Principal care management services, for a single high-risk disease, with the following required elements: one complex… (CPT 99426)
99426 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
129 of 2639 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| OU Health University of Oklahoma Medical Center | Oklahoma City, OK | $10.62 | $106.16 | $97.71 | 0.1× |
| Wellstar Mountain Lakes Medical Center | Clayton, GA | $24 | $59.99 | $89.02 | 0.3× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $25.52 | $88 | $97.01 | 0.3× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $25.52 | $88 | $96.44 | 0.3× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $25.52 | $88 | $97.46 | 0.3× |
| UT Health East Texas Tyler Regional Hospital | Tyler, TX | $27.20 | $272 | $102.05 | 0.3× |
| University of Texas Health Science Center at Tyler | Tyler, TX | $27.20 | $272 | $102.05 | 0.3× |
| Lakewood Health System | Staples, MN | $38.44 | $62 | $104.85 | 0.4× |
| Shannon Medical Center | San Angelo, TX | $43.50 | $87 | $102.05 | 0.4× |
| Scenic Mountain Medical Center | Big Spring, TX | $43.50 | $87 | $102.05 | 0.4× |
| Vanderbilt University Hospital | Nashville, TN | $47.52 | $88 | $99.72 | 0.5× |
| Lee Memorial Hospital | Fort Myers, FL | $48.80 | $244 | $106.09 | 0.5× |
| Gulf Coast Medical Center | Fort Myers, FL | $48.80 | $244 | $106.09 | 0.5× |
| Cape Coral Hospital | Cape Coral, FL | $48.80 | $244 | $106.09 | 0.5× |
| Deaconess Henderson Hospital | Henderson, KY | $52.20 | $174 | $101.54 | 0.5× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $87.56 | 0.6× |
| Chadron Hospital | Chadron, NE | $55 | $79 | $105.49 | 0.5× |
| Ste. Genevieve County Memorial Hospital | Ste. Genevieve, MO | $55 | $110 | $101.75 | 0.5× |
| Caribou Medical Center | Soda Springs, ID | $60.27 | $86.10 | $100.36 | 0.6× |
| Aspirus St. Luke's Hospital | Duluth, MN | $62.56 | $115 | $105.18 | 0.6× |
| UofL Health – UofL Hospital | Louisville, KY | $62.88 | $262 | $97.67 | 0.6× |
| Winona Health | Winona, MN | $67.90 | $194 | $104.85 | 0.6× |
| North Canyon Medical Center | Gooding, ID | $68 | $85 | $100.36 | 0.7× |
| Grove Hill Rural Emergency Hospital | Grove Hill, AL | $69.48 | $115.80 | $87.56 | 0.8× |
| Saint Alphonsus Regional Medical Center | Boise, ID | $70.20 | $108 | $109.69 | 0.6× |
| Chi St. Luke's Health Baylor College of Medicine Me | Houston, TX | $73.50 | $210 | $102.05 | 0.7× |
| St. Luke's The Woodlands Hospital | The Woodlands, TX | $73.50 | $210 | $102.05 | 0.7× |
| St. Luke's Sugar Land Hospital | Sugar Land, TX | $73.50 | $210 | $102.05 | 0.7× |
| St. Lukes Lakeside Hospital | The Woodlands, TX | $73.50 | $210 | $102.05 | 0.7× |
| St. Luke's Hospital at The Vintage | Houston, TX | $73.50 | $210 | $102.05 | 0.7× |
| CCM Health | Montevideo, MN | $74.10 | $114 | $104.85 | 0.7× |
| Nebraska Medical Center | Omaha, NE | $74.75 | $115 | $105.49 | 0.7× |
| Bellevue Medical Center | Bellevue, NE | $74.75 | $115 | $105.49 | 0.7× |
| Neshoba General | Philadelphia, MS | $77.91 | $111.30 | $87.59 | 0.9× |
| Meeker Memorial Hospital & Clinics | Litchfield, MN | $79.36 | $124 | $104.85 | 0.8× |
| St. Joseph Medical Center | Houston, TX | $84.24 | $216 | $102.05 | 0.8× |
| St. Joseph Hospital | Nashua, NH | $84.24 | $216 | $110.98 | 0.8× |
| Sidney Regional Medical Center | Sidney, NE | $89 | $89 | $105.49 | 0.8× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $91.70 | $152.84 | $102.05 | 0.9× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $91.70 | $152.84 | $102.05 | 0.9× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $91.70 | $152.84 | $102.05 | 0.9× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $91.70 | $152.84 | $102.05 | 0.9× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $91.70 | $152.84 | $102.05 | 0.9× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $91.70 | $152.84 | $102.05 | 0.9× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $91.70 | $152.84 | $102.22 | 0.9× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $91.70 | $152.84 | $102.05 | 0.9× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $91.70 | $152.84 | $102.05 | 0.9× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $91.70 | $152.84 | $102.05 | 0.9× |
| Baylor Regional Medical Center at Plano | Plano, TX | $91.70 | $152.84 | $102.05 | 0.9× |
| The Heart Hospital Baylor Denton | Denton, TX | $91.70 | $152.84 | $102.05 | 0.9× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $91.70 | $152.84 | $102.05 | 0.9× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $91.70 | $152.84 | $102.05 | 0.9× |
| Scott & White Hospital-round Rock | Round Rock, TX | $91.70 | $152.84 | $102.05 | 0.9× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $91.70 | $152.84 | $102.05 | 0.9× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $91.70 | $152.84 | $102.05 | 0.9× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $91.70 | $152.84 | $102.05 | 0.9× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $91.70 | $152.84 | $102.05 | 0.9× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $91.70 | $152.84 | $102.05 | 0.9× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $91.70 | $152.84 | $102.05 | 0.9× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $91.70 | $152.84 | $102.05 | 0.9× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $91.70 | $152.84 | $102.05 | 0.9× |
| Baylor Scott and White The Heart Hospital Corinth | Denton, TX | $91.70 | $152.84 | $102.05 | 0.9× |
| Onvida Health Yuma Medical Center | Yuma, AZ | $92.30 | $142 | $108.40 | 0.9× |
| T.J. Samson Community Hospital | Glasgow, KY | $92.62 | $142.50 | $96.44 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $92.85 | — | $106.09 | 0.9× |
| Aspirus Lake View Hospital | Two Harbors, MN | $94.64 | $115 | $104.85 | 0.9× |
| UW Medical Center | Seattle, WA | $96.83 | $138.33 | $117.64 | 0.8× |
| Gunnison Valley Hospital | Gunnison, CO | $98.60 | $116 | $107.17 | 0.9× |
| Haskell Regional Hospital, Inc | Stigler, OK | $99 | $99 | $97.71 | 1.0× |
| Izard Regional Hospital | Calico Rock, AR | $99 | $99 | $92.50 | 1.1× |
| Wetzel County Hospital | New Martinsville, WV | $100.50 | $201 | $97.45 | 1.0× |
| Samaritan Hospital | Moses Lake, WA | $101 | $101 | $113.21 | 0.9× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $101.57 | — | $92.26 | 1.1× |
| Weiser Memorial Hospital | Weiser, ID | $101.71 | $135.61 | $100.36 | 1.0× |
| Virginia Mason Medical Center | Seattle, WA | $103.53 | $203 | $117.97 | 0.9× |
| Reynolds Memorial Hospital | Glen Dale, WV | $106 | $212 | $97.45 | 1.1× |
| Hilton Head Medical Center | Hilton Head Island, SC | $107.45 | — | $94.49 | 1.1× |
| East Cooper Medical Center | Mount Pleasant, SC | $107.45 | — | $94.49 | 1.1× |
| Coastal Carolina Medical Center | Hardeeville, SC | $107.45 | — | $94.49 | 1.1× |
| Griffin Hospital | Derby, CT | $110.58 | — | $121.79 | 0.9× |
| East Alabama Medical Center | Opelika, AL | $111.65 | $203 | $88.32 | 1.3× |
| Gritman Medical Center | Moscow, ID | $115.80 | $115.80 | $100.36 | 1.2× |
| United Hospital Center | Bridgeport, WV | $117 | $234 | $98.27 | 1.2× |
| Wheeling Hospital | Wheeling, WV | $117 | $234 | $98.27 | 1.2× |
| Camden Clark Medical Center | Parkersburg, WV | $117 | $234 | $97.45 | 1.2× |
| UofL Health – Jewish Hospital | Louisville, KY | $117.90 | $262 | $97.67 | 1.2× |
| WhidbeyHealth Medical Center | Coupeville, WA | $120 | $120 | $113.21 | 1.1× |
| Boston Medical Center | Boston, MA | $121.05 | $269 | $121.75 | 1.0× |
| Arbor Health—Morton Hospital | Morton, WA | $122.76 | $198 | $113.21 | 1.1× |
| Rainy Lake Medical Center | International Falls, MN | $122.80 | $159.48 | $104.85 | 1.2× |
| Valleywise Health Medical Center | Phoenix, AZ | $124.67 | — | $108.40 | 1.2× |
| Monroe Regional Hospital | Aberdeen, MS | $127 | $127 | $87.59 | 1.4× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $127.02 | — | $97.46 | 1.3× |
| Crook County Medical Services District | Sundance, WY | $133.50 | $178 | $103.79 | 1.3× |
| Pender Community Health | Pender, NE | $134 | $158 | $105.49 | 1.3× |
| Cambridge Health Alliance | Cambridge, MA | $134 | $134 | $121.75 | 1.1× |
| Fred Hutch Cancer Center | Seattle, WA | $138.33 | $153.70 | $117.97 | 1.2× |
| Island Hospital | Anacortes, WA | $142 | $142 | $113.21 | 1.3× |
| Harborview Medical Center | Seattle, WA | $149.43 | $213.47 | $117.64 | 1.3× |
| Madison Healthcare Services - Madison Hospital | Madison, MN | $151.47 | $178.19 | $104.85 | 1.4× |
| Cherry County Hospital | Valentine, NE | $152.25 | $152.25 | $105.49 | 1.4× |
| Cody Regional Health | Cody, WY | $156.40 | $184 | $103.79 | 1.5× |
| Pike County Memorial Hospital | Louisiana, MO | $162 | $202.50 | $101.75 | 1.6× |
| J.W. Ruby Memorial Hospital | Morgantown, WV | $171.25 | $342.50 | $98.27 | 1.7× |
| Valley Medical Center | Renton, WA | $171.50 | $245 | $117.97 | 1.5× |
| Duncan Regional Hospital, Inc | Duncan, OK | $188.58 | — | $97.71 | 1.9× |
| Berkshire Medical Center | Pittsfield, MA | $189.05 | $199 | $121.75‡ | 1.6× |
| Fairview Hospital | Great Barrington, MA | $189.05 | $199 | $121.75‡ | 1.6× |
| North Adams Regional Hospital | North Adams, MA | $189.05 | $199 | $121.75‡ | 1.6× |
| Bayhealth Hospital, Kent Campus | Dover, DE | $254.52 | $303 | $113.29 | 2.2× |
| Bayhealth Hospital, Sussex Campus | Milford, DE | $254.52 | $303 | $109.78 | 2.3× |
| Knox County Hospital | Knox City, TX | $275 | $275 | $102.05 | 2.7× |
| Northwest Surgical Hospital | Oklahoma City, OK | $293.13 | — | $97.71 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $293.13 | — | $97.71 | 3.0× |
| Catholic Medical Center | Manchester, NH | $346 | $346 | $110.98 | 3.1× |
| Baptist Health Hardin | Elizabethtown, KY | $424.30 | $565.73 | $97.67 | 4.3× |
| Baptist Health Richmond | Richmond, KY | $424.30 | $565.73 | $98.34 | 4.3× |
| Baptist Health Corbin | Corbin, KY | $424.30 | $565.73 | $95.32 | 4.5× |
| Baptist Health Lexington | Lexington, KY | $424.30 | $565.73 | $99.21 | 4.3× |
| Baptist Health Paducah | Paducah, KY | $424.30 | $565.73 | $100.99 | 4.2× |
| Baptist Health Louisville | Louisville, KY | $424.30 | $565.73 | $97.67 | 4.3× |
| Baptist Health La Grange | La Grange, KY | $424.30 | $565.73 | $97.67 | 4.3× |
| Beth Israel Deaconess Medical Center | Boston, MA | $505 | $505 | $121.75 | 4.1× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $518.70 | $798 | $106.09 | 4.9× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $518.70 | $798 | $106.09 | 4.9× |
| Cleveland Clinic Hospital | Weston, FL | $518.70 | $798 | $106.09 | 4.9× |
| Scott County Hospital | Scott City, KS | — | $84 | $93.43 | — |
| Summit Pacific Medical Center | Elma, WA | — | $142 | $113.21 | — |
| Phoenix Children’s Hospital – Thomas Campus | Phoenix, AZ | — | $311 | $108.40 | — |
"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.
‡ Price taken from the hospital's inpatient list; no outpatient price posted.