Initial preventive exam (CPT G0402)
G0402 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
413 of 2110 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| OU Health University of Oklahoma Medical Center | Oklahoma City, OK | $15.74 | $157.44 | $128.05 | 0.1× |
| Allendale County Hospital | Fairfax, SC | $17 | $20 | $123.83 | 0.1× |
| Baptist Hospital | Pensacola, FL | $19.50 | $130 | $139.03 | 0.1× |
| Seton Medical Center Harker Heights | Harker Heights, TX | $25.80 | $258 | $133.74 | 0.2× |
| Star Valley Medical Center | Afton, WY | $29.40 | $42 | $136.02 | 0.2× |
| University Medical Center of El Paso | El Paso, TX | $29.40 | $147 | $133.74 | 0.2× |
| Ochsner St. Mary Hospital | Morgan City, LA | $37 | $185 | $120.55 | 0.3× |
| Chi St. Joseph Health Regional Hospital | Bryan, TX | $37.45 | $214 | $133.74 | 0.3× |
| Burleson St. Joseph Health Center | Caldwell, TX | $37.45 | $214 | $133.74 | 0.3× |
| Madison St. Joseph Health Center | Madisonville, TX | $37.45 | $214 | $133.74 | 0.3× |
| Grimes St. Joseph Health Center | Navasota, TX | $37.45 | $214 | $133.74 | 0.3× |
| University of Texas Health Science Center at Tyler | Tyler, TX | $39.10 | $391 | $133.74 | 0.3× |
| Ochsner Medical Center - New Orleans | New Orleans, LA | $40.70 | $185 | $124.97 | 0.3× |
| Leonard J. Chabert Medical Center | Houma, LA | $42.30 | $90 | $124.01 | 0.3× |
| Deaconess Henderson Hospital | Henderson, KY | $44.70 | $149 | $133.07 | 0.3× |
| Jennie Stuart Health | Hopkinsville, KY | $50.76 | $163.74 | $124.92 | 0.4× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $114.74 | 0.5× |
| Ochsner Medical Center - Baton Rouge | Baton Rouge, LA | $56.32 | $176 | $120.55 | 0.5× |
| Monroe County Hospital | Monroeville, AL | $60 | $150 | $114.74 | 0.5× |
| Riverside Medical Center | Franklinton, LA | $61.20 | $153 | $120.55 | 0.5× |
| St. Catherine Hospital - Garden City | Garden City, KS | $61.22 | $153.03 | $132.69 | 0.5× |
| Gordon Memorial Hospital District | Gordon, NE | $64 | $64 | $138.25 | 0.5× |
| University of Kansas Hospital | Kansas City, KS | $64.60 | $323 | $124.30 | 0.5× |
| University of Kansas Health System Olathe Hospital | Olathe, KS | $64.60 | $323 | $126.05 | 0.5× |
| The University of Kansas Health System Paola Hospital | Paola, KS | $64.60 | $323 | $127.17 | 0.5× |
| Atoka County Medical Center | Atoka, OK | $66 | $165 | $128.05 | 0.5× |
| Atrium Health Wake Forest Baptist Medical Center | Winston-Salem, NC | $67 | $134 | $129.12 | 0.5× |
| Lamb Healthcare Center | Littlefield, TX | $70 | $175 | $133.74 | 0.5× |
| Ochsner Rush Medical Center | Meridian, MS | $70 | $200 | $117.57 | 0.6× |
| Singing River Gulfport | Gulfport, MS | $71.20 | $356 | $116.48 | 0.6× |
| Community Memorial Healthcare, Inc | Marysville, KS | $72.60 | $72.60 | $122.44 | 0.6× |
| Ochsner Acadia General Hospital | Crowley, LA | $73.83 | $321 | $120.55 | 0.6× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $78.01 | $269 | $127.13 | 0.6× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $78.01 | $269 | $126.39 | 0.6× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $78.01 | $269 | $127.73 | 0.6× |
| Ochsner Abrom Kaplan Memorial Hospital | Kaplan, LA | $78.75 | $175 | $120.55 | 0.7× |
| UK Albert B. Chandler Hospital | Lexington, KY | $79.60 | $199 | $130.02 | 0.6× |
| Denver Health Medical Center | Denver, CO | $79.81 | $228.01 | $140.44 | 0.6× |
| Eastland Memorial Hospital | Eastland, TX | $81 | $161 | $133.74 | 0.6× |
| Mississippi Baptist Medical Center | Jackson, MS | $81.69 | $389 | $120.20 | 0.7× |
| Wayne County Hospital | Monticello, KY | $83.01 | $127.70 | $124.92 | 0.7× |
| White Mountain Regional Medical Center | Springerville, AZ | $84.51 | $148.27 | $142.07 | 0.6× |
| Swisher Memorial Hospital | Tulia, TX | $85 | $170 | $133.74 | 0.6× |
| Russell Medical | Alexander City, AL | $85.32 | $237 | $119.41 | 0.7× |
| Ste. Genevieve County Memorial Hospital | Ste. Genevieve, MO | $86.50 | $173 | $133.35 | 0.6× |
| Ochsner Medical Center - Hancock | Bay St. Louis, MS | $86.64 | $228 | $124.01 | 0.7× |
| LaSalle General Hospital | Jena, LA | $87 | $145 | $120.55 | 0.7× |
| Transylvania Regional Hospital | Brevard, NC | $87.27 | $87.27 | $127.25 | 0.7× |
| Northwest Mississippi Regional Medical Center | Clarksdale, MS | $87.60 | $350.40 | $115.93 | 0.8× |
| D.W. McMillan Memorial Hospital | Brewton, AL | $88.80 | $148 | $119.98 | 0.7× |
| Atmore Community Hospital | Atmore, AL | $88.80 | $148 | $119.98 | 0.7× |
| Ochsner University Hospital & Clinics | Lafayette, LA | $89 | $178 | $120.55 | 0.7× |
| Cochran Memorial Hospital | Morton, TX | $90 | $90 | $133.74 | 0.7× |
| Harris Regional Hospital | Sylva, NC | $90.84 | $227.10 | $127.25 | 0.7× |
| Oklahoma Heart Hospital, LLC | Oklahoma City, OK | $93.79 | $267.96 | $128.05 | 0.7× |
| Oklahoma Heart Hospital South, LLC | Oklahoma City, OK | $93.79 | $267.96 | $128.05 | 0.7× |
| Ochsner St. Martin Hospital | Breaux Bridge, LA | $94.20 | $314 | $120.55 | 0.8× |
| Salina Regional Health Center | Salina, KS | $94.43 | $134.90 | $122.44 | 0.8× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $95 | $318 | $133.74 | 0.7× |
| Weisbrod Memorial County Hospital | Eads, CO | $96 | $160 | $140.44 | 0.7× |
| CarolinaEast Medical Center | New Bern, NC | $96 | $160 | $127.25 | 0.8× |
| Prisma Health Blount Memorial Hospital | Maryville, TN | $96.10 | $310 | $127.03 | 0.8× |
| CHI St. Vincent Morrilton | Morrilton, AR | $96.28 | $378 | $121.22 | 0.8× |
| North Central Kansas Medical Center | Concordia, KS | $97.37 | $139.10 | $122.44 | 0.8× |
| Connally Memorial Medical Center | Floresville, TX | $97.50 | $130 | $133.74 | 0.7× |
| West Feliciana Hospital | St. Francisville, LA | $97.80 | $163 | $120.55 | 0.8× |
| Ochsner Lafayette General Medical Center | Lafayette, LA | $98.72 | $357.50 | $120.55 | 0.8× |
| Rolling Plains Memorial Hospital | Sweetwater, TX | $99 | $152 | $133.74 | 0.7× |
| Johnson County Healthcare Center | Buffalo, WY | $99.20 | $99.20 | $136.02 | 0.7× |
| Methodist Healthcare Memphis Hospitals | Memphis, TN | $99.22 | $451 | $123.35 | 0.8× |
| Methodist Olive Branch Hospital | Olive Branch, MS | $99.22 | $451 | $123.35 | 0.8× |
| Pascagoula Hospital | Pascagoula, MS | $99.90 | $333 | $119.33 | 0.8× |
| North Texas Medical Center | Gainesville, TX | $100 | $400 | $133.74 | 0.7× |
| Medicine Lodge Memorial Hospital | Medicine Lodge, KS | $100 | $100 | $122.44 | 0.8× |
| Tift Regional Medical Center | Tifton, GA | $100 | $200 | $120.57 | 0.8× |
| Southwell Medical | Adel, GA | $100 | $200 | $116.67 | 0.9× |
| Longmont United Hospital | Longmont, CO | $100.34 | $250.83 | $142 | 0.7× |
| St. Anthony Hospital | Lakewood, CO | $100.34 | $250.83 | $140.44 | 0.7× |
| Penrose Hospital | Colorado Springs, CO | $100.34 | $250.83 | $140.44 | 0.7× |
| St. Anthony North Health Campus | Westminster, CO | $100.34 | $250.83 | $140.44 | 0.7× |
| OrthoColorado Hospital | Lakewood, CO | $100.34 | $250.83 | $140.44 | 0.7× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $100.34 | $250.83 | $140.44 | 0.7× |
| Atrium Health Floyd Medical Center | Rome, GA | $104.50 | $209 | $135.23 | 0.8× |
| Sweeny Community Hospital | Sweeny, TX | $108.12 | $180.20 | $133.74 | 0.8× |
| UAMS Medical Center | Little Rock, AR | $108.60 | $181 | $125.09 | 0.9× |
| Memorial Hospital | Aurora, NE | $109.44 | $114 | $138.25 | 0.8× |
| Patterson Health Center | Anthony, KS | $109.47 | $136.84 | $122.44 | 0.9× |
| University Hospital | Columbia, MO | $110.40 | $184 | $133.35 | 0.8× |
| Fisher County Hospital District | Rotan, TX | $111 | $130 | $133.74 | 0.8× |
| Jasper Memorial Hospital | Monticello, GA | $111 | $222 | $133.54 | 0.8× |
| Calhoun-Liberty Hospital | Blountstown, FL | $112 | $160 | $139.03 | 0.8× |
| Parkland Memorial Hospital | Dallas, TX | $112.80 | $282 | $133.74 | 0.8× |
| Pikeville Medical Center | Pikeville, KY | $113.40 | $378 | $124.92 | 0.9× |
| Frio Regional Hospital | Pearsall, TX | $114 | $163 | $133.74 | 0.9× |
| Franklin County Memorial Hospital | Meadville, MS | $115 | $115 | $114.78 | 1.0× |
| Crittenden Community Hospital | Marion, KY | $115.08 | $274 | $124.92 | 0.9× |
| Mercy Hospital Ardmore, Inc | Ardmore, OK | $116.35 | $179 | $128.05 | 0.9× |
| Covenant Hospital Plainview | Plainview, TX | $116.76 | $278 | $133.74 | 0.9× |
| Covenant Hospital Levelland | Levelland, TX | $116.76 | $278 | $133.74 | 0.9× |
| Mitchell County Hospital District | Colorado City, TX | $117 | $167 | $133.74 | 0.9× |
| Taylor Regional Hospital | Campbellsville, KY | $117.25 | $234.50 | $124.92 | 0.9× |
| Lindsborg Community Hospital | Lindsborg, KS | $117.39 | $167.70 | $122.44 | 1.0× |
| Pike County Memorial Hospital | Louisiana, MO | $120 | $150 | $133.35 | 0.9× |
| East Carroll Parish Hospital | Lake Providence, LA | $120 | $160 | $121.22 | 1.0× |
| Madison County Memorial Hospital | Madison, FL | $121.80 | $243.60 | $139.03 | 0.9× |
| Ochsner Laird Hospital | Union, MS | $122 | $200 | $114.78 | 1.1× |
| Dosher Memorial Hospital | Southport, NC | $125.15 | $250.29 | $133.33 | 0.9× |
| Atrium Health Navicent The Medical Center | Macon, GA | $126 | $252 | $131.01 | 1.0× |
| Ochsner American Legion Hospital | Jennings, LA | $126 | $300 | $120.55 | 1.0× |
| Ochsner Scott Regional | Morton, MS | $126 | $200 | $120.20 | 1.0× |
| Medina Regional Hospital | Hondo, TX | $126.04 | $140.04 | $133.74 | 0.9× |
| Atrium Health Cabarrus | Concord, NC | $126.38 | $252.75 | $129.38 | 1.0× |
| Atrium Health Cleveland | Shelby, NC | $126.38 | $252.75 | $128.36 | 1.0× |
| Atrium Health Anson | Wadesboro, NC | $126.38 | $252.75 | $129.38 | 1.0× |
| Atrium Health Pineville | Charlotte, NC | $126.38 | $252.75 | $129.38 | 1.0× |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $126.38 | $252.75 | $129.38 | 1.0× |
| Atrium Health Stanly | Albemarle, NC | $126.38 | $252.75 | $129.38 | 1.0× |
| Atrium Health Union | Monroe, NC | $126.38 | $252.75 | $129.38 | 1.0× |
| Atrium Health Lincoln | Lincolnton, NC | $126.38 | $252.75 | $129.38 | 1.0× |
| Atrium Health University City | Charlotte, NC | $126.38 | $252.75 | $129.38 | 1.0× |
| Trigg County Hospital | Cadiz, KY | $126.40 | $316 | $130.69 | 1.0× |
| Ellinwood District Hospital | Ellinwood, KS | $127.50 | $150 | $122.44 | 1.0× |
| Livingston Hospital | Salem, KY | $127.50 | $212.50 | $124.92 | 1.0× |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | $127.51 | $231.84 | $133.35 | 1.0× |
| Saint Francis Hospital Muskogee | Muskogee, OK | $127.60 | $319 | $128.05 | 1.0× |
| Saint Francis Hospital, Inc | Tulsa, OK | $127.60 | $319 | $128.05 | 1.0× |
| Saint Francis Hospital South, LLC | Tulsa, OK | $127.60 | $319 | $128.05 | 1.0× |
| Saint Francis Hospital Vinita, Inc | Vinita, OK | $127.60 | $319 | $128.05 | 1.0× |
| Wayne General Hospital | Waynesboro, MS | $129 | $129 | $114.78 | 1.1× |
| Lakeside Medical Center | Belle Glade, FL | $129.36 | — | $139.03 | 0.9× |
| Foothills Hospital | Boulder, CO | $129.50 | $259 | $142 | 0.9× |
| OCH Regional Medical Center | Starkville, MS | $130.56 | $204 | $114.78 | 1.1× |
| St. Francis - Emory Healthcare | Columbus, GA | $131 | $262 | $116.67 | 1.1× |
| SSM Health St. Joseph Hospital - St. Charles | St. Charles, MO | $132.66 | $241.20 | $133.35 | 1.0× |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $132.66 | $241.20 | $133.35 | 1.0× |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $132.66 | $241.20 | $133.35 | 1.0× |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $132.66 | $241.20 | $133.35 | 1.0× |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $132.66 | $241.20 | $133.35 | 1.0× |
| Estes Park Medical Center | Estes Park, CO | $133.12 | $177.50 | $140.44 | 0.9× |
| Mercy Hospital Springfield | Springfield, MO | $133.90 | $206 | $133.35 | 1.0× |
| Ochsner Watkins Hospital | Quitman, MS | $134 | $200 | $114.78 | 1.2× |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | $136.22 | $247.68 | $128.05 | 1.1× |
| Alliancehealth Seminole | Seminole, OK | $136.22 | $247.68 | $128.05 | 1.1× |
| Ochsner Stennis Hospital | De Kalb, MS | $138 | $200 | $114.78 | 1.2× |
| Goodall Witcher Hospital | Clifton, TX | $138.25 | $197.50 | $133.74 | 1.0× |
| Memorial Hospital | Abilene, KS | $139.10 | $139.10 | $122.44 | 1.1× |
| Swain Community Hospital | Bryson City, NC | $139.92 | $349.80 | $127.25 | 1.1× |
| Chadron Hospital | Chadron, NE | $140 | $200 | $138.25 | 1.0× |
| Rangely District Hospital | Rangely, CO | $141.20 | $217.23 | $140.44 | 1.0× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $141.50 | — | $120.91 | 1.2× |
| Wellstar Mountain Lakes Medical Center | Clayton, GA | $142.80 | $357 | $116.67 | 1.2× |
| Mercy Hospital Healdton, Inc. | Healdton, OK | $144.30 | $222 | $128.05 | 1.1× |
| Vanderbilt University Hospital | Nashville, TN | $145.26 | $269 | $130.69 | 1.1× |
| Hansford County Hospital | Spearman, TX | $146 | $194 | $133.74 | 1.1× |
| Highland Hills Medical Center | Senatobia, MS | $146 | $292 | $123.35 | 1.2× |
| Minneola District Hospital Nbr 2 | Minneola, KS | $149.80 | $214 | $122.44 | 1.2× |
| Wilson Medical Center | Neodesha, KS | $150 | $200 | $122.44 | 1.2× |
| Claiborne County Medical Center | Port Gibson, MS | $150.30 | $167 | $114.78 | 1.3× |
| Medical City North Hills | North Richland Hills, TX | $152 | $152 | $133.96 | 1.1× |
| Ochsner Choctaw General | Butler, AL | $152 | $200 | $114.74 | 1.3× |
| Ellett Memorial Hospital | Appleton City, MO | $152.25 | $203 | $133.35 | 1.1× |
| Satanta District Hospital, Clinics, & LTCU | Satanta, KS | $153 | $170 | $122.44 | 1.2× |
| Summit Medical Center, LLC | Edmond, OK | $153.02 | — | $128.05 | 1.2× |
| Griffin Hospital | Derby, CT | $154.06 | — | $159.61 | 1.0× |
| Franklin Medical Center | Winnsboro, LA | $155.40 | $259 | $120.55 | 1.3× |
| Bradley County Medical Center | Warren, AR | $156 | $312 | $121.22 | 1.3× |
| North Sunflower Medical Center | Ruleville, MS | $156 | $312 | $114.78 | 1.4× |
| Holton Community Hospital | Holton, KS | $156.75 | $209 | $122.44 | 1.3× |
| Piggott Community Hospital | Piggott, AR | $157.50 | $225 | $121.22 | 1.3× |
| UK St. Claire Regional Medical Center | Morehead, KY | $158.25 | $211 | $128.88 | 1.2× |
| UAB Medical West | Bessemer, AL | $159 | $212 | $121.78 | 1.3× |
| Plains Memorial Hospital | Dimmitt, TX | $161 | $215 | $133.74 | 1.2× |
| Valleywise Health Medical Center | Phoenix, AZ | $163.38 | $230 | $142.07 | 1.1× |
| Norton County Hospital | Norton, KS | $164.50 | $235 | $122.44 | 1.3× |
| St. Bernards Medical Center | Jonesboro, AR | $165.75 | $255 | $124.84 | 1.3× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $166.47 | — | $127.73 | 1.3× |
| Baxter Health | Mountain Home, AR | $166.86 | $278.10 | $121.22 | 1.4× |
| Kiowa District Hospital | Kiowa, KS | $167.20 | $209 | $122.44 | 1.4× |
| Parkview Hospital | Wheeler, TX | $170 | $200 | $133.74 | 1.3× |
| Mosaic Life Care at St. Joseph - Medical Center | St. Joseph, MO | $170 | $200 | $133.35 | 1.3× |
| Prowers Medical Center | Lamar, CO | $171.60 | $286 | $140.44 | 1.2× |
| Starr County Memorial Hospital | Rio Grande City, TX | $175 | $175 | $133.74 | 1.3× |
| North Runnels Hospital | Winters, TX | $175 | $250 | $133.74 | 1.3× |
| Paintsville ARH Hospital | Paintsville, KY | $175.80 | $293 | $124.92 | 1.4× |
| McDowell ARH Hospital | Mc Dowell, KY | $175.80 | $293 | $124.92 | 1.4× |
| Okeene Municipal Hospital | Okeene, OK | $176.40 | $220.50 | $128.05 | 1.4× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $178.57 | $297.62 | $133.74 | 1.3× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $178.57 | $297.62 | $133.74 | 1.3× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $178.57 | $297.62 | $133.74 | 1.3× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $178.57 | $297.62 | $133.74 | 1.3× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $178.57 | $297.62 | $133.96 | 1.3× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $178.57 | $297.62 | $133.74 | 1.3× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $178.57 | $297.62 | $133.74 | 1.3× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $178.57 | $297.62 | $133.74 | 1.3× |
| Baylor Regional Medical Center at Plano | Plano, TX | $178.57 | $297.62 | $133.74 | 1.3× |
| The Heart Hospital Baylor Denton | Denton, TX | $178.57 | $297.62 | $133.74 | 1.3× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $178.57 | $297.62 | $133.74 | 1.3× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $178.57 | $297.62 | $133.74 | 1.3× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $178.57 | $297.62 | $133.74 | 1.3× |
| Baylor Scott and White The Heart Hospital Corinth | Denton, TX | $178.57 | $297.62 | $133.74 | 1.3× |
| Harrison County Community Hospital | Bethany, MO | $178.75 | $275 | $133.35 | 1.3× |
| North Arkansas Regional Medical Center | Harrison, AR | $179.23 | $289.08 | $124.84 | 1.4× |
| F W Huston Medical Center | Winchester, KS | $180 | $225 | $122.44 | 1.5× |
| Henderson County Community Hospital | Lexington, TN | $180 | $450 | $120.79 | 1.5× |
| Haywood County Community Hospital | Brownsville, TN | $180 | $450 | $120.79 | 1.5× |
| Houston County Community Hospital | Erin, TN | $180 | $450 | $120.79 | 1.5× |
| Ozarks Community Hospital | Gravette, AR | $180 | $450 | $124.26 | 1.4× |
| Edwards County Medical Center | Kinsley, KS | $180.80 | $226 | $122.44 | 1.5× |
| Muleshoe Area Medical Center | Muleshoe, TX | $182 | $304 | $133.74 | 1.4× |
| DeSoto Regional Health System | Mansfield, LA | $182 | $260 | $120.55 | 1.5× |
| Tyler Holmes Memorial Hospital | Winona, MS | $182.25 | $243 | $114.78 | 1.6× |
| UF Health Jacksonville | Jacksonville, FL | $183.22 | $333.12 | $139.03 | 1.3× |
| Stanton County Hospital | Johnson, KS | $183.75 | $183.75 | $122.44 | 1.5× |
| Kearney County Health Services | Minden, NE | $184 | $230 | $138.25 | 1.3× |
| Grove Hill Rural Emergency Hospital | Grove Hill, AL | $184.44 | $307.40 | $114.74 | 1.6× |
| Phelps Health Hospital | Rolla, MO | $184.91 | $264.16 | $133.35 | 1.4× |
| SSM Health Saint Louis University Hospital | St. Louis, MO | $185.90 | $338 | $133.35 | 1.4× |
| Dundy County Hospital | Benkelman, NE | $186 | $207 | $138.25 | 1.3× |
| Chicot Memorial Medical Center | Lake Village, AR | $186.07 | $310.12 | $121.22 | 1.5× |
| West Holt Memorial Hospital | Atkinson, NE | $187 | $234 | $138.25 | 1.4× |
| Osmond General Hospital | Osmond, NE | $187 | $187 | $138.25 | 1.4× |
| Kingman Regional Medical Center | Kingman, AZ | $187.60 | $536 | $142.07 | 1.3× |
| Hot Springs County Memorial Hospital | Thermopolis, WY | $188 | $188 | $136.02 | 1.4× |
| Delta Memorial Hospital | Dumas, AR | $188.45 | $235.56 | $121.22 | 1.6× |
| Sheridan Memorial Hospital | Sheridan, WY | $188.80 | $236 | $136.02 | 1.4× |
| Kearney Regional Medical Center | Kearney, NE | $189 | $315 | $138.25 | 1.4× |
| Comanche County Medical Center | Comanche, TX | $189.15 | $291 | $133.74 | 1.4× |
| Tmc- Bonham Hospital | Bonham, TX | $189.20 | $630.85 | $133.74 | 1.4× |
| Freeman Neosho Hospital | Neosho, MO | $189.90 | $316.50 | $133.35 | 1.4× |
| Haskell Regional Hospital, Inc | Stigler, OK | $191 | $191 | $128.05 | 1.5× |
| Monroe Regional Hospital | Aberdeen, MS | $191 | $191 | $114.78 | 1.7× |
| Henderson Community Hospital | Henderson, NE | $192 | $240 | $138.25 | 1.4× |
| Phillips County Health Systems | Phillipsburg, KS | $193.80 | $228 | $122.44 | 1.6× |
| Mccamey Hospital | Mccamey, TX | $196 | $196 | $133.74 | 1.5× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $196.72 | $327.87 | $133.74 | 1.5× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $196.72 | $327.87 | $133.74 | 1.5× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $196.72 | $327.87 | $133.74 | 1.5× |
| Scott & White Hospital-round Rock | Round Rock, TX | $196.72 | $327.87 | $133.74 | 1.5× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $196.72 | $327.87 | $133.74 | 1.5× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $196.72 | $327.87 | $133.74 | 1.5× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $196.72 | $327.87 | $133.74 | 1.5× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $196.72 | $327.87 | $133.74 | 1.5× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $196.72 | $327.87 | $133.74 | 1.5× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $196.72 | $327.87 | $133.74 | 1.5× |
| Powell Valley Healthcare | Powell, WY | $197.03 | $231.80 | $136.02 | 1.4× |
| Harlan County Health System | Alma, NE | $197.76 | $247.20 | $138.25 | 1.4× |
| Scotland County Hospital | Memphis, MO | $198.10 | $283 | $133.35 | 1.5× |
| Jewell County Hospital | Mankato, KS | $198.75 | $265 | $122.44 | 1.6× |
| Grisell Memorial Hospital | Ransom, KS | $199.18 | $209.66 | $122.44 | 1.6× |
| Throckmorton County Memorial Hospital | Throckmorton, TX | $200 | $200 | $133.74 | 1.5× |
| Cordell Memorial Hospital | Cordell, OK | $200 | $250 | $128.05 | 1.6× |
| Jackson Parish Hospital | Jonesboro, LA | $200 | $200 | $120.55 | 1.7× |
| Cheyenne County Hospital | St. Francis, KS | $200.60 | $236 | $122.44 | 1.6× |
| South Lincoln Medical Center | Kemmerer, WY | $200.66 | $267.54 | $136.02 | 1.5× |
| Drumright Regional Hospital | Drumright, OK | $201 | $335 | $128.05 | 1.6× |
| Prisma Health Oconee Memorial Hospital | Seneca, SC | $201.50 | $310 | $127.21 | 1.6× |
| Prisma Health Baptist Easley Hospital | Easley, SC | $201.50 | $310 | $127.21 | 1.6× |
| Prisma Health Richland Hospital | Columbia, SC | $201.50 | $310 | $128.36 | 1.6× |
| Prisma Health Greer Memorial Hospital | Greer, SC | $201.50 | $310 | $127.52 | 1.6× |
| Prisma Health Hillcrest Hospital | Simpsonville, SC | $201.50 | $310 | $127.52 | 1.6× |
| Prisma Health Laurens County Hospital | Clinton, SC | $201.50 | $310 | $126.85 | 1.6× |
| Prisma Health Tuomey Hospital | Sumter, SC | $201.50 | $310 | $129.78 | 1.6× |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | $201.50 | $310 | $126.85 | 1.6× |
| Prisma Health Baptist Hospital | Columbia, SC | $201.50 | $310 | $128.69 | 1.6× |
| Prisma Health Patewood Hospital | Greenville, SC | $201.50 | $310 | $127.52 | 1.6× |
| Prisma Health Baptist Parkridge Hospital | Columbia, SC | $201.50 | $310 | $128.69 | 1.6× |
| Rockcastle Regional Hospital and Respiratory Care Center | Mount Vernon, KY | $202.16 | $266 | $124.92 | 1.6× |
| Northern Regional Hospital | Mount Airy, NC | $204 | $300 | $127.25 | 1.6× |
| Hermann Area District Hospital | Hermann, MO | $204.30 | $340.50 | $133.35 | 1.5× |
| Fitzgibbon Hospital | Marshall, MO | $207.46 | $259.33 | $133.35 | 1.6× |
| Jackson Healthcare Center | Edna, TX | $211 | $264 | $133.74 | 1.6× |
| T.J. Samson Community Hospital | Glasgow, KY | $211.25 | $325 | $126.39 | 1.7× |
| Baxter Health Fulton County Hospital | Salem, AR | $211.60 | $302.28 | $121.22 | 1.7× |
| Tallahatchie General Hospital | Charleston, MS | $211.60 | $155.82 | $114.78 | 1.8× |
| Memorial Medical Center | Port Lavaca, TX | $211.70 | $302.43 | $133.74 | 1.6× |
| Cozad Community Hospital | Cozad, NE | $216 | $240 | $138.25 | 1.6× |
| Neshoba General | Philadelphia, MS | $217.36 | $310.52 | $114.78 | 1.9× |
| Thayer County Health Services | Hebron, NE | $218 | $272 | $138.25 | 1.6× |
| Lane County Hospital | Dighton, KS | $220 | $220 | $122.44 | 1.8× |
| Taylor Regional Hospital | Hawkinsville, GA | $220 | $220 | $116.67 | 1.9× |
| Clay County Medical Center | Clay Center, KS | $222.39 | $222.39 | $122.44 | 1.8× |
| Hilton Head Medical Center | Hilton Head Island, SC | $222.65 | — | $123.83 | 1.8× |
| East Cooper Medical Center | Mount Pleasant, SC | $222.65 | — | $123.83 | 1.8× |
| Coastal Carolina Medical Center | Hardeeville, SC | $222.65 | — | $123.83 | 1.8× |
| Nebraska Medical Center | Omaha, NE | $224.90 | $346 | $138.25 | 1.6× |
| Bellevue Medical Center | Bellevue, NE | $224.90 | $346 | $138.25 | 1.6× |
| Ochiltree General Hospital | Perryton, TX | $229.50 | $327.50 | $133.74 | 1.7× |
| Northwest Florida Community Hospital | Chipley, FL | $229.60 | $287 | $139.03 | 1.7× |
| Rhea Medical Center | Dayton, TN | $229.84 | $338 | $120.79 | 1.9× |
| Pemiscot Memorial Hospital | Hayti, MO | $230.30 | $329 | $133.35 | 1.7× |
| Self Regional Healthcare | Greenwood, SC | $231.97 | $386.61 | $127.70 | 1.8× |
| Edgefield County Healthcare | Edgefield, SC | $231.97 | $386.61 | $123.83 | 1.9× |
| Sentara Albemarle Medical Center | Elizabeth City, NC | $233.50 | $467 | $127.25 | 1.8× |
| Jefferson Community Health & Life | Fairbury, NE | $234 | $312 | $138.25 | 1.7× |
| Weatherford Regional Hospital, Inc of Weatherford | Weatherford, OK | $234.40 | $293 | $128.05 | 1.8× |
| Girard Medical Center | Girard, KS | $234.60 | $391 | $122.44 | 1.9× |
| Ottawa County Health Center | Minneapolis, KS | $235 | $235 | $122.44 | 1.9× |
| Boone Hospital Center | Columbia, MO | $235.20 | $392 | $133.35 | 1.8× |
| Iron County Medical Center | Pilot Knob, MO | $236.70 | $263 | $133.35 | 1.8× |
| Knox County Hospital | Knox City, TX | $237 | $237 | $133.74 | 1.8× |
| Lake Charles Memorial Hospital | Lake Charles, LA | $238.80 | $398 | $123.60 | 1.9× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $239.40 | $266 | $140.44 | 1.7× |
| Cogdell Memorial Hospital | Snyder, TX | $243 | $243 | $133.74 | 1.8× |
| Webster County Community Hospital | Red Cloud, NE | $243 | $256 | $138.25 | 1.8× |
| Mcpherson Hospital Inc | Mcpherson, KS | $243.46 | $329 | $122.44 | 2.0× |
| Cleveland Area Hospital | Cleveland, OK | $244.80 | $306 | $128.05 | 1.9× |
| Tippah County Hospital | Ripley, MS | $245 | $245 | $114.78 | 2.1× |
| UT Health San Antonio Multispecialty & Research Ho | San Antonio, TX | $246 | $410 | $133.74 | 1.8× |
| Nemaha Valley Community Hospital | Seneca, KS | $247.50 | $275 | $122.44 | 2.0× |
| St. Bernards Five Rivers Medical Center | Pocahontas, AR | $247.50 | $275 | $121.22 | 2.0× |
| Winkler County Memorial Hospital | Kermit, TX | $248.30 | $310.38 | $133.74 | 1.9× |
| Bayou Bend Health System | Franklin, LA | $248.50 | $355 | $120.55 | 2.1× |
| Ashland Health Center | Ashland, KS | $249.60 | $312 | $122.44 | 2.0× |
| Rio Grande Regional Hospital | Mcallen, TX | $250.95 | $250.95 | $133.74 | 1.9× |
| Brown County Hospital | Ainsworth, NE | $251 | $334 | $138.25 | 1.8× |
| Mary Lanning Healthcare | Hastings, NE | $251.10 | $279 | $138.25 | 1.8× |
| Saint Francis Hospital | Hartford, CT | $251.35 | $457 | $159.61 | 1.6× |
| Crane County Hospital District | Crane, TX | $253 | $362 | $133.74 | 1.9× |
| Reeves Regional Health | Pecos, TX | $253.50 | $338 | $133.74 | 1.9× |
| Archbold Memorial | Thomasville, GA | $254.40 | $424 | $128.26 | 2.0× |
| Muscogee (creek) Nation Medical Center | Okmulgee, OK | $255 | $425 | $128.05 | 2.0× |
| Texas County Memorial Hospital | Houston, MO | $255 | $255 | $133.35 | 1.9× |
| Falls Community Hospital and Clinic | Marlin, TX | $257.09 | $321.36 | $133.74 | 1.9× |
| North Oaks Medical Center | Hammond, LA | $258.03 | $821 | $121.73 | 2.1× |
| Kimball Health Services | Kimball, NE | $260 | $260 | $138.25 | 1.9× |
| T.J. Health Columbia | Columbia, KY | $260 | $400 | $124.92 | 2.1× |
| Genoa Community Hospital | Genoa, NE | $261 | $290 | $138.25 | 1.9× |
| Duncan Regional Hospital, Inc | Duncan, OK | $262.74 | — | $128.05 | 2.1× |
| Pawnee County Memorial Hospital | Pawnee City, NE | $265 | $331 | $138.25 | 1.9× |
| Rush County Memorial Hospital | La Crosse, KS | $265.50 | $295 | $122.44 | 2.2× |
| Garden County Health Services | Oshkosh, NE | $266 | $391 | $138.25 | 1.9× |
| Saunders Medical Center | Wahoo, NE | $266.25 | $355 | $138.25 | 1.9× |
| Fredonia Regional Hospital | Fredonia, KS | $268.33 | $268.33 | $122.44 | 2.2× |
| Abbeville Area Medical Center | Abbeville, SC | $270.63 | $386.61 | $123.83 | 2.2× |
| Pender Community Health | Pender, NE | $271 | $319 | $138.25 | 2.0× |
| Conway Medical Center | Conway, SC | $275 | $275 | $123.83 | 2.2× |
| Putnam County Memorial Hospital | Unionville, MO | $275.91 | $275.91 | $133.35 | 2.1× |
| Saint Francis Medical Center | Cape Girardeau, MO | $276 | $276 | $133.35 | 2.1× |
| Hamilton Hospital | Olney, TX | $277 | $396 | $133.74 | 2.1× |
| JPS Health Network | Fort Worth, TX | $279 | $465 | $133.74 | 2.1× |
| Golden Plains Community Hospital | Borger, TX | $280.70 | $401 | $133.74 | 2.1× |
| ECU Health Medical Center | Greenville, NC | $283.55 | $535 | $127.25 | 2.2× |
| Arbuckle Memorial Hospital Authority | Sulphur, OK | $285 | $356 | $128.05 | 2.2× |
| Decatur Health | Oberlin, KS | $288.90 | $321 | $122.44 | 2.4× |
| Nevada Regional Medical Center | Nevada, MO | $291.60 | $648 | $133.35 | 2.2× |
| Neosho Memorial Regional Medical Center | Chanute, KS | $295.07 | $393.42 | $122.44 | 2.4× |
| Friend Community Healthcare System | Friend, NE | $295.68 | $492.80 | $138.25 | 2.1× |
| Samaritan Hospital | Macon, MO | $298 | $372 | $133.35 | 2.2× |
| Perkins County Health Services | Grant, NE | $299 | $299 | $138.25 | 2.2× |
| Colquitt Regional Medical Center | Moultrie, GA | $299 | $299 | $120.57 | 2.5× |
| Niobrara Valley Hospital | Lynch, NE | $300 | $300 | $138.25 | 2.2× |
| Rio Grande Hospital | Del Norte, CO | $302 | $402.67 | $140.44 | 2.2× |
| Sabetha Community Hospital | Sabetha, KS | $312 | $312 | $122.44 | 2.5× |
| Boone County Health Center | Albion, NE | $313 | $313 | $138.25 | 2.3× |
| Amberwell Hiawatha | Hiawatha, KS | $316 | $316 | $122.44 | 2.6× |
| Amberwell Atchison Association | Atchison, KS | $316 | $316 | $122.44 | 2.6× |
| Phelps Memorial Health Center | Holdrege, NE | $318.60 | $354 | $138.25 | 2.3× |
| Franklin County Memorial Hospital | Franklin, NE | $328 | $364 | $138.25 | 2.4× |
| Greeley County Health Services | Tribune, KS | $329 | $470 | $122.44 | 2.7× |
| Pratt Regional Medical Center | Pratt, KS | $330 | $471 | $122.44 | 2.7× |
| Johnson County Hospital | Tecumseh, NE | $331 | $331 | $138.25 | 2.4× |
| Titus Regional Medical Center | Mount Pleasant, TX | $340.80 | $568 | $133.74 | 2.5× |
| Rock County Hospital | Bassett, NE | $342 | $360 | $138.25 | 2.5× |
| Liberty Dayton Regional Medical Center | Liberty, TX | $345 | $493 | $133.74 | 2.6× |
| Jefferson Regional | Pine Bluff, AR | $361 | $361 | $123.88 | 2.9× |
| Cherry County Hospital | Valentine, NE | $365.40 | $365.40 | $138.25 | 2.6× |
| Callaway District Hospital | Callaway, NE | $366 | $407 | $138.25 | 2.6× |
| Gunnison Valley Hospital | Gunnison, CO | $366.35 | $431 | $140.44 | 2.6× |
| Wickenburg Community Hospital | Wickenburg, AZ | $367.90 | $566 | $142.07 | 2.6× |
| Chase County Community Hospital | Imperial, NE | $370 | $370 | $138.25 | 2.7× |
| Brodstone Healthcare | Superior, NE | $371 | $391 | $138.25 | 2.7× |
| Valley View Hospital | Glenwood Springs, CO | $377.40 | $444 | $140.44 | 2.7× |
| Avera Creighton Hospital | Creighton, NE | $378.30 | $390 | $138.25 | 2.7× |
| Ellsworth County Medical Center | Ellsworth, KS | $380 | $380 | $122.44 | 3.1× |
| Northwest Surgical Hospital | Oklahoma City, OK | $384.15 | — | $128.05 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $384.15 | — | $128.05 | 3.0× |
| Valley County Health System | Ord, NE | $386.10 | $429 | $138.25 | 2.8× |
| Beatrice Community Hospital & Health Center, Inc | Beatrice, NE | $399 | $399 | $138.25 | 2.9× |
| Grady Memorial Hospital | Atlanta, GA | $404.91 | $404.91 | $135.23 | 3.0× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $409.71 | $409.71 | $133.74 | 3.1× |
| Tri Valley Health System | Cambridge, NE | $410.30 | $455.89 | $138.25 | 3.0× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $418.60 | $644 | $139.03 | 3.0× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $418.60 | $644 | $139.03 | 3.0× |
| Cleveland Clinic Hospital | Weston, FL | $418.60 | $644 | $139.03 | 3.0× |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $422 | $422 | $140.44 | 3.0× |
| Cody Regional Health | Cody, WY | $440.30 | $518 | $136.02 | 3.2× |
| Memorial Hospital of Carbon County | Rawlins, WY | $465 | $620 | $136.02 | 3.4× |
| SCK Health | Arkansas City, KS | $470.79 | $470.79 | $122.44 | 3.8× |
| McLeod Health Dillon | Dillon, SC | $479.96 | $676 | $123.83 | 3.9× |
| McLeod Regional Medical Center | Florence, SC | $479.96 | $676 | $123.83 | 3.9× |
| McLeod Health Loris | Loris, SC | $479.96 | $676 | $123.83 | 3.9× |
| McLeod Health Cheraw | Cheraw, SC | $479.96 | $676 | $123.83 | 3.9× |
| McLeod Health Clarendon | Manning, SC | $479.96 | $676 | $126.95 | 3.8× |
| Hartford Hospital | Hartford, CT | $482.50 | $482.50 | $159.61 | 3.0× |
| Holy Cross Hospital | Fort Lauderdale, FL | $483.60 | — | $139.03 | 3.5× |
| St. John's Medical Center | Jackson, WY | $526 | $526 | $136.02 | 3.9× |
| Sedgwick County Memorial Hospital | Julesburg, CO | $526 | $526 | $140.44 | 3.7× |
| HCA Houston Healthcare Southeast | Pasadena, TX | $538 | $538 | $133.74 | 4.0× |
| HCA Florida North Florida Hospital | Gainesville, FL | $567.28 | $567.28 | $139.03 | 4.1× |
| Thibodaux Regional Health System | Thibodaux, LA | $572 | $572 | $120.55 | 4.7× |
| Washington County Memorial Hospital | Potosi, MO | $944.88 | $1,259.84 | $133.35 | 7.1× |
| Cameron Regional Medical Center | Cameron, MO | — | $166 | $133.35 | — |
| La Paz Regional Hospital | Parker, AZ | — | $192 | $142.07 | — |
| Western Missouri Medical Center | Warrensburg, MO | — | $205 | $133.35 | — |
| Scott County Hospital | Scott City, KS | — | $214 | $122.44 | — |
| Coffey County Hospital | Burlington, KS | — | $241.02 | $122.44 | — |
| Jane Todd Crawford Hospital | Greensburg, KY | — | $248 | $124.92 | — |
| Ephraim McDowell Regional Medical Center | Danville, KY | — | $260.15 | $128.88 | — |
| Ephraim McDowell James B. Haggin Hospital | Harrodsburg, KY | — | $260.15 | $124.92 | — |
| Antelope Memorial Hospital | Neligh, NE | — | $320 | $138.25 | — |
| Mount San Rafael Hospital | Trinidad, CO | — | $363.50 | $140.44 | — |
| Candler County Hospital | Metter, GA | — | $436 | $116.67 | — |
| Altus Lumberton Hospital | Lumberton, TX | — | $2,520 | $133.74 | — |
"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.