Ppps, subseq visit (CPT G0439)
G0439 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
542 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 |
|---|---|---|---|---|---|
| Archbold Memorial | Thomasville, GA | $19.80 | $33 | $137.61 | 0.1× |
| Ochsner Medical Center - New Orleans | New Orleans, LA | $24.20 | $110 | $137.61 | 0.2× |
| Baptist Beaumont Hospital | Beaumont, TX | $25.09 | $193 | $137.61 | 0.2× |
| Star Valley Medical Center | Afton, WY | $26.60 | $38 | $137.61 | 0.2× |
| Chi St. Joseph Health Regional Hospital | Bryan, TX | $27.83 | $159 | $137.61 | 0.2× |
| Burleson St. Joseph Health Center | Caldwell, TX | $27.83 | $159 | $137.61 | 0.2× |
| Madison St. Joseph Health Center | Madisonville, TX | $27.83 | $159 | $137.61 | 0.2× |
| Grimes St. Joseph Health Center | Navasota, TX | $27.83 | $159 | $137.61 | 0.2× |
| Beth Israel Deaconess Hospital–Milton | Milton, MA | $28 | $28 | $137.61 | 0.2× |
| Beth Israel Deaconess Hospital–Plymouth | Plymouth, MA | $29 | $29 | $137.61 | 0.2× |
| Hardin Medical Center | Savannah, TN | $30.18 | $79 | $137.61 | 0.2× |
| Anna Jaques Hospital | Newburyport, MA | $32 | $32 | $137.61 | 0.2× |
| Ochsner Medical Center - Baton Rouge | Baton Rouge, LA | $33.60 | $105 | $137.61 | 0.2× |
| Winchester Hospital | Winchester, MA | $36 | $36 | $137.61 | 0.3× |
| Mount Auburn Hospital | Cambridge, MA | $38 | $38 | $137.61 | 0.3× |
| ECU Health Medical Center | Greenville, NC | $38.69 | $73 | $137.61 | 0.3× |
| Saint Mary's Hospital | Waterbury, CT | $40.70 | $74 | $137.61 | 0.3× |
| New England Baptist Hospital | Boston, MA | $42 | $42 | $137.61 | 0.3× |
| Riverside Medical Center | Franklinton, LA | $42.20 | $105.50 | $137.61 | 0.3× |
| Prisma Health Blount Memorial Hospital | Maryville, TN | $43.40 | $140 | $137.61 | 0.3× |
| Wayne County Hospital | Monticello, KY | $43.52 | $66.95 | $137.61 | 0.3× |
| OU Health University of Oklahoma Medical Center | Oklahoma City, OK | $45.75 | $457.50 | $137.61 | 0.3× |
| Deaconess Henderson Hospital | Henderson, KY | $46.20 | $154 | $137.61 | 0.3× |
| Alamance Regional Medical Center | Burlington, NC | $47.50 | $125 | $137.61 | 0.3× |
| Cone Health Moses Cone Hospital | Greensboro, NC | $47.50 | $125 | $137.61 | 0.3× |
| Touro | New Orleans, LA | $47.60 | $340 | $137.61 | 0.3× |
| East Jefferson General Hospital | Metairie, LA | $47.60 | $340 | $137.61 | 0.3× |
| Monroe County Hospital | Monroeville, AL | $48 | $120 | $137.61 | 0.3× |
| Mangum Regional Medical Center | Mangum, OK | $52.26 | $108.87 | $137.61 | 0.4× |
| Gordon Memorial Hospital District | Gordon, NE | $53 | $53 | $137.61 | 0.4× |
| Mississippi Baptist Medical Center | Jackson, MS | $53.76 | $256 | $137.61 | 0.4× |
| Lamb Healthcare Center | Littlefield, TX | $54 | $135 | $137.61 | 0.4× |
| Cimarron Memorial Hospital | Boise City, OK | $54 | $108 | $137.61 | 0.4× |
| Beth Israel Deaconess Hospital–Needham | Needham, MA | $54 | $54 | $137.61 | 0.4× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $137.61 | 0.4× |
| West Jefferson Medical Center | Marrero, LA | $54.40 | $340 | $137.61 | 0.4× |
| Ste. Genevieve County Memorial Hospital | Ste. Genevieve, MO | $55 | $110 | $137.61 | 0.4× |
| Russell Medical | Alexander City, AL | $56.16 | $156 | $137.61 | 0.4× |
| Oklahoma Heart Hospital, LLC | Oklahoma City, OK | $57.75 | $165 | $137.61 | 0.4× |
| Oklahoma Heart Hospital South, LLC | Oklahoma City, OK | $57.75 | $165 | $137.61 | 0.4× |
| CHI St. Vincent Morrilton | Morrilton, AR | $58.08 | $228 | $137.61 | 0.4× |
| Valley County Health System | Ord, NE | $60.30 | $67 | $137.61 | 0.4× |
| Swedish Edmonds Campus | Edmonds, WA | $60.48 | $126 | $137.61 | 0.4× |
| Cuyuna Regional Medical Center | Crosby, MN | $60.86 | $179 | $137.61 | 0.4× |
| Northwest Mississippi Regional Medical Center | Clarksdale, MS | $61.80 | $247.20 | $137.61 | 0.4× |
| Buchanan General Hospital | Grundy, VA | $65.45 | $187 | $137.61 | 0.5× |
| Swisher Memorial Hospital | Tulia, TX | $66 | $132 | $137.61 | 0.5× |
| Thomas Memorial Hospital | South Charleston, WV | $67.50 | $135 | $137.61 | 0.5× |
| Boston Medical Center | Boston, MA | $68.40 | $152 | $137.61 | 0.5× |
| Hancock County Hospital | Sneedville, TN | $69.23 | $301 | $137.61 | 0.5× |
| Adventist Health Castle | Kailua, HI | $69.28 | $216.50 | $137.61 | 0.5× |
| Longmont United Hospital | Longmont, CO | $70.12 | $175.30 | $137.61 | 0.5× |
| St. Anthony Hospital | Lakewood, CO | $70.12 | $175.30 | $137.61 | 0.5× |
| Penrose Hospital | Colorado Springs, CO | $70.12 | $175.30 | $137.61 | 0.5× |
| St. Anthony North Health Campus | Westminster, CO | $70.12 | $175.30 | $137.61 | 0.5× |
| OrthoColorado Hospital | Lakewood, CO | $70.12 | $175.30 | $137.61 | 0.5× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $70.12 | $175.30 | $137.61 | 0.5× |
| Eastland Memorial Hospital | Eastland, TX | $71.50 | $143 | $137.61 | 0.5× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $71.92 | $248 | $137.61 | 0.5× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $71.92 | $248 | $137.61 | 0.5× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $71.92 | $248 | $137.61 | 0.5× |
| University of Kansas Hospital | Kansas City, KS | $72 | $360 | $137.61 | 0.5× |
| University of Kansas Health System Olathe Hospital | Olathe, KS | $72 | $360 | $137.61 | 0.5× |
| The University of Kansas Health System Paola Hospital | Paola, KS | $72 | $360 | $137.61 | 0.5× |
| Community Memorial Healthcare, Inc | Marysville, KS | $72.60 | $72.60 | $137.61 | 0.5× |
| Prowers Medical Center | Lamar, CO | $73.80 | $123 | $137.61 | 0.5× |
| Ochsner Rush Medical Center | Meridian, MS | $74.25 | $225 | $137.61 | 0.5× |
| Denver Health Medical Center | Denver, CO | $74.41 | $212.58 | $137.61 | 0.5× |
| University Medical Center New Orleans | New Orleans, LA | $74.80 | $340 | $137.61 | 0.5× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $75 | $250 | $137.61 | 0.5× |
| Tift Regional Medical Center | Tifton, GA | $75 | $150 | $137.61 | 0.5× |
| Southwell Medical | Adel, GA | $75 | $150 | $137.61 | 0.5× |
| White Mountain Regional Medical Center | Springerville, AZ | $77.51 | $135.99 | $137.61 | 0.6× |
| Pascagoula Hospital | Pascagoula, MS | $80.10 | $267 | $137.61 | 0.6× |
| Salina Regional Health Center | Salina, KS | $81.20 | $116 | $137.61 | 0.6× |
| ECU Health Chowan Hospital | Edenton, NC | $81.76 | $146 | $137.61 | 0.6× |
| Winkler County Memorial Hospital | Kermit, TX | $82.24 | $102.80 | $137.61 | 0.6× |
| Ochsner St. Martin Hospital | Breaux Bridge, LA | $82.65 | $275.50 | $137.61 | 0.6× |
| Weisbrod Memorial County Hospital | Eads, CO | $82.80 | $138 | $137.61 | 0.6× |
| Livingston Hospital | Salem, KY | $84.08 | $140.12 | $137.61 | 0.6× |
| Madison County Memorial Hospital | Madison, FL | $84.83 | $169.65 | $137.61 | 0.6× |
| Allendale County Hospital | Fairfax, SC | $85 | $100 | $137.61 | 0.6× |
| Concord Hospital | Concord, NH | $85.80 | $286 | $137.61 | 0.6× |
| Concord Hospital – Laconia | Laconia, NH | $85.80 | $286 | $137.61 | 0.6× |
| Concord Hospital – Franklin | Franklin, NH | $85.80 | $286 | $137.61 | 0.6× |
| University Medical Center of El Paso | El Paso, TX | $86.02 | $430.11 | $137.61 | 0.6× |
| LaSalle General Hospital | Jena, LA | $87 | $145 | $137.61 | 0.6× |
| Patterson Health Center | Anthony, KS | $88 | $110 | $137.61 | 0.6× |
| MultiCare Yakima Memorial Hospital | Yakima, WA | $88 | $220 | $137.61 | 0.6× |
| Sweeny Community Hospital | Sweeny, TX | $88.32 | $147.20 | $137.61 | 0.6× |
| Ochsner Lafayette General Medical Center | Lafayette, LA | $88.77 | $269 | $137.61 | 0.6× |
| Dosher Memorial Hospital | Southport, NC | $89 | $178 | $137.61 | 0.6× |
| Saint Francis Hospital Muskogee | Muskogee, OK | $90 | $225 | $137.61 | 0.7× |
| Saint Francis Hospital, Inc | Tulsa, OK | $90 | $225 | $137.61 | 0.7× |
| Saint Francis Hospital South, LLC | Tulsa, OK | $90 | $225 | $137.61 | 0.7× |
| Saint Francis Hospital Vinita, Inc | Vinita, OK | $90 | $225 | $137.61 | 0.7× |
| Arbuckle Memorial Hospital Authority | Sulphur, OK | $90 | $112 | $137.61 | 0.7× |
| Aspirus St. Luke's Hospital | Duluth, MN | $90.84 | $167 | $137.61 | 0.7× |
| Prisma Health Oconee Memorial Hospital | Seneca, SC | $91 | $140 | $137.61 | 0.7× |
| Prisma Health Baptist Easley Hospital | Easley, SC | $91 | $140 | $137.61 | 0.7× |
| Prisma Health Richland Hospital | Columbia, SC | $91 | $140 | $137.61 | 0.7× |
| Prisma Health Greer Memorial Hospital | Greer, SC | $91 | $140 | $137.61 | 0.7× |
| Prisma Health Hillcrest Hospital | Simpsonville, SC | $91 | $140 | $137.61 | 0.7× |
| Prisma Health Laurens County Hospital | Clinton, SC | $91 | $140 | $137.61 | 0.7× |
| Prisma Health Tuomey Hospital | Sumter, SC | $91 | $140 | $137.61 | 0.7× |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | $91 | $140 | $137.61 | 0.7× |
| Prisma Health Baptist Hospital | Columbia, SC | $91 | $140 | $137.61 | 0.7× |
| Prisma Health Patewood Hospital | Greenville, SC | $91 | $140 | $137.61 | 0.7× |
| Prisma Health Baptist Parkridge Hospital | Columbia, SC | $91 | $140 | $137.61 | 0.7× |
| Frio Regional Hospital | Pearsall, TX | $92 | $131 | $137.61 | 0.7× |
| D.W. McMillan Memorial Hospital | Brewton, AL | $92.40 | $154 | $137.61 | 0.7× |
| Atmore Community Hospital | Atmore, AL | $92.40 | $154 | $137.61 | 0.7× |
| North Texas Medical Center | Gainesville, TX | $95 | $378 | $137.61 | 0.7× |
| Covenant Hospital Plainview | Plainview, TX | $95.34 | $227 | $137.61 | 0.7× |
| Covenant Hospital Levelland | Levelland, TX | $95.34 | $227 | $137.61 | 0.7× |
| Fitzgibbon Hospital | Marshall, MO | $95.94 | $119.93 | $137.61 | 0.7× |
| Flagstaff Medical Center | Flagstaff, AZ | $97.50 | $195 | $137.61 | 0.7× |
| North Sunflower Medical Center | Ruleville, MS | $97.50 | $195 | $137.61 | 0.7× |
| Potomac Valley Hospital | Keyser, WV | $97.50 | $195 | $137.61 | 0.7× |
| Ochsner University Hospital & Clinics | Lafayette, LA | $98.53 | $252.50 | $137.61 | 0.7× |
| Rangely District Hospital | Rangely, CO | $99.13 | $152.51 | $137.61 | 0.7× |
| Medicine Lodge Memorial Hospital | Medicine Lodge, KS | $100 | $100 | $137.61 | 0.7× |
| Haskell Regional Hospital, Inc | Stigler, OK | $100 | $150 | $137.61 | 0.7× |
| Jefferson Medical Center | Ranson, WV | $101.50 | $203 | $137.61 | 0.7× |
| Jackson General Hospital | Ripley, WV | $102 | $204 | $137.61 | 0.7× |
| Niobrara County Hospital District | Lusk, WY | $102.40 | $128 | $137.61 | 0.7× |
| Wetzel County Hospital | New Martinsville, WV | $102.50 | $205 | $137.61 | 0.7× |
| Highland Hills Medical Center | Senatobia, MS | $103 | $206 | $137.61 | 0.7× |
| Pike County Memorial Hospital | Louisiana, MO | $104 | $130 | $137.61 | 0.8× |
| Reynolds Memorial Hospital | Glen Dale, WV | $104.25 | $208.50 | $137.61 | 0.8× |
| Ozarks Healthcare | West Plains, MO | $104.50 | $209 | $137.61 | 0.8× |
| Cambridge Health Alliance | Cambridge, MA | $105 | $105 | $137.61 | 0.8× |
| Augusta Health | Fishersville, VA | $105.50 | $211 | $137.61 | 0.8× |
| Roger Mills Memorial Hospital | Cheyenne, OK | $105.75 | $141 | $137.61 | 0.8× |
| Camden Clark Medical Center | Parkersburg, WV | $105.75 | $211.50 | $137.61 | 0.8× |
| Berkeley Medical Center | Martinsburg, WV | $106 | $212 | $137.61 | 0.8× |
| ECU Health Bertie Hospital | Windsor, NC | $106.96 | $191 | $137.61 | 0.8× |
| Bradley County Medical Center | Warren, AR | $107.50 | $215 | $137.61 | 0.8× |
| Holy Cross Hospital | Fort Lauderdale, FL | $107.90 | — | $137.61 | 0.8× |
| Ellett Memorial Hospital | Appleton City, MO | $109.50 | $146 | $137.61 | 0.8× |
| OCH Regional Medical Center | Starkville, MS | $109.60 | $171.25 | $137.61 | 0.8× |
| UAMS Medical Center | Little Rock, AR | $110.40 | $184 | $137.61 | 0.8× |
| J.W. Ruby Memorial Hospital | Morgantown, WV | $110.75 | $221.50 | $137.61 | 0.8× |
| Crittenden Community Hospital | Marion, KY | $111.72 | $266 | $137.61 | 0.8× |
| Summersville Regional Medical Center | Summersville, WV | $112.50 | $225 | $137.61 | 0.8× |
| Goodall Witcher Hospital | Clifton, TX | $112.70 | $161 | $137.61 | 0.8× |
| Medical City North Hills | North Richland Hills, TX | $113 | $113 | $137.61 | 0.8× |
| Plains Memorial Hospital | Dimmitt, TX | $113 | $150 | $137.61 | 0.8× |
| Dundy County Hospital | Benkelman, NE | $113 | $125 | $137.61 | 0.8× |
| St. Bernards Medical Center | Jonesboro, AR | $113.75 | $175 | $137.61 | 0.8× |
| Winona Health | Winona, MN | $114.10 | $326 | $137.61 | 0.8× |
| Princeton Community Hospital | Princeton, WV | $114.50 | $229 | $137.61 | 0.8× |
| Whitesburg ARH Hospital | Whitesburg, KY | $114.60 | $191 | $137.61 | 0.8× |
| Hazard ARH Regional Medical Center | Hazard, KY | $114.60 | $191 | $137.61 | 0.8× |
| Tug Valley ARH Regional Medical Center | South Williamson, KY | $114.60 | $191 | $137.61 | 0.8× |
| Paintsville ARH Hospital | Paintsville, KY | $114.60 | $191 | $137.61 | 0.8× |
| McDowell ARH Hospital | Mc Dowell, KY | $114.60 | $191 | $137.61 | 0.8× |
| Beckley ARH Hospital | Beckley, WV | $114.60 | $191 | $137.61 | 0.8× |
| East Carroll Parish Hospital | Lake Providence, LA | $115.09 | $153.45 | $137.61 | 0.8× |
| Valley Regional Hospital | Claremont, NH | $115.50 | $210 | $137.61 | 0.8× |
| Satanta District Hospital, Clinics, & LTCU | Satanta, KS | $117 | $130 | $137.61 | 0.9× |
| Hutchinson Health | Hutchinson, MN | $118.22 | $257 | $137.61 | 0.9× |
| MelroseWakefield Hospital | Melrose, MA | $118.30 | $169 | $137.61 | 0.9× |
| Thayer County Health Services | Hebron, NE | $119 | $149 | $137.61 | 0.9× |
| Holton Community Hospital | Holton, KS | $119.25 | $159 | $137.61 | 0.9× |
| Dimmit Regional Hospital | Carrizo Springs, TX | $120 | $200 | $137.61 | 0.9× |
| Cordell Memorial Hospital | Cordell, OK | $120 | $150 | $137.61 | 0.9× |
| Olivia Hospital & Clinic | Olivia, MN | $120.17 | $197 | $137.61 | 0.9× |
| Coryell Memorial Hospital | Gatesville, TX | $121 | $201 | $137.61 | 0.9× |
| Ochsner American Legion Hospital | Jennings, LA | $121.80 | $290 | $137.61 | 0.9× |
| West Feliciana Hospital | St. Francisville, LA | $122.40 | $204 | $137.61 | 0.9× |
| Vandalia Health Broaddus Hospital | Philippi, WV | $122.43 | $174.90 | $137.61 | 0.9× |
| Braxton County Memorial Hospital | Gassaway, WV | $122.50 | $245 | $137.61 | 0.9× |
| Grant Memorial Hospital | Petersburg, WV | $123.20 | $154 | $137.61 | 0.9× |
| Hansford County Hospital | Spearman, TX | $124 | $165 | $137.61 | 0.9× |
| Medina Regional Hospital | Hondo, TX | $124.13 | $137.92 | $137.61 | 0.9× |
| Pipestone County Medical Center & Family Clinic Avera | Pipestone, MN | $124.79 | $124 | $137.61 | 0.9× |
| Natchitoches Regional Medical Center | Natchitoches, LA | $124.80 | $312 | $137.61 | 0.9× |
| United Hospital Center | Bridgeport, WV | $125.50 | $251 | $137.61 | 0.9× |
| Stanton County Hospital | Johnson, KS | $126 | $126 | $137.61 | 0.9× |
| CarolinaEast Medical Center | New Bern, NC | $126 | $210 | $137.61 | 0.9× |
| Piggott Community Hospital | Piggott, AR | $126 | $180 | $137.61 | 0.9× |
| North Central Kansas Medical Center | Concordia, KS | $126.63 | $180.90 | $137.61 | 0.9× |
| Norton County Hospital | Norton, KS | $126.70 | $181 | $137.61 | 0.9× |
| Ochsner Abrom Kaplan Memorial Hospital | Kaplan, LA | $126.90 | $282 | $137.61 | 0.9× |
| Mayo Clinic Health System in Red Wing | Red Wing, MN | $127.30 | $190 | $137.61 | 0.9× |
| Caldwell Medical Center | Princeton, KY | $127.46 | $169.95 | $137.61 | 0.9× |
| Ellinwood District Hospital | Ellinwood, KS | $127.50 | $150 | $137.61 | 0.9× |
| Kiowa County Memorial Hospital | Greensburg, KS | $127.50 | $150 | $137.61 | 0.9× |
| Kiowa District Hospital | Kiowa, KS | $128 | $160 | $137.61 | 0.9× |
| Ozarks Community Hospital | Gravette, AR | $128.40 | $321 | $137.61 | 0.9× |
| Franklin Medical Center | Winnsboro, LA | $128.40 | $214 | $137.61 | 0.9× |
| Monadnock Community Hospital | Peterborough, NH | $128.40 | $214 | $137.61 | 0.9× |
| Wayne General Hospital | Waynesboro, MS | $129 | $129 | $137.61 | 0.9× |
| Harris Health | Houston, TX | $129.24 | $179 | $137.61 | 0.9× |
| Memorial Hospital | Aurora, NE | $129.60 | $135 | $137.61 | 0.9× |
| North Arkansas Regional Medical Center | Harrison, AR | $130 | $209.67 | $137.61 | 0.9× |
| Harrison County Community Hospital | Bethany, MO | $130 | $200 | $137.61 | 0.9× |
| Lindsborg Community Hospital | Lindsborg, KS | $131.11 | $187.30 | $137.61 | 1.0× |
| Kingman Regional Medical Center | Kingman, AZ | $131.25 | $375 | $137.61 | 1.0× |
| Foothills Hospital | Boulder, CO | $131.50 | $263 | $137.61 | 1.0× |
| Edwards County Medical Center | Kinsley, KS | $132 | $165 | $137.61 | 1.0× |
| Vandalia Health Mon Medical Center | Morgantown, WV | $133.51 | $267.02 | $137.61 | 1.0× |
| Vandalia Health Mon Marion Neighborhood Hospital | White Hall, WV | $133.51 | $267.02 | $137.61 | 1.0× |
| Whitman Hospital & Medical Clinics | Colfax, WA | $133.60 | $167 | $137.61 | 1.0× |
| Vanderbilt University Hospital | Nashville, TN | $133.92 | $248 | $137.61 | 1.0× |
| Jackson Healthcare Center | Edna, TX | $134 | $167 | $137.61 | 1.0× |
| Wheeling Hospital | Wheeling, WV | $134 | $268 | $137.61 | 1.0× |
| Trigg County Hospital | Cadiz, KY | $135.20 | $338 | $137.61 | 1.0× |
| Tyler Holmes Memorial Hospital | Winona, MS | $136.50 | $182 | $137.61 | 1.0× |
| Harlan County Health System | Alma, NE | $136.78 | $170.98 | $137.61 | 1.0× |
| Ochsner Laird Hospital | Union, MS | $137.25 | $225 | $137.61 | 1.0× |
| Aspirus Lake View Hospital | Two Harbors, MN | $137.44 | $167 | $137.61 | 1.0× |
| Vandalia Health Davis Medical Center | Elkins, WV | $137.74 | $196.76 | $137.61 | 1.0× |
| Saint Luke's Hospital of Kansas City | Kansas City, MO | $138.60 | $231 | $137.61 | 1.0× |
| Colquitt Regional Medical Center | Moultrie, GA | $139 | $139 | $137.61 | 1.0× |
| Washington Regional Medical Center | Plymouth, NC | $139.34 | $278.68 | $137.61 | 1.0× |
| Greeley County Health Services | Tribune, KS | $140 | $200 | $137.61 | 1.0× |
| North Canyon Medical Center | Gooding, ID | $140 | $175 | $137.61 | 1.0× |
| Arbor Health—Morton Hospital | Morton, WA | $140.74 | $227 | $137.61 | 1.0× |
| St. Joseph's Hospital | Buckhannon, WV | $141.50 | $283 | $137.61 | 1.0× |
| Ochsner Scott Regional | Morton, MS | $141.75 | $225 | $137.61 | 1.0× |
| Johnson County Healthcare Center | Buffalo, WY | $142.15 | $142.15 | $137.61 | 1.0× |
| UK St. Claire Regional Medical Center | Morehead, KY | $142.50 | $190 | $137.61 | 1.0× |
| Mayo Clinic Health System - New Prague | New Prague, MN | $142.50 | $190 | $137.61 | 1.0× |
| Wellstar Mountain Lakes Medical Center | Clayton, GA | $142.80 | $357 | $137.61 | 1.0× |
| Rockcastle Regional Hospital and Respiratory Care Center | Mount Vernon, KY | $142.88 | $188 | $137.61 | 1.0× |
| Prosser Memorial Health Hospital | Prosser, WA | $143 | $260 | $137.61 | 1.0× |
| Huggins Hospital | Wolfeboro, NH | $143 | $286 | $137.61 | 1.0× |
| Stevens Community Medical Center Inc | Morris, MN | $143.25 | $191 | $137.61 | 1.0× |
| EvergreenHealth Medical Center | Kirkland, WA | $144 | $180 | $137.61 | 1.0× |
| Montgomery General Hospital | Montgomery, WV | $146 | $194.67 | $137.61 | 1.1× |
| UAB Medical West | Bessemer, AL | $146.25 | $195 | $137.61 | 1.1× |
| Avera Granite Falls | Granite Falls, MN | $146.47 | $151 | $137.61 | 1.1× |
| Sistersville General Hospital | Sistersville, WV | $146.63 | $244.38 | $137.61 | 1.1× |
| Val Verde Regional Medical Center | Del Rio, TX | $146.90 | $226 | $137.61 | 1.1× |
| Steele Memorial Medical Center | Salmon, ID | $147 | $196 | $137.61 | 1.1× |
| Sentara RMH Medical Center | Harrisonburg, VA | $149 | $298 | $137.61 | 1.1× |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | $149 | $298 | $137.61 | 1.1× |
| Golden Plains Community Hospital | Borger, TX | $149.17 | $213.10 | $137.61 | 1.1× |
| Minneola District Hospital Nbr 2 | Minneola, KS | $149.80 | $214 | $137.61 | 1.1× |
| Wilson Medical Center | Neodesha, KS | $150 | $200 | $137.61 | 1.1× |
| Franklin County Memorial Hospital | Meadville, MS | $150 | $150 | $137.61 | 1.1× |
| Ochsner Watkins Hospital | Quitman, MS | $150.75 | $225 | $137.61 | 1.1× |
| Osmond General Hospital | Osmond, NE | $151 | $151 | $137.61 | 1.1× |
| Refugio County Memorial Hospital | Refugio, TX | $152 | $190 | $137.61 | 1.1× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $153.40 | $236 | $137.61 | 1.1× |
| Boone Memorial Health | Madison, WV | $153.50 | $307 | $137.61 | 1.1× |
| Calhoun-Liberty Hospital | Blountstown, FL | $154 | $220 | $137.61 | 1.1× |
| Rolling Plains Memorial Hospital | Sweetwater, TX | $154 | $237 | $137.61 | 1.1× |
| Mitchell County Hospital District | Colorado City, TX | $154 | $220 | $137.61 | 1.1× |
| Monroe Regional Hospital | Aberdeen, MS | $154 | $154 | $137.61 | 1.1× |
| War Memorial Hospital | Berkeley Springs, WV | $154 | $220 | $137.61 | 1.1× |
| Winchester Medical Center | Winchester, VA | $154 | $220 | $137.61 | 1.1× |
| Fairview Regional Medical Center Authority | Fairview, OK | $154.20 | $257 | $137.61 | 1.1× |
| Taylor Regional Hospital | Campbellsville, KY | $154.25 | $308.50 | $137.61 | 1.1× |
| Doctors Memorial Hospital | Bonifay, FL | $154.35 | $343 | $137.61 | 1.1× |
| Lakewood Health System | Staples, MN | $154.38 | $249 | $137.61 | 1.1× |
| Ochsner Stennis Hospital | De Kalb, MS | $155.25 | $225 | $137.61 | 1.1× |
| St. Bernards Five Rivers Medical Center | Pocahontas, AR | $157.50 | $175 | $137.61 | 1.1× |
| Alice Peck Day Memorial Hospital | Lebanon, NH | $158.20 | $293.50 | $137.61 | 1.1× |
| Phelps Memorial Health Center | Holdrege, NE | $158.40 | $176 | $137.61 | 1.2× |
| Neshoba General | Philadelphia, MS | $158.89 | $226.98 | $137.61 | 1.2× |
| Mcpherson Hospital Inc | Mcpherson, KS | $160.58 | $217 | $137.61 | 1.2× |
| Lakeside Medical Center | Belle Glade, FL | $160.69 | — | $137.61 | 1.2× |
| Grove Hill Rural Emergency Hospital | Grove Hill, AL | $160.80 | $268 | $137.61 | 1.2× |
| Crane County Hospital District | Crane, TX | $162 | $232 | $137.61 | 1.2× |
| Rush County Memorial Hospital | La Crosse, KS | $162 | $180 | $137.61 | 1.2× |
| Rhea Medical Center | Dayton, TN | $163.20 | $240 | $137.61 | 1.2× |
| Starr County Memorial Hospital | Rio Grande City, TX | $165 | $165 | $137.61 | 1.2× |
| South Central Regional Medical Center | Laurel, MS | $165 | $165 | $137.61 | 1.2× |
| Skyline Health | White Salmon, WA | $166.32 | $231 | $137.61 | 1.2× |
| Baystate Franklin Medical Center | Greenfield, MA | $167.20 | $167.20 | $137.61 | 1.2× |
| Baystate Medical Center | Springfield, MA | $167.20 | $167.20 | $137.61 | 1.2× |
| Mayo Clinic Health System - Albert Lea and Austin | Albert Lea, MN | $167.20 | $190 | $137.61 | 1.2× |
| Mayo Clinic Health System - Mankato | Mankato, MN | $167.20 | $190 | $137.61 | 1.2× |
| Mayo Clinic Health System - Fairmont | Fairmont, MN | $167.20 | $190 | $137.61 | 1.2× |
| Mayo Clinic Health System - St. James | St. James, MN | $167.20 | $190 | $137.61 | 1.2× |
| Mayo Clinic Health System - Lake City | Lake City, MN | $167.20 | $190 | $137.61 | 1.2× |
| Mayo Clinic Health System - Waseca | Waseca, MN | $167.20 | $190 | $137.61 | 1.2× |
| Mayo Clinic Health System - Cannon Falls | Cannon Falls, MN | $167.20 | $190 | $137.61 | 1.2× |
| Henderson Community Hospital | Henderson, NE | $168 | $210 | $137.61 | 1.2× |
| Okeene Municipal Hospital | Okeene, OK | $168.07 | $210.09 | $137.61 | 1.2× |
| Memorial Medical Center | Port Lavaca, TX | $168.16 | $240.24 | $137.61 | 1.2× |
| South Lincoln Medical Center | Kemmerer, WY | $168.71 | $224.95 | $137.61 | 1.2× |
| Jefferson Community Health & Life | Fairbury, NE | $168.75 | $225 | $137.61 | 1.2× |
| Murray County Medical Center | Slayton, MN | $169 | $260 | $137.61 | 1.2× |
| Community Memorial Hospital | Cloquet, MN | $169.60 | $265 | $137.61 | 1.2× |
| Fisher County Hospital District | Rotan, TX | $170 | $200 | $137.61 | 1.2× |
| Clearwater Valley Health | Orofino, ID | $170.25 | $227 | $137.61 | 1.2× |
| St. Mary's Health | Cottonwood, ID | $170.25 | $227 | $137.61 | 1.2× |
| Cleveland Area Hospital | Cleveland, OK | $170.40 | $213 | $137.61 | 1.2× |
| Avera Creighton Hospital | Creighton, NE | $170.72 | $176 | $137.61 | 1.2× |
| Ochsner Choctaw General | Butler, AL | $171 | $225 | $137.61 | 1.2× |
| Ascension St. Vincent's Riverside | Jacksonville, FL | $171.03 | $462.25 | $137.61 | 1.2× |
| Ascension St. Vincent's Southside | Jacksonville, FL | $171.03 | $462.25 | $137.61 | 1.2× |
| Bayou Bend Health System | Franklin, LA | $172.20 | $246 | $137.61 | 1.3× |
| Kearney County Health Services | Minden, NE | $173 | $216 | $137.61 | 1.3× |
| Ashland Health Center | Ashland, KS | $173.60 | $217 | $137.61 | 1.3× |
| Samaritan Hospital | Macon, MO | $174 | $218 | $137.61 | 1.3× |
| North Runnels Hospital | Winters, TX | $175 | $250 | $137.61 | 1.3× |
| Mary Lanning Healthcare | Hastings, NE | $175.50 | $195 | $137.61 | 1.3× |
| Throckmorton County Memorial Hospital | Throckmorton, TX | $176 | $176 | $137.61 | 1.3× |
| Parkview Hospital | Wheeler, TX | $178.50 | $210 | $137.61 | 1.3× |
| Nebraska Medical Center | Omaha, NE | $178.75 | $275 | $137.61 | 1.3× |
| Bellevue Medical Center | Bellevue, NE | $178.75 | $275 | $137.61 | 1.3× |
| Lane County Hospital | Dighton, KS | $180 | $180 | $137.61 | 1.3× |
| Ottawa County Health Center | Minneapolis, KS | $180 | $180 | $137.61 | 1.3× |
| Henderson County Community Hospital | Lexington, TN | $180 | $450 | $137.61 | 1.3× |
| Haywood County Community Hospital | Brownsville, TN | $180 | $450 | $137.61 | 1.3× |
| Houston County Community Hospital | Erin, TN | $180 | $450 | $137.61 | 1.3× |
| Pemiscot Memorial Hospital | Hayti, MO | $180.60 | $258 | $137.61 | 1.3× |
| Memorial Hospital | Abilene, KS | $180.90 | $180.90 | $137.61 | 1.3× |
| Muleshoe Area Medical Center | Muleshoe, TX | $182 | $304 | $137.61 | 1.3× |
| Washington Regional Medical Center | Fayetteville, AR | $182.25 | $243 | $137.61 | 1.3× |
| Ocean Beach Health | Ilwaco, WA | $182.25 | $243 | $137.61 | 1.3× |
| Boone Hospital Center | Columbia, MO | $182.40 | $304 | $137.61 | 1.3× |
| Hermann Area District Hospital | Hermann, MO | $182.70 | $304.50 | $137.61 | 1.3× |
| Girard Medical Center | Girard, KS | $183.60 | $306 | $137.61 | 1.3× |
| Grover C. Dils Medical Center | Caliente, NV | $183.75 | $245 | $137.61 | 1.3× |
| Ward Memorial Hospital | Monahans, TX | $184 | $263 | $137.61 | 1.3× |
| Lincoln Hospital | Davenport, WA | $185.60 | $206.22 | $137.61 | 1.3× |
| Saunders Medical Center | Wahoo, NE | $186 | $248 | $137.61 | 1.4× |
| Lake Charles Memorial Hospital | Lake Charles, LA | $186.60 | $311 | $137.61 | 1.4× |
| Garden County Health Services | Oshkosh, NE | $187 | $275 | $137.61 | 1.4× |
| Pershing General Hospital | Lovelock, NV | $187 | $187 | $137.61 | 1.4× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $187.20 | $208 | $137.61 | 1.4× |
| Hot Springs County Memorial Hospital | Thermopolis, WY | $188 | $188 | $137.61 | 1.4× |
| Medical Center Hospital | Odessa, TX | $188 | $188 | $137.61 | 1.4× |
| Hartford Hospital | Hartford, CT | $188 | $188 | $137.61 | 1.4× |
| Lost Rivers Medical Center | Arco, ID | $188 | $235 | $137.61 | 1.4× |
| Baxter Health Fulton County Hospital | Salem, AR | $188.06 | $268.65 | $137.61 | 1.4× |
| Tallahatchie General Hospital | Charleston, MS | $188.06 | $188.26 | $137.61 | 1.4× |
| Kearney Regional Medical Center | Kearney, NE | $189 | $315 | $137.61 | 1.4× |
| Lackey Memorial Hospital | Forest, MS | $189.50 | $189.50 | $137.61 | 1.4× |
| Phillips County Health Systems | Phillipsburg, KS | $189.98 | $223.50 | $137.61 | 1.4× |
| Genoa Community Hospital | Genoa, NE | $191 | $212 | $137.61 | 1.4× |
| Harbor Regional Health Community Hospital | Aberdeen, WA | $191.10 | $294 | $137.61 | 1.4× |
| Weatherford Regional Hospital, Inc of Weatherford | Weatherford, OK | $192.24 | $240.30 | $137.61 | 1.4× |
| Drumright Regional Hospital | Drumright, OK | $192.60 | $321 | $137.61 | 1.4× |
| Friend Community Healthcare System | Friend, NE | $193.46 | $322.44 | $137.61 | 1.4× |
| DeSoto Regional Health System | Mansfield, LA | $193.90 | $277 | $137.61 | 1.4× |
| Fredonia Regional Hospital | Fredonia, KS | $196.25 | $196.25 | $137.61 | 1.4× |
| Brown County Hospital | Ainsworth, NE | $197 | $262 | $137.61 | 1.4× |
| UF Health Jacksonville | Jacksonville, FL | $197.27 | $358.68 | $137.61 | 1.4× |
| Mccamey Hospital | Mccamey, TX | $198 | $198 | $137.61 | 1.4× |
| Knox County Hospital | Knox City, TX | $198 | $198 | $137.61 | 1.4× |
| Jewell County Hospital | Mankato, KS | $198.75 | $265 | $137.61 | 1.4× |
| Memorial Hospital | Seminole, TX | $198.80 | $284 | $137.61 | 1.4× |
| Rio Grande Hospital | Del Norte, CO | $198.90 | $265.20 | $137.61 | 1.4× |
| Grisell Memorial Hospital | Ransom, KS | $199.18 | $209.66 | $137.61 | 1.4× |
| Valleywise Health Medical Center | Phoenix, AZ | $199.19 | $230 | $137.61 | 1.4× |
| Nevada Regional Medical Center | Nevada, MO | $199.35 | $443 | $137.61 | 1.4× |
| Webster County Community Hospital | Red Cloud, NE | $200 | $210 | $137.61 | 1.5× |
| Pender Community Health | Pender, NE | $200 | $235 | $137.61 | 1.5× |
| CCM Health | Montevideo, MN | $200.20 | $308 | $137.61 | 1.5× |
| Cheyenne County Hospital | St. Francis, KS | $200.60 | $236 | $137.61 | 1.5× |
| Meeker Memorial Hospital & Clinics | Litchfield, MN | $202.24 | $316 | $137.61 | 1.5× |
| Lourdes Medical Center | Pasco, WA | $202.38 | $505.95 | $137.61 | 1.5× |
| Nemaha Valley Community Hospital | Seneca, KS | $202.50 | $225 | $137.61 | 1.5× |
| T.J. Health Columbia | Columbia, KY | $202.80 | $312 | $137.61 | 1.5× |
| Minnie Hamilton Health System | Grantsville, WV | $204 | $204 | $137.61 | 1.5× |
| Hennepin County Medical Center | Minneapolis, MN | $204.30 | $454 | $137.61 | 1.5× |
| Estes Park Medical Center | Estes Park, CO | $204.38 | $272.50 | $137.61 | 1.5× |
| Neosho Memorial Regional Medical Center | Chanute, KS | $205.06 | $273.41 | $137.61 | 1.5× |
| Iberia Medical Center | New Iberia, LA | $205.80 | $343 | $137.61 | 1.5× |
| Tippah County Hospital | Ripley, MS | $206 | $206 | $137.61 | 1.5× |
| Coal County General Hospital, Inc. | Coalgate, OK | $206.25 | $275 | $137.61 | 1.5× |
| Pawnee County Memorial Hospital | Pawnee City, NE | $207 | $259 | $137.61 | 1.5× |
| Valley Medical Center | Renton, WA | $207.20 | $296 | $137.61 | 1.5× |
| Delta Memorial Hospital | Dumas, AR | $207.41 | $259.26 | $137.61 | 1.5× |
| Sheridan Memorial Hospital | Sheridan, WY | $208 | $260 | $137.61 | 1.5× |
| Northwest Florida Community Hospital | Chipley, FL | $208.80 | $261 | $137.61 | 1.5× |
| Niobrara Valley Hospital | Lynch, NE | $209 | $209 | $137.61 | 1.5× |
| The Queen's Medical Center | Honolulu, HI | $210.70 | $301 | $137.61 | 1.5× |
| Queen's North Hawaiʻi Community Hospital | Kamuela, HI | $210.70 | $301 | $137.61 | 1.5× |
| JPS Health Network | Fort Worth, TX | $211.20 | $352 | $137.61 | 1.5× |
| T.J. Samson Community Hospital | Glasgow, KY | $211.25 | $325 | $137.61 | 1.5× |
| Cody Regional Health | Cody, WY | $212.50 | $250 | $137.61 | 1.5× |
| Mosaic Life Care at St. Joseph - Medical Center | St. Joseph, MO | $212.50 | $250 | $137.61 | 1.5× |
| TriState Health | Clarkston, WA | $212.85 | $215 | $137.61 | 1.5× |
| Glacial Ridge Hospital | Glenwood, MN | $213.08 | $284.10 | $137.61 | 1.5× |
| Valor Health | Emmett, ID | $213.47 | $224.70 | $137.61 | 1.6× |
| Excelsior Springs Hospital | Excelsior Springs, MO | $215 | $215 | $137.61 | 1.6× |
| Chicot Memorial Medical Center | Lake Village, AR | $215.98 | $258.96 | $137.61 | 1.6× |
| Cozad Community Hospital | Cozad, NE | $216 | $240 | $137.61 | 1.6× |
| Sabetha Community Hospital | Sabetha, KS | $216 | $216 | $137.61 | 1.6× |
| CHI St. Gabriel's Hospital | Little Falls, MN | $216.34 | $373 | $137.61 | 1.6× |
| Self Regional Healthcare | Greenwood, SC | $216.85 | $361.41 | $137.61 | 1.6× |
| Edgefield County Healthcare | Edgefield, SC | $216.85 | $361.41 | $137.61 | 1.6× |
| Gunnison Valley Hospital | Gunnison, CO | $217.60 | $256 | $137.61 | 1.6× |
| Powell Valley Healthcare | Powell, WY | $219.73 | $258.50 | $137.61 | 1.6× |
| Taylor Regional Hospital | Hawkinsville, GA | $220 | $220 | $137.61 | 1.6× |
| Jackson Parish Hospital | Jonesboro, LA | $220 | $220 | $137.61 | 1.6× |
| Ridgeview Medical Center | Waconia, MN | $220.50 | $450 | $137.61 | 1.6× |
| Garfield County Memorial Hospital | Pomeroy, WA | $221 | $260 | $137.61 | 1.6× |
| CHI St. Francis Health | Breckenridge, MN | $221.40 | $369 | $137.61 | 1.6× |
| West Holt Memorial Hospital | Atkinson, NE | $223 | $279 | $137.61 | 1.6× |
| Perham Health | Perham, MN | $224.25 | $345 | $137.61 | 1.6× |
| Three Rivers Hospital | Brewster, WA | $225 | $300 | $137.61 | 1.6× |
| Ochiltree General Hospital | Perryton, TX | $226 | $323 | $137.61 | 1.6× |
| Tmc- Bonham Hospital | Bonham, TX | $228.80 | $763.40 | $137.61 | 1.7× |
| Weiser Memorial Hospital | Weiser, ID | $229.88 | $306.50 | $137.61 | 1.7× |
| UW Medical Center | Seattle, WA | $230.05 | $328.64 | $137.61 | 1.7× |
| Harborview Medical Center | Seattle, WA | $230.05 | $328.64 | $137.61 | 1.7× |
| Phelps Health Hospital | Rolla, MO | $232.16 | $331.66 | $137.61 | 1.7× |
| Franklin County Memorial Hospital | Franklin, NE | $234 | $260 | $137.61 | 1.7× |
| Baton Rouge General - Bluebonnet | Baton Rouge, LA | $234.40 | $334.85 | $137.61 | 1.7× |
| Baton Rouge General - Mid City | Baton Rouge, LA | $234.40 | $334.85 | $137.61 | 1.7× |
| Izard Regional Hospital | Calico Rock, AR | $235.25 | $235.25 | $137.61 | 1.7× |
| Freeman Neosho Hospital | Neosho, MO | $235.80 | $393 | $137.61 | 1.7× |
| Syringa Hospital & Clinics | Grangeville, ID | $236.70 | $263 | $137.61 | 1.7× |
| Titus Regional Medical Center | Mount Pleasant, TX | $237 | $395 | $137.61 | 1.7× |
| Brodstone Healthcare | Superior, NE | $239 | $252 | $137.61 | 1.7× |
| Fred Hutch Cancer Center | Seattle, WA | $239.27 | $265.86 | $137.61 | 1.7× |
| Mille Lacs Health System | Onamia, MN | $240.10 | $343 | $137.61 | 1.7× |
| Johnson Memorial Hospital | Dawson, MN | $240.77 | $283.26 | $137.61 | 1.7× |
| Putnam County Memorial Hospital | Unionville, MO | $242.75 | $242.75 | $137.61 | 1.8× |
| Power County Hospital District | American Falls, ID | $243.90 | $244 | $137.61 | 1.8× |
| Caribou Medical Center | Soda Springs, ID | $246.49 | $352.13 | $137.61 | 1.8× |
| Rainy Lake Medical Center | International Falls, MN | $246.67 | $320.34 | $137.61 | 1.8× |
| North Oaks Medical Center | Hammond, LA | $246.74 | $784 | $137.61 | 1.8× |
| McLeod Health Dillon | Dillon, SC | $251.34 | $354 | $137.61 | 1.8× |
| McLeod Regional Medical Center | Florence, SC | $251.34 | $354 | $137.61 | 1.8× |
| McLeod Health Loris | Loris, SC | $251.34 | $354 | $137.61 | 1.8× |
| McLeod Health Cheraw | Cheraw, SC | $251.34 | $354 | $137.61 | 1.8× |
| McLeod Health Clarendon | Manning, SC | $251.34 | $354 | $137.61 | 1.8× |
| Odessa Memorial Healthcare Center | Odessa, WA | $251.37 | $279.30 | $137.61 | 1.8× |
| Abbeville Area Medical Center | Abbeville, SC | $252.99 | $361.41 | $137.61 | 1.8× |
| Liberty Dayton Regional Medical Center | Liberty, TX | $253 | $362 | $137.61 | 1.8× |
| Reeves Regional Health | Pecos, TX | $253.50 | $338 | $137.61 | 1.8× |
| Scotland County Hospital | Memphis, MO | $253.85 | $362.64 | $137.61 | 1.8× |
| Wickenburg Community Hospital | Wickenburg, AZ | $255.45 | $393 | $137.61 | 1.9× |
| Mid-Valley Hospital | Omak, WA | $255.50 | $365 | $137.61 | 1.9× |
| Hamilton Hospital | Olney, TX | $256 | $366 | $137.61 | 1.9× |
| Cogdell Memorial Hospital | Snyder, TX | $256 | $256 | $137.61 | 1.9× |
| Boone County Health Center | Albion, NE | $256 | $256 | $137.61 | 1.9× |
| Falls Community Hospital and Clinic | Marlin, TX | $257.09 | $321.36 | $137.61 | 1.9× |
| Johnson County Hospital | Tecumseh, NE | $260 | $260 | $137.61 | 1.9× |
| Island Hospital | Anacortes, WA | $260 | $260 | $137.61 | 1.9× |
| Lahey Hospital & Medical Center | Burlington, MA | $260 | $260 | $137.61 | 1.9× |
| Amberwell Hiawatha | Hiawatha, KS | $260.50 | $260.50 | $137.61 | 1.9× |
| Amberwell Atchison Association | Atchison, KS | $260.50 | $260.50 | $137.61 | 1.9× |
| Mason General Hospital | Shelton, WA | $261.75 | $349 | $137.61 | 1.9× |
| United Hospital District | Blue Earth, MN | $261.80 | $308 | $137.61 | 1.9× |
| Perkins County Health Services | Grant, NE | $264 | $264 | $137.61 | 1.9× |
| Madison Healthcare Services - Madison Hospital | Madison, MN | $265.20 | $312 | $137.61 | 1.9× |
| Bath Community Hospital | Hot Springs, VA | $266.81 | $381.16 | $137.61 | 1.9× |
| Gritman Medical Center | Moscow, ID | $268 | $268 | $137.61 | 1.9× |
| Beth Israel Deaconess Medical Center | Boston, MA | $268 | $268 | $137.61 | 1.9× |
| Pratt Regional Medical Center | Pratt, KS | $270 | $386 | $137.61 | 2.0× |
| Northside Hospital Forsyth | Cumming, GA | $270 | $360 | $137.61 | 2.0× |
| Northside Hospital Cherokee | Canton, GA | $270 | $360 | $137.61 | 2.0× |
| Northside Hospital Gwinnett | Lawrenceville, GA | $270 | $360 | $137.61 | 2.0× |
| Northside Hospital Atlanta | Atlanta, GA | $270 | $360 | $137.61 | 2.0× |
| Northside Hospital Duluth | Duluth, GA | $270 | $360 | $137.61 | 2.0× |
| Decatur Health | Oberlin, KS | $276.30 | $307 | $137.61 | 2.0× |
| Beatrice Community Hospital & Health Center, Inc | Beatrice, NE | $277 | $277 | $137.61 | 2.0× |
| St. John's Medical Center | Jackson, WY | $280 | $280 | $137.61 | 2.0× |
| Kimball Health Services | Kimball, NE | $283 | $283 | $137.61 | 2.1× |
| Samaritan Hospital | Moses Lake, WA | $284 | $284 | $137.61 | 2.1× |
| South Lyon Medical Center | Yerington, NV | $284.90 | $407 | $137.61 | 2.1× |
| Rock County Hospital | Bassett, NE | $285 | $300 | $137.61 | 2.1× |
| Regional Medical Center | Memphis, TN | $285.58 | $444.13 | $137.61 | 2.1× |
| Callaway District Hospital | Callaway, NE | $286 | $318 | $137.61 | 2.1× |
| CAMC Greenbrier Valley Medical Center | Ronceverte, WV | $288 | $288 | $137.61 | 2.1× |
| Riverwood Healthcare Center | Aitkin, MN | $290.64 | $519 | $137.61 | 2.1× |
| Pullman Regional Hospital | Pullman, WA | $293.68 | $345.50 | $137.61 | 2.1× |
| Lifecare Medical Center | Roseau, MN | $294.80 | $335 | $137.61 | 2.1× |
| Appleton Area Health | Appleton, MN | $294.95 | $347 | $137.61 | 2.1× |
| Jefferson Healthcare | Port Townsend, WA | $297.60 | $372 | $137.61 | 2.2× |
| Eureka Springs Hospital | Eureka Springs, AR | $302.43 | $302.43 | $137.61 | 2.2× |
| Franklin County Medical Center | Preston, ID | $303 | $303 | $137.61 | 2.2× |
| Sentara Albemarle Medical Center | Elizabeth City, NC | $306 | $612 | $137.61 | 2.2× |
| Ridgeview Le Sueur Medical Center | Le Sueur, MN | $315 | $450 | $137.61 | 2.3× |
| Sentara Norfolk General Hospital | Norfolk, VA | $319.50 | $639 | $137.61 | 2.3× |
| Sentara Obici Hospital | Suffolk, VA | $319.50 | $639 | $137.61 | 2.3× |
| Sentara Leigh Hospital | Norfolk, VA | $319.50 | $639 | $137.61 | 2.3× |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | $319.50 | $639 | $137.61 | 2.3× |
| Sentara CarePlex Hospital | Hampton, VA | $319.50 | $639 | $137.61 | 2.3× |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | $319.50 | $639 | $137.61 | 2.3× |
| Sentara Princess Anne Hospital | Virginia Beach, VA | $319.50 | $639 | $137.61 | 2.3× |
| Lake Butler Hospital | Lake Butler, FL | $320.61 | $320.61 | $137.61 | 2.3× |
| Sedgwick County Memorial Hospital | Julesburg, CO | $321 | $321 | $137.61 | 2.3× |
| Martha's Vineyard Hospital | Oak Bluffs, MA | $321.75 | $429 | $137.61 | 2.3× |
| Charleston Area Medical Center | Charleston, WV | $324 | $324 | $137.61 | 2.4× |
| Confluence Health Hospital | Central Campus | Wenatchee, WA | $328.50 | $365 | $137.61 | 2.4× |
| Quincy Valley Medical Center | Quincy, WA | $330.75 | $330.75 | $137.61 | 2.4× |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $331 | $331 | $137.61 | 2.4× |
| Jefferson Regional | Pine Bluff, AR | $332.38 | $332.38 | $137.61 | 2.4× |
| Tri Valley Health System | Cambridge, NE | $334.68 | $371.87 | $137.61 | 2.4× |
| Lake Chelan Health Hospital | Chelan, WA | $335 | $335 | $137.61 | 2.4× |
| St. Helena Parish Hospital & Nursing Home | Greensburg, LA | $336 | $336 | $137.61 | 2.4× |
| Fairview Hospital | Great Barrington, MA | $336.30 | $354 | $137.61 | 2.4× |
| Sentara Halifax Regional Hospital | South Boston, VA | $348 | $696 | $137.61 | 2.5× |
| SCK Health | Arkansas City, KS | $350 | $350 | $137.61 | 2.5× |
| Parkland Memorial Hospital | Dallas, TX | $356 | $890 | $137.61 | 2.6× |
| Kula Hospital | Kula, HI | $359.31 | $609 | $137.61 | 2.6× |
| Riverside Smithfield Hospital | Smithfield, VA | $359.37 | $718.74 | $137.61 | 2.6× |
| Cherry County Hospital | Valentine, NE | $365.40 | $365.40 | $137.61 | 2.7× |
| Ellsworth County Medical Center | Ellsworth, KS | $374.25 | $374.25 | $137.61 | 2.7× |
| WhidbeyHealth Medical Center | Coupeville, WA | $376 | $376 | $137.61 | 2.7× |
| Clay County Medical Center | Clay Center, KS | $376.71 | $376.71 | $137.61 | 2.7× |
| Chase County Community Hospital | Imperial, NE | $382 | $382 | $137.61 | 2.8× |
| RiverView Health | Crookston, MN | $390.60 | $434 | $137.61 | 2.8× |
| Exeter Hospital | Exeter, NH | $391 | $391 | $137.61 | 2.8× |
| Memorial Hospital of Carbon County | Rawlins, WY | $400.50 | $534 | $137.61 | 2.9× |
| Saint Francis Medical Center | Cape Girardeau, MO | $417 | $417 | $137.61 | 3.0× |
| Cascade Medical | Leavenworth, WA | $423.20 | $529 | $137.61 | 3.1× |
| Dayton General Hospital | Dayton, WA | $437.40 | $486 | $137.61 | 3.2× |
| Newton Wellesley Hospital | Newton, MA | $462.75 | $617 | $137.61 | 3.4× |
| Columbia Basin Hospital | Ephrata, WA | $474 | $474 | $137.61 | 3.4× |
| Athol Hospital | Athol, MA | $482 | $482 | $137.61 | 3.5× |
| The Hospital of Central Connecticut | New Britain, CT | $485 | $485 | $137.61 | 3.5× |
| North Valley Health Center | Warren, MN | $496 | $496 | $137.61 | 3.6× |
| Grady Memorial Hospital | Atlanta, GA | $500 | $500 | $137.61 | 3.6× |
| Rapides Regional Medical Center | Alexandria, LA | $506.40 | $506.40 | $137.61 | 3.7× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $518.40 | $518.40 | $137.61 | 3.8× |
| Massachusetts General Hospital | Boston, MA | $555.38 | $740.50 | $137.61 | 4.0× |
| Brigham and Women's Hospital | Boston, MA | $555.38 | $740.50 | $137.61 | 4.0× |
| HCA Florida North Florida Hospital | Gainesville, FL | $559.53 | $559.53 | $137.61 | 4.1× |
| Forks Community Hospital | Forks, WA | $571.20 | $714 | $137.61 | 4.2× |
| Memorial Health | Lawton, OK | $574.56 | $459.65 | $137.61 | 4.2× |
| Incline Village Community Hospital | Incline Village, NV | $616 | $616 | $137.61 | 4.5× |
| Renown Regional Medical Center | Reno, NV | $654.50 | $935 | $137.61 | 4.8× |
| Renown South Meadows Medical Center | Reno, NV | $654.50 | $935 | $137.61 | 4.8× |
| Crescent Medical Center Lancaster | Lancaster, TX | $771 | $1,186 | $137.61 | 5.6× |
| Vandalia Health Webster Memorial Hospital | Webster Springs, WV | $5,218,807.30 | $7,455,439 | $137.61 | 37924.6× |
| Cameron Regional Medical Center | Cameron, MO | — | $132 | $137.61 | — |
| Summit Pacific Medical Center | Elma, WA | — | $162 | $137.61 | — |
| Ephraim McDowell Regional Medical Center | Danville, KY | — | $184.17 | $137.61 | — |
| Ephraim McDowell James B. Haggin Hospital | Harrodsburg, KY | — | $184.17 | $137.61 | — |
| La Paz Regional Hospital | Parker, AZ | — | $187 | $137.61 | — |
| CrossRidge Community Hospital | Wynne, AR | — | $195 | $137.61 | — |
| Mount San Rafael Hospital | Trinidad, CO | — | $198 | $137.61 | — |
| Kearny County Hospital | Lakin, KS | — | $200 | $137.61 | — |
| Antelope Memorial Hospital | Neligh, NE | — | $225 | $137.61 | — |
| Western Missouri Medical Center | Warrensburg, MO | — | $235.90 | $137.61 | — |
| Coffey County Hospital | Burlington, KS | — | $247.20 | $137.61 | — |
| Mount Graham Regional Medical Center | Safford, AZ | — | $256 | $137.61 | — |
| West Carroll Memorial Hospital | Oak Grove, LA | — | $275 | $137.61 | — |
| Ridgeview Sibley Medical Center | Arlington, MN | — | $450 | $137.61 | — |
"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.