Ekg tracing for initial prev (CPT G0404)
G0404 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
289 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 |
|---|---|---|---|---|---|
| Chi St. Joseph Health Regional Hospital | Bryan, TX | $1.93 | $11 | $29.06 | 0.1× |
| Burleson St. Joseph Health Center | Caldwell, TX | $1.93 | $11 | $29.06 | 0.1× |
| Madison St. Joseph Health Center | Madisonville, TX | $1.93 | $11 | $29.06 | 0.1× |
| Grimes St. Joseph Health Center | Navasota, TX | $1.93 | $11 | $29.06 | 0.1× |
| OU Health University of Oklahoma Medical Center | Oklahoma City, OK | $3.55 | $35.46 | $27.82 | 0.1× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $4 | $12 | $29.06 | 0.1× |
| Baptist Hospital | Pensacola, FL | $4.50 | $30 | $30.20 | 0.1× |
| CarolinaEast Medical Center | New Bern, NC | $6 | $10 | $27.65 | 0.2× |
| Dosher Memorial Hospital | Southport, NC | $6.18 | $12.36 | $28.97 | 0.2× |
| East Carroll Parish Hospital | Lake Providence, LA | $6.75 | $9 | $26.33 | 0.3× |
| Grove Hill Rural Emergency Hospital | Grove Hill, AL | $7.20 | $12 | $24.93 | 0.3× |
| Lamb Healthcare Center | Littlefield, TX | $8 | $20 | $29.06 | 0.3× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $9 | $10 | $30.51 | 0.3× |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | $9.90 | $18 | $28.97 | 0.3× |
| Kingman Regional Medical Center | Kingman, AZ | $10.15 | $29 | $30.86 | 0.3× |
| UAB Medical West | Bessemer, AL | $10.50 | $14 | $26.46 | 0.4× |
| Edwards County Medical Center | Kinsley, KS | $12 | $15 | $26.60 | 0.5× |
| Hays Medical Center | Hays, KS | $12.87 | $39 | $28.99 | 0.4× |
| Rolling Plains Memorial Hospital | Sweetwater, TX | $13 | $20 | $29.06 | 0.4× |
| University of Kansas Hospital | Kansas City, KS | $13.20 | $66 | $27 | 0.5× |
| University of Kansas Health System Olathe Hospital | Olathe, KS | $13.20 | $66 | $27.38 | 0.5× |
| The University of Kansas Health System Paola Hospital | Paola, KS | $13.20 | $66 | $27.63 | 0.5× |
| Foothills Hospital | Boulder, CO | $13.50 | $27 | $30.85 | 0.4× |
| Mary Lanning Healthcare | Hastings, NE | $13.50 | $15 | $30.03 | 0.4× |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $13.86 | $25.20 | $27.82 | 0.5× |
| Northern Cochise Community Hospital | Willcox, AZ | $14.40 | $24 | $30.86 | 0.5× |
| Swain Community Hospital | Bryson City, NC | $14.60 | $36.49 | $27.65 | 0.5× |
| Boone County Health Center | Albion, NE | $15 | $15 | $30.03 | 0.5× |
| Pawnee Valley Community Hospital | Larned, KS | $15.60 | $39 | $26.60 | 0.6× |
| Phelps Memorial Health Center | Holdrege, NE | $16.20 | $18 | $30.03 | 0.5× |
| Titus Regional Medical Center | Mount Pleasant, TX | $16.80 | $28 | $29.06 | 0.6× |
| Plains Memorial Hospital | Dimmitt, TX | $17 | $22 | $29.06 | 0.6× |
| SCK Health | Arkansas City, KS | $17.10 | $17.10 | $26.60 | 0.6× |
| Ochsner Rush Medical Center | Meridian, MS | $17.85 | $51 | $25.54 | 0.7× |
| Atrium Health Wake Forest Baptist Medical Center | Winston-Salem, NC | $18 | $36 | $28.05 | 0.6× |
| Methodist Healthcare Memphis Hospitals | Memphis, TN | $18.04 | $82 | $26.80 | 0.7× |
| Methodist Olive Branch Hospital | Olive Branch, MS | $18.04 | $82 | $26.80 | 0.7× |
| Estes Park Medical Center | Estes Park, CO | $18.75 | $25 | $30.51 | 0.6× |
| Atrium Health Floyd Medical Center | Rome, GA | $19.50 | $39 | $29.38 | 0.7× |
| Wayne Memorial Hospital | Jesup, GA | $20 | $40 | $25.35 | 0.8× |
| Doctors Memorial Hospital | Perry, FL | $20.40 | $51 | $30.20 | 0.7× |
| Eastland Memorial Hospital | Eastland, TX | $21 | $41 | $29.06 | 0.7× |
| Gunnison Valley Hospital | Gunnison, CO | $21.25 | $25 | $30.51 | 0.7× |
| Cody Regional Health | Cody, WY | $22.10 | $26 | $29.55 | 0.7× |
| Otto Kaiser Memorial Hospital | Kenedy, TX | $22.50 | $22.50 | $29.06 | 0.8× |
| Longmont United Hospital | Longmont, CO | $22.81 | $57.02 | $30.85 | 0.7× |
| St. Anthony Hospital | Lakewood, CO | $22.81 | $57.02 | $30.51 | 0.7× |
| Penrose Hospital | Colorado Springs, CO | $22.81 | $57.02 | $30.51 | 0.7× |
| St. Anthony North Health Campus | Westminster, CO | $22.81 | $57.02 | $30.51 | 0.7× |
| OrthoColorado Hospital | Lakewood, CO | $22.81 | $57.02 | $30.51 | 0.7× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $22.81 | $57.02 | $30.51 | 0.7× |
| Thayer County Health Services | Hebron, NE | $23 | $29 | $30.03 | 0.8× |
| Jefferson Regional | Pine Bluff, AR | $23 | $23 | $26.91 | 0.9× |
| Covenant Hospital Plainview | Plainview, TX | $23.10 | $55 | $29.06 | 0.8× |
| Covenant Hospital Levelland | Levelland, TX | $23.10 | $55 | $29.06 | 0.8× |
| Lakeside Medical Center | Belle Glade, FL | $24.58 | — | $30.20 | 0.8× |
| UK St. Claire Regional Medical Center | Morehead, KY | $25.50 | $34 | $28 | 0.9× |
| Baxter Health | Mountain Home, AR | $25.96 | $43.26 | $26.34 | 1.0× |
| St. John's Medical Center | Jackson, WY | $26 | $26 | $29.55 | 0.9× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $26.35 | $31 | $30.51 | 0.9× |
| Denver Health Medical Center | Denver, CO | $26.69 | $76.23 | $30.51 | 0.9× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $26.89 | — | $26.27 | 1.0× |
| DeSoto Regional Health System | Mansfield, LA | $28 | $40 | $26.19 | 1.1× |
| East Jefferson General Hospital | Metairie, LA | $29.12 | $208 | $27.15 | 1.1× |
| Mercy Hospital Joplin | Joplin, MO | $29.25 | $45 | $28.97 | 1.0× |
| Griffin Hospital | Derby, CT | $29.28 | — | $34.67 | 0.8× |
| Ochsner Laird Hospital | Union, MS | $31.11 | $51 | $24.94 | 1.2× |
| South Central Regional Medical Center | Laurel, MS | $31.12 | $31.12 | $24.94 | 1.2× |
| Tampa General Hospital | Tampa, FL | $31.85 | $91 | $30.20 | 1.1× |
| Ochsner Scott Regional | Morton, MS | $32.13 | $51 | $26.11 | 1.2× |
| West Jefferson Medical Center | Marrero, LA | $33.28 | $208 | $27.15 | 1.2× |
| ECU Health Medical Center | Greenville, NC | $33.39 | $63 | $27.65 | 1.2× |
| CHI Health Plainview | Plainview, NE | $34.02 | $40.50 | $30.03 | 1.1× |
| Nebraska Medical Center | Omaha, NE | $34.12 | $52.50 | $30.03 | 1.1× |
| Bellevue Medical Center | Bellevue, NE | $34.12 | $52.50 | $30.03 | 1.1× |
| Ochsner Watkins Hospital | Quitman, MS | $34.17 | $51 | $24.94 | 1.4× |
| Rio Grande Hospital | Del Norte, CO | $34.28 | $45.70 | $30.51 | 1.1× |
| CHI Health Schuyler | Schuyler, NE | $34.42 | $40.50 | $30.03 | 1.1× |
| Ochsner Stennis Hospital | De Kalb, MS | $35.19 | $51 | $24.94 | 1.4× |
| Valleywise Health Medical Center | Phoenix, AZ | $35.49 | $47 | $30.86 | 1.2× |
| Phillips County Health Systems | Phillipsburg, KS | $35.70 | $42 | $26.60 | 1.3× |
| Missouri Delta Medical Center | Sikeston, MO | $35.94 | $143.75 | $28.97 | 1.2× |
| Henderson Community Hospital | Henderson, NE | $36 | $45 | $30.03 | 1.2× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $36.17 | — | $27.75 | 1.3× |
| Pender Community Health | Pender, NE | $37 | $44 | $30.03 | 1.2× |
| Jewell County Hospital | Mankato, KS | $37.50 | $50 | $26.60 | 1.4× |
| Salem Memorial District Hospital | Salem, MO | $37.50 | $50 | $28.97 | 1.3× |
| Mosaic Life Care at St. Joseph - Medical Center | St. Joseph, MO | $38.25 | $45 | $28.97 | 1.3× |
| Mosaic Medical Center - Maryville | Maryville, MO | $38.25 | $45 | $28.97 | 1.3× |
| Phelps Health Hospital | Rolla, MO | $38.71 | $55.30 | $28.97 | 1.3× |
| Ochsner Choctaw General | Butler, AL | $38.76 | $51 | $24.93 | 1.6× |
| UAMS Medical Center | Little Rock, AR | $40.80 | $68 | $27.18 | 1.5× |
| Community Memorial Healthcare, Inc | Marysville, KS | $42.40 | $42.40 | $26.60 | 1.6× |
| Beebe Medical Center | Lewes, DE | $42.50 | $50 | $30.48 | 1.4× |
| Roger Mills Memorial Hospital | Cheyenne, OK | $42.75 | $57 | $27.82 | 1.5× |
| Hereford Regional Medical Center | Hereford, TX | $43 | $43 | $29.06 | 1.5× |
| Delta County Memorial Hospital | Delta, CO | $45 | $75 | $30.51 | 1.5× |
| Niobrara Valley Hospital | Lynch, NE | $45 | $45 | $30.03 | 1.5× |
| Magee General Hospital | Magee, MS | $46.50 | $134 | $26.11 | 1.8× |
| Pardee Hospital | Hendersonville, NC | $46.80 | $78 | $27.65 | 1.7× |
| Saint Francis Hospital | Hartford, CT | $48.40 | $88 | $34.67 | 1.4× |
| Duncan Regional Hospital, Inc | Duncan, OK | $49.94 | — | $27.82 | 1.8× |
| North Oaks Medical Center | Hammond, LA | $51.17 | $404 | $26.45 | 1.9× |
| Neosho Memorial Regional Medical Center | Chanute, KS | $51.35 | $68.46 | $26.60 | 1.9× |
| Saint Francis Medical Center | Cape Girardeau, MO | $53 | $53 | $28.97 | 1.8× |
| Trego County Lemke Memorial Hospital | Wakeeney, KS | $53.13 | $62.50 | $26.60 | 2.0× |
| AdventHealth Porter | Denver, CO | $53.67 | $53.67 | $30.51 | 1.8× |
| AdventHealth Avista | Louisville, CO | $53.67 | $53.67 | $30.85 | 1.7× |
| AdventHealth Littleton | Littleton, CO | $53.67 | $53.67 | $30.51 | 1.8× |
| AdventHealth Parker | Parker, CO | $53.67 | $53.67 | $30.51 | 1.8× |
| AdventHealth Castle Rock | Castle Rock, CO | $53.67 | $53.67 | $30.51 | 1.8× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $24.93 | 2.2× |
| Ozarks Community Hospital | Gravette, AR | $54.60 | $136.50 | $27 | 2.0× |
| Holy Cross Hospital | Fort Lauderdale, FL | $55.90 | $86 | $30.20 | 1.9× |
| Beatrice Community Hospital & Health Center, Inc | Beatrice, NE | $56 | $56 | $30.03 | 1.9× |
| SSM Health St. Joseph Hospital - St. Charles | St. Charles, MO | $56.65 | $103 | $28.97 | 2.0× |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $56.65 | $103 | $28.97 | 2.0× |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $56.65 | $103 | $28.97 | 2.0× |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $56.65 | $103 | $28.97 | 2.0× |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $56.65 | $103 | $28.97 | 2.0× |
| UK Albert B. Chandler Hospital | Lexington, KY | $57.16 | $142.90 | $28.25 | 2.0× |
| Citizens Medical Center | Colby, KS | $59.15 | $91 | $26.60 | 2.2× |
| Wichita County Health Center | Leoti, KS | $60 | $75 | $26.60 | 2.3× |
| Mcpherson Hospital Inc | Mcpherson, KS | $60.68 | $82 | $26.60 | 2.3× |
| Livingston Hospital | Salem, KY | $61.28 | $102.12 | $27.14 | 2.3× |
| Star Valley Medical Center | Afton, WY | $63.70 | $91 | $29.55 | 2.2× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $63.80 | $220 | $27.62 | 2.3× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $63.80 | $220 | $27.46 | 2.3× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $63.80 | $220 | $27.75 | 2.3× |
| Conway Medical Center | Conway, SC | $65 | $65 | $26.90 | 2.4× |
| Johnson County Hospital | Tecumseh, NE | $66 | $66 | $30.03 | 2.2× |
| Baxter Health Fulton County Hospital | Salem, AR | $68.94 | $98.48 | $26.34 | 2.6× |
| Tallahatchie General Hospital | Charleston, MS | $68.94 | $98.48 | $24.94 | 2.8× |
| Middle Park Medical Center | Kremmling, CO | $69.40 | $86.75 | $30.51 | 2.3× |
| Grisell Memorial Hospital | Ransom, KS | $69.54 | $73.20 | $26.60 | 2.6× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $71.10 | $118.50 | $29.06 | 2.4× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $71.10 | $118.50 | $29.06 | 2.4× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $71.10 | $118.50 | $29.06 | 2.4× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $71.10 | $118.50 | $29.06 | 2.4× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $71.10 | $118.50 | $29.06 | 2.4× |
| Yalobusha General Hospital | Water Valley, MS | $73.50 | $105 | $26.10 | 2.8× |
| Okeene Municipal Hospital | Okeene, OK | $73.60 | $92 | $27.82 | 2.6× |
| Sentara Albemarle Medical Center | Elizabeth City, NC | $75.50 | $151 | $27.65 | 2.7× |
| Minneola District Hospital Nbr 2 | Minneola, KS | $78.75 | $112.50 | $26.60 | 3.0× |
| Knox County Hospital | Knox City, TX | $79 | $79 | $29.06 | 2.7× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $79.95 | $123 | $30.20 | 2.6× |
| Cleveland Clinic Hospital | Weston, FL | $79.95 | $123 | $30.20 | 2.6× |
| Fayette Medical Center | Fayette, AL | $80.75 | $161.50 | $26.03 | 3.1× |
| DCH Regional Medical Center | Tuscaloosa, AL | $80.75 | $161.50 | $28.84 | 2.8× |
| Animas Surgical Hospital | Durango, CO | $82 | $82 | $30.51 | 2.7× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $82.25 | $137.08 | $29.06 | 2.8× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $82.25 | $137.08 | $29.06 | 2.8× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $82.25 | $137.08 | $29.06 | 2.8× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $82.25 | $137.08 | $29.06 | 2.8× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $82.25 | $137.08 | $29.10 | 2.8× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $82.25 | $137.08 | $29.06 | 2.8× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $82.25 | $137.08 | $29.06 | 2.8× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $82.25 | $137.08 | $29.06 | 2.8× |
| Baylor Regional Medical Center at Plano | Plano, TX | $82.25 | $137.08 | $29.06 | 2.8× |
| The Heart Hospital Baylor Denton | Denton, TX | $82.25 | $137.08 | $29.06 | 2.8× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $82.25 | $137.08 | $29.06 | 2.8× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $82.25 | $137.08 | $29.06 | 2.8× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $82.25 | $137.08 | $29.06 | 2.8× |
| Baylor Scott and White The Heart Hospital Corinth | Denton, TX | $82.25 | $137.08 | $29.06 | 2.8× |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $82.50 | $137.50 | $29.10 | 2.8× |
| Texas Health HEB | Bedford, TX | $82.50 | $137.50 | $29.10 | 2.8× |
| Northwest Surgical Hospital | Oklahoma City, OK | $83.46 | — | $27.82 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $83.46 | — | $27.82 | 3.0× |
| Hilton Head Medical Center | Hilton Head Island, SC | $84.19 | — | $26.90 | 3.1× |
| East Cooper Medical Center | Mount Pleasant, SC | $84.19 | — | $26.90 | 3.1× |
| Coastal Carolina Medical Center | Hardeeville, SC | $84.19 | — | $26.90 | 3.1× |
| Delhi Hospital | Delhi, LA | $85.48 | $131.50 | $26.19 | 3.3× |
| Salina Regional Health Center | Salina, KS | $85.61 | $122.30 | $26.60 | 3.2× |
| North Central Kansas Medical Center | Concordia, KS | $85.61 | $122.30 | $26.60 | 3.2× |
| Lindsborg Community Hospital | Lindsborg, KS | $85.61 | $122.30 | $26.60 | 3.2× |
| Ellinwood District Hospital | Ellinwood, KS | $90.19 | $106.10 | $26.60 | 3.4× |
| Avera St. Anthony's Hospital | O'Neill, NE | $90.21 | $93 | $30.03 | 3.0× |
| Drumright Regional Hospital | Drumright, OK | $94.80 | $158 | $27.82 | 3.4× |
| Ascension Saint Thomas Hospital West | Nashville, TN | $97.32 | $324.40 | $27.75 | 3.5× |
| Haskell Regional Hospital, Inc | Stigler, OK | $98 | $98 | $27.82 | 3.5× |
| Monroe Regional Hospital | Aberdeen, MS | $98 | $98 | $24.94 | 3.9× |
| Samaritan Hospital | Macon, MO | $99.50 | $124 | $28.97 | 3.4× |
| Jackson Healthcare Center | Edna, TX | $100 | $125 | $29.06 | 3.4× |
| Memorial Hospital of Converse County | Douglas, WY | $100.32 | $176 | $29.55 | 3.4× |
| Pikeville Medical Center | Pikeville, KY | $101.40 | $338 | $27.14 | 3.7× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $103.61 | $172.68 | $29.06 | 3.6× |
| Scott & White Hospital-round Rock | Round Rock, TX | $103.61 | $172.68 | $29.06 | 3.6× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $103.61 | $172.68 | $29.06 | 3.6× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $103.61 | $172.68 | $29.06 | 3.6× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $103.61 | $172.68 | $29.06 | 3.6× |
| Sublette County Health | Pinedale, WY | $104.40 | $116 | $29.55 | 3.5× |
| Labette Health | Parsons, KS | $105.49 | $150.70 | $26.60 | 4.0× |
| Northside Hospital Forsyth | Cumming, GA | $108.75 | $145 | $29.38 | 3.7× |
| Northside Hospital Cherokee | Canton, GA | $108.75 | $145 | $29.38 | 3.7× |
| Northside Hospital Gwinnett | Lawrenceville, GA | $108.75 | $145 | $29.01 | 3.7× |
| Northside Hospital Atlanta | Atlanta, GA | $108.75 | $145 | $29.38 | 3.7× |
| Northside Hospital Duluth | Duluth, GA | $108.75 | $145 | $29.01 | 3.7× |
| Noxubee General Hospital | Macon, MS | $108.75 | $145 | $24.94 | 4.4× |
| Comanche County Medical Center | Comanche, TX | $109.20 | $168 | $29.06 | 3.8× |
| Cumberland County Hospital | Burkesville, KY | $109.88 | $146.50 | $27.14 | 4.0× |
| Stevens County Hospital | Hugoton, KS | $110 | $110 | $26.60 | 4.1× |
| Glen Rose Medical Center | Glen Rose, TX | $113 | $113 | $29.06 | 3.9× |
| Mercy Hospital Carthage | Carthage, MO | $113.75 | $175 | $28.97 | 3.9× |
| Upson Regional Medical Center | Thomaston, GA | $115.20 | $192 | $28.46 | 4.0× |
| Mercy Hospital Springfield | Springfield, MO | $115.70 | $178 | $28.97 | 4.0× |
| McLeod Health Dillon | Dillon, SC | $117.86 | $166 | $26.90 | 4.4× |
| McLeod Regional Medical Center | Florence, SC | $117.86 | $166 | $26.90 | 4.4× |
| McLeod Health Loris | Loris, SC | $117.86 | $166 | $26.90 | 4.4× |
| McLeod Health Cheraw | Cheraw, SC | $117.86 | $166 | $26.90 | 4.4× |
| McLeod Health Clarendon | Manning, SC | $117.86 | $166 | $27.58 | 4.3× |
| Caldwell Regional Medical Center | Caldwell, KS | $118.48 | $139.39 | $26.60 | 4.5× |
| Republic County Hospital | Belleville, KS | $118.50 | $158 | $26.60 | 4.5× |
| Vanderbilt University Hospital | Nashville, TN | $118.80 | $220 | $28.39 | 4.2× |
| Rawlins County Health Center | Atwood, KS | $120.70 | $142 | $26.60 | 4.5× |
| Mercy Hospital Healdton, Inc. | Healdton, OK | $120.90 | $186 | $27.82 | 4.3× |
| Memorial Hospital | Abilene, KS | $122.30 | $122.30 | $26.60 | 4.6× |
| Atrium Health Navicent The Medical Center | Macon, GA | $124.50 | $249 | $28.46 | 4.4× |
| Mercy Hospital Ardmore, Inc | Ardmore, OK | $125.45 | $193 | $27.82 | 4.5× |
| Holton Community Hospital | Holton, KS | $127.50 | $170 | $26.60 | 4.8× |
| Atrium Health Cabarrus | Concord, NC | $129.83 | $259.65 | $28.11 | 4.6× |
| Atrium Health Cleveland | Shelby, NC | $129.83 | $259.65 | $27.89 | 4.7× |
| Atrium Health Anson | Wadesboro, NC | $129.83 | $259.65 | $28.11 | 4.6× |
| Atrium Health Pineville | Charlotte, NC | $129.83 | $259.65 | $28.11 | 4.6× |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $129.83 | $259.65 | $28.11 | 4.6× |
| Atrium Health Stanly | Albemarle, NC | $129.83 | $259.65 | $28.11 | 4.6× |
| Atrium Health Union | Monroe, NC | $129.83 | $259.65 | $28.11 | 4.6× |
| Atrium Health Lincoln | Lincolnton, NC | $129.83 | $259.65 | $28.11 | 4.6× |
| Atrium Health University City | Charlotte, NC | $129.83 | $259.65 | $28.11 | 4.6× |
| Izard Regional Hospital | Calico Rock, AR | $131.75 | $131.75 | $26.34 | 5.0× |
| Crisp Regional Hospital | Cordele, GA | $134.90 | $142 | $25.35 | 5.3× |
| Newman Regional Health | Emporia, KS | $138.40 | $173 | $26.60 | 5.2× |
| Onslow Memorial Hospital | Jacksonville, NC | $139.73 | $139.73 | $27.86 | 5.0× |
| Nemaha Valley Community Hospital | Seneca, KS | $145.35 | $161.50 | $26.60 | 5.5× |
| Refugio County Memorial Hospital | Refugio, TX | $146 | $182.50 | $29.06 | 5.0× |
| Bayside Community Hospital | Anahuac, TX | $154 | $154 | $29.06 | 5.3× |
| Onvida Health Yuma Medical Center | Yuma, AZ | $154.05 | $237 | $30.86 | 5.0× |
| Wilson Medical Center | Neodesha, KS | $154.50 | $206 | $26.60 | 5.8× |
| Greeley County Health Services | Tribune, KS | $157.50 | $225 | $26.60 | 5.9× |
| Fisher County Hospital District | Rotan, TX | $162 | $190 | $29.06 | 5.6× |
| Parkland Memorial Hospital | Dallas, TX | $165.60 | $414 | $29.06 | 5.7× |
| Chadron Hospital | Chadron, NE | $167 | $239 | $30.03 | 5.6× |
| Stephens Memorial Hospital | Breckenridge, TX | $167.09 | $238.70 | $29.06 | 5.7× |
| Washington County Memorial Hospital | Potosi, MO | $171.07 | $228.09 | $28.97 | 5.9× |
| Graham County Hospital | Hill City, KS | $175 | $175 | $26.60 | 6.6× |
| Sheridan County Hospital | Hoxie, KS | $176 | $176 | $26.60 | 6.6× |
| Rooks County Health Center | Plainville, KS | $196.13 | $261.50 | $26.60 | 7.4× |
| Bothwell Regional Health Center | Sedalia, MO | $197.25 | $263 | $28.97 | 6.8× |
| Johnson County Healthcare Center | Buffalo, WY | $203.50 | $203.50 | $29.55 | 6.9× |
| Osborne County Memorial Hospital | Osborne, KS | $215 | $253 | $26.60 | 8.1× |
| AdventHealth Hendersonville | Hendersonville, NC | $217 | $217 | $27.65 | 7.8× |
| Texas Health Hospital Mansfield | Mansfield, TX | $223.90 | $223.90 | $29.06 | 7.7× |
| Pawnee County Memorial Hospital | Pawnee City, NE | $229 | $286 | $30.03 | 7.6× |
| AdventHealth Orlando | Orlando, FL | $231 | $231 | $30.20 | 7.6× |
| Powell Valley Healthcare | Powell, WY | $241.66 | $284.30 | $29.55 | 8.2× |
| Freeman Neosho Hospital | Neosho, MO | $246 | $410 | $28.97 | 8.5× |
| Baptist Health Hardin | Elizabethtown, KY | $249.95 | $333.26 | $27.81 | 9.0× |
| Baptist Health Richmond | Richmond, KY | $249.95 | $333.26 | $28 | 8.9× |
| Baptist Health Corbin | Corbin, KY | $249.95 | $333.26 | $27.14 | 9.2× |
| Baptist Health Lexington | Lexington, KY | $249.95 | $333.26 | $28.25 | 8.8× |
| Baptist Health Paducah | Paducah, KY | $249.95 | $333.26 | $28.75 | 8.7× |
| Baptist Health Louisville | Louisville, KY | $249.95 | $333.26 | $27.81 | 9.0× |
| Baptist Health La Grange | La Grange, KY | $249.95 | $333.26 | $27.81 | 9.0× |
| Freeman Hospital West | Joplin, MO | $258 | $430 | $28.97 | 8.9× |
| Howard County Medical Center | St. Paul, NE | $260 | $260 | $30.03 | 8.7× |
| Callaway District Hospital | Callaway, NE | $264 | $293 | $30.03 | 8.8× |
| Prague Regional Memorial Hospital | Prague, OK | $277 | $277 | $27.82 | 10.0× |
| Manatee Memorial Hospital | Bradenton, FL | $302 | $755 | $30.20 | 10.0× |
| Lakewood Ranch Medical Center | Bradenton, FL | $302 | $755 | $30.20 | 10.0× |
| AdventHealth Carrollwood | Tampa, FL | $304.65 | $304.65 | $30.20 | 10.1× |
| Ivinson Memorial Hospital | Laramie, WY | $329 | $329 | $29.55 | 11.1× |
| UCHealth University of Colorado Hospital | Aurora, CO | $329 | $940 | $30.51 | 10.8× |
| Valley County Health System | Ord, NE | $341.10 | $379 | $30.03 | 11.4× |
| Mercy Health — Lourdes Hospital | Paducah, KY | $342 | $570 | $28.75 | 11.9× |
| AdventHealth North Pinellas | Tarpon Springs, FL | $349.42 | $349.42 | $30.20 | 11.6× |
| Wickenburg Community Hospital | Wickenburg, AZ | $352.95 | $543 | $30.86 | 11.4× |
| AdventHealth Sebring | Sebring, FL | $374.64 | $374.64 | $30.20 | 12.4× |
| Sidney Regional Medical Center | Sidney, NE | $392 | $392 | $30.03 | 13.1× |
| Larkin Community Hospital | South Miami, FL | $422.80 | $604 | $30.20 | 14.0× |
| HCA Florida North Florida Hospital | Gainesville, FL | $511.11 | $511.11 | $30.20 | 16.9× |
| Havasu Regional Medical Center | Lake Havasu City, AZ | $574.46 | $957.43 | $31.60 | 18.2× |
| HCA Florida Gulf Coast Hospital | Panama City, FL | $1,561.95 | $1,561.95 | $30.20 | 51.7× |
| Columbus Community Hospital | Columbus, TX | $1,575 | $2,100 | $29.06 | 54.2× |
| Western Missouri Medical Center | Warrensburg, MO | — | $12.40 | $28.97 | — |
| Cameron Regional Medical Center | Cameron, MO | — | $30 | $28.97 | — |
| Antelope Memorial Hospital | Neligh, NE | — | $42 | $30.03 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $162.25 | $30.51 | — |
| UAB Hospital | Birmingham, AL | — | $171 | $26.46 | — |
| North Big Horn Hospital District | Lovell, WY | — | $232 | $29.55 | — |
| Scott County Hospital | Scott City, KS | — | $240 | $26.60 | — |
"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.