Health System Corp | Janesville, WI | $25.22 | $33.62 | — | — |
| Regions Hospital range across 2 matching MRF lines |
Saint Paul, MN | $25.48–$106.60 | $98–$410 | — | varies |
| Waverly Health Center range across 5 matching MRF lines |
Waverly, IA | $25.48–$192.92 | $49–$371 | — | varies |
| Chi St. Joseph Health Regional Hospital | Bryan, TX | $26.25 | $150 | — | — |
| Burleson St. Joseph Health Center | Caldwell, TX | $26.25 | $150 | — | — |
| Madison St. Joseph Health Center | Madisonville, TX | $26.25 | $150 | — | — |
| Grimes St. Joseph Health Center | Navasota, TX | $26.25 | $150 | — | — |
| Schuyler Hospital | Montour Falls, NY | $26.25 | $131.25 | — | — |
| Adventist Health St. Helena range across 2 matching MRF lines |
Saint Helena, CA | $29.10–$44.85 | $194–$299 | — | varies |
| University of Michigan Health | Ann Arbor, MI | $29.20 | $73 | — | — |
| Adventist Health White Memorial range across 2 matching MRF lines |
Los Angeles, CA | $29.88–$42.30 | $166–$235 | — | varies |
| Adventist Health White Memorial Montebello range across 2 matching MRF lines |
Montebello, CA | $29.88–$42.30 | $166–$235 | — | varies |
| O'connor Hospital range across 2 matching MRF lines |
Delhi, NY | $29.97–$36.36 | $111–$134.65 | — | varies |
| Little Falls Hospital range across 2 matching MRF lines |
Little Falls, NY | $29.97–$74.57 | $111–$276.17 | — | varies |
| Cobleskill Regional Hospital range across 2 matching MRF lines |
Cobleskill, NY | $29.97–$37.72 | $111–$139.69 | — | varies |
| Davis County Hospital range across 3 matching MRF lines |
Bloomfield, IA | $30–$289 | $30–$289 | — | 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 | — | — |
| Indiana University Health Ball Memorial Hospital range across 3 matching MRF lines |
Muncie, IN | $31.41–$66.21 | $148–$312 | — | varies |
| Trinity Hospital Twin City range across 3 matching MRF lines |
Dennison, OH | $31.75–$52.08 | $64–$105 | — | varies |
| University Medical Center of El Paso range across 16 matching MRF lines |
El Paso, TX | $32–$69.50 | $160–$347.48 | — | varies |
| Aurelia Osborn Fox Memorial Hospital | Oneonta, NY | $32.04 | $118.65 | — | — |
| Saint Francis Hospital Muskogee range across 2 matching MRF lines |
Muskogee, OK | $32.30–$116.40 | $80.75–$291 | — | varies |
| Saint Francis Hospital, Inc range across 2 matching MRF lines |
Tulsa, OK | $32.30–$116.40 | $80.75–$291 | — | varies |
| Saint Francis Hospital South, LLC range across 2 matching MRF lines |
Tulsa, OK | $32.30–$116.40 | $80.75–$291 | — | varies |
| Saint Francis Hospital Vinita, Inc range across 2 matching MRF lines |
Vinita, OK | $32.30–$116.40 | $80.75–$291 | — | varies |
| Monadnock Community Hospital range across 2 matching MRF lines |
Peterborough, NH | $33–$117.60 | $55–$196 | — | varies |
| Genesis Hospital | Zanesville, OH | $33.87 | $56.45 | — | — |
| Glendale Adventist Medical Center | Glendale, CA | $35.25 | $235 | — | — |
| Mary Imogene Bassett Hospital | Cooperstown, NY | $35.41 | $131.15 | — | — |
| Samaritan Hospital range across 2 matching MRF lines |
Macon, MO | $36–$211 | $45–$264 | — | varies |
| Iu Health Bloomington Hospital range across 3 matching MRF lines |
Bloomington, IN | $36.44–$76.81 | $148–$312 | — | varies |
| Wheeling Hospital range across 2 matching MRF lines |
Wheeling, WV | $36.50–$39.50 | $73–$79 | — | varies |
| Ochsner LSU Health - St. Mary Medical Center | Shreveport, LA | $36.68 | $131 | — | — |
| Indiana University Health Arnett Hospital range across 3 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 | — | — |
| Nicholas H Noyes Memorial Hospital | Dansville, NY | $38 | — | — | — |
| Star Valley Medical Center | Afton, WY | $38.50 | $55 | — | — |
| Neshoba General range across 2 matching MRF lines |
Philadelphia, MS | $38.50–$128.10 | $55–$183 | — | varies |
| Baptist Beaumont Hospital | Beaumont, TX | $38.87 | $299 | — | — |
| Rolling Plains Memorial Hospital range across 2 matching MRF lines |
Sweetwater, TX | $39–$194 | $60–$299 | — | varies |
| Adventist Health Tulare range across 2 matching MRF lines |
Tulare, CA | $39.33–$59.28 | $207–$312 | — | varies |
| Mountainview Medical Center range across 4 matching MRF lines |
White Sulphur Spring, MT | $40–$152.33 | $50–$190.41 | — | varies |
| Touro | New Orleans, LA | $40.46 | $289 | — | — |
| Ochsner LSU Health - Academic Medical Center | Shreveport, LA | $40.61 | $131 | — | — |
| Trigg County Hospital range across 3 matching MRF lines |
Cadiz, KY | $41–$75.80 | $102.50–$189.50 | — | varies |
| Indiana University Health range across 3 matching MRF lines |
Indianapolis, IN | $42.02–$88.58 | $148–$312 | — | varies |
| Indiana University Health Bedford Hospital range across 3 matching MRF lines |
Bedford, IN | $42.25–$89.08 | $148–$312 | — | varies |
| Monroe County Hospital | Monroeville, AL | $42.40 | $106 | — | — |
| Rush Oak Park Hospital | Oak Park, IL | $42.50 | $85 | — | — |
| Ellett Memorial Hospital range across 3 matching MRF lines |
Appleton City, MO | $42.75–$174 | $57–$232 | — | varies |
| Lutheran Kosciusko Hospital range across 8 matching MRF lines |
Warsaw, IN | $42.84–$54.81 | $204–$261 | — | varies |
| Manning Regional Healthcare Center range across 3 matching MRF lines |
Manning, IA | $43.31–$184.96 | $61–$260.50 | — | varies |
| West Feliciana Hospital range across 4 matching MRF lines |
St. Francisville, LA | $43.80–$174 | $73–$290 | — | varies |
| Lake Region Healthcare - Elbow Lake Hospital | Elbow Lake, MN | $43.82 | $69 | — | — |
| Trinity Health Muskegon Hospital | Muskegon, MI | $45.50 | $70 | — | — |
| Indiana University Health White Memorial Hospital range across 3 matching MRF lines |
Monticello, IN | $46.15–$97.28 | $148–$312 | — | varies |
| Albany Medical Center Hospital | Albany, NY | $46.50 | $93 | — | — |
| Adventist Health Bakersfield | Bakersfield, CA | $46.80 | $312 | — | — |
| Benson Hospital | Benson, AZ | $48 | $100 | — | — |
| Meeker Memorial Hospital & Clinics range across 3 matching MRF lines |
Litchfield, MN | $48–$264.32 | $75–$413 | — | varies |
| Jefferson Healthcare range across 2 matching MRF lines |
Port Townsend, WA | $48.80–$300 | $61–$375 | — | varies |
| Lutheran Downtown Hospital range across 6 matching MRF lines |
Fort Wayne, IN | $48.96–$55.92 | $204–$233 | — | varies |
| Bluffton Regional Medical Center range across 10 matching MRF lines |
Bluffton, IN | $48.96–$70.56 | $204–$294 | — | varies |
| Ochsner St. Martin Hospital range across 2 matching MRF lines |
Breaux Bridge, LA | $49.80–$78.90 | $166–$263 | — | varies |
| Straub Benioff Medical Center | Honolulu, HI | $49.80 | $83 | — | — |
| Trinity Health Oakland Hospital | Pontiac, MI | $52 | $80 | — | — |
| Trinity Health Ann Arbor | Ypsilanti, MI | $52 | $80 | — | — |
| Chelsea Hospital | Chelsea, MI | $52 | $80 | — | — |
| OU Health University of Oklahoma Medical Center range across 4 matching MRF lines |
Oklahoma City, OK | $52.30–$71.40 | $523–$714 | — | varies |
| Hedrick Medical Center | Chillicothe, MO | $52.80 | $88 | — | — |
| Parkview Regional Medical Center | Fort Wayne, IN | $53.02 | $106.05 | — | — |
| Parkview Logansport Hospital, Inc | Logansport, IN | $53.02 | $106.05 | — | — |
| Hardin Medical Center | Savannah, TN | $53.48 | $140 | — | — |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | — | — |
| University Hospital – UMMC | Jackson, MS | $54.40 | $136 | — | — |
| UMMC Madison | Canton, MS | $54.40 | $136 | — | — |
| Dupont Hospital LLC range across 6 matching MRF lines |
Fort Wayne, IN | $55.08–$62.91 | $204–$233 | — | varies |
| The Orthopaedic Hospital of Lutheran Health Network range across 6 matching MRF lines |
Fort Wayne, IN | $55.08–$62.91 | $204–$233 | — | varies |
| Community Memorial Hospital range across 6 matching MRF lines |
Cloquet, MN | $55.20–$269.44 | $86.25–$421 | — | varies |
| Lutheran Hospital of Indiana range across 9 matching MRF lines |
Fort Wayne, IN | $55.20–$88.20 | $184–$294 | — | varies |
| Indiana University Health Tipton Hospital Inc range across 3 matching MRF lines |
Tipton, IN | $55.74–$117.50 | $148–$312 | — | varies |
| Arnot Ogden Medical Center | Elmira, NY | $55.86 | $279.30 | — | — |
| Ira Davenport Memorial Hospital | Bath, NY | $55.86 | $279.30 | — | — |
| Fallon Medical Complex Hospital range across 9 matching MRF lines |
Baker, MT | $56–$249 | $56–$249 | — | varies |
| Prisma Health Blount Memorial Hospital | Maryville, TN | $56.73 | $183 | — | — |
| Indiana University Health Paoli Hospital range across 3 matching MRF lines |
Paoli, IN | $56.79–$119.71 | $148–$312 | — | varies |
| Ingalls Memorial Hospital | Harvey, IL | $57 | $57 | — | — |
| Glens Falls Hospital | Glens Falls, NY | $57.50 | $115 | — | — |
| CHI St. Gabriel's Hospital range across 3 matching MRF lines |
Little Falls, MN | $58–$232 | $100–$400 | — | varies |
| Adventist Health Hanford | Hanford, CA | $59.28 | $312 | — | — |
| Adventist Health Reedley range across 2 matching MRF lines |
Reedley, CA | $59.28–$60.04 | $312–$316 | — | varies |
| Braxton County Memorial Hospital | Gassaway, WV | $59.50 | $119 | — | — |
| Indiana University Health Frankfort Inc range across 3 matching MRF lines |
Frankfort, IN | $59.76–$125.99 | $148–$312 | — | varies |
| Windom Area Health | Windom, MN | $59.84 | $88 | — | — |
| Unity Health - White County Medical Center | Searcy, AR | $60 | $240 | — | — |
| Unity Health - Jacksonville | Jacksonville, AR | $60 | $240 | — | — |
| Unity Health - Newport | Newport, AR | $60 | $240 | — | — |
| Northwest Mississippi Regional Medical Center | Clarksdale, MS | $60.60 | $242.40 | — | — |
| OhioHealth O'Bleness Hospital | Athens, OH | $61.10 | $94 | — | — |
| Martha's Vineyard Hospital range across 2 matching MRF lines |
Oak Bluffs, MA | $61.50–$189.75 | $82–$253 | — | varies |
| Sidney Health Center range across 3 matching MRF lines |
Sidney, MT | $61.92–$253.26 | $100–$409 | — | varies |
| UCHealth University of Colorado Hospital | Aurora, CO | $61.95 | $177 | — | — |
| Russell Medical | Alexander City, AL | $62.28 | $173 | — | — |
| Adventist Health Ukiah Valley range across 2 matching MRF lines |
Ukiah, CA | $62.40–$63.20 | $312–$316 | — | varies |
| Morris Hospital & Healthcare Centers | Morris, IL | $62.56 | $260 | — | — |
| Lake District Hospital range across 3 matching MRF lines |
Lakeview, OR | $62.90–$342.55 | $74–$403 | — | varies |
| North Texas Medical Center | Gainesville, TX | $63 | $250 | — | — |
| Summersville Regional Medical Center range across 2 matching MRF lines |
Summersville, WV | $63–$68 | $126–$136 | — | varies |
| CHI St. Alexius Health Williston range across 2 matching MRF lines |
Williston, ND | $63.22–$189.66 | $109–$327 | — | varies |
| Adair County Memorial Hospital range across 4 matching MRF lines |
Greenfield, IA | $63.75–$341.25 | $85–$455 | — | varies |
| Whitman Hospital & Medical Clinics range across 3 matching MRF lines |
Colfax, WA | $64–$318.40 | $80–$398 | — | varies |
| Thomas H Boyd Memorial Hospital | Carrollton, IL | $64 | $80 | — | — |
| Clarinda Regional Health Center range across 4 matching MRF lines |
Clarinda, IA | $64.31–$222.43 | $109–$377 | — | varies |
| Southwest Health Center | Platteville, WI | $65.25 | $87 | — | — |
| CHI St. Francis Health range across 2 matching MRF lines |
Breckenridge, MN | $65.40–$196.20 | $109–$327 | — | varies |
| Taylor Regional Hospital range across 2 matching MRF lines |
Campbellsville, KY | $65.50–$164.50 | $131–$329 | — | varies |
| Anderson County Hospital | Garnett, KS | $66 | $110 | — | — |
| Allen County Regional Hospital | Iola, KS | $66 | $110 | — | — |
| Adventist Health Howard Memorial range across 3 matching MRF lines |
Willits, CA | $66–$94.80 | $220–$316 | — | varies |
| Iu Health Jay range across 3 matching MRF lines |
Portland, IN | $66.22–$139.59 | $148–$312 | — | varies |
| Central Montana Medical Center range across 2 matching MRF lines |
Lewistown, MT | $67.15–$221 | $79–$260 | — | varies |
| Lawrence + Memorial Hospital | New London, CT | $67.47 | $187.41 | — | — |
| Winona Health range across 3 matching MRF lines |
Winona, MN | $67.48–$168.70 | $192.80–$482 | — | varies |
| Ochsner Rush Medical Center range across 2 matching MRF lines |
Meridian, MS | $68.54–$138.89 | $195.82–$396.82 | — | varies |
| WinnMed range across 2 matching MRF lines |
Decorah, IA | $68.60–$340.20 | $98–$486 | — | varies |
| CHI St. Alexius Health Dickinson range across 2 matching MRF lines |
Dickinson, ND | $68.67–$206.01 | $109–$327 | — | varies |
| Samaritan North Lincoln Hospital | Lincoln City, OR | $68.80 | $86 | — | — |
| Samaritan Pacific Community Hospital | Newport, OR | $68.80 | $86 | — | — |
| Samaritan Lebanon Community Hospital | Lebanon, OR | $68.80 | $86 | — | — |
| Marietta Memorial Hospital | Marietta, OH | $69 | $115 | — | — |
| Selby General Hospital range across 2 matching MRF lines |
Marietta, OH | $69–$159.97 | $115–$266.62 | — | varies |
| Adventist Health Delano | Delano, CA | $69.40 | $347 | — | — |
| Intermountain Health St. George Regional Hospital | St. George, UT | $69.75 | $93 | — | — |
| Intermountain Health Park City Hospital | Park City, UT | $69.75 | $93 | — | — |
| Mitchell County Hospital District | Colorado City, TX | $70 | $100 | — | — |
| Jefferson Medical Center | Ranson, WV | $70 | $140 | — | — |
| Billings Clinic Broadwater range across 2 matching MRF lines |
Townsend, MT | $70–$221 | $70–$221 | — | varies |
| Adventist Health Portland | Portland, OR | $70.08 | $219 | — | — |
| CHI St. Vincent Morrilton | Morrilton, AR | $70.81 | $278 | — | — |
| Potomac Valley Hospital | Keyser, WV | $71 | $142 | — | — |
| Medina Regional Hospital range across 2 matching MRF lines |
Hondo, TX | $71.19–$177.46 | $79.09–$197.17 | — | varies |
| Mississippi Baptist Medical Center | Jackson, MS | $71.19 | $339 | — | — |
| Schneck Medical Center range across 7 matching MRF lines |
Seymour, IN | $71.40–$168.70 | $102–$241 | — | varies |
| Hancock County Hospital | Sneedville, TN | $71.99 | $313 | — | — |
| Mercyhealth Fhn Hospital range across 2 matching MRF lines |
Freeport, IL | $72–$244.80 | $90–$306 | — | varies |
| Holland Hospital range across 2 matching MRF lines |
Holland, MI | $72–$192 | $120–$320 | — | varies |
| Boone Memorial Health range across 3 matching MRF lines |
Madison, WV | $72.50–$110.60 | $133–$158 | — | varies |
| Bristol Regional Medical Center | Bristol, TN | $73.20 | $488 | — | — |
| Holston Valley Medical Center | Kingsport, TN | $73.20 | $488 | — | — |
| Hawkins County Memorial Hospital | Rogersville, TN | $73.20 | $488 | — | — |
| Greeneville Community Hospital | Greeneville, TN | $73.20 | $488 | — | — |
| Lonesome Pine Hospital | Big Stone Gap, VA | $73.20 | $488 | — | — |
| Westfield Memorial Hospital, Inc | Westfield, NY | $73.48 | $334 | — | — |
| Nacogdoches Medical Center | Nacogdoches, TX | $73.50 | $98 | — | — |
| Jennie Stuart Health | Hopkinsville, KY | $74.09 | $239 | — | — |
| Franciscan Health Rensselaer, Inc | Rensselaer, IN | $74.11 | $207 | — | — |
| Ochsner Abrom Kaplan Memorial Hospital | Kaplan, LA | $74.70 | $166 | — | — |
| Community Hospital, Onaga and St. Marys Campus | Onaga, KS | $75 | $189 | — | — |
| Sarah Bush Lincoln Health Center range across 4 matching MRF lines |
Mattoon, IL | $75–$238 | $75–$238 | — | varies |
| Huggins Hospital | Wolfeboro, NH | $76.50 | $153 | — | — |
| Tampa General Hospital | Tampa, FL | $77.70 | $222 | — | — |
| Adventist Health Tillamook range across 3 matching MRF lines |
Tillamook, OR | $77.76–$194.40 | $144–$360 | — | varies |
| St. Francis Medical Center range across 2 matching MRF lines |
Monroe, LA | $78–$96.50 | $156–$193 | — | varies |
| Contra Costa Regional Medical Center range across 2 matching MRF lines |
Martinez, CA | $78–$193 | $78–$193 | — | varies |
| Berkeley Medical Center range across 2 matching MRF lines |
Martinsburg, WV | $78.50–$85.50 | $157–$171 | — | varies |
| Avera Sacred Heart Hospital | Yankton, SD | $78.57 | $81 | — | — |
| Avera Gregory Hospital | Gregory, SD | $78.57 | $81 | — | — |
| Lower Umpqua Hospital District range across 5 matching MRF lines |
Reedsport, OR | $79.14–$309.43 | $146.55–$573.02 | — | varies |
| D.W. McMillan Memorial Hospital | Brewton, AL | $79.20 | $132 | — | — |
| Atmore Community Hospital | Atmore, AL | $79.20 | $132 | — | — |
| Swedish Edmonds Campus | Edmonds, WA | $79.68 | $166 | — | — |
| Methodist Hospital | Omaha, NE | $81.36 | $226 | — | — |
| Berger Hospital | Circleville, OH | $81.90 | $126 | — | — |
| Jackson General Hospital | Ripley, WV | $82 | $164 | — | — |
| ECU Health Bertie Hospital | Windsor, NC | $82.32 | $147 | — | — |
| Mitchell County Regional Health range across 2 matching MRF lines |
Osage, IA | $82.35–$400.64 | $91.50–$445.15 | — | varies |
| Brookings Health System | Brookings, SD | $82.50 | $165 | — | — |
| Lincoln Hospital range across 2 matching MRF lines |
Davenport, WA | $82.89–$235.89 | $92.10–$262.10 | — | varies |
| 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 | — | — |
| Adventist Health Tehachapi Valley range across 2 matching MRF lines |
Tehachapi, CA | $84.24–$85.32 | $312–$316 | — | varies |
| Princeton Community Hospital range across 2 matching MRF lines |
Princeton, WV | $84.50–$86.50 | $169–$173 | — | varies |
| Bear Valley Community Hospital | Big Bear Lake, CA | $84.90 | $121.29 | — | — |
| North Runnels Hospital | Winters, TX | $85 | $122 | — | — |
| Wetzel County Hospital range across 3 matching MRF lines |
New Martinsville, WV | $85.50–$170.50 | $171–$341 | — | varies |
| Henry County Hospital, Inc range across 3 matching MRF lines |
Napoleon, OH | $85.50–$427.50 | $114–$570 | — | varies |
| Rockcastle Regional Hospital and Respiratory Care Center range across 2 matching MRF lines |
Mount Vernon, KY | $85.88–$243.96 | $113–$321 | — | varies |
| Ellis Hospital range across 10 matching MRF lines |
Schenectady, NY | $86–$191 | $172–$382 | — | varies |
| UAB Medical West | Bessemer, AL | $86.25 | $115 | — | — |
| Saint Alphonsus Regional Medical Center | Boise, ID | $86.45 | $133 | — | — |
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | $86.45 | $133 | — | — |
| Saint Alphonsus Medical Center Ontario | Ontario, OR | $86.45 | $133 | — | — |
| Ochsner Lafayette General Medical Center | Lafayette, LA | $86.79 | $263 | — | — |
| Parkland Memorial Hospital | Dallas, TX | $87.20 | $218 | — | — |
| Alice Peck Day Memorial Hospital range across 2 matching MRF lines |
Lebanon, NH | $87.32–$131.52 | $162–$244 | — | varies |
| Scotland County Hospital | Memphis, MO | $87.50 | $125 | — | — |
| North Sunflower Medical Center | Ruleville, MS | $87.50 | $175 | — | — |
| St. Clare Hospital range across 2 matching MRF lines |
Lakewood, WA | $87.67–$190.35 | $304.14–$660.38 | — | varies |
| Alamance Regional Medical Center | Burlington, NC | $88.06 | $231.74 | — | — |
| Cone Health Moses Cone Hospital | Greensboro, NC | $88.06 | $231.74 | — | — |
| Bertrand Chaffee Hospital | Springville, NY | $88.40 | $104 | — | — |
| Marion General Hospital | Marion, OH | $88.40 | $136 | — | — |
| OhioHealth Mansfield Hospital | Mansfield, OH | $88.40 | $136 | — | — |
| OhioHealth Shelby Hospital | Shelby, OH | $88.40 | $136 | — | — |
| Allendale County Hospital | Fairfax, SC | $89.25 | $105 | — | — |
| Thomas Memorial Hospital | South Charleston, WV | $90 | $180 | — | — |
| Carthage Area Hospital | Carthage, NY | $90 | $300 | — | — |
| North Central Kansas Medical Center range across 3 matching MRF lines |
Concordia, KS | $90.02–$184.38 | $128.60–$263.40 | — | varies |
| Methodist Fremont Health | Fremont, NE | $90.28 | $244 | — | — |
| Perham Health range across 6 matching MRF lines |
Perham, MN | $90.35–$263.90 | $139–$406 | — | varies |
| Edgerton Hospital and Health Services range across 2 matching MRF lines |
Edgerton, WI | $91.25–$284.70 | $125–$390 | — | varies |
| Rio Grande Hospital range across 2 matching MRF lines |
Del Norte, CO | $91.40–$284.74 | $121.86–$379.65 | — | varies |
| Akron Children's Hospital | Akron, OH | $91.50 | $122 | — | — |
| Richland Hospital range across 2 matching MRF lines |
Richland Center, WI | $92–$461.60 | $115–$577 | — | varies |
| University Health System | San Antonio, TX | $92.25 | $369 | — | — |
| St. Anthony Hospital range across 2 matching MRF lines |
Gig Harbor, WA | $92.51–$200.86 | $304.14–$660.38 | — | varies |
| United Hospital District range across 5 matching MRF lines |
Blue Earth, MN | $92.65–$309.40 | $109–$364 | — | varies |
| Buchanan General Hospital | Grundy, VA | $92.75 | $265 | — | — |
| St. Anne Hospital range across 2 matching MRF lines |
Burien, WA | $92.88–$201.66 | $304.14–$660.38 | — | varies |
| Osf Little Company of Mary Medical Center range across 3 matching MRF lines |
Evergreen Park, IL | $93–$157.80 | $155–$263 | — | varies |
| Swisher Memorial Hospital | Tulia, TX | $93.50 | $187 | — | — |
| Valor Health range across 4 matching MRF lines |
Emmett, ID | $93.67–$373.64 | $98.60–$393.30 | — | varies |
| Northwest Health-la Porte range across 2 matching MRF lines |
La Porte, IN | $94.38–$144.54 | $286–$438 | — | varies |
| 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–$207.25 | $304.14–$660.38 | — | varies |
| St. Joseph's Hospital | Buckhannon, WV | $96 | $192 | — | — |
| Paulding County Hospital range across 2 matching MRF lines |
Paulding, OH | $96.90–$144.50 | $114–$170 | — | varies |
| Bridgeport Hospital | Bridgeport, CT | $97.45 | $187.41 | — | — |
| Greenwich Hospital | Greenwich, CT | $97.45 | $187.41 | — | — |
| Steele Memorial Medical Center range across 3 matching MRF lines |
Salmon, ID | $97.50–$249 | $130–$332 | — | varies |
| Rush Copley Medical Center | Aurora, IL | $97.50 | $195 | — | — |
| Winkler County Memorial Hospital | Kermit, TX | $97.78 | $122.22 | — | — |
| Cuyuna Regional Medical Center range across 3 matching MRF lines |
Crosby, MN | $98.60–$197.54 | $290–$581 | — | varies |
| Eastland Memorial Hospital | Eastland, TX | $99 | $198 | — | — |
| Ridgecrest Regional Hospital | Ridgecrest, CA | $99.74 | $188.19 | — | — |
| St. Charles Madras range across 2 matching MRF lines |
Madras, OR | $99.74–$400.26 | $124.68–$500.32 | — | varies |
| Lamb Healthcare Center | Littlefield, TX | $100 | $250 | — | — |
| Choctaw Memorial Hospital | Hugo, OK | $100 | $200 | — | — |
| Haskell Regional Hospital, Inc | Stigler, OK | $100 | $216 | — | — |
| Izard Regional Hospital | Calico Rock, AR | $100 | $302.50 | — | — |
| Ozarks Community Hospital range across 4 matching MRF lines |
Gravette, AR | $100 | $513–$651 | — | — |
| Monroe Regional Hospital range across 2 matching MRF lines |
Aberdeen, MS | $100–$216 | $216 | — | varies |
| Mountains Community Hospital | Lake Arrowhead, CA | $100 | $250 | — | — |
| Hocking Valley Community Hospital | Logan, OH | $100 | $100 | — | — |
| Adventist Health Clearlake | Clearlake, CA | $100.08 | $278 | — | — |
| Barnesville Hospital range across 3 matching MRF lines |
Barnesville, OH | $100.50–$123.50 | $201–$247 | — | varies |
| St. Joseph Medical Center range across 2 matching MRF lines |
Tacoma, WA | $100.74–$218.72 | $304.14–$660.38 | — | varies |
| University of Illinois Hospital and Clinics | Chicago, IL | $100.80 | $336 | — | — |
| Highland Hills Medical Center | Senatobia, MS | $101 | $202 | — | — |
| Saint Francis Medical Center range across 3 matching MRF lines |
Peoria, IL | $101.40–$137.40 | $169–$229 | — | varies |
| Drumright Regional Hospital range across 3 matching MRF lines |
Drumright, OK | $102–$105 | $170–$175 | — | varies |
| J.W. Ruby Memorial Hospital range across 3 matching MRF lines |
Morgantown, WV | $102–$110 | $204–$220 | — | varies |
| Dukes Memorial Hospital range across 8 matching MRF lines |
Peru, IN | $102–$130.50 | $204–$261 | — | varies |
| South Lincoln Medical Center range across 4 matching MRF lines |
Kemmerer, WY | $102.38–$263.03 | $136.50–$350.70 | — | 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 | — | — |
| Spartanburg Medical Center range across 2 matching MRF lines |
Spartanburg, SC | $103.80–$281.40 | $173–$469 | — | varies |
| Cherokee Medical Center range across 2 matching MRF lines |
Gaffney, SC | $103.80–$281.40 | $173–$469 | — | varies |
| Pelham Medical Center range across 2 matching MRF lines |
Greer, SC | $103.80–$281.40 | $173–$469 | — | varies |
| Union Medical Center range across 2 matching MRF lines |
Union, SC | $103.80–$281.40 | $173–$469 | — | varies |
| Vanderbilt Bedford Hospital range across 2 matching MRF lines |
Shelbyville, TN | $103.82–$114.26 | $358–$394 | — | varies |
| Vanderbilt Tullahoma-Harton Hospital range across 2 matching MRF lines |
Tullahoma, TN | $103.82–$114.26 | $358–$394 | — | varies |
| Vanderbilt Wilson County Hospital range across 2 matching MRF lines |
Lebanon, TN | $103.82–$114.26 | $358–$394 | — | varies |
| Gundersen St. Josephs Hospital and Clinics | Hillsboro, WI | $104.67 | $199 | — | — |
| Ochsner University Hospital & Clinics | Lafayette, LA | $105 | $210 | — | — |
| Glendale Mem Hospital & Hlth Center | Glendale, CA | $105.30 | $323 | — | — |
| Crittenden Community Hospital | Marion, KY | $105.42 | $251 | — | — |
| Atrium Health Wake Forest Baptist Medical Center | Winston-Salem, NC | $105.50 | $211 | — | — |
| Wilkes Medical Center | North Wilkesboro, NC | $105.50 | $211 | — | — |
| Hugh Chatham Health – Medical Center | Elkin, NC | $105.50 | $211 | — | — |
| Oak Valley Hospital District | Oakdale, CA | $105.75 | $141 | — | — |
| Desert View Hospital | Pahrump, NV | $106 | $266 | — | — |
| CHRISTUS St. Frances Cabrini Hospital | Alexandria, LA | $106.34 | $409 | — | — |
| Ascension Calumet Hospital range across 3 matching MRF lines |
Chilton, WI | $106.59–$240.54 | $187–$422 | — | varies |
| Rainy Lake Medical Center range across 4 matching MRF lines |
International Falls, MN | $106.63–$355.34 | $138.47–$461.47 | — | varies |
| LaSalle General Hospital | Jena, LA | $106.80 | $178 | — | — |
| Ucsf Medical Center | San Francisco, CA | $107.40 | $358 | — | — |
| St. Elizabeth Hospital range across 2 matching MRF lines |
Enumclaw, WA | $107.48–$233.36 | $304.14–$660.38 | — | varies |
| Rush University Medical Center | Chicago, IL | $107.50 | $215 | — | — |
| Westfields Hospital and Clinic range across 2 matching MRF lines |
New Richmond, WI | $107.83–$208.82 | $205–$397 | — | varies |
| Floyd County Medical Center | Charles City, IA | $108.80 | $272 | — | — |
| Nationwide Children's Hospital Toledo | Toledo, OH | $109.20 | $182 | — | — |
| Denver Health Medical Center | Denver, CO | $109.26 | $312.16 | — | — |
| Providence Redwood Memorial Hospital | Fortuna, CA | $109.65 | $215 | — | — |
| Starr County Memorial Hospital | Rio Grande City, TX | $110 | $110 | — | — |
| Yale New Haven Hospital | New Haven, CT | $110.57 | $187.41 | — | — |
| Edwards County Medical Center | Kinsley, KS | $112 | $140 | — | — |
| Memorial Healthcare | Owosso, MI | $112 | $140 | — | — |
| Lexington Medical Center | Lexington, NC | $112.50 | $225 | — | — |
| Eaton Rapids Medical Center | Eaton Rapids, MI | $112.73 | $225.46 | — | — |
| Dosher Memorial Hospital range across 3 matching MRF lines |
Southport, NC | $113.50–$125.15 | $227–$250.29 | — | varies |
| McLeod Health Dillon | Dillon, SC | $114.31 | $161 | — | — |
| McLeod Regional Medical Center | Florence, SC | $114.31 | $161 | — | — |
| McLeod Health Loris | Loris, SC | $114.31 | $161 | — | — |
| McLeod Health Cheraw | Cheraw, SC | $114.31 | $161 | — | — |
| McLeod Health Clarendon | Manning, SC | $114.31 | $161 | — | — |
| Cassia Regional Hospital | Burley, ID | $114.34 | $152.46 | — | — |
| Oklahoma Heart Hospital, LLC | Oklahoma City, OK | $114.97 | $328.50 | — | — |
| Oklahoma Heart Hospital South, LLC | Oklahoma City, OK | $114.97 | $328.50 | — | — |
| Iberia Medical Center | New Iberia, LA | $115.20 | $192 | — | — |
| Southeastern Medical Center | Cambridge, OH | $115.70 | $178 | — | — |
| F F Thompson Hospital | Canandaigua, NY | $116 | — | — | — |
| T.J. Samson Community Hospital | Glasgow, KY | $116.35 | $179 | — | — |
| T.J. Health Columbia | Columbia, KY | $116.35 | $179 | — | — |
| Weirton Medical Center | Weirton, WV | $116.50 | $233 | — | — |
| Satanta District Hospital, Clinics, & LTCU range across 2 matching MRF lines |
Satanta, KS | $117–$180 | $130–$200 | — | varies |
| Boston Medical Center Brighton | Brighton, MA | $117.01 | $260.03 | — | — |
| NYU Langone Hospitals | New York, NY | $117.09 | $616.27 | — | — |
| Jones Memorial Hospital | Wellsville, NY | $118 | — | — | — |
| Chambers Memorial Hospital | Danville, AR | $118.02 | $236.04 | — | — |
| Intermountain Health Utah Valley Hospital | Provo, UT | $118.64 | $158.18 | — | — |
| Prisma Health Oconee Memorial Hospital | Seneca, SC | $118.95 | $183 | — | — |
| Prisma Health Baptist Easley Hospital | Easley, SC | $118.95 | $183 | — | — |
| Prisma Health Richland Hospital | Columbia, SC | $118.95 | $183 | — | — |
| Prisma Health Greer Memorial Hospital | Greer, SC | $118.95 | $183 | — | — |
| Prisma Health Hillcrest Hospital | Simpsonville, SC | $118.95 | $183 | — | — |
| Prisma Health Laurens County Hospital | Clinton, SC | $118.95 | $183 | — | — |
| Prisma Health Tuomey Hospital | Sumter, SC | $118.95 | $183 | — | — |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | $118.95 | $183 | — | — |
| Prisma Health Baptist Hospital | Columbia, SC | $118.95 | $183 | — | — |
| Prisma Health Patewood Hospital | Greenville, SC | $118.95 | $183 | — | — |
| Prisma Health Baptist Parkridge Hospital | Columbia, SC | $118.95 | $183 | — | — |
| Humboldt Park Health | Chicago, IL | $119.07 | $425.25 | — | — |
| Ochsner Laird Hospital range across 2 matching MRF lines |
Union, MS | $119.45–$242.06 | $195.82–$396.82 | — | varies |
| Sky Lakes Medical Center | Klamath Falls, OR | $119.62 | $159.50 | — | — |
| Ward Memorial Hospital range across 2 matching MRF lines |
Monahans, TX | $120–$218 | $171–$311 | — | varies |
| Pike County Memorial Hospital | Louisiana, MO | $120 | $150 | — | — |
| East Carroll Parish Hospital range across 2 matching MRF lines |
Lake Providence, LA | $120–$167.02 | $160–$222.69 | — | varies |
| Oroville Hospital | Oroville, CA | $120 | $239 | — | — |
| Bay Area Hospital range across 2 matching MRF lines |
Coos Bay, OR | $120–$372.62 | $160–$496.83 | — | varies |
| Billings Clinic Hospital range across 2 matching MRF lines |
Billings, MT | $120–$290 | $120–$290 | — | varies |
| Covenant Hospital Plainview | Plainview, TX | $121.38 | $289 | — | — |
| Covenant Hospital Levelland | Levelland, TX | $121.38 | $289 | — | — |
| Reynolds Memorial Hospital range across 2 matching MRF lines |
Glen Dale, WV | $121.50–$128 | $243–$256 | — | varies |
| Kane County Hospital | Kanab, UT | $121.50 | $135 | — | — |
| Berkshire Medical Center | Pittsfield, MA | $121.60 | $128 | — | — |
| Fairview Hospital range across 3 matching MRF lines |
Great Barrington, MA | $121.60–$406.60 | $128–$428 | — | varies |
| North Adams Regional Hospital | North Adams, MA | $121.60 | $128 | — | — |
| Vandalia Health Broaddus Hospital | Philippi, WV | $122.43 | $174.90 | — | — |
| Ochsner Scott Regional range across 2 matching MRF lines |
Morton, MS | $123.37–$250 | $195.82–$396.82 | — | varies |
| Cimarron Memorial Hospital | Boise City, OK | $124 | $248 | — | — |
| Cordell Memorial Hospital | Cordell, OK | $124 | $155 | — | — |
| Okeene Municipal Hospital | Okeene, OK | $124 | $155 | — | — |
| HealthAlliance-Clinton Hospital (Leominster and Clinton campuses) | Leominster, MA | $124 | $124 | — | — |
| OCH Regional Medical Center | Starkville, MS | $124.16 | $194 | — | — |
| Mercy Health - Defiance Hospital | Defiance, OH | $126 | $210 | — | — |
| Cibola General Hospital | Grants, NM | $126.90 | $158.62 | — | — |
| Massac Memorial Hospital | Metropolis, IL | $126.90 | $181.28 | — | — |
| Harris Health | Houston, TX | $127 | $127 | — | — |
| River Hospital range across 2 matching MRF lines |
Alexandria Bay, NY | $127.45–$275.44 | $155–$335 | — | varies |
| Mosaic Life Care at St. Joseph - Medical Center range across 2 matching MRF lines |
St. Joseph, MO | $127.50–$212.50 | $150–$250 | — | varies |
| Harlan County Health System | Alma, NE | $127.72 | $159.65 | — | — |
| Community Memorial Hospital range across 2 matching MRF lines |
Burke, SD | $128.16–$271.28 | $180–$381 | — | varies |
| Amery Hospital & Clinic range across 2 matching MRF lines |
Amery, WI | $128.26–$191.88 | $246–$368 | — | varies |
| Cochran Memorial Hospital | Morton, TX | $128.40 | $128.40 | — | — |
| White Mountain Regional Medical Center | Springerville, AZ | $128.74 | $225.86 | — | — |
| Memorial Hospital & Manor range across 2 matching MRF lines |
Bainbridge, GA | $128.80–$209.30 | $184–$299 | — | varies |
| Wellstar Mountain Lakes Medical Center | Clayton, GA | $129.20 | $323 | — | — |
| Ozarks Healthcare | West Plains, MO | $129.38 | $258.75 | — | — |
| St. Peter's Hospital | Albany, NY | $130 | $200 | — | — |
| Samaritan Hospital | Troy, NY | $130 | $200 | — | — |
| Nassau University Medical Center range across 2 matching MRF lines |
East Meadow, NY | $130.39–$180.84 | $186.27–$258.34 | — | varies |
| Lallie Kemp Regional Medical Center | Independence, LA | $130.55 | $217.58 | — | — |
| Ochsner Watkins Hospital range across 2 matching MRF lines |
Quitman, MS | $131.20–$265.87 | $195.82–$396.82 | — | varies |
| Gouverneur Hospital | Gouverneur, NY | $131.23 | $201.89 | — | — |
| Hospital District #1 of Rice County range across 3 matching MRF lines |
Lyons, KS | $131.25–$157.50 | $175–$210 | — | varies |
| UK St. Claire Regional Medical Center range across 3 matching MRF lines |
Morehead, KY | $131.25–$249 | $175–$332 | — | varies |
| Harrison County Hospital | Corydon, IN | $131.40 | $219 | — | — |
| Tyler Holmes Memorial Hospital | Winona, MS | $132 | $176 | — | — |
| Natividad Medical Center range across 2 matching MRF lines |
Salinas, CA | $132–$190 | $132–$190 | — | varies |
| Trinity Hospitals | Minot, ND | $132 | $165 | — | — |
| Kenmare Community Hospital | Kenmare, ND | $132 | $165 | — | — |
| Witham Health Services | Lebanon, IN | $132.30 | $189 | — | — |
| University Medical Center New Orleans | New Orleans, LA | $132.44 | $602 | — | — |
| Healdsburg Hospital range across 2 matching MRF lines |
Healdsburg, CA | $132.60–$197.37 | $260–$387 | — | varies |
| St. Mary Medical Center | Long Beach, CA | $132.87 | $309 | — | — |
| Bozeman Health Deaconess Regional Medical Center | Bozeman, MT | $133.60 | $167 | — | — |
| Concord Hospital range across 3 matching MRF lines |
Concord, NH | $133.80–$151.50 | $446–$505 | — | varies |
| Concord Hospital – Laconia range across 3 matching MRF lines |
Laconia, NH | $133.80–$151.50 | $446–$505 | — | varies |
| Concord Hospital – Franklin range across 3 matching MRF lines |
Franklin, NH | $133.80–$151.50 | $446–$505 | — | varies |
| The University of Toledo Medical Center | Toledo, OH | $133.80 | $223 | — | — |
| St. Michael Medical Center range across 2 matching MRF lines |
Silverdale, WA | $134.24–$291.46 | $304.14–$660.38 | — | varies |
| Iron County Medical Center range across 2 matching MRF lines |
Pilot Knob, MO | $134.57–$189 | $149.52–$210 | — | varies |
| Sauk Prairie Hospital range across 3 matching MRF lines |
Prairie Du Sac, WI | $134.57–$443.62 | $246–$811 | — | varies |
| Our Lady of Lourdes Memorial Hospital, Inc | Binghamton, NY | $134.80 | $269.60 | — | — |
| Knox County Hospital | Knox City, TX | $135 | $135 | — | — |
| Valley View Medical Center | Fort Mohave, AZ | $135 | $225 | — | — |
| Ochsner Stennis Hospital range across 2 matching MRF lines |
De Kalb, MS | $135.12–$273.81 | $195.82–$396.82 | — | varies |
| The Christ Hospital range across 2 matching MRF lines |
Cincinnati, OH | $135.60–$180.60 | $226–$301 | — | varies |
| Tufts Medical Center range across 2 matching MRF lines |
Boston, MA | $135.80–$271.60 | $194–$388 | — | varies |
| Clark Fork Valley Hospital range across 3 matching MRF lines |
Plains, MT | $136.66–$237.90 | $136.66–$237.90 | — | varies |
| North Arkansas Regional Medical Center | Harrison, AR | $136.71 | $220.50 | — | — |
| Conway Medical Center | Conway, SC | $137 | $137 | — | — |
| Sweeny Community Hospital | Sweeny, TX | $137.16 | $228.60 | — | — |
| Javon Bea Hospital | Rockford, IL | $137.98 | $183.98 | — | — |
| Sioux Center Health | Sioux Center, IA | $139.68 | $144 | — | — |
| Tmc- Bonham Hospital | Bonham, TX | $139.70 | $466.40 | — | — |
| Whitesburg ARH Hospital | Whitesburg, KY | $139.80 | $233 | — | — |
| Hazard ARH Regional Medical Center | Hazard, KY | $139.80 | $233 | — | — |
| Paintsville ARH Hospital | Paintsville, KY | $139.80 | $233 | — | — |
| McDowell ARH Hospital | Mc Dowell, KY | $139.80 | $233 | — | — |
| Saint Luke's Hospital of Kansas City | Kansas City, MO | $139.80 | $233 | — | — |
| Beckley ARH Hospital | Beckley, WV | $139.80 | $233 | — | — |
| Ochsner American Legion Hospital | Jennings, LA | $139.86 | $333 | — | — |
| Munising Memorial Hospital | Munising, MI | $140 | $140 | — | — |
| St. Bernards Medical Center | Jonesboro, AR | $140.40 | $216 | — | — |
| Franklin Medical Center | Winnsboro, LA | $140.40 | $234 | — | — |
| Decatur County Hospital | Leon, IA | $140.80 | $176 | — | — |
| Crouse Hospital | Syracuse, NY | $141 | $141 | — | — |
| University Hospitals Cleveland Medical Center | Cleveland, OH | $141 | $188 | — | — |
| UH Rainbow Babies & Children's Hospital | Cleveland, OH | $141 | $188 | — | — |
| Mahaska Health Partnership range across 2 matching MRF lines |
Oskaloosa, IA | $141.95–$213.35 | $167–$251 | — | varies |
| OHSU Hospital and Clinics | Portland, OR | $142.35 | $219 | — | — |
| Hillsboro Medical Center | Hillsboro, OR | $142.35 | $219 | — | — |
| Bradley County Medical Center | Warren, AR | $142.50 | $285 | — | — |
| Harrison Community Hospital range across 2 matching MRF lines |
Cadiz, OH | $142.50–$151.50 | $285–$303 | — | varies |
| Natchitoches Regional Medical Center range across 4 matching MRF lines |
Natchitoches, LA | $142.80–$152.40 | $357–$381 | — | varies |
| Community Memorial Healthcare, Inc range across 3 matching MRF lines |
Marysville, KS | $143–$223 | $143–$223 | — | varies |
| Altru Hospital range across 4 matching MRF lines |
Grand Forks, ND | $143.96–$322.08 | $236–$528 | — | varies |
| Valley County Health System range across 6 matching MRF lines |
Ord, NE | $144–$240.30 | $160–$267 | — | varies |
| Hardin County General Hospital | Rosiclare, IL | $144 | $160 | — | — |
| San Juan Hospital | Monticello, UT | $144.51 | $206.44 | — | — |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $144.60 | $241 | — | — |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $144.60 | $241 | — | — |
| Muenster Memorial Hospital | Muenster, TX | $146 | $195 | — | — |
| Queen's North Hawaiʻi Community Hospital | Kamuela, HI | $146.30 | $209 | — | — |
| Broadlawns Medical Center range across 3 matching MRF lines |
Des Moines, IA | $147–$297 | $147–$297 | — | varies |
| Sullivan County Community Hospital range across 2 matching MRF lines |
Sullivan, IN | $147–$220.50 | $196–$294 | — | varies |
| Columbia Memorial Hospital range across 3 matching MRF lines |
Astoria, OR | $147.20–$305.60 | $184–$382 | — | varies |
| Atrium Health Cabarrus range across 2 matching MRF lines |
Concord, NC | $147.50–$175.43 | $295–$350.85 | — | varies |
| Atrium Health Cleveland range across 2 matching MRF lines |
Shelby, NC | $147.50–$175.43 | $295–$350.85 | — | varies |
| Atrium Health Anson range across 2 matching MRF lines |
Wadesboro, NC | $147.50–$175.43 | $295–$350.85 | — | varies |
| Atrium Health Pineville range across 2 matching MRF lines |
Charlotte, NC | $147.50–$175.43 | $295–$350.85 | — | varies |
| Atrium Health Carolinas Medical Center range across 2 matching MRF lines |
Charlotte, NC | $147.50–$175.43 | $295–$350.85 | — | varies |
| Atrium Health Stanly range across 2 matching MRF lines |
Albemarle, NC | $147.50–$175.43 | $295–$350.85 | — | varies |
| Atrium Health Union range across 2 matching MRF lines |
Monroe, NC | $147.50–$175.43 | $295–$350.85 | — | varies |
| Atrium Health Lincoln range across 2 matching MRF lines |
Lincolnton, NC | $147.50–$175.43 | $295–$350.85 | — | varies |
| Atrium Health University City range across 2 matching MRF lines |
Charlotte, NC | $147.50–$175.43 | $295–$350.85 | — | varies |
| Bath Community Hospital | Hot Springs, VA | $147.84 | $211.20 | — | — |
| McKenzie County Healthcare Systems Inc range across 2 matching MRF lines |
Watford City, ND | $148.20–$431.60 | $228–$664 | — | varies |
| University Hospitals Samaritan Medical Center | Ashland, OH | $148.50 | $198 | — | — |
| Ochsner Choctaw General range across 2 matching MRF lines |
Butler, AL | $148.82–$301.58 | $195.82–$396.82 | — | varies |
| Rehoboth Mckinley Christian Health Care Services | Gallup, NM | $149 | $497 | — | — |
| Jewell County Hospital | Mankato, KS | $150 | $200 | — | — |
| Medicine Lodge Memorial Hospital | Medicine Lodge, KS | $150 | $150 | — | — |
| Chicot Memorial Medical Center | Lake Village, AR | $150 | $150 | — | — |
| Southwest Arkansas Regional Medical Center | Hope, AR | $150 | $375 | — | — |
| Kiowa County Memorial Hospital | Greensburg, KS | $150.45 | $177 | — | — |
| St. Joseph's Medical Center | Yonkers, NY | $150.52 | $1,894 | — | — |
| Jefferson County Health Center | Fairfield, IA | $150.60 | $251 | — | — |
| Marshfield Medical Center - Rice Lake | Rice Lake, WI | $151.05 | $159 | — | — |
| Marshfield Medical Center | Marshfield, WI | $151.05 | $159 | — | — |
| Marshfield Medical Center - Beaver Dam | Beaver Dam, WI | $151.05 | $159 | — | — |
| Marshfield Medical Center - Weston | Weston, WI | $151.05 | $159 | — | — |
| Marshfield Medical Center - Eau Claire | Eau Claire, WI | $151.05 | $159 | — | — |
| Marshfield Medical Center - Minocqua | Minocqua, WI | $151.05 | $159 | — | — |
| Marshfield Medical Center - Neillsville | Neillsville, WI | $151.05 | $159 | — | — |
| Marshfield Medical Center - Park Falls | Park Falls, WI | $151.05 | $159 | — | — |
| Marshfield Medical Center - Ladysmith | Ladysmith, WI | $151.05 | $159 | — | — |
| Lackey Memorial Hospital range across 2 matching MRF lines |
Forest, MS | $151.20–$229 | $151.20–$229 | — | varies |
| Imperial Valley Health - El Centro Hospital | El Centro, CA | $151.20 | $216 | — | — |
| Methodist Healthcare Memphis Hospitals | Memphis, TN | $151.58 | $689 | — | — |
| Methodist Olive Branch Hospital | Olive Branch, MS | $151.58 | $689 | — | — |
| Baxter Health | Mountain Home, AR | $152.65 | $254.41 | — | — |
| Parkview Hospital | Wheeler, TX | $153 | $180 | — | — |
| Ellinwood District Hospital | Ellinwood, KS | $153 | $180 | — | — |
| Vandalia Health Davis Medical Center | Elkins, WV | $153.05 | $218.63 | — | — |
| Calhoun-Liberty Hospital | Blountstown, FL | $154 | $220 | — | — |
| New England Baptist Hospital | Boston, MA | $154 | $154 | — | — |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San Diego, CA | $154.55 | $281 | — | — |
| University of Cincinnati Medical Center, LLC range across 2 matching MRF lines |
Cincinnati, OH | $154.80–$157.20 | $258–$262 | — | varies |
| West Chester Hospital range across 2 matching MRF lines |
West Chester, OH | $154.80–$157.20 | $258–$262 | — | varies |
| Chadron Hospital range across 2 matching MRF lines |
Chadron, NE | $155–$232 | $221–$332 | — | varies |
| Tippah County Hospital range across 2 matching MRF lines |
Ripley, MS | $155–$250 | $155–$250 | — | varies |
| Massena Hospital | Massena, NY | $155.01 | $238.48 | — | — |
| Washington Regional Medical Center | Fayetteville, AR | $155.25 | $207 | — | — |
| F W Huston Medical Center | Winchester, KS | $156 | $195 | — | — |
| ECU Health Chowan Hospital | Edenton, NC | $156.24 | $279 | — | — |
| Kern Valley Healthcare District range across 3 matching MRF lines |
Lake Isabella, CA | $156.56 | $405–$520 | — | — |
| University of WI Hospitals & Clinics Authority range across 2 matching MRF lines |
Madison, WI | $157.20–$314.40 | $262–$524 | — | varies |
| Canton-Potsdam Hospital | Potsdam, NY | $157.23 | $241.89 | — | — |
| Phillips County Health Systems range across 2 matching MRF lines |
Phillipsburg, KS | $157.25–$198.05 | $185–$233 | — | varies |
| Van Wert Hospital | Van Wert, OH | $157.30 | $242 | — | — |
| Rosebud Health Care Center | Forsyth, MT | $157.50 | $157.50 | — | — |
| Boone Hospital Center | Columbia, MO | $158.40 | $264 | — | — |
| University of California Davis Medical Center | Sacramento, CA | $158.66 | $396.66 | — | — |
| Baxter Health Fulton County Hospital range across 2 matching MRF lines |
Salem, AR | $158.90–$196 | $227–$280 | — | varies |
| Tallahatchie General Hospital range across 3 matching MRF lines |
Charleston, MS | $158.90–$196 | $145–$280 | — | varies |
| Gateway Regional Medical Center | Granite City, IL | $159 | $265 | — | — |
| Weisbrod Memorial County Hospital | Eads, CO | $160.20 | $267 | — | — |
| Henderson County Community Hospital | Lexington, TN | $161.46 | $403.66 | — | — |
| Great Plains Health range across 2 matching MRF lines |
North Platte, NE | $163–$206 | $272–$343 | — | varies |
| Heywood Hospital range across 3 matching MRF lines |
Gardner, MA | $163–$544 | $163–$544 | — | varies |
| Athol Hospital range across 2 matching MRF lines |
Athol, MA | $163–$380 | $163–$380 | — | varies |
| JPS Health Network | Fort Worth, TX | $163.20 | $272 | — | — |
| Kingman Regional Medical Center range across 3 matching MRF lines |
Kingman, AZ | $163.45–$217.70 | $467–$622 | — | varies |
| Providence Valdez Medical Center range across 3 matching MRF lines |
Valdez, AK | $163.80–$358.80 | $210–$460 | — | varies |
| Long Island Community Hospital | Patchogue, NY | $163.97 | $863 | — | — |
| Fisher County Hospital District | Rotan, TX | $164 | $193 | — | — |
| Niagara Falls Memorial Medical Center range across 2 matching MRF lines |
Niagara Falls, NY | $164.80–$181.28 | $235.43–$258.97 | — | varies |
| Wilbarger General Hospital | Vernon, TX | $165 | $275 | — | — |
| Girard Medical Center | Girard, KS | $165 | $275 | — | — |
| Ste. Genevieve County Memorial Hospital | Ste. Genevieve, MO | $165 | $330 | — | — |
| Union Hospital | Dover, OH | $165.10 | $254 | — | — |
| Mercy Hospital | Canton, OH | $165.10 | $254 | — | — |
| Fairview Hospital | Cleveland, OH | $165.10 | $254 | — | — |
| Euclid Hospital | Euclid, OH | $165.10 | $254 | — | — |
| Lutheran Hospital | Cleveland, OH | $165.10 | $254 | — | — |
| Medina Hospital | Medina, OH | $165.10 | $254 | — | — |
| Marymount Hospital | Garfield Heights, OH | $165.10 | $254 | — | — |
| South Pointe Hospital | Warrensville Heights, OH | $165.10 | $254 | — | — |
| Cleveland Clinic | Cleveland, OH | $165.10 | $254 | — | — |
| Hillcrest Hospital | Mayfield Heights, OH | $165.10 | $254 | — | — |
| Cleveland Clinic Avon Hospital | Avon, OH | $165.10 | $254 | — | — |
| Lakewood Health System | Staples, MN | $166.78 | $269 | — | — |
| Columbia Memorial Hospital | Hudson, NY | $167 | $334 | — | — |
| 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 | — | — |
| Memorial Hospital of Carbon County range across 2 matching MRF lines |
Rawlins, WY | $168–$252 | $224–$336 | — | varies |
| Kiowa District Hospital | Kiowa, KS | $168 | $210 | — | — |
| UMass Memorial Medical Center | Worcester, MA | $168 | $168 | — | — |
| Mercy Hospital Cassville | Cassville, MO | $168.35 | $259 | — | — |
| Owensboro Health Twin Lakes Medical Center | Leitchfield, KY | $168.81 | $259.71 | — | — |
| Hansford County Hospital | Spearman, TX | $169 | $225 | — | — |
| Prowers Medical Center | Lamar, CO | $169.80 | $283 | — | — |
| Iowa Specialty Hospital - Clarion range across 2 matching MRF lines |
Clarion, IA | $169.80–$204 | $283–$340 | — | varies |
| Rush Memorial Hospital | Rushville, IN | $170.09 | $226.79 | — | — |
| Phelps Health Hospital | Rolla, MO | $171.34 | $244.77 | — | — |
| Coryell Memorial Hospital | Gatesville, TX | $172 | $286 | — | — |
| Valley Regional Hospital | Claremont, NH | $173.80 | $316 | — | — |
| Arbuckle Memorial Hospital Authority range across 2 matching MRF lines |
Sulphur, OK | $174–$188 | $218–$235 | — | varies |
| Greeley County Health Services | Tribune, KS | $175 | $250 | — | — |
| Our Lady of Lourdes Regional Medical Center | Lafayette, LA | $175.50 | $351 | — | — |
| Hennepin County Medical Center range across 3 matching MRF lines |
Minneapolis, MN | $175.50–$242.10 | $390–$538 | — | varies |
| MercyOne North Iowa Medical Center | Mason City, IA | $175.50 | $270 | — | — |
| MercyOne Waterloo Medical Center | Waterloo, IA | $175.50 | $270 | — | — |
| Shenandoah Medical Center | Shenandoah, IA | $175.50 | $270 | — | — |
| Livingston Hospital | Salem, KY | $176.85 | $294.75 | — | — |
| Atrium Health Floyd Medical Center | Rome, GA | $177 | $354 | — | — |
| Freeman Hospital West | Joplin, MO | $177.90 | $296.50 | — | — |
| Klickitat Valley Health | Goldendale, WA | $178.08 | $371 | — | — |
| Uci Health-orange | Orange, CA | $178.80 | $447 | — | — |
| Plains Memorial Hospital | Dimmitt, TX | $179 | $239 | — | — |
| Nashville General Hospital | Nashville, TN | $179.40 | $299 | — | — |
| Sistersville General Hospital | Sistersville, WV | $179.87 | $299.79 | — | — |
| Dimmit Regional Hospital | Carrizo Springs, TX | $180 | $300 | — | — |
| Rush County Memorial Hospital | La Crosse, KS | $180 | $200 | — | — |
| Lahey Hospital & Medical Center | Burlington, MA | $180 | $180 | — | — |
| RiverView Health range across 2 matching MRF lines |
Crookston, MN | $180–$420.30 | $200–$467 | — | varies |
| Hazel Hawkins Memorial Hospital | Hollister, CA | $180 | $661.50 | — | — |
| Southwest General Health Center | Middleburg Heights, OH | $180 | $240 | — | — |
| Nationwide Children's Hospital | Columbus, OH | $180 | $200 | — | — |
| Minneola District Hospital Nbr 2 | Minneola, KS | $180.60 | $258 | — | — |
| Wynn Hospital range across 2 matching MRF lines |
Utica, NY | $180.62–$210.60 | $301.04–$351 | — | varies |
| Mercy Medical Center | Merced, CA | $180.77 | $351 | — | — |
| Cass County Memorial Hospital | Atlantic, IA | $181.30 | $259 | — | — |
| Carlinville Area Hospital range across 2 matching MRF lines |
Carlinville, IL | $181.30–$303.80 | $259–$434 | — | varies |
| Jasper Memorial Hospital | Monticello, GA | $181.50 | $363 | — | — |
| Republic County Hospital | Belleville, KS | $181.88 | $242.50 | — | — |
| Muleshoe Area Medical Center | Muleshoe, TX | $182 | $304 | — | — |
| Black River Memorial Hospital | Black River Falls, WI | $182.70 | $203 | — | — |
| Hardtner Medical Center range across 3 matching MRF lines |
Olla, LA | $183.20–$322.45 | $229–$403.06 | — | varies |
| Grove Hill Rural Emergency Hospital | Grove Hill, AL | $184.20 | $307 | — | — |
| Holton Community Hospital | Holton, KS | $184.50 | $246 | — | — |
| Woodlawn Hospital | Rochester, IN | $184.50 | $246 | — | — |
| Lowell General Hospital | Lowell, MA | $184.80 | $264 | — | — |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $185 | $618 | — | — |
| MercyOne Genesis | Davenport, IA | $185.40 | $309 | — | — |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $185.40 | $309 | — | — |
| Hardin Memorial Hospital | Kenton, OH | $185.90 | $286 | — | — |
| Wayne General Hospital | Waynesboro, MS | $186 | $186 | — | — |
| Howard University Hospital | Washington, DC | $187.41 | $234.26 | — | — |
| Wilson Medical Center | Neodesha, KS | $187.50 | $250 | — | — |
| MelroseWakefield Hospital | Melrose, MA | $187.60 | $268 | — | — |
| Olivia Hospital & Clinic | Olivia, MN | $187.88 | $308 | — | — |
| McKenzie Health System range across 2 matching MRF lines |
Sandusky, MI | $188–$190.40 | $235–$238 | — | varies |
| Cordova Community Medical Center range across 2 matching MRF lines |
Cordova, AK | $188.50–$280 | $377–$560 | — | varies |
| Johnson Memorial Hospital range across 2 matching MRF lines |
Franklin, IN | $188.80–$189.86 | $236–$237.32 | — | varies |
| CarolinaEast Medical Center | New Bern, NC | $189.60 | $316 | — | — |
| Ochiltree General Hospital | Perryton, TX | $190 | $272 | — | — |
| BronxCare Hospital Center range across 2 matching MRF lines |
Bronx, NY | $190–$373 | $190–$373 | — | varies |
| Riverside Smithfield Hospital | Smithfield, VA | $190.40 | $380.80 | — | — |
| Adventist Health Columbia Gorge | The Dalles, OR | $190.56 | $397 | — | — |
| Orchard Hospital | Gridley, CA | $190.95 | $318.25 | — | — |
| Golden Valley Memorial Healthcare | Clinton, MO | $191.32 | $318.86 | — | — |
| Vanderbilt University Hospital range across 2 matching MRF lines |
Nashville, TN | $193.32–$212.76 | $358–$394 | — | varies |
| Washington County Hospital and Clinics | Washington, IA | $193.50 | $258 | — | — |
| Douglas County Memorial Hospital-cah | Armour, SD | $193.50 | $215 | — | — |
| St. Bernards Five Rivers Medical Center | Pocahontas, AR | $194.40 | $216 | — | — |
| Franklin County Memorial Hospital | Meadville, MS | $195 | $195 | — | — |
| Gibson Community Hospital range across 2 matching MRF lines |
Gibson City, IL | $195–$338 | $195–$338 | — | varies |
| Faith Health | Norfolk, NE | $195.55 | $319 | — | — |
| Mercy Medical Center - Cedar Rapids | Cedar Rapids, IA | $196.20 | $327 | — | — |
| Rangely District Hospital | Rangely, CO | $196.66 | $302.55 | — | — |
| Fairfield Memorial Hospital 1 | Fairfield, IL | $196.80 | $246 | — | — |
| Frio Regional Hospital | Pearsall, TX | $197 | $281 | — | — |
| Smith County Memorial Hospital | Smith Center, KS | $197 | $197 | — | — |
| Prosser Memorial Health Hospital | Prosser, WA | $198 | $360 | — | — |
| Rome Memorial Hospital, Inc | Rome, NY | $198.22 | $491 | — | — |
| Norton County Hospital | Norton, KS | $198.80 | $284 | — | — |
| Central Valley Medical Center - Cah | Nephi, UT | $200 | $200 | — | — |
| Mt Sinai Hospital Medical Center range across 2 matching MRF lines |
Chicago, IL | $200.19–$205.11 | $285.98–$293.01 | — | varies |
| Holy Cross Hospital range across 2 matching MRF lines |
Chicago, IL | $200.19–$205.11 | $285.98–$293.01 | — | varies |
| Mercy Hospital St. Louis | St. Louis, MO | $200.20 | $308 | — | — |
| Mercy Hospital Washington | Washington, MO | $200.20 | $308 | — | — |
| Madison County Health Care System range across 2 matching MRF lines |
Winterset, IA | $200.80–$243.20 | $251–$304 | — | varies |
| Blessing Hospital | Quincy, IL | $202.23 | $337.04 | — | — |
| Dundy County Hospital range across 2 matching MRF lines |
Benkelman, NE | $203–$356 | $226–$395 | — | varies |
| Pipestone County Medical Center & Family Clinic Avera | Pipestone, MN | $203.15 | $203 | — | — |
| Rhea Medical Center | Dayton, TN | $204 | $300 | — | — |
| Iowa Specialty Hospital - Belmond | Belmond, IA | $204 | $340 | — | — |
| St. Luke's Hospital | Chesterfield, MO | $204.60 | $341 | — | — |
| St. Mary's Healthcare | Amsterdam, NY | $204.66 | $297 | — | — |
| Southwest Medical Center | Liberal, KS | $204.80 | $256 | — | — |
| Hopedale Hospital | Hopedale, IL | $205.10 | $293 | — | — |
| Hancock Regional Hospital | Greenfield, IN | $205.60 | $257 | — | — |
| Adventist Health Mendocino Coast range across 2 matching MRF lines |
Fort Bragg, CA | $205.92–$208.56 | $312–$316 | — | varies |
| Morrison Community Hospital range across 2 matching MRF lines |
Morrison, IL | $206–$344.50 | $206–$344.50 | — | varies |
| Rooks County Health Center | Plainville, KS | $206.25 | $275 | — | — |
| Salem Hospital | Salem, MA | $206.25 | $275 | — | — |
| Newton Wellesley Hospital | Newton, MA | $206.25 | $275 | — | — |
| Grant Memorial Hospital range across 2 matching MRF lines |
Petersburg, WV | $206.40–$216.80 | $258–$271 | — | varies |
| Good Samaritan Regional Medical Center | Corvallis, OR | $206.40 | $258 | — | — |
| Samaritan Albany General Hospital | Albany, OR | $206.40 | $258 | — | — |
| Nevada Regional Medical Center | Nevada, MO | $206.55 | $459 | — | — |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $206.70 | $318 | — | — |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $206.70 | $318 | — | — |
| Cleveland Clinic Hospital | Weston, FL | $206.70 | $318 | — | — |
| Mackinac Straits Health System | Saint Ignace, MI | $207 | $345 | — | — |
| Pulaski Memorial Hospital range across 2 matching MRF lines |
Winamac, IN | $207.76–$237.23 | $296.80–$338.90 | — | varies |
| Patterson Health Center | Anthony, KS | $208 | $260 | — | — |
| Scheurer Health - Pigeon | Pigeon, MI | $208 | $320 | — | — |
| Pemiscot Memorial Hospital | Hayti, MO | $209.30 | $299 | — | — |
| Coalinga Regional Medical Center | Coalinga, CA | $209.40 | $349 | — | — |
| Ottawa County Health Center | Minneapolis, KS | $210 | $210 | — | — |
| Trinity Hospital range across 3 matching MRF lines |
Weaverville, CA | $211.50 | $411–$423 | — | — |
| Brown County Hospital | Ainsworth, NE | $212 | $282 | — | — |
| Incline Village Community Hospital range across 2 matching MRF lines |
Incline Village, NV | $212–$317 | $212–$317 | — | varies |
| Tahoe Forest Hospital range across 2 matching MRF lines |
Truckee, CA | $212–$317 | $212–$317 | — | varies |
| Lewis County General Hospital range across 5 matching MRF lines |
Lowville, NY | $212.13–$365.89 | $258–$445 | — | varies |
| Golden Plains Community Hospital | Borger, TX | $212.35 | $303.35 | — | — |
| Rapides Regional Medical Center | Alexandria, LA | $212.89 | $212.89 | — | — |
| Astria Toppenish Hospital | Toppenish, WA | $213.20 | $328 | — | — |
| Delta Memorial Hospital | Dumas, AR | $213.74 | $267.18 | — | — |
| Adirondack Medical Center - Saranac Lake | Saranac Lake, NY | $214.52 | $346 | — | — |
| Dahl Memorial Healthcare Association Inc | Ekalaka, MT | $214.99 | $214.99 | — | — |
| George L Mee Memorial Hospital range across 2 matching MRF lines |
King City, CA | $215.61–$217.50 | $287.47–$290 | — | varies |
| Sierra View Medical Center range across 3 matching MRF lines |
Porterville, CA | $216.30–$314.37 | $309–$449.10 | — | varies |
| Samaritan Medical Center | Watertown, NY | $216.50 | $216.50 | — | — |
| Artesia General Hospital | Artesia, NM | $217.20 | $362 | — | — |
| North Canyon Medical Center range across 3 matching MRF lines |
Gooding, ID | $217.60–$253.60 | $272–$317 | — | varies |
| Hermann Area District Hospital range across 2 matching MRF lines |
Hermann, MO | $217.80–$224.10 | $363–$373.50 | — | varies |
| Corewell Health Dearborn Hospital | Dearborn, MI | $218 | $218 | — | — |
| Corewell Health Beaumont Grosse Pointe Hospital | Grosse Pointe, MI | $218 | $218 | — | — |
| Corewell Health William Beaumont University Hospital | Royal Oak, MI | $218 | $218 | — | — |
| Corewell Health Wayne Hospital | Wayne, MI | $218 | $218 | — | — |
| Corewell Health Farmington Hills Hospital | Farmington Hills, MI | $218 | $218 | — | — |
| Corewell Health Trenton Hospital | Trenton, MI | $218 | $218 | — | — |
| Corewell Health Beaumont Troy Hospital | Troy, MI | $218 | $218 | — | — |
| Corewell Health Taylor Hospital | Taylor, MI | $218 | $218 | — | — |
| Dignity Health, Yavapai Regional Medical Center West | Prescott, AZ | $218.15 | $294 | — | — |
| Sharkey Issaquena Community Hospital | Rolling Fork, MS | $220 | $275 | — | — |
| Dallas County Hospital | Perry, IA | $220 | $338 | — | — |
| Weatherford Regional Hospital, Inc of Weatherford | Weatherford, OK | $220.80 | $276 | — | — |
| Providence St. Joseph Medical Center range across 3 matching MRF lines |
Polson, MT | $220.80–$223.20 | $276–$279 | — | varies |
| Arbor Health—Morton Hospital | Morton, WA | $222.58 | $359 | — | — |
| 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 | — | — |
| Neosho Memorial Regional Medical Center | Chanute, KS | $223.02 | $297.36 | — | — |
| Marshall Browning Hospital | Du Quoin, IL | $223.30 | $319 | — | — |
| Pratt Regional Medical Center | Pratt, KS | $224 | $320 | — | — |
| Bon Secours St. Mary's Hospital | Richmond, VA | $224.40 | $374 | — | — |
| College Medical Center | Long Beach, CA | $225 | $300 | — | — |
| Garfield County Memorial Hospital | Pomeroy, WA | $225.25 | $265 | — | — |
| MercyOne New Hampton Medical Center | New Hampton, IA | $226.85 | $349 | — | — |
| Barrett Hospital & Healthcare | Dillon, MT | $227.05 | $239 | — | — |
| Nebraska Medical Center | Omaha, NE | $227.50 | $350 | — | — |
| Bellevue Medical Center | Bellevue, NE | $227.50 | $350 | — | — |
| Jackson Healthcare Center | Edna, TX | $228 | $285 | — | — |
| Island Hospital range across 3 matching MRF lines |
Anacortes, WA | $228–$263 | $228–$263 | — | varies |
| Bayou Bend Health System | Franklin, LA | $228.20 | $326 | — | — |
| Southern Ohio Medical Center | Portsmouth, OH | $228.75 | $457.50 | — | — |
| ThedaCare Regional Medical Center - Neenah Inc range across 2 matching MRF lines |
Neenah, WI | $228.82–$290.98 | $408.60–$519.60 | — | varies |
| ThedaCare Regional Medical Center - Appleton Inc range across 2 matching MRF lines |
Appleton, WI | $228.82–$290.98 | $408.60–$519.60 | — | varies |
| ThedaCare Medical Center - Wild Rose Inc range across 2 matching MRF lines |
Wild Rose, WI | $228.82–$290.98 | $408.60–$519.60 | — | varies |
| ThedaCare Medical Center New London range across 2 matching MRF lines |
New London, WI | $228.82–$290.98 | $408.60–$519.60 | — | varies |
| ThedaCare Medical Center - Waupaca Inc range across 2 matching MRF lines |
Waupaca, WI | $228.82–$290.98 | $408.60–$519.60 | — | varies |
| ThedaCare Medical Center - Shawano Inc range across 2 matching MRF lines |
Shawano, WI | $228.82–$290.98 | $408.60–$519.60 | — | varies |
| ThedaCare Medical Center - Berlin Inc range across 2 matching MRF lines |
Berlin, WI | $228.82–$290.98 | $408.60–$519.60 | — | varies |
| MercyOne Genesis Dewitt Medical Center | Dewitt, IA | $229.20 | $382 | — | — |
| MercyOne Genesis | Aledo, IL | $229.20 | $382 | — | — |
| Orange City Area Health System | Orange City, IA | $229.60 | $287 | — | — |
| Logan Health - Chester | Chester, MT | $230.26 | $354.25 | — | — |
| Cheyenne County Hospital | St. Francis, KS | $230.35 | $271 | — | — |
| Northern Rockies Medical Center | Cut Bank, MT | $230.75 | $355 | — | — |
| Bayside Community Hospital | Anahuac, TX | $231 | $231 | — | — |
| Muscogee (creek) Nation Medical Center | Okmulgee, OK | $231.09 | $385.15 | — | — |
| Henderson Community Hospital | Henderson, NE | $232 | $290 | — | — |
| McLaren Bay Region | Bay City, MI | $232 | $464 | — | — |
| McLaren Central Michigan | Mount Pleasant, MI | $232 | $464 | — | — |
| McLaren Northern Michigan | Petoskey, MI | $232 | $464 | — | — |
| McLaren Flint | Flint, MI | $232 | $464 | — | — |
| McLaren Greater Lansing | Lansing, MI | $232 | $464 | — | — |
| McLaren Lapeer Region | Lapeer, MI | $232 | $464 | — | — |
| McLaren Oakland | Pontiac, MI | $232 | $464 | — | — |
| McLaren Port Huron | Port Huron, MI | $232 | $464 | — | — |
| McLaren Macomb | Mount Clemens, MI | $232 | $464 | — | — |
| McLaren Caro Region | Caro, MI | $232 | $464 | — | — |
| McLaren Thumb Region | Bad Axe, MI | $232 | $464 | — | — |
| Garden County Health Services | Oshkosh, NE | $233 | $342 | — | — |
| Lucas County Health Center | Chariton, IA | $233.10 | $259 | — | — |
| Guthrie Cortland Regional Medical Center | Cortland, NY | $233.44 | $291.80 | — | — |
| Corning Hospital | Corning, NY | $233.44 | $291.80 | — | — |
| Fred Hutch Cancer Center | Seattle, WA | $233.96 | $259.95 | — | — |
| Avera St. Mary's Hospital | Pierre, SD | $234 | $260 | — | — |
| Montgomery General Hospital | Montgomery, WV | $235.23 | $313.64 | — | — |
| MercyOne Elkader Medical Center | Elkader, IA | $235.95 | $363 | — | — |
| Ashland Health Center | Ashland, KS | $236 | $295 | — | — |
| Coteau Des Prairies Health Care System | Sisseton, SD | $236 | $236 | — | — |
| Summa Health System | Akron, OH | $236 | $236 | — | — |
| Freeman Neosho Hospital range across 2 matching MRF lines |
Neosho, MO | $236.40–$324.60 | $394–$541 | — | varies |
| MedStar Washington Hospital Center | Washington, DC | $237.34 | $365.14 | — | — |
| 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 |
| Logan Health - Shelby | Shelby, MT | $239.69 | $368.75 | — | — |
| Harbor Regional Health Community Hospital | Aberdeen, WA | $240.50 | $370 | — | — |
| Clearwater Valley Health | Orofino, ID | $240.75 | $321 | — | — |
| St. Mary's Health | Cottonwood, ID | $240.75 | $321 | — | — |
| Grande Ronde Hospital | La Grande, OR | $241.02 | $401.70 | — | — |
| Munson Healthcare Cadillac Hospital | Cadillac, MI | $241.40 | $284 | — | — |
| Veterans Memorial Hospital | Waukon, IA | $241.68 | $424 | — | — |
| Crane County Hospital District | Crane, TX | $242 | $346 | — | — |
| Pawnee County Memorial Hospital | Pawnee City, NE | $242 | $302 | — | — |
| Stevens Community Medical Center Inc | Morris, MN | $242.25 | $323 | — | — |
| CCM Health | Montevideo, MN | $243.10 | $374 | — | — |
| Faulkton Area Medical Center | Faulkton, SD | $243.80 | $270.89 | — | — |
| Hutchinson Health | Hutchinson, MN | $244.26 | $531 | — | — |
| Sheridan Memorial Hospital | Sheridan, WY | $246.40 | $308 | — | — |
| Mammoth Hospital | Mammoth Lakes, CA | $246.40 | $352 | — | — |
| Crawford County Memorial Hospital | Denison, IA | $248 | $310 | — | — |
| Knox Community Hospital | Mount Vernon, OH | $248 | $310 | — | — |
| Hancock County Health System | Britt, IA | $248.25 | $331 | — | — |
| Henry County Memorial Hospital range across 2 matching MRF lines |
New Castle, IN | $249.41–$277.41 | $356.30–$396.30 | — | varies |
| Peterson Regional Medical Center | Kerrville, TX | $249.60 | $384 | — | — |
| Avera Granite Falls | Granite Falls, MN | $251.23 | $259 | — | — |
| Ridgeview Medical Center | Waconia, MN | $251.37 | $513 | — | — |
| Cambridge Health Alliance | Cambridge, MA | $252 | $252 | — | — |
| Saunders Medical Center | Wahoo, NE | $252.75 | $337 | — | — |
| Atrium Health Navicent The Medical Center | Macon, GA | $253 | $506 | — | — |
| Jackson Parish Hospital | Jonesboro, LA | $253 | $253 | — | — |
| Lost Rivers Medical Center | Arco, ID | $253.60 | $317 | — | — |
| Jersey Community Hospital | Jerseyville, IL | $254 | $254 | — | — |
| Rio Grande Regional Hospital | Mcallen, TX | $255.15 | $255.15 | — | — |
| Family Health West Hospital | Fruita, CO | $255.50 | $365 | — | — |
| Hurley Medical Center | Flint, MI | $256 | $256 | — | — |
| South Lyon Medical Center | Yerington, NV | $256.90 | $367 | — | — |
| Titus Regional Medical Center | Mount Pleasant, TX | $257.40 | $429 | — | — |
| Washington County Hospital | Nashville, IL | $257.60 | $322 | — | — |
| Grover C. Dils Medical Center | Caliente, NV | $258 | $344 | — | — |
| Memorial Hospital | Seminole, TX | $258.30 | $369 | — | — |
| Greenwood County Hospital | Eureka, KS | $259.20 | $324 | — | — |
| SCK Health | Arkansas City, KS | $260 | $260 | — | — |
| Kossuth Regional Health Center | Algona, IA | $261.60 | $327 | — | — |
| Wyckoff Heights Medical Center range across 2 matching MRF lines |
Brooklyn, NY | $262.50–$488.75 | $262.50–$488.75 | — | varies |
| Cozad Community Hospital | Cozad, NE | $263 | $292 | — | — |
| Floyd Valley Healthcare | Le Mars, IA | $263 | $263 | — | — |
| Monument Health Spearfish Hospital | Spearfish, SD | $263.20 | $329 | — | — |
| Monument Health Rapid City Hospital | Rapid City, SD | $263.20 | $329 | — | — |
| Monument Health Lead-deadwood Hospital | Deadwood, SD | $263.20 | $329 | — | — |
| Monument Health Sturgis Hospital | Sturgis, SD | $263.20 | $329 | — | — |
| Monument Health Custer Hospital | Custer, SD | $263.20 | $329 | — | — |
| TriState Health | Clarkston, WA | $263.34 | $266 | — | — |
| Franklin Hospital | Benton, IL | $263.63 | $351.50 | — | — |
| Memorial Hospital | Aurora, NE | $264 | $275 | — | — |
| Self Regional Healthcare | Greenwood, SC | $264 | $440 | — | — |
| Edgefield County Healthcare | Edgefield, SC | $264 | $440 | — | — |
| Hawarden Regional Healthcare | Hawarden, IA | $266.86 | $313.95 | — | — |
| ECU Health Medical Center | Greenville, NC | $267.65 | $505 | — | — |
| Wyandot Memorial Hospital | Upper Sandusky, OH | $267.73 | $297.47 | — | — |
| West Holt Memorial Hospital | Atkinson, NE | $268 | $335 | — | — |
| North Oaks Medical Center | Hammond, LA | $268.82 | $855 | — | — |
| Beth Israel Deaconess Medical Center | Boston, MA | $269 | $269 | — | — |
| Tri-city Medical Center | Oceanside, CA | $270.14 | $450.23 | — | — |
| Fredonia Regional Hospital | Fredonia, KS | $270.39 | $270.39 | — | — |
| Helen Newberry Joy Hospital | Newberry, MI | $271.22 | $430.50 | — | — |
| Ridgeview Le Sueur Medical Center range across 2 matching MRF lines |
Le Sueur, MN | $271.60–$359.10 | $388–$513 | — | varies |
| Falls Community Hospital and Clinic | Marlin, TX | $272 | $340 | — | — |
| Sierra Vista Hospital | T Or C, NM | $272.25 | $363 | — | — |
| Putnam County Memorial Hospital | Unionville, MO | $272.40 | $272.40 | — | — |
| Stanton County Hospital | Johnson, KS | $273 | $273 | — | — |
| Boone County Hospital | Boone, IA | $274.80 | $343.50 | — | — |
| Syringa Hospital & Clinics | Grangeville, ID | $275.40 | $306 | — | — |
| Kittitas Valley Healthcare | Ellensburg, WA | $276.25 | $325 | — | — |
| Story County Hospital | Nevada, IA | $276.80 | $346 | — | — |
| Crook County Medical Services District | Sundance, WY | $277.72 | $370.30 | — | — |
| Mary Lanning Healthcare | Hastings, NE | $278.10 | $309 | — | — |
| EvergreenHealth Medical Center | Kirkland, WA | $279.20 | $349 | — | — |
| Kimball Health Services range across 3 matching MRF lines |
Kimball, NE | $279.51–$342 | $279.51–$342 | — | varies |
| Niobrara County Hospital District | Lusk, WY | $280 | $350 | — | — |
| Callaway District Hospital | Callaway, NE | $280 | $311 | — | — |
| Avera St. Lukes | Aberdeen, SD | $280.80 | $312 | — | — |
| Avera McKennan Hospital & University Health Center | Sioux Falls, SD | $280.80 | $312 | — | — |
| Aspirus St. Luke's Hospital | Duluth, MN | $281.25 | $517 | — | — |
| Nemaha Valley Community Hospital | Seneca, KS | $281.70 | $313 | — | — |
| Lake Charles Memorial Hospital range across 2 matching MRF lines |
Lake Charles, LA | $282–$399 | $470–$665 | — | varies |
| Massachusetts General Hospital range across 2 matching MRF lines |
Boston, MA | $282–$369.75 | $376–$493 | — | varies |
| Brigham and Women's Hospital range across 2 matching MRF lines |
Boston, MA | $282–$369.75 | $376–$493 | — | varies |
| Wayne County Hospital range across 2 matching MRF lines |
Corydon, IA | $284–$553 | $284–$553 | — | varies |
| St. Joseph's Hospital Health Center | Syracuse, NY | $284.05 | $437 | — | — |
| Community Hospital | McCook, NE | $284.63 | $316.25 | — | — |
| Johnson Memorial Hospital | Dawson, MN | $284.95 | $335.24 | — | — |
| Carle Bromenn Medical Center | Normal, IL | $286 | $286 | — | — |
| Carle Eureka Hospital | Eureka, IL | $286 | $286 | — | — |
| Clay County Hospital | Flora, IL | $286 | $286 | — | — |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $286.20 | $318 | — | — |
| Mcpherson Hospital Inc | Mcpherson, KS | $286.38 | $387 | — | — |
| Pullman Regional Hospital | Pullman, WA | $286.45 | $337 | — | — |
| Boone County Health Center | Albion, NE | $287 | $287 | — | — |
| Blue Mountain Hospital range across 2 matching MRF lines |
John Day, OR | $287.25–$341.25 | $383–$455 | — | varies |
| Morton County Hospital | Elkhart, KS | $288 | $320 | — | — |
| Plumas District Hospital | Quincy, CA | $288 | $360 | — | — |
| Cleveland Area Hospital | Cleveland, OK | $288.80 | $361 | — | — |
| Decatur Health | Oberlin, KS | $288.90 | $321 | — | — |
| Cogdell Memorial Hospital range across 2 matching MRF lines |
Snyder, TX | $289–$327 | $289–$327 | — | varies |
| WhidbeyHealth Medical Center range across 3 matching MRF lines |
Coupeville, WA | $289–$350 | $289–$350 | — | varies |
| Southwest Healthcare Services | Bowman, ND | $289.80 | $322 | — | — |
| Power County Hospital District | American Falls, ID | $290.90 | $291 | — | — |
| Gordon Memorial Hospital District | Gordon, NE | $291 | $291 | — | — |
| Franklin County Memorial Hospital | Franklin, NE | $292 | $324 | — | — |
| Wabash General Hospital 1 | Mount Carmel, IL | $292.04 | $292.04 | — | — |
| Estes Park Medical Center | Estes Park, CO | $294 | $392 | — | — |
| Osmond General Hospital | Osmond, NE | $294 | $294 | — | — |
| Sabetha Community Hospital | Sabetha, KS | $294 | $294 | — | — |
| DMC Harper University Hospital | Detroit, MI | $294.75 | $393 | — | — |
| 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 | — | — | — |
| Webster County Community Hospital | Red Cloud, NE | $295 | $310 | — | — |
| Phelps Memorial Health Center | Holdrege, NE | $295.20 | $328 | — | — |
| Memorial Hospital | Chester, IL | $295.20 | $369 | — | — |
| Friend Community Healthcare System | Friend, NE | $295.21 | $492.01 | — | — |
| Mid-Valley Hospital | Omak, WA | $295.40 | $422 | — | — |
| Peacehealth Cottage Grove Community Medical Center | Cottage Grove, OR | $295.75 | $455 | — | — |
| Cody Regional Health | Cody, WY | $295.80 | $348 | — | — |
| Genoa Community Hospital | Genoa, NE | $296 | $329 | — | — |
| Community Hospital – Fairfax | Fairfax, MO | $296 | $296 | — | — |
| Mayo Clinic Health System in Red Wing | Red Wing, MN | $296.14 | $442 | — | — |
| Livingston Healthcare | Livingston, MT | $296.40 | $312 | — | — |
| Niobrara Valley Hospital | Lynch, NE | $298 | $298 | — | — |
| Bellville Medical Center | Bellville, TX | $300 | $300 | — | — |
| Mccamey Hospital | Mccamey, TX | $300 | $300 | — | — |
| UMass Memorial Health–Milford Regional Medical Center | Milford, MA | $300 | $300 | — | — |
| Sarah Bush Lincoln Fayette County Hospital | Vandalia, IL | $300 | $300 | — | — |
| Madison Healthcare Services - Madison Hospital | Madison, MN | $300.05 | $353 | — | — |
| Weiser Memorial Hospital | Weiser, ID | $300.16 | $400.21 | — | — |
| Kearney County Health Services | Minden, NE | $301 | $376 | — | — |
| Samaritan Hospital | Moses Lake, WA | $301 | $301 | — | — |
| Avera Dells Area Hospital - Cah | Dell Rapids, SD | $302.64 | $312 | — | — |
| Adams Memorial Hospital | Decatur, IN | $303 | $303 | — | — |
| Lane County Hospital | Dighton, KS | $305 | $305 | — | — |
| Ellsworth County Medical Center | Ellsworth, KS | $306 | $306 | — | — |
| Brodstone Healthcare | Superior, NE | $307 | $323 | — | — |
| Gritman Medical Center | Moscow, ID | $307 | $307 | — | — |
| Abbeville Area Medical Center | Abbeville, SC | $308 | $440 | — | — |
| Woman's Hospital | Baton Rouge, LA | $308 | $308 | — | — |
| Northwest Specialty Hospital | Post Falls, ID | $308 | $308 | — | — |
| Glacial Ridge Hospital | Glenwood, MN | $308.47 | $411.29 | — | — |
| St. John's Riverside Hospital | Yonkers, NY | $308.55 | $363 | — | — |
| St. John's Medical Center range across 3 matching MRF lines |
Jackson, WY | $310–$580 | $310–$580 | — | varies |
| Jamaica Hospital Medical Center range across 3 matching MRF lines |
Jamaica, NY | $311–$608 | $311–$608 | — | varies |
| Corewell Health Grand Rapids Hospitals Butterworth | Grand Rapids, MI | $311 | $311 | — | — |
| Iroquois Memorial Hospital | Watseka, IL | $311.50 | $445 | — | — |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $312 | $312 | — | — |
| Ruby Valley Medical Center | Sheridan, MT | $313.20 | $348 | — | — |
| Rock County Hospital | Bassett, NE | $314 | $330 | — | — |
| Saint Francis Hospital | Hartford, CT | $314.60 | $572 | — | — |
| Clay County Medical Center | Clay Center, KS | $315 | $315 | — | — |
| Guthrie County Hospital | Guthrie Center, IA | $315 | $315 | — | — |
| The University of Chicago Medical Center range across 3 matching MRF lines |
Chicago, IL | $315–$1,037 | $315–$1,037 | — | varies |
| Carle Richland Memorial Hospital | Olney, IL | $315 | $315 | — | — |
| Fairbanks Memorial Hospital range across 2 matching MRF lines |
Fairbanks, AK | $318.25–$408.50 | $335–$430 | — | varies |
| Mayers Memorial Hospital | Fall River Mills, CA | $319 | $319 | — | — |
| Union County General Hospital | Clayton, NM | $319 | $455 | — | — |
| Aspirus Stevens Point Hospital | Stevens Point, WI | $319.80 | $492 | — | — |
| Aspirus Rhinelander Hospital | Rhinelander, WI | $319.80 | $492 | — | — |
| Aspirus Wausau Hospital | Wausau, WI | $319.80 | $492 | — | — |
| Aspirus Wisconsin Rapids Hospital | Wisconsin Rapids, WI | $319.80 | $492 | — | — |
| Aspirus Divine Savior Hospital | Portage, WI | $319.80 | $492 | — | — |
| Howard Young Medical Ctr | Woodruff, WI | $319.80 | $492 | — | — |
| Aspirus Eagle River Hospital | Eagle River, WI | $319.80 | $492 | — | — |
| Aspirus Stanley Hospital | Stanley, WI | $319.80 | $492 | — | — |
| Aspirus Tomahawk Hospital | Tomahawk, WI | $319.80 | $492 | — | — |
| Aspirus Medford Hospital & Clinics, Inc | Medford, WI | $319.80 | $492 | — | — |
| Aspirus Merrill Hospital | Merrill, WI | $319.80 | $492 | — | — |
| Aspirus Langlade Hospital | Antigo, WI | $319.80 | $492 | — | — |
| Lake Butler Hospital | Lake Butler, FL | $320.96 | $320.96 | — | — |
| Nelson County Health System | Mcville, ND | $321 | $321 | — | — |
| Midwest Medical Center | Galena, IL | $322.32 | $354.20 | — | — |
| Hansen Family Hospital | Iowa Falls, IA | $322.50 | $322.50 | — | — |
| Nor-lea Hospital District | Lovington, NM | $323 | $323 | — | — |
| Northwood Deaconess Health Center | Northwood, ND | $323 | $404 | — | — |
| Tri Valley Health System | Cambridge, NE | $323.10 | $359 | — | — |
| Appleton Area Health | Appleton, MN | $323.85 | $381 | — | — |
| Coquille Valley Hospital | Coquille, OR | $325.16 | $464.52 | — | — |
| Providence Seaside Hospital | Seaside, OR | $325.50 | $434 | — | — |
| Providence Hood River Memorial Hospital | Hood River, OR | $325.50 | $434 | — | — |
| Caribou Medical Center | Soda Springs, ID | $325.91 | $465.58 | — | — |
| Montefiore New Rochelle Hospital | New Rochelle, NY | $327.60 | $504 | — | — |
| Trinity Health Grand Rapids Hospital | Grand Rapids, MI | $327.60 | — | — | — |
| Liberty Dayton Regional Medical Center | Liberty, TX | $328 | $469 | — | — |
| Pender Community Health | Pender, NE | $329 | $387 | — | — |
| Mayo Clinic Health System - New Prague | New Prague, MN | $331.50 | $442 | — | — |
| Powell Valley Healthcare | Powell, WY | $332.69 | $391.40 | — | — |
| Holyoke Medical Center | Holyoke, MA | $333 | $333 | — | — |
| Franklin General Hospital | Hampton, IA | $333.90 | $371 | — | — |
| Jackson County Regional Health Center | Maquoketa, IA | $334 | $334 | — | — |
| Wickenburg Community Hospital | Wickenburg, AZ | $335.40 | $516 | — | — |
| Aspirus Iron River Hospital | Iron River, MI | $336.05 | $517 | — | — |
| Aspirus Keweenaw Hospital | Laurium, MI | $336.05 | $517 | — | — |
| Aspirus Ironwood Hospital | Ironwood, MI | $336.05 | $517 | — | — |
| Deer Lodge Medical Center range across 2 matching MRF lines |
Deer Lodge, MT | $338–$422 | $422 | — | varies |
| Amberwell Hiawatha | Hiawatha, KS | $339 | $339 | — | — |
| Amberwell Atchison Association | Atchison, KS | $339 | $339 | — | — |
| St. John's Episcopal Hospital at South Shore | Far Rockaway, NY | $339.46 | $339.46 | — | — |
| Lifecare Medical Center | Roseau, MN | $341.44 | $388 | — | — |
| Mobridge Regional Hospital - Cah | Mobridge, SD | $344 | $344 | — | — |
| Stillwater Billings Clinic | Columbus, MT | $345 | $345 | — | — |
| Hammond Henry Hospital | Geneseo, IL | $345.60 | $384 | — | — |
| Jamestown Regional Medical Center | Jamestown, ND | $346 | $432 | — | — |
| Regional Medical Center range across 6 matching MRF lines |
Memphis, TN | $349.03–$349.05 | $542.82–$542.85 | — | varies |
| Fairchild Medical Center | Yreka, CA | $350 | $350 | — | — |
| Northern Inyo Hospital range across 2 matching MRF lines |
Bishop, CA | $352–$523 | $352–$523 | — | varies |
| Beatrice Community Hospital & Health Center, Inc | Beatrice, NE | $353 | $353 | — | — |
| Seiling Municipal Hospital | Seiling, OK | $353.14 | $205.20 | — | — |
| Cumberland Memorial Hospital | Cumberland, WI | $353.15 | $353.15 | — | — |
| Odessa Memorial Healthcare Center | Odessa, WA | $354.38 | $393.75 | — | — |
| Crossing Rivers Health Medical Center | Prairie Du Chien, WI | $356 | $356 | — | — |
| Kaweah Health Medical Center range across 2 matching MRF lines |
Visalia, CA | $357–$408 | $357–$408 | — | varies |
| York General Health Care Services | York, NE | $358.25 | $358.25 | — | — |
| Catalina Island Medical Center | Avalon, CA | $359.10 | $513 | — | — |
| Thayer County Health Services | Hebron, NE | $360 | $360 | — | — |
| Montrose Regional Health | Montrose, CO | $360.75 | $481 | — | — |
| Olympic Medical Center | Port Angeles, WA | $363.20 | $454 | — | — |
| Johnson County Hospital | Tecumseh, NE | $364 | $364 | — | — |
| Westchester Medical Center | Valhalla, NY | $364 | $364 | — | — |
| Decatur County Memorial Hospital | Greensburg, IN | $364.50 | $486 | — | — |
| Gunnison Valley Hospital | Gunnison, CO | $364.65 | $429 | — | — |
| Pinckneyville Community Hospital | Pinckneyville, IL | $367 | $367 | — | — |
| Val Verde Regional Medical Center | Del Rio, TX | $369.20 | $568 | — | — |
| Baystate Franklin Medical Center | Greenfield, MA | $373 | $373 | — | — |
| Baystate Wing Hospital | Palmer, MA | $373 | $373 | — | — |
| Baystate Medical Center | Springfield, MA | $373 | $373 | — | — |
| Newark-Wayne Community Hospital | Newark, NY | $374.22 | $575.73 | — | — |
| United Memorial Medical Center | Batavia, NY | $374.22 | $575.73 | — | — |
| Rochester General Hospital | Rochester, NY | $374.22 | $575.73 | — | — |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $374.22 | $575.73 | — | — |
| Highland Hospital range across 2 matching MRF lines |
Rochester, NY | $374.85–$624.75 | — | — | varies |
| Strong Memorial Hospital range across 2 matching MRF lines |
Rochester, NY | $374.85–$624.75 | — | — | varies |
| Montefiore Mount Vernon Hospital | Mount Vernon, NY | $377 | $580 | — | — |
| Cherry County Hospital | Valentine, NE | $377.65 | $377.65 | — | — |
| Virginia Gay Hospital | Vinton, IA | $378.40 | $473 | — | — |
| Frances Mahon Deaconess Hospital | Glasgow, MT | $378.90 | $421 | — | — |
| Perkins County Health Services | Grant, NE | $381 | $381 | — | — |
| Door County Medical Center | Sturgeon Bay, WI | $381.75 | $509 | — | — |
| Mountrail County Medical Center Inc | Stanley, ND | $383 | $425 | — | — |
| Endeavor Health Clinical Operations | Evanston, IL | $384 | $384 | — | — |
| Swedish Hospital | Chicago, IL | $384 | $384 | — | — |
| Holy Cross Hospital | Fort Lauderdale, FL | $384.15 | $591 | — | — |
| Santiam Hospital & Clinics | Stayton, OR | $387 | $387 | — | — |
| Share Medical Center | Alva, OK | $387.99 | $596.91 | — | — |
| Olean General Hospital | Olean, NY | $388 | $388 | — | — |
| Brooks-TLC Hospital System, Inc | Dunkirk, NY | $388 | $388 | — | — |
| Cuba Memorial Hospital, Inc | Cuba, NY | $388 | $388 | — | — |
| Intermountain Health Garfield Memorial Hospital | Panguitch, UT | $388.30 | $517.74 | — | — |
| Skyline Health range across 2 matching MRF lines |
White Salmon, WA | $388.44–$403.92 | $539.50–$561 | — | varies |
| Mayo Clinic Health System - Albert Lea and Austin | Albert Lea, MN | $388.96 | $442 | — | — |
| Mayo Clinic Health System - Mankato | Mankato, MN | $388.96 | $442 | — | — |
| Mayo Clinic Health System - Fairmont | Fairmont, MN | $388.96 | $442 | — | — |
| Mayo Clinic Health System - St. James | St. James, MN | $388.96 | $442 | — | — |
| Mayo Clinic Health System - Lake City | Lake City, MN | $388.96 | $442 | — | — |
| Mayo Clinic Health System - Waseca | Waseca, MN | $388.96 | $442 | — | — |
| Mayo Clinic Health System - Cannon Falls | Cannon Falls, MN | $388.96 | $442 | — | — |
| 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 | — | — |
| Danbury Hospital | Danbury, CT | $392 | $392 | — | — |
| Maimonides Medical Center range across 3 matching MRF lines |
Brooklyn, NY | $392–$578 | $392–$578 | — | varies |
| Hamilton County Hospital | Syracuse, KS | $392.18 | $392.18 | — | — |
| First Care Health Center | Park River, ND | $393 | $393 | — | — |
| Jefferson Regional | Pine Bluff, AR | $394 | $394 | — | — |
| DeSoto Regional Health System | Mansfield, LA | $395.50 | $565 | — | — |
| Stony Brook University Hospital range across 2 matching MRF lines |
Stony Brook, NY | $396–$424 | $396–$424 | — | varies |
| Sarah D Culbertson Memorial Hospital range across 2 matching MRF lines |
Rushville, IL | $396–$405 | $440–$450 | — | varies |
| CAMC Greenbrier Valley Medical Center | Ronceverte, WV | $397 | $397 | — | — |
| Ashley Medical Center range across 2 matching MRF lines |
Ashley, ND | $399.50–$408 | $399.50–$408 | — | varies |
| Flushing Hospital Medical Center range across 2 matching MRF lines |
Flushing, NY | $400–$553 | $400–$553 | — | varies |
| Indianhead Medical Center Shell Lake | Shell Lake, WI | $401.60 | $502 | — | — |
| DMC Sinai-Grace Hospital range across 2 matching MRF lines |
Detroit, MI | $403.50–$566.25 | $538–$755 | — | varies |
| Bitterroot Health - Daly Hospital | Hamilton, MT | $406 | $406 | — | — |
| SMP Health St. Aloisius | Harvey, ND | $407 | $452 | — | — |
| Mayo Clinic Health System In Eau Claire | Eau Claire, WI | $408.60 | $454 | — | — |
| Mayo Clinic Health System-oakridge | Osseo, WI | $408.60 | $454 | — | — |
| Mayo Clinic Health System-chippewa Valley | Bloomer, WI | $408.60 | $454 | — | — |
| Mayo Clinic Health System-northland | Barron, WI | $408.60 | $454 | — | — |
| Mayo Clinic Health System-red Cedar | Menomonie, WI | $408.60 | $454 | — | — |
| South Peninsula Hospital | Homer, AK | $409.04 | $545.39 | — | — |
| Northbay Medical Center range across 3 matching MRF lines |
Fairfield, CA | $409.80–$512.24 | $409.80–$512.24 | — | varies |
| Refugio County Memorial Hospital | Refugio, TX | $410.80 | $513.50 | — | — |
| The Carle Foundation Hospital | Urbana, IL | $415 | $415 | — | — |
| Saint Francis Medical Center | Cape Girardeau, MO | $420 | $420 | — | — |
| Southern Coos Hospital & Health Center | Bandon, OR | $422.53 | $422.53 | — | — |
| Pershing Health System | Brookfield, MO | $423 | $423 | — | — |
| Wallowa Memorial Hospital | Enterprise, OR | $423 | $423 | — | — |
| Charleston Area Medical Center | Charleston, WV | $424 | $424 | — | — |
| Lake Chelan Health Hospital | Chelan, WA | $425 | $425 | — | — |
| Aspirus Lake View Hospital | Two Harbors, MN | $425.49 | $517 | — | — |
| Towner County Medical Center | Cando, ND | $426 | $426 | — | — |
| Memorial Hospital of Sweetwater County | Rock Springs, WY | $427 | $427 | — | — |
| Norwalk Hospital | Norwalk, CT | $427 | $427 | — | — |
| Presentation Medical Center | Rolla, ND | $431 | $479 | — | — |
| Boston Medical Center | Boston, MA | $432 | $960 | — | — |
| HCA Florida North Florida Hospital | Gainesville, FL | $432.29 | $432.29 | — | — |
| Hillsboro Area Hospital | Hillsboro, IL | $435.42 | $483.80 | — | — |
| Phillips County Medical Center | Malta, MT | $436 | $436 | — | — |
| Jerold Phelps Community Hospital | Garberville, CA | $438.10 | $547.63 | — | — |
| Yukon Kuskokwim Delta Reg Hospital | Bethel, AK | $438.70 | $438.70 | — | — |
| Wheatland Memorial Hospital | Harlowton, MT | $441 | $441 | — | — |
| Dayton General Hospital | Dayton, WA | $442.80 | $492 | — | — |
| Clifton-Fine Hospital | Star Lake, NY | $446.99 | $446.99 | — | — |
| Cascade Medical | Leavenworth, WA | $448.80 | $561 | — | — |
| St. Helena Parish Hospital & Nursing Home | Greensburg, LA | $450 | $450 | — | — |
| Unity Hospital of Rochester | Rochester, NY | $460.58 | $575.73 | — | — |
| Unity Specialty Hospital | Rochester, NY | $460.58 | $575.73 | — | — |
| Larkin Community Hospital | South Miami, FL | $460.60 | $658 | — | — |
| Erie County Medical Center | Buffalo, NY | $460.63 | $571.79 | — | — |
| 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 | — | — |
| St. Andrews Health Center - Cah | Bottineau, ND | $464 | $515 | — | — |
| Tioga Medical Center | Tioga, ND | $473 | $473 | — | — |
| Columbia Basin Hospital | Ephrata, WA | $475 | $475 | — | — |
| Forks Community Hospital | Forks, WA | $486.40 | $608 | — | — |
| Ventura County Medical Center | Ventura, CA | $487.50 | $975 | — | — |
| Brooklyn Hospital Center - Downtown Campus range across 3 matching MRF lines |
Brooklyn, NY | $488.75–$628.68 | $488.75–$628.68 | — | varies |
| HCA Houston Healthcare Southeast | Pasadena, TX | $498.11 | $498.11 | — | — |
| Sanavate Hospital | Houston, TX | $498.11 | $498.11 | — | — |
| Western Reserve Hospital | Cuyahoga Falls, OH | $499.40 | $908 | — | — |
| Central Peninsula General Hospital | Soldotna, AK | $502 | $502 | — | — |
| Roundup Memorial Healthcare | Roundup, MT | $503 | $503 | — | — |
| Norton Sound Regional Hospital | Nome, AK | $510 | $1,020 | — | — |
| Colquitt Regional Medical Center | Moultrie, GA | $520 | $520 | — | — |
| University of Iowa Health Care Medical Center Downtown | Iowa City, IA | $520.10 | $743 | — | — |
| University of Iowa Health Care Medical Center | Iowa City, IA | $520.10 | $743 | — | — |
| Lafayette Hospital and Clinics | Darlington, WI | $521.60 | $652 | — | — |
| Alaska Native Medical Center range across 2 matching MRF lines |
Anchorage, AK | $533–$543 | $533–$543 | — | varies |
| Chase County Community Hospital | Imperial, NE | $565 | $565 | — | — |
| Doctors Hosptal at Renaissance range across 5 matching MRF lines |
Edinburg, TX | $570.95–$1,076.67 | $570.95–$1,076.67 | — | varies |
| Thibodaux Regional Health System | Thibodaux, LA | $596 | $596 | — | — |
| East Valley ER & Hospital | Gilbert, AZ | $597.15 | $1,327 | — | — |
| Alexandria Emergency Hospital | Alexandria, LA | $597.15 | $1,327 | — | — |
| Kaleida Health | Buffalo, NY | $617 | $617 | — | — |
| North Valley Health Center | Warren, MN | $620 | $620 | — | — |
| Zuckerberg San Francisco General Hosp & Trauma Ctr | San Francisco, CA | $641 | $641 | — | — |
| Emory University Hospital | Atlanta, GA | $642 | $642 | — | — |
| Emory Decatur Hospital | Decatur, GA | $642 | $642 | — | — |
| Emory University Hospital Midtown | Atlanta, GA | $642 | $642 | — | — |
| Emory Saint Joseph's Hospital | Atlanta, GA | $642 | $642 | — | — |
| Emory Hillandale Hospital | Lithonia, GA | $642 | $642 | — | — |
| Emory Johns Creek Hospital | Johns Creek, GA | $642 | $642 | — | — |
| Curry General Hospital | Gold Beach, OR | $645 | $645 | — | — |
| Brushy Creek Family Hospital LLC | Round Rock, TX | $655.20 | $728 | — | — |
| Bandera Family Hospital | San Antonio, TX | $655.20 | $728 | — | — |
| Sedgwick County Memorial Hospital | Julesburg, CO | $676 | $676 | — | — |
| New York-Presbyterian Hospital | New York, NY | $715 | — | — | — |
| Maniilaq Health Center | Kotzebue, AK | $730 | $730 | — | — |
| Roswell Park Comprehensive Cancer Center | Buffalo, NY | $815.56 | $815.56 | — | — |
| New York-Presbyterian/Queens | Flushing, NY | $1,014 | — | — | — |
| Crescent Medical Center Lancaster | Lancaster, TX | $1,081 | $1,663 | — | — |
| University Hospital at Downstate | Brooklyn, NY | $36,991 | $36,991 | — | — |
| Vandalia Health Webster Memorial Hospital range across 2 matching MRF lines |
Webster Springs, WV | $5,683,570.20–$5,816,570.20 | $8,119,386–$8,309,386 | — | varies |
| Jackson Memorial Hospital | Miami, FL | — | $73 | — | — |
| Coshocton Regional Medical Center | Coshocton, OH | — | $76.23 | — | — |
| Western Missouri Medical Center range across 2 matching MRF lines |
Warrensburg, MO | — | $82.40–$294 | — | — |
| Loretto Hospital | Chicago, IL | — | $82.40 | — | — |
| Roseland Community Hospital | Chicago, IL | — | $90 | — | — |
| Eisenhower Medical Center range across 3 matching MRF lines |
Rancho Mirage, CA | — | $147–$441 | — | — |
| Ohio State University Hospitals | Columbus, OH | — | $171 | — | — |
| James Cancer Hospital & Solove Research Institute | Columbus, OH | — | $171 | — | — |
| Henry Ford Hospital | Detroit, MI | — | $171 | — | — |
| Henry Ford Jackson Hospital | Jackson, MI | — | $171 | — | — |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | — | $171 | — | — |
| Holdenville General Hospital | Holdenville, OK | — | $178.50 | — | — |
| Cuero Regional Hospital | Cuero, TX | — | $191 | — | — |
| 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 | — | — |
| Cameron Regional Medical Center range across 4 matching MRF lines |
Cameron, MO | — | $206–$284 | — | — |
| Graham Hospital Association | Canton, IL | — | $213.48 | — | — |
| Cobre Valley Regional Medical Center range across 4 matching MRF lines |
Globe, AZ | — | $242–$313 | — | — |
| Moab Regional Hospital range across 3 matching MRF lines |
Moab, UT | — | $242.10–$293 | — | — |
| Uvalde Memorial Hospital | Uvalde, TX | — | $250 | — | — |
| St. Luke Community Hospital | Ronan, MT | — | $255 | — | — |
| Henry County Health Center | Mount Pleasant, IA | — | $263 | — | — |
| Mccone County Health Center | Circle, MT | — | $273 | — | — |
| Kearny County Hospital | Lakin, KS | — | $279 | — | — |
| Coffey County Hospital | Burlington, KS | — | $284.28 | — | — |
| Pella Regional Health Center | Pella, IA | — | $287 | — | — |
| Pioneers Medical Center | Meeker, CO | — | $293 | — | — |
| Mount Graham Regional Medical Center | Safford, AZ | — | $306 | — | — |
| Antelope Memorial Hospital | Neligh, NE | — | $319 | — | — |
| La Paz Regional Hospital | Parker, AZ | — | $330 | — | — |
| Candler County Hospital | Metter, GA | — | $338 | — | — |
| Mount San Rafael Hospital range across 4 matching MRF lines |
Trinidad, CO | — | $351.50–$373 | — | — |
| St. Barnabas Hospital | Bronx, NY | — | $358 | — | — |
| Richmond University Medical Center | Staten Island, NY | — | $387 | — | — |
| Mineral Community Hospital | Superior, MT | — | $395 | — | — |
| Adams County Regional Medical Center | Seaman, OH | — | $398 | — | — |
| Summit Pacific Medical Center | Elma, WA | — | $429 | — | — |
| Lawrence County Memorial Hospital | Lawrenceville, IL | — | $432 | — | — |
| Montefiore Medical Center | Bronx, NY | — | $446 | — | — |
| Valleywise Health Medical Center | Phoenix, AZ | — | $460 | — | — |
| Mangum Regional Medical Center | Mangum, OK | — | $460.80 | — | — |
| Schoolcraft Memorial Hospital | Manistique, MI | — | $478 | — | — |
| Ridgeview Sibley Medical Center | Arlington, MN | — | $513 | — | — |
| Brookdale Hospital Medical Center | Brooklyn, NY | — | $553 | — | — |
| Upstate University Hospital | Syracuse, NY | — | $943 | — | — |
| Lincoln Medical & Mental Health Center | Bronx, NY | — | $1,050.54 | — | — |
| Jacobi Medical Center | Bronx, NY | — | $1,050.54 | — | — |
| Elmhurst Hospital Center | Elmhurst, NY | — | $1,050.54 | — | — |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | — | $1,050.54 | — | — |
| Metropolitan Hospital Center | New York, NY | — | $1,050.54 | — | — |
| Kings County Hospital Center | Brooklyn, NY | — | $1,050.54 | — | — |
| Bellevue Hospital Center | New York, NY | — | $1,050.54 | — | — |
| Queens Hospital Center | Jamaica, NY | — | $1,050.54 | — | — |
| Harlem Hospital Center | New York, NY | — | $1,050.54 | — | — |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | — | $1,050.54 | — | — |
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.