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.
1071 of 4255 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 | Posted cash | Posted gross | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Little Falls Hospital range across 2 matching MRF lines |
Little Falls, NY | $6.83–$55.89 | $25.30–$207 | $137.61 | varies |
| Loyola Gottlieb Memorial Hospital | Melrose Park, IL | $12.35 | $65 | $137.61 | 0.1× |
| Archbold Memorial range across 2 matching MRF lines |
Thomasville, GA | $12.60–$27 | $21–$45 | $137.61 | varies |
| Loyola University Medical Center | Maywood, IL | $14.95 | $65 | $137.61 | 0.1× |
| Sullivan County Community Hospital range across 2 matching MRF lines |
Sullivan, IN | $18–$484.50 | $24–$646 | $137.61 | varies |
| University Medical Center of El Paso range across 12 matching MRF lines |
El Paso, TX | $19.98–$86.02 | $99.90–$430.11 | $137.61 | varies |
| Riverside Medical Center range across 2 matching MRF lines |
Franklinton, LA | $20–$64.40 | $50–$161 | $137.61 | varies |
| North Central Kansas Medical Center range across 4 matching MRF lines |
Concordia, KS | $20.09–$142.31 | $28.70–$203.30 | $137.61 | varies |
| Lindsborg Community Hospital range across 2 matching MRF lines |
Lindsborg, KS | $20.09–$142.31 | $28.70–$203.30 | $137.61 | varies |
| Weatherford Regional Hospital, Inc of Weatherford range across 3 matching MRF lines |
Weatherford, OK | $21.36–$213.60 | $26.70–$267 | $137.61 | varies |
| Contra Costa Regional Medical Center range across 2 matching MRF lines |
Martinez, CA | $22–$26 | $22–$26 | $137.61 | varies |
| Adventist Health Lodi Memorial range across 2 matching MRF lines |
Lodi, CA | $22.96–$23.59 | $328–$337 | $137.61 | varies |
| Ochsner Medical Center - New Orleans | New Orleans, LA | $24.20 | $110 | $137.61 | 0.2× |
| Oneida Health Hospital range across 2 matching MRF lines |
Oneida, NY | $24.67 | $67–$205 | $137.61 | 0.2× |
| Baptist Beaumont Hospital | Beaumont, TX | $25.09 | $193 | $137.61 | 0.2× |
| Richland Hospital range across 9 matching MRF lines |
Richland Center, WI | $25.60–$497.60 | $32–$622 | $137.61 | varies |
| 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× |
| Memorial Hospital range across 4 matching MRF lines |
Abilene, KS | $28.70–$203.30 | $28.70–$203.30 | $137.61 | varies |
| 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× |
| Adventist Health Castle range across 2 matching MRF lines |
Kailua, HI | $30.40–$108.16 | $95–$338 | $137.61 | varies |
| Anna Jaques Hospital | Newburyport, MA | $32 | $32 | $137.61 | 0.2× |
| Story County Hospital range across 2 matching MRF lines |
Nevada, IA | $32.80–$232.80 | $41–$291 | $137.61 | varies |
| 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× |
| Jones Memorial Hospital | Wellsville, NY | $37 | — | $137.61 | 0.3× |
| Mount Auburn Hospital | Cambridge, MA | $38 | $38 | $137.61 | 0.3× |
| Nicholas H Noyes Memorial Hospital | Dansville, NY | $38 | — | $137.61 | 0.3× |
| ECU Health Medical Center | Greenville, NC | $38.69 | $73 | $137.61 | 0.3× |
| Indiana University Health Ball Memorial Hospital range across 14 matching MRF lines |
Muncie, IN | $38.83–$74.91 | $183–$353 | $137.61 | varies |
| New England Baptist Hospital range across 2 matching MRF lines |
Boston, MA | $40–$44 | $40–$44 | $137.61 | varies |
| Parkview Logansport Hospital, Inc | Logansport, IN | $40.08 | $80.15 | $137.61 | 0.3× |
| Saint Mary's Hospital | Waterbury, CT | $40.70 | $74 | $137.61 | 0.3× |
| West Feliciana Hospital range across 3 matching MRF lines |
St. Francisville, LA | $40.80–$162.94 | $68–$271.56 | $137.61 | varies |
| Dallas County Hospital range across 3 matching MRF lines |
Perry, IA | $42–$204 | $64–$314 | $137.61 | varies |
| Community Hospital of Anaconda range across 2 matching MRF lines |
Anaconda, MT | $43.05–$214.73 | $57.40–$286.30 | $137.61 | varies |
| 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× |
| Morris Hospital & Healthcare Centers | Morris, IL | $44.27 | $184 | $137.61 | 0.3× |
| Iu Health Bloomington Hospital range across 14 matching MRF lines |
Bloomington, IN | $45.05–$86.91 | $183–$353 | $137.61 | varies |
| Mary Imogene Bassett Hospital | Cooperstown, NY | $45.51 | $168.55 | $137.61 | 0.3× |
| Indiana University Health Arnett Hospital range across 14 matching MRF lines |
Lafayette, IN | $45.73–$88.21 | $183–$353 | $137.61 | varies |
| OU Health University of Oklahoma Medical Center range across 2 matching MRF lines |
Oklahoma City, OK | $46.20–$52.10 | $462–$521 | $137.61 | varies |
| 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× |
| Adventist Health Bakersfield | Bakersfield, CA | $49.20 | $328 | $137.61 | 0.4× |
| Lutheran Kosciusko Hospital range across 5 matching MRF lines |
Warsaw, IN | $49.35–$61.95 | $235–$295 | $137.61 | varies |
| Mangum Regional Medical Center | Mangum, OK | $50.08 | $108.87 | $137.61 | 0.4× |
| Orange City Area Health System range across 3 matching MRF lines |
Orange City, IA | $50.40–$168 | $63–$210 | $137.61 | varies |
| Deaconess Hospital Inc | Evansville, IN | $50.82 | $154 | $137.61 | 0.4× |
| UNM Hospital range across 5 matching MRF lines |
Albuquerque, NM | $51.21–$102.79 | $93.10–$186.89 | $137.61 | varies |
| Indiana University Health range across 14 matching MRF lines |
Indianapolis, IN | $51.95–$100.22 | $183–$353 | $137.61 | varies |
| Indiana University Health Bedford Hospital range across 14 matching MRF lines |
Bedford, IN | $52.25–$100.78 | $183–$353 | $137.61 | varies |
| Glendale Adventist Medical Center | Glendale, CA | $52.35 | $349 | $137.61 | 0.4× |
| Black River Memorial Hospital range across 3 matching MRF lines |
Black River Falls, WI | $53.10–$106.20 | $59–$118 | $137.61 | varies |
| University of Illinois Hospital and Clinics | Chicago, IL | $53.10 | $177 | $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× |
| Adventist Health Sonora | Sonora, CA | $55.76 | $328 | $137.61 | 0.4× |
| Aurelia Osborn Fox Memorial Hospital | Oneonta, NY | $55.85 | $206.85 | $137.61 | 0.4× |
| O'connor Hospital | Delhi, NY | $55.89 | $207 | $137.61 | 0.4× |
| Cobleskill Regional Hospital | Cobleskill, NY | $55.89 | $207 | $137.61 | 0.4× |
| Eastland Memorial Hospital range across 2 matching MRF lines |
Eastland, TX | $56–$87 | $112–$174 | $137.61 | varies |
| Russell Medical | Alexander City, AL | $56.16 | $156 | $137.61 | 0.4× |
| Lutheran Downtown Hospital range across 4 matching MRF lines |
Fort Wayne, IN | $56.40–$70.80 | $235–$295 | $137.61 | varies |
| Bluffton Regional Medical Center range across 5 matching MRF lines |
Bluffton, IN | $56.40–$70.80 | $235–$295 | $137.61 | varies |
| Indiana University Health White Memorial Hospital range across 14 matching MRF lines |
Monticello, IN | $57.06–$110.07 | $183–$353 | $137.61 | varies |
| Watertown Regional Medical Center | Watertown, WI | $57.22 | $114.45 | $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× |
| Munson Healthcare Charlevoix Hospital | Charlevoix, MI | $57.80 | $68 | $137.61 | 0.4× |
| CHI St. Vincent Morrilton | Morrilton, AR | $58.08 | $228 | $137.61 | 0.4× |
| Ochsner University Hospital & Clinics range across 2 matching MRF lines |
Lafayette, LA | $60.06–$137 | $231–$274 | $137.61 | varies |
| 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 range across 3 matching MRF lines |
Crosby, MN | $60.86–$121.38 | $179–$357 | $137.61 | varies |
| Northwest Mississippi Regional Medical Center | Clarksdale, MS | $61.80 | $247.20 | $137.61 | 0.4× |
| Adventist Health Hanford | Hanford, CA | $62.32 | $328 | $137.61 | 0.5× |
| Adventist Health Reedley | Reedley, CA | $62.32 | $328 | $137.61 | 0.5× |
| Adventist Health Tulare | Tulare, CA | $62.32 | $328 | $137.61 | 0.5× |
| Adventist Health White Memorial | Los Angeles, CA | $62.82 | $349 | $137.61 | 0.5× |
| Adventist Health White Memorial Montebello | Montebello, CA | $62.82 | $349 | $137.61 | 0.5× |
| Uci Health-orange | Orange, CA | $63.20 | $158 | $137.61 | 0.5× |
| Dupont Hospital LLC range across 4 matching MRF lines |
Fort Wayne, IN | $63.45–$79.65 | $235–$295 | $137.61 | varies |
| The Orthopaedic Hospital of Lutheran Health Network range across 4 matching MRF lines |
Fort Wayne, IN | $63.45–$79.65 | $235–$295 | $137.61 | varies |
| Adventist Health Howard Memorial range across 2 matching MRF lines |
Willits, CA | $64.20–$98.40 | $214–$328 | $137.61 | varies |
| University of Michigan Health - Sparrow Carson | Carson City, MI | $65 | $260 | $137.61 | 0.5× |
| University of Michigan Health - Sparrow Lansing | Lansing, MI | $65 | $260 | $137.61 | 0.5× |
| University of Michigan Health - Sparrow Clinton | Saint Johns, MI | $65 | $260 | $137.61 | 0.5× |
| University of Michigan Health - Sparrow Eaton | Charlotte, MI | $65 | $260 | $137.61 | 0.5× |
| University of Michigan Health - Sparrow Ionia | Ionia, MI | $65 | $260 | $137.61 | 0.5× |
| Buchanan General Hospital | Grundy, VA | $65.45 | $187 | $137.61 | 0.5× |
| Adventist Health Ukiah Valley | Ukiah, CA | $65.60 | $328 | $137.61 | 0.5× |
| Trinity Hospital Twin City | Dennison, OH | $65.97 | $133 | $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× |
| Indiana University Health Tipton Hospital Inc range across 14 matching MRF lines |
Tipton, IN | $68.92–$132.94 | $183–$353 | $137.61 | varies |
| Hancock County Hospital | Sneedville, TN | $69.23 | $301 | $137.61 | 0.5× |
| Aspirus St. Luke's Hospital range across 2 matching MRF lines |
Duluth, MN | $69.63–$112.06 | $128–$206 | $137.61 | varies |
| Ochsner Rush Medical Center range across 2 matching MRF lines |
Meridian, MS | $69.75–$78.75 | $225 | $137.61 | varies |
| MetroHealth System range across 2 matching MRF lines |
Cleveland, OH | $70–$119.35 | $200–$341 | $137.61 | varies |
| 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× |
| Indiana University Health Paoli Hospital range across 14 matching MRF lines |
Paoli, IN | $70.22–$135.45 | $183–$353 | $137.61 | varies |
| Lutheran Hospital of Indiana range across 4 matching MRF lines |
Fort Wayne, IN | $70.50–$88.50 | $235–$295 | $137.61 | varies |
| MercyOne Clinton Medical Center | Clinton, IA | $70.85 | $109 | $137.61 | 0.5× |
| Valor Health range across 3 matching MRF lines |
Emmett, ID | $71.54–$285 | $75.30–$300 | $137.61 | varies |
| 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× |
| Holland Hospital range across 2 matching MRF lines |
Holland, MI | $72–$129 | $120–$215 | $137.61 | varies |
| 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× |
| Indiana University Health Frankfort Inc range across 14 matching MRF lines |
Frankfort, IN | $73.90–$142.54 | $183–$353 | $137.61 | varies |
| Guthrie County Hospital range across 3 matching MRF lines |
Guthrie Center, IA | $74–$259 | $74–$259 | $137.61 | varies |
| 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× |
| Harrison Community Hospital | Cadiz, OH | $75 | $150 | $137.61 | 0.5× |
| White Mountain Regional Medical Center | Springerville, AZ | $77.51 | $135.99 | $137.61 | 0.6× |
| Concord Hospital range across 3 matching MRF lines |
Concord, NH | $79.20–$94.50 | $264–$315 | $137.61 | varies |
| Concord Hospital – Laconia range across 3 matching MRF lines |
Laconia, NH | $79.20–$94.50 | $264–$315 | $137.61 | varies |
| Concord Hospital – Franklin range across 3 matching MRF lines |
Franklin, NH | $79.20–$94.50 | $264–$315 | $137.61 | varies |
| Bear Valley Community Hospital range across 2 matching MRF lines |
Big Bear Lake, CA | $79.25–$112.35 | $113.21–$160.50 | $137.61 | varies |
| Aspirus Stevens Point Hospital range across 2 matching MRF lines |
Stevens Point, WI | $79.30–$127.40 | $122–$196 | $137.61 | varies |
| Aspirus Rhinelander Hospital range across 2 matching MRF lines |
Rhinelander, WI | $79.30–$127.40 | $122–$196 | $137.61 | varies |
| Aspirus Wausau Hospital range across 2 matching MRF lines |
Wausau, WI | $79.30–$127.40 | $122–$196 | $137.61 | varies |
| Aspirus Wisconsin Rapids Hospital range across 2 matching MRF lines |
Wisconsin Rapids, WI | $79.30–$127.40 | $122–$196 | $137.61 | varies |
| Aspirus Divine Savior Hospital range across 2 matching MRF lines |
Portage, WI | $79.30–$127.40 | $122–$196 | $137.61 | varies |
| Howard Young Medical Ctr range across 2 matching MRF lines |
Woodruff, WI | $79.30–$127.40 | $122–$196 | $137.61 | varies |
| Aspirus Eagle River Hospital range across 2 matching MRF lines |
Eagle River, WI | $79.30–$127.40 | $122–$196 | $137.61 | varies |
| Aspirus Stanley Hospital range across 2 matching MRF lines |
Stanley, WI | $79.30–$127.40 | $122–$196 | $137.61 | varies |
| Aspirus Tomahawk Hospital range across 2 matching MRF lines |
Tomahawk, WI | $79.30–$127.40 | $122–$196 | $137.61 | varies |
| Aspirus Medford Hospital & Clinics, Inc range across 2 matching MRF lines |
Medford, WI | $79.30–$127.40 | $122–$196 | $137.61 | varies |
| Aspirus Merrill Hospital range across 2 matching MRF lines |
Merrill, WI | $79.30–$127.40 | $122–$196 | $137.61 | varies |
| Aspirus Langlade Hospital range across 2 matching MRF lines |
Antigo, WI | $79.30–$127.40 | $122–$196 | $137.61 | varies |
| Adventist Health Tillamook range across 3 matching MRF lines |
Tillamook, OR | $79.38–$172.26 | $147–$319 | $137.61 | varies |
| Westfield Memorial Hospital, Inc | Westfield, NY | $79.86 | $363 | $137.61 | 0.6× |
| Pascagoula Hospital | Pascagoula, MS | $80.10 | $267 | $137.61 | 0.6× |
| Norton County Hospital range across 2 matching MRF lines |
Norton, KS | $80.50–$172.90 | $115–$247 | $137.61 | varies |
| Ochsner St. Martin Hospital range across 2 matching MRF lines |
Breaux Bridge, LA | $80.70–$84.60 | $269–$282 | $137.61 | varies |
| ECU Health Chowan Hospital | Edenton, NC | $81.76 | $146 | $137.61 | 0.6× |
| Iu Health Jay range across 14 matching MRF lines |
Portland, IN | $81.87–$157.93 | $183–$353 | $137.61 | varies |
| Winkler County Memorial Hospital | Kermit, TX | $82.24 | $102.80 | $137.61 | 0.6× |
| East Carroll Parish Hospital range across 2 matching MRF lines |
Lake Providence, LA | $82.50–$147.68 | $110–$196.90 | $137.61 | varies |
| Okeene Municipal Hospital range across 2 matching MRF lines |
Okeene, OK | $82.54–$253.60 | $103.18–$317 | $137.61 | varies |
| Aspirus Iron River Hospital range across 2 matching MRF lines |
Iron River, MI | $83.20–$133.90 | $128–$206 | $137.61 | varies |
| Aspirus Keweenaw Hospital range across 2 matching MRF lines |
Laurium, MI | $83.20–$133.90 | $128–$206 | $137.61 | varies |
| Aspirus Ironwood Hospital range across 2 matching MRF lines |
Ironwood, MI | $83.20–$133.90 | $128–$206 | $137.61 | varies |
| Weisbrod Memorial County Hospital | Eads, CO | $84.60 | $141 | $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× |
| Salem Township Hospital | Salem, IL | $85.28 | $213.21 | $137.61 | 0.6× |
| Livingston Hospital range across 3 matching MRF lines |
Salem, KY | $85.35–$87.90 | $142.25–$146.50 | $137.61 | varies |
| Camden Clark Medical Center range across 2 matching MRF lines |
Parkersburg, WV | $86–$125.50 | $172–$251 | $137.61 | varies |
| Goodall Witcher Hospital range across 2 matching MRF lines |
Clifton, TX | $86.80–$138.60 | $124–$198 | $137.61 | varies |
| LaSalle General Hospital range across 3 matching MRF lines |
Jena, LA | $87–$130.80 | $145–$218 | $137.61 | varies |
| Humboldt Park Health | Chicago, IL | $87.02 | $310.80 | $137.61 | 0.6× |
| Dosher Memorial Hospital range across 6 matching MRF lines |
Southport, NC | $87.04–$98 | $174.07–$196 | $137.61 | varies |
| Nevada Regional Medical Center range across 3 matching MRF lines |
Nevada, MO | $87.30–$199.35 | $194–$443 | $137.61 | varies |
| North Sunflower Medical Center range across 2 matching MRF lines |
Ruleville, MS | $87.50–$107.50 | $175–$215 | $137.61 | varies |
| Central Montana Medical Center range across 2 matching MRF lines |
Lewistown, MT | $87.55–$204 | $103–$240 | $137.61 | varies |
| Washington Regional Medical Center range across 2 matching MRF lines |
Plymouth, NC | $87.62–$191.06 | $175.25–$382.11 | $137.61 | varies |
| 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× |
| Adventist Health Tehachapi Valley | Tehachapi, CA | $88.56 | $328 | $137.61 | 0.6× |
| Ochsner Lafayette General Medical Center | Lafayette, LA | $88.77 | $269 | $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× |
| J.W. Ruby Memorial Hospital range across 2 matching MRF lines |
Morgantown, WV | $90–$131.50 | $180–$263 | $137.61 | varies |
| Carthage Area Hospital | Carthage, NY | $90 | $300 | $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× |
| Schuyler Hospital | Montour Falls, NY | $92.40 | $462 | $137.61 | 0.7× |
| Bay Area Hospital | Coos Bay, OR | $92.48 | $123.30 | $137.61 | 0.7× |
| South Lincoln Medical Center range across 3 matching MRF lines |
Kemmerer, WY | $92.95–$235.46 | $123.93–$313.95 | $137.61 | varies |
| Columbia Memorial Hospital range across 3 matching MRF lines |
Astoria, OR | $93.60–$193.60 | $117–$242 | $137.61 | varies |
| Gouverneur Hospital | Gouverneur, NY | $94.20 | $144.92 | $137.61 | 0.7× |
| Massena Hospital | Massena, NY | $94.69 | $145.68 | $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× |
| Cgh Medical Center | Sterling, IL | $95.68 | $368 | $137.61 | 0.7× |
| Fitzgibbon Hospital | Marshall, MO | $95.94 | $119.93 | $137.61 | 0.7× |
| Canton-Potsdam Hospital | Potsdam, NY | $96.04 | $147.76 | $137.61 | 0.7× |
| Flagstaff Medical Center | Flagstaff, AZ | $97.50 | $195 | $137.61 | 0.7× |
| Potomac Valley Hospital | Keyser, WV | $97.50 | $195 | $137.61 | 0.7× |
| MercyOne Waterloo Medical Center | Waterloo, IA | $97.50 | $150 | $137.61 | 0.7× |
| Sidney Health Center | Sidney, MT | $97.84 | $158 | $137.61 | 0.7× |
| Boone County Hospital | Boone, IA | $98.40 | $123 | $137.61 | 0.7× |
| Cordova Community Medical Center | Cordova, AK | $98.50 | $197 | $137.61 | 0.7× |
| Rangely District Hospital | Rangely, CO | $99.13 | $152.51 | $137.61 | 0.7× |
| Alice Peck Day Memorial Hospital range across 2 matching MRF lines |
Lebanon, NH | $99.71–$216.68 | $185–$402 | $137.61 | varies |
| Medicine Lodge Memorial Hospital | Medicine Lodge, KS | $100 | $100 | $137.61 | 0.7× |
| Haskell Regional Hospital, Inc range across 6 matching MRF lines |
Stigler, OK | $100–$215 | $122–$215 | $137.61 | varies |
| Wetzel County Hospital range across 2 matching MRF lines |
New Martinsville, WV | $100–$105 | $200–$210 | $137.61 | varies |
| Schneck Medical Center | Seymour, IN | $100.10 | $143 | $137.61 | 0.7× |
| Northwest Health-la Porte | La Porte, IN | $100.65 | $305 | $137.61 | 0.7× |
| The Christ Hospital range across 2 matching MRF lines |
Cincinnati, OH | $100.80–$175.20 | $168–$292 | $137.61 | varies |
| Berkeley Medical Center range across 2 matching MRF lines |
Martinsburg, WV | $101.50–$110.50 | $203–$221 | $137.61 | varies |
| Reynolds Memorial Hospital range across 2 matching MRF lines |
Glen Dale, WV | $101.50–$107 | $203–$214 | $137.61 | varies |
| Jefferson Medical Center | Ranson, WV | $101.50 | $203 | $137.61 | 0.7× |
| Jackson General Hospital | Ripley, WV | $102 | $204 | $137.61 | 0.7× |
| Arnot Ogden Medical Center | Elmira, NY | $102.24 | $511.22 | $137.61 | 0.7× |
| Ira Davenport Memorial Hospital | Bath, NY | $102.24 | $511.22 | $137.61 | 0.7× |
| Niobrara County Hospital District | Lusk, WY | $102.40 | $128 | $137.61 | 0.7× |
| Highland Hills Medical Center | Senatobia, MS | $103 | $206 | $137.61 | 0.7× |
| Helen Newberry Joy Hospital | Newberry, MI | $103.95 | $165 | $137.61 | 0.8× |
| Eaton Rapids Medical Center | Eaton Rapids, MI | $103.96 | $207.91 | $137.61 | 0.8× |
| Pike County Memorial Hospital | Louisiana, MO | $104 | $130 | $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× |
| Palo Verde Hospital | Blythe, CA | $105 | $140 | $137.61 | 0.8× |
| Massac Memorial Hospital | Metropolis, IL | $105.27 | $150.38 | $137.61 | 0.8× |
| Aspirus Lake View Hospital range across 2 matching MRF lines |
Two Harbors, MN | $105.34–$169.54 | $128–$206 | $137.61 | varies |
| Augusta Health | Fishersville, VA | $105.50 | $211 | $137.61 | 0.8× |
| Roger Mills Memorial Hospital | Cheyenne, OK | $105.75 | $141 | $137.61 | 0.8× |
| Stevens Community Medical Center Inc range across 2 matching MRF lines |
Morris, MN | $105.75–$180.75 | $141–$241 | $137.61 | varies |
| ECU Health Bertie Hospital | Windsor, NC | $106.96 | $191 | $137.61 | 0.8× |
| Samaritan Hospital | Troy, NY | $107.25 | $165 | $137.61 | 0.8× |
| Montefiore New Rochelle Hospital | New Rochelle, NY | $107.25 | $165 | $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× |
| Floyd County Medical Center range across 2 matching MRF lines |
Charles City, IA | $108.80–$129.35 | $272–$323.38 | $137.61 | varies |
| Princeton Community Hospital range across 2 matching MRF lines |
Princeton, WV | $109–$120 | $218–$240 | $137.61 | varies |
| 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× |
| Wichita County Health Center | Leoti, KS | $110.40 | $138 | $137.61 | 0.8× |
| UAMS Medical Center | Little Rock, AR | $110.40 | $184 | $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× |
| 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× |
| St. Bernards Medical Center range across 3 matching MRF lines |
Jonesboro, AR | $113.75–$139.75 | $175–$215 | $137.61 | varies |
| Winona Health | Winona, MN | $114.10 | $326 | $137.61 | 0.8× |
| Hardin County General Hospital | Rosiclare, IL | $114.30 | $127 | $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× |
| Valley Regional Hospital | Claremont, NH | $115.50 | $210 | $137.61 | 0.8× |
| Bayside Community Hospital range across 2 matching MRF lines |
Anahuac, TX | $117–$434 | $117–$434 | $137.61 | varies |
| Satanta District Hospital, Clinics, & LTCU | Satanta, KS | $117 | $130 | $137.61 | 0.9× |
| Dukes Memorial Hospital range across 5 matching MRF lines |
Peru, IN | $117.50–$147.50 | $235–$295 | $137.61 | varies |
| Dundy County Hospital | Benkelman, NE | $118 | $131 | $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× |
| Hopedale Hospital | Hopedale, IL | $119 | $170 | $137.61 | 0.9× |
| Natchitoches Regional Medical Center range across 3 matching MRF lines |
Natchitoches, LA | $119.20–$126.80 | $298–$317 | $137.61 | varies |
| Plumas District Hospital | Quincy, CA | $119.20 | $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× |
| Rooks County Health Center | Plainville, KS | $120 | $160 | $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× |
| UK St. Claire Regional Medical Center range across 2 matching MRF lines |
Morehead, KY | $120.75–$164.25 | $161–$219 | $137.61 | varies |
| Ochsner American Legion Hospital | Jennings, LA | $121.80 | $290 | $137.61 | 0.9× |
| Monroe Regional Hospital range across 9 matching MRF lines |
Aberdeen, MS | $122–$215 | $122–$215 | $137.61 | varies |
| Wheeling Hospital range across 3 matching MRF lines |
Wheeling, WV | $122–$134 | $244–$268 | $137.61 | varies |
| Gibson Community Hospital range across 3 matching MRF lines |
Gibson City, IL | $122–$277 | $122–$277 | $137.61 | varies |
| Washington Regional Medical Center range across 2 matching MRF lines |
Fayetteville, AR | $122.25–$182.25 | $163–$243 | $137.61 | varies |
| Vandalia Health Davis Medical Center range across 2 matching MRF lines |
Elkins, WV | $122.43–$153.05 | $174.90–$218.63 | $137.61 | varies |
| 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× |
| Union Hospital | Dover, OH | $122.85 | $189 | $137.61 | 0.9× |
| Akron General | Akron, OH | $122.85 | $189 | $137.61 | 0.9× |
| Mercy Hospital | Canton, OH | $122.85 | $189 | $137.61 | 0.9× |
| Fairview Hospital | Cleveland, OH | $122.85 | $189 | $137.61 | 0.9× |
| Euclid Hospital | Euclid, OH | $122.85 | $189 | $137.61 | 0.9× |
| Lutheran Hospital | Cleveland, OH | $122.85 | $189 | $137.61 | 0.9× |
| Medina Hospital | Medina, OH | $122.85 | $189 | $137.61 | 0.9× |
| Marymount Hospital | Garfield Heights, OH | $122.85 | $189 | $137.61 | 0.9× |
| South Pointe Hospital | Warrensville Heights, OH | $122.85 | $189 | $137.61 | 0.9× |
| Cleveland Clinic | Cleveland, OH | $122.85 | $189 | $137.61 | 0.9× |
| Hillcrest Hospital | Mayfield Heights, OH | $122.85 | $189 | $137.61 | 0.9× |
| Cleveland Clinic Avon Hospital | Avon, OH | $122.85 | $189 | $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× |
| Bozeman Health Deaconess Regional Medical Center | Bozeman, MT | $124 | — | $137.61 | 0.9× |
| Pipestone County Medical Center & Family Clinic Avera | Pipestone, MN | $124.79 | $124 | $137.61 | 0.9× |
| Kingman Regional Medical Center range across 3 matching MRF lines |
Kingman, AZ | $124.95–$166.95 | $357–$477 | $137.61 | varies |
| Jefferson County Health Center range across 2 matching MRF lines |
Fairfield, IA | $125.40–$132 | $209–$220 | $137.61 | varies |
| Shenandoah Medical Center range across 2 matching MRF lines |
Shenandoah, IA | $125.45–$146.25 | $193–$225 | $137.61 | varies |
| 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× |
| Selby General Hospital range across 2 matching MRF lines |
Marietta, OH | $126.14–$130.40 | $210.24–$217.34 | $137.61 | varies |
| Ochsner Abrom Kaplan Memorial Hospital | Kaplan, LA | $126.90 | $282 | $137.61 | 0.9× |
| Coryell Memorial Hospital | Gatesville, TX | $127 | $211 | $137.61 | 0.9× |
| Mayo Clinic Health System in Red Wing | Red Wing, MN | $127.30 | $190 | $137.61 | 0.9× |
| Clarinda Regional Health Center | Clarinda, IA | $127.44 | $216 | $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× |
| Republic County Hospital | Belleville, KS | $127.50 | $170 | $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× |
| Chicot Memorial Medical Center range across 2 matching MRF lines |
Lake Village, AR | $128.95–$303 | $214.92–$303 | $137.61 | varies |
| Wayne General Hospital | Waynesboro, MS | $129 | $129 | $137.61 | 0.9× |
| Harris Health | Houston, TX | $129.24 | $179 | $137.61 | 0.9× |
| Ashtabula Regional Medical Center | Ashtabula, OH | $129.50 | $185 | $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× |
| Medina Regional Hospital | Hondo, TX | $130.34 | $144.82 | $137.61 | 0.9× |
| Coshocton Regional Medical Center | Coshocton, OH | $131 | $137.06 | $137.61 | 1.0× |
| Glenn Medical Center | Willows, CA | $131.04 | $218.40 | $137.61 | 1.0× |
| Mount Carmel St. Ann's | Westerville, OH | $131.30 | $202 | $137.61 | 1.0× |
| Mount Carmel East | Columbus, OH | $131.30 | $202 | $137.61 | 1.0× |
| Mount Carmel Dublin Hospital | Dublin, OH | $131.30 | $202 | $137.61 | 1.0× |
| Amery Hospital & Clinic | Amery, WI | $131.39 | $252 | $137.61 | 1.0× |
| Foothills Hospital | Boulder, CO | $131.50 | $263 | $137.61 | 1.0× |
| Avera Queen of Peace | Mitchell, SD | $131.67 | $135 | $137.61 | 1.0× |
| Edwards County Medical Center | Kinsley, KS | $132 | $165 | $137.61 | 1.0× |
| St. Joseph's Medical Center | Yonkers, NY | $132.87 | $1,114 | $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× |
| Harrison County Hospital | Corydon, IN | $133.80 | $223 | $137.61 | 1.0× |
| Mercy Medical Center Redding | Redding, CA | $133.85 | $264 | $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× |
| St. Mary's Healthcare range across 2 matching MRF lines |
Amsterdam, NY | $134.37–$195.02 | $195–$283 | $137.61 | varies |
| Mt Sinai Hospital Medical Center | Chicago, IL | $134.48 | $192.12 | $137.61 | 1.0× |
| Holy Cross Hospital | Chicago, IL | $134.48 | $192.12 | $137.61 | 1.0× |
| Rush Memorial Hospital | Rushville, IN | $135 | $180 | $137.61 | 1.0× |
| Trigg County Hospital | Cadiz, KY | $135.20 | $338 | $137.61 | 1.0× |
| Mark Twain Medical Center range across 5 matching MRF lines |
San Andreas, CA | $135.20–$195.81 | $203–$294 | $137.61 | varies |
| Tyler Holmes Memorial Hospital | Winona, MS | $136.50 | $182 | $137.61 | 1.0× |
| Rosebud Health Care Center | Forsyth, MT | $136.50 | $136.50 | $137.61 | 1.0× |
| Harlan County Health System | Alma, NE | $136.78 | $170.98 | $137.61 | 1.0× |
| Hawarden Regional Healthcare | Hawarden, IA | $136.85 | $161 | $137.61 | 1.0× |
| Ochsner Laird Hospital | Union, MS | $137.25 | $225 | $137.61 | 1.0× |
| McLaren Bay Region | Bay City, MI | $138.50 | $277 | $137.61 | 1.0× |
| McLaren Central Michigan | Mount Pleasant, MI | $138.50 | $277 | $137.61 | 1.0× |
| McLaren Northern Michigan | Petoskey, MI | $138.50 | $277 | $137.61 | 1.0× |
| McLaren Flint | Flint, MI | $138.50 | $277 | $137.61 | 1.0× |
| McLaren Greater Lansing | Lansing, MI | $138.50 | $277 | $137.61 | 1.0× |
| McLaren Lapeer Region | Lapeer, MI | $138.50 | $277 | $137.61 | 1.0× |
| McLaren Oakland | Pontiac, MI | $138.50 | $277 | $137.61 | 1.0× |
| McLaren Port Huron | Port Huron, MI | $138.50 | $277 | $137.61 | 1.0× |
| McLaren Macomb | Mount Clemens, MI | $138.50 | $277 | $137.61 | 1.0× |
| McLaren Caro Region | Caro, MI | $138.50 | $277 | $137.61 | 1.0× |
| McLaren Thumb Region | Bad Axe, MI | $138.50 | $277 | $137.61 | 1.0× |
| Saint Luke's Hospital of Kansas City | Kansas City, MO | $138.60 | $231 | $137.61 | 1.0× |
| Woodlawn Hospital | Rochester, IN | $138.75 | $185 | $137.61 | 1.0× |
| Colquitt Regional Medical Center | Moultrie, GA | $139 | $139 | $137.61 | 1.0× |
| The University of Toledo Medical Center | Toledo, OH | $139.20 | $232 | $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× |
| Jersey Community Hospital range across 8 matching MRF lines |
Jerseyville, IL | $141–$379 | $141–$379 | $137.61 | varies |
| St. Joseph's Hospital | Buckhannon, WV | $141.50 | $283 | $137.61 | 1.0× |
| Newark-Wayne Community Hospital | Newark, NY | $141.73 | $218.05 | $137.61 | 1.0× |
| Rochester General Hospital | Rochester, NY | $141.73 | $218.05 | $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× |
| San Juan Hospital | Monticello, UT | $142.23 | $203.18 | $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× |
| Shasta Regional Medical Center | Redding, CA | $143 | $415 | $137.61 | 1.0× |
| Trinity Hospital range across 3 matching MRF lines |
Weaverville, CA | $143 | $278–$286 | $137.61 | 1.0× |
| Metropolitan Hospital Center | New York, NY | $143.26 | $282.32 | $137.61 | 1.0× |
| Bellevue Hospital Center | New York, NY | $143.26 | $282.32 | $137.61 | 1.0× |
| Skyline Health range across 3 matching MRF lines |
White Salmon, WA | $143.64–$297 | $199.50–$412.50 | $137.61 | varies |
| Cumberland Memorial Hospital | Cumberland, WI | $143.65 | $143.65 | $137.61 | 1.0× |
| EvergreenHealth Medical Center | Kirkland, WA | $144 | $180 | $137.61 | 1.0× |
| Coalinga Regional Medical Center | Coalinga, CA | $144 | $240 | $137.61 | 1.0× |
| Elmhurst Hospital Center | Elmhurst, NY | $144.19 | $282.32 | $137.61 | 1.0× |
| Queens Hospital Center | Jamaica, NY | $144.19 | $282.32 | $137.61 | 1.0× |
| Northern Montana Hospital | Havre, MT | $144.90 | $207 | $137.61 | 1.1× |
| Montgomery General Hospital | Montgomery, WV | $146 | $194.67 | $137.61 | 1.1× |
| UAB Medical West | Bessemer, AL | $146.25 | $195 | $137.61 | 1.1× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $146.38 | $282.32 | $137.61 | 1.1× |
| Jacobi Medical Center | Bronx, NY | $146.38 | $282.32 | $137.61 | 1.1× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $146.38 | $282.32 | $137.61 | 1.1× |
| Kings County Hospital Center | Brooklyn, NY | $146.38 | $282.32 | $137.61 | 1.1× |
| Harlem Hospital Center | New York, NY | $146.38 | $282.32 | $137.61 | 1.1× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $146.38 | $282.32 | $137.61 | 1.1× |
| Avera Granite Falls | Granite Falls, MN | $146.47 | $151 | $137.61 | 1.1× |
| Avera Holy Family Hospital | Estherville, IA | $146.47 | $151 | $137.61 | 1.1× |
| Osmond General Hospital | Osmond, NE | $146.63 | $146.63 | $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× |
| Washington County Hospital | Nashville, IL | $147.20 | $184 | $137.61 | 1.1× |
| Westfields Hospital and Clinic | New Richmond, WI | $148.33 | $282 | $137.61 | 1.1× |
| University Hospitals Geneva Medical Center | Geneva, OH | $148.50 | $198 | $137.61 | 1.1× |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $148.50 | $198 | $137.61 | 1.1× |
| Trego County Lemke Memorial Hospital | Wakeeney, KS | $148.75 | $175 | $137.61 | 1.1× |
| Scheurer Health - Pigeon | Pigeon, MI | $148.85 | $229 | $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× |
| Southwest General Health Center | Middleburg Heights, OH | $150 | $200 | $137.61‡ | 1.1× |
| Daviess Community Hospital | Washington, IN | $150.15 | $214.50 | $137.61 | 1.1× |
| Hurley Medical Center range across 2 matching MRF lines |
Flint, MI | $150.50–$219 | $150.50–$219 | $137.61 | varies |
| Ochsner Watkins Hospital | Quitman, MS | $150.75 | $225 | $137.61 | 1.1× |
| Lackey Memorial Hospital range across 2 matching MRF lines |
Forest, MS | $151–$228 | $151–$228 | $137.61 | varies |
| Lake Charles Memorial Hospital range across 2 matching MRF lines |
Lake Charles, LA | $151.20–$222 | $252–$370 | $137.61 | varies |
| Cass County Memorial Hospital | Atlantic, IA | $151.20 | $216 | $137.61 | 1.1× |
| Refugio County Memorial Hospital | Refugio, TX | $152 | $190 | $137.61 | 1.1× |
| St. James Hospital | Hornell, NY | $152.06 | $255 | $137.61 | 1.1× |
| Fairchild Medical Center | Yreka, CA | $153 | $153 | $137.61 | 1.1× |
| Avera Sacred Heart Hospital | Yankton, SD | $153.26 | $158 | $137.61 | 1.1× |
| Avera Dells Area Hospital - Cah | Dell Rapids, SD | $153.26 | $158 | $137.61 | 1.1× |
| Avera Hand County Memorial Hospital and Clinic | Miller, SD | $153.26 | $158 | $137.61 | 1.1× |
| Avera Gregory Hospital | Gregory, SD | $153.26 | $158 | $137.61 | 1.1× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $153.40 | $236 | $137.61 | 1.1× |
| Rome Memorial Hospital, Inc | Rome, NY | $153.41 | $380 | $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× |
| War Memorial Hospital | Berkeley Springs, WV | $154 | $220 | $137.61 | 1.1× |
| Winchester Medical Center | Winchester, VA | $154 | $220 | $137.61 | 1.1× |
| Avera Missouri River Health Center | Gettysburg, SD | $154.23 | $159 | $137.61 | 1.1× |
| Avera De Smet Memorial Hospital - Cah | De Smet, SD | $154.23 | $159 | $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× |
| Franklin Hospital range across 6 matching MRF lines |
Benton, IL | $155.63–$167.25 | $207.50–$223 | $137.61 | varies |
| Mercy Medical Center - Cedar Rapids | Cedar Rapids, IA | $156 | $260 | $137.61 | 1.1× |
| Mackinac Straits Health System | Saint Ignace, MI | $156 | $260 | $137.61 | 1.1× |
| St. Bernards Five Rivers Medical Center | Pocahontas, AR | $157.50 | $175 | $137.61 | 1.1× |
| Kane County Hospital | Kanab, UT | $157.50 | $175 | $137.61 | 1.1× |
| Phelps Memorial Health Center | Holdrege, NE | $158.40 | $176 | $137.61 | 1.2× |
| Froedtert Memorial Lutheran Hospital | Milwaukee, WI | $158.40 | $288 | $137.61 | 1.2× |
| Neshoba General | Philadelphia, MS | $158.89 | $226.98 | $137.61 | 1.2× |
| Wynn Hospital range across 2 matching MRF lines |
Utica, NY | $159.60–$164.40 | $266–$274 | $137.61 | varies |
| Taylor Regional Hospital range across 2 matching MRF lines |
Campbellsville, KY | $160–$164 | $320–$328 | $137.61 | varies |
| Billings Clinic Broadwater | Townsend, MT | $160 | $160 | $137.61 | 1.2× |
| University Hospitals Samaritan Medical Center | Ashland, OH | $160.50 | $214 | $137.61 | 1.2× |
| University Hospitals Parma Medical Center | Parma, OH | $160.50 | $214 | $137.61 | 1.2× |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $160.50 | $214 | $137.61 | 1.2× |
| University Hospitals Portage Medical Center | Ravenna, OH | $160.50 | $214 | $137.61 | 1.2× |
| Lake Health | Concord, OH | $160.50 | $214 | $137.61 | 1.2× |
| University Hospitals St. John Medical Center | Westlake, OH | $160.50 | $214 | $137.61 | 1.2× |
| University Hospitals Elyria Medical Center | Elyria, OH | $160.50 | $214 | $137.61 | 1.2× |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $160.50 | $214 | $137.61 | 1.2× |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $160.50 | $214 | $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× |
| Imperial Valley Health - El Centro Hospital | El Centro, CA | $162.40 | $232 | $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× |
| Jackson Parish Hospital range across 7 matching MRF lines |
Jonesboro, LA | $165–$303 | $165–$303 | $137.61 | varies |
| South Central Regional Medical Center | Laurel, MS | $165 | $165 | $137.61 | 1.2× |
| Regional Medical Center range across 8 matching MRF lines |
Memphis, TN | $165.57–$377.34 | $257.50–$586.85 | $137.61 | varies |
| Thomas H Boyd Memorial Hospital | Carrollton, IL | $166.40 | $208 | $137.61 | 1.2× |
| Wabash General Hospital 1 | Mount Carmel, IL | $166.57 | $166.57 | $137.61 | 1.2× |
| Adventist Health Columbia Gorge | The Dalles, OR | $167.04 | $348 | $137.61 | 1.2× |
| Putnam County Memorial Hospital range across 3 matching MRF lines |
Unionville, MO | $167.19–$242.75 | $167.19–$242.75 | $137.61 | varies |
| 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× |
| Knoxville Hospital & Clinics | Knoxville, IA | $167.40 | $279 | $137.61 | 1.2× |
| Henderson Community Hospital | Henderson, NE | $168 | $210 | $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× |
| St. Joseph's Hospital Health Center | Syracuse, NY | $169 | $260 | $137.61 | 1.2× |
| Logan Health - Whitefish | Whitefish, MT | $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× |
| Fallon Medical Complex Hospital | Baker, MT | $170 | $170 | $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× |
| Oswego Hospital | Oswego, NY | $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× |
| Magruder Hospital | Port Clinton, OH | $170.80 | $244 | $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× |
| Johnson Memorial Hospital range across 4 matching MRF lines |
Franklin, IN | $171.20–$178.68 | $214–$223.35 | $137.61 | varies |
| Orchard Hospital | Gridley, CA | $171.85 | $286.42 | $137.61 | 1.2× |
| Logan Health - Shelby | Shelby, MT | $172.09 | $264.75 | $137.61 | 1.3× |
| Logan Health - Chester | Chester, MT | $172.09 | $264.75 | $137.61 | 1.3× |
| Northern Rockies Medical Center | Cut Bank, MT | $172.09 | $264.75 | $137.61 | 1.3× |
| Bayou Bend Health System | Franklin, LA | $172.20 | $246 | $137.61 | 1.3× |
| Grande Ronde Hospital | La Grande, OR | $172.80 | $288 | $137.61 | 1.3× |
| Trinity Health Muskegon Hospital | Muskegon, MI | $172.90 | — | $137.61 | 1.3× |
| Trinity Health Shelby Hospital | Shelby, MI | $172.90 | $266 | $137.61 | 1.3× |
| Kearney County Health Services | Minden, NE | $173 | $216 | $137.61 | 1.3× |
| Paulding County Hospital | Paulding, OH | $173.40 | $204 | $137.61 | 1.3× |
| Ashland Health Center | Ashland, KS | $173.60 | $217 | $137.61 | 1.3× |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San Diego, CA | $173.80 | $316 | $137.61 | 1.3× |
| Samaritan Hospital | Macon, MO | $174 | $218 | $137.61 | 1.3× |
| Blue Mountain Hospital | John Day, OR | $174 | $232 | $137.61 | 1.3× |
| Wayne County Hospital range across 2 matching MRF lines |
Corydon, IA | $174–$494 | $174–$494 | $137.61 | varies |
| 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× |
| Southwest Health Center | Platteville, WI | $176.25 | $235 | $137.61 | 1.3× |
| Carlinville Area Hospital | Carlinville, IL | $177.10 | $253 | $137.61 | 1.3× |
| Edgerton Hospital and Health Services | Edgerton, WI | $177.85 | $243.63 | $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× |
| Iowa Specialty Hospital - Belmond | Belmond, IA | $178.80 | $298 | $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× |
| Houston County Community Hospital | Erin, TN | $180 | $450 | $137.61 | 1.3× |
| Sierra View Medical Center range across 15 matching MRF lines |
Porterville, CA | $180.25–$248.78 | $257.50–$355.40 | $137.61 | varies |
| Caribou Medical Center range across 2 matching MRF lines |
Soda Springs, ID | $180.34–$312.64 | $257.63–$446.63 | $137.61 | varies |
| Pemiscot Memorial Hospital | Hayti, MO | $180.60 | $258 | $137.61 | 1.3× |
| Logan Health Medical Center | Kalispell, MT | $181.02 | $278.50 | $137.61 | 1.3× |
| Blessing Hospital | Quincy, IL | $181.37 | $302.27 | $137.61 | 1.3× |
| St. Joseph Medical Center range across 2 matching MRF lines |
Houston, TX | $181.81–$191.82 | $181.81–$191.82 | $137.61 | varies |
| Muleshoe Area Medical Center | Muleshoe, TX | $182 | $304 | $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× |
| Hammond Henry Hospital | Geneseo, IL | $183.60 | $204 | $137.61 | 1.3× |
| Grover C. Dils Medical Center | Caliente, NV | $183.75 | $245 | $137.61 | 1.3× |
| Lincoln Hospital range across 2 matching MRF lines |
Davenport, WA | $183.82–$187.38 | $204.24–$208.20 | $137.61 | varies |
| Ward Memorial Hospital | Monahans, TX | $184 | $263 | $137.61 | 1.3× |
| Iowa Specialty Hospital - Clarion | Clarion, IA | $184.20 | $307 | $137.61 | 1.3× |
| Hansen Family Hospital | Iowa Falls, IA | $184.55 | $184.55 | $137.61 | 1.3× |
| Trinity Health Livonia Hospital | Livonia, MI | $185.25 | $285 | $137.61 | 1.3× |
| Trinity Health Oakland Hospital | Pontiac, MI | $185.25 | $285 | $137.61 | 1.3× |
| Trinity Health Livingston Hospital | Howell, MI | $185.25 | $285 | $137.61 | 1.3× |
| Trinity Health Ann Arbor | Ypsilanti, MI | $185.25 | $285 | $137.61 | 1.3× |
| Chelsea Hospital | Chelsea, MI | $185.25 | $285 | $137.61 | 1.3× |
| Long Island Community Hospital | Patchogue, NY | $185.86 | $978.22 | $137.61 | 1.4× |
| NYU Langone Hospitals | New York, NY | $185.86 | $978.22 | $137.61 | 1.4× |
| Saunders Medical Center | Wahoo, NE | $186 | $248 | $137.61 | 1.4× |
| Clark Fork Valley Hospital | Plains, MT | $186.84 | $186.84 | $137.61 | 1.4× |
| Faith Health | Norfolk, NE | $186.97 | $305 | $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× |
| Stanford Health Care | Stanford, CA | $187.20 | $468 | $137.61 | 1.4× |
| George L Mee Memorial Hospital | King City, CA | $187.50 | $250 | $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 range across 2 matching MRF lines |
Charleston, MS | $188.06 | $107.87–$268.65 | $137.61 | 1.4× |
| Ellis Hospital | Schenectady, NY | $188.50 | $377 | $137.61 | 1.4× |
| Estes Park Medical Center range across 2 matching MRF lines |
Estes Park, CO | $189–$219.75 | $252–$293 | $137.61 | varies |
| Kearney Regional Medical Center | Kearney, NE | $189 | $315 | $137.61 | 1.4× |
| Kossuth Regional Health Center | Algona, IA | $189.90 | $237.37 | $137.61 | 1.4× |
| Jamaica Hospital Medical Center range across 6 matching MRF lines |
Jamaica, NY | $190–$370 | $190–$370 | $137.61 | varies |
| Northern Westchester Hospital | Mount Kisco, NY | $190 | — | $137.61 | 1.4× |
| Flushing Hospital Medical Center range across 3 matching MRF lines |
Flushing, NY | $190–$400 | $190–$400 | $137.61 | varies |
| MercyOne Genesis | Davenport, IA | $190.20 | $317 | $137.61‡ | 1.4× |
| MercyOne Genesis Dewitt Medical Center | Dewitt, IA | $190.20 | $317 | $137.61‡ | 1.4× |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $190.20 | $317 | $137.61‡ | 1.4× |
| MercyOne Genesis | Aledo, IL | $190.20 | $317 | $137.61‡ | 1.4× |
| Providence St. Joseph Medical Center range across 2 matching MRF lines |
Polson, MT | $190.40–$194.40 | $238–$243 | $137.61 | varies |
| Decatur County Memorial Hospital range across 2 matching MRF lines |
Greensburg, IN | $190.50–$198.75 | $254–$265 | $137.61 | varies |
| Henry Ford Macomb Hospital | Clinton Township, MI | $190.67 | $194 | $137.61 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $190.67 | $194 | $137.61 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $190.67 | $194 | $137.61 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $190.67 | $194 | $137.61 | 1.4× |
| Genoa Community Hospital | Genoa, NE | $191 | $212 | $137.61 | 1.4× |
| Gordon Memorial Hospital District | Gordon, NE | $191 | $191 | $137.61 | 1.4× |
| Corewell Health Dearborn Hospital | Dearborn, MI | $191 | $191 | $137.61 | 1.4× |
| Corewell Health Beaumont Grosse Pointe Hospital | Grosse Pointe, MI | $191 | $191 | $137.61 | 1.4× |
| Corewell Health William Beaumont University Hospital | Royal Oak, MI | $191 | $191 | $137.61 | 1.4× |
| Corewell Health Wayne Hospital | Wayne, MI | $191 | $191 | $137.61 | 1.4× |
| Corewell Health Farmington Hills Hospital | Farmington Hills, MI | $191 | $191 | $137.61 | 1.4× |
| Corewell Health Trenton Hospital | Trenton, MI | $191 | $191 | $137.61 | 1.4× |
| Corewell Health Beaumont Troy Hospital | Troy, MI | $191 | $191 | $137.61 | 1.4× |
| Corewell Health Taylor Hospital | Taylor, MI | $191 | $191 | $137.61 | 1.4× |
| Harbor Regional Health Community Hospital | Aberdeen, WA | $191.10 | $294 | $137.61 | 1.4× |
| Three Rivers Hospital range across 2 matching MRF lines |
Brewster, WA | $191.25–$258.75 | $255–$345 | $137.61 | varies |
| Grisell Memorial Hospital | Ransom, KS | $191.52 | $201.60 | $137.61 | 1.4× |
| Niagara Falls Memorial Medical Center range across 2 matching MRF lines |
Niagara Falls, NY | $192.50–$307.23 | $275–$438.90 | $137.61 | varies |
| Drumright Regional Hospital | Drumright, OK | $192.60 | $321 | $137.61 | 1.4× |
| Healdsburg Hospital | Healdsburg, CA | $192.78 | $378 | $137.61 | 1.4× |
| Adirondack Medical Center - Saranac Lake | Saranac Lake, NY | $193.44 | $312 | $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× |
| Alaska Native Medical Center | Anchorage, AK | $194 | $194 | $137.61 | 1.4× |
| Corewell Health Zeeland Hospital | Zeeland, MI | $194 | $194 | $137.61 | 1.4× |
| Corewell Health Greenville | Greenville, MI | $194 | $194 | $137.61 | 1.4× |
| Corewell Health Big Rapids Hospital | Big Rapids, MI | $194 | $194 | $137.61 | 1.4× |
| Corewell Health Ludington Hospital | Ludington, MI | $194 | $194 | $137.61 | 1.4× |
| Corewell Health Reed City Hospital | Reed City, MI | $194 | $194 | $137.61 | 1.4× |
| Corewell Health Gerber Hospital | Fremont, MI | $194 | $194 | $137.61 | 1.4× |
| Corewell Health Pennock Hospital | Hastings, MI | $194 | $194 | $137.61 | 1.4× |
| Phillips County Health Systems | Phillipsburg, KS | $194.65 | $229 | $137.61 | 1.4× |
| Fredonia Regional Hospital | Fredonia, KS | $196.07 | $196.07 | $137.61 | 1.4× |
| UF Health Jacksonville | Jacksonville, FL | $197.27 | $358.68 | $137.61 | 1.4× |
| Freeman Neosho Hospital range across 2 matching MRF lines |
Neosho, MO | $197.40–$274.20 | $329–$457 | $137.61 | varies |
| Mccamey Hospital | Mccamey, TX | $198 | $198 | $137.61 | 1.4× |
| Knox County Hospital | Knox City, TX | $198 | $198 | $137.61 | 1.4× |
| Oroville Hospital | Oroville, CA | $198 | $395 | $137.61 | 1.4× |
| Jewell County Hospital | Mankato, KS | $198.75 | $265 | $137.61 | 1.4× |
| Adair County Memorial Hospital | Greenfield, IA | $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× |
| Valleywise Health Medical Center | Phoenix, AZ | $199.19 | $230 | $137.61 | 1.4× |
| Mercyhealth Fhn Hospital | Freeport, IL | $199.20 | $249 | $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× |
| Greenwood County Hospital | Eureka, KS | $200 | $250 | $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× |
| Adams Memorial Hospital | Decatur, IN | $201 | $201 | $137.61 | 1.5× |
| Hancock County Health System | Britt, IA | $201.75 | $269 | $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× |
| DMC Detroit Receiving Hospital | Detroit, MI | $203.25 | $271 | $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× |
| Altru Hospital | Grand Forks, ND | $204.96 | $336 | $137.61 | 1.5× |
| Neosho Memorial Regional Medical Center | Chanute, KS | $205.06 | $273.41 | $137.61 | 1.5× |
| Community Memorial Hospital | Burke, SD | $205.06 | $288 | $137.61 | 1.5× |
| WinnMed | Decorah, IA | $205.10 | $293 | $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× |
| Nelson County Health System | Mcville, ND | $206 | $206 | $137.61 | 1.5× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $206.08 | $368 | $137.61 | 1.5× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $206.08 | $368 | $137.61 | 1.5× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $206.08 | $368 | $137.61 | 1.5× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $206.08 | $368 | $137.61 | 1.5× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $206.08 | $368 | $137.61 | 1.5× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $206.08 | $368 | $137.61 | 1.5× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $206.08 | $368 | $137.61 | 1.5× |
| Kaiser Foundation Hospital | San Rafael, CA | $206.08 | $368 | $137.61 | 1.5× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $206.08 | $368 | $137.61 | 1.5× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $206.08 | $368 | $137.61 | 1.5× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $206.08 | $368 | $137.61 | 1.5× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $206.08 | $368 | $137.61 | 1.5× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $206.08 | $368 | $137.61 | 1.5× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $206.08 | $368 | $137.61 | 1.5× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $206.08 | $368 | $137.61 | 1.5× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $206.08 | $368 | $137.61 | 1.5× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $206.08 | $368 | $137.61 | 1.5× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $206.08 | $368 | $137.61 | 1.5× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $206.08 | $368 | $137.61 | 1.5× |
| Coal County General Hospital, Inc. | Coalgate, OK | $206.25 | $275 | $137.61 | 1.5× |
| Crawford County Memorial Hospital | Denison, IA | $206.40 | $258 | $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× |
| Mobridge Regional Hospital - Cah | Mobridge, SD | $208 | $208 | $137.61 | 1.5× |
| Northwest Florida Community Hospital | Chipley, FL | $208.80 | $261 | $137.61 | 1.5× |
| McKenzie Health System | Sandusky, MI | $208.80 | $261 | $137.61 | 1.5× |
| Niobrara Valley Hospital | Lynch, NE | $209 | $209 | $137.61 | 1.5× |
| University of Iowa Health Care Medical Center Downtown | Iowa City, IA | $210 | $300 | $137.61 | 1.5× |
| University of Iowa Health Care Medical Center | Iowa City, IA | $210 | $300 | $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× |
| T.J. Health Columbia | Columbia, KY | $211.25 | $325 | $137.61 | 1.5× |
| Broadlawns Medical Center | Des Moines, IA | $212 | $212 | $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× |
| Midwest Medical Center | Galena, IL | $213.21 | $234.30 | $137.61 | 1.5× |
| Mercy Medical Center | Merced, CA | $213.73 | $415 | $137.61 | 1.6× |
| CHI St. Alexius Health Williston | Williston, ND | $214.02 | $369 | $137.61 | 1.6× |
| Providence Redwood Memorial Hospital | Fortuna, CA | $214.20 | $420 | $137.61 | 1.6× |
| Izard Regional Hospital range across 3 matching MRF lines |
Calico Rock, AR | $214.25–$301 | $214.25–$301 | $137.61 | varies |
| St. John's Medical Center range across 3 matching MRF lines |
Jackson, WY | $215–$510 | $215–$510 | $137.61 | varies |
| Excelsior Springs Hospital | Excelsior Springs, MO | $215 | $215 | $137.61 | 1.6× |
| Madison County Health Care System | Winterset, IA | $215.20 | $269 | $137.61 | 1.6× |
| MercyOne Elkader Medical Center range across 2 matching MRF lines |
Elkader, IA | $215.80–$250.90 | $332–$386 | $137.61 | varies |
| Cozad Community Hospital | Cozad, NE | $216 | $240 | $137.61 | 1.6× |
| Sabetha Community Hospital | Sabetha, KS | $216 | $216 | $137.61 | 1.6× |
| Northern Inyo Hospital | Bishop, CA | $216 | $216 | $137.61 | 1.6× |
| Veterans Memorial Hospital | Waukon, IA | $216.03 | $379 | $137.61 | 1.6× |
| CHI St. Gabriel's Hospital | Little Falls, MN | $216.34 | $373 | $137.61 | 1.6× |
| Adventist Health Mendocino Coast | Fort Bragg, CA | $216.48 | $328 | $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× |
| Coteau Des Prairies Health Care System | Sisseton, SD | $217 | $217 | $137.61 | 1.6× |
| Washington County Hospital and Clinics | Washington, IA | $217.50 | $290 | $137.61 | 1.6× |
| Gunnison Valley Hospital | Gunnison, CO | $217.60 | $256 | $137.61 | 1.6× |
| Colusa Medical Center | Colusa, CA | $219.24 | $365.40 | $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× |
| Ascension Calumet Hospital | Chilton, WI | $220.02 | $386 | $137.61 | 1.6× |
| Ridgeview Medical Center | Waconia, MN | $220.50 | $450 | $137.61 | 1.6× |
| Ochiltree General Hospital range across 2 matching MRF lines |
Perryton, TX | $221–$231 | $316–$330 | $137.61 | varies |
| Garfield County Memorial Hospital | Pomeroy, WA | $221 | $260 | $137.61 | 1.6× |
| Perham Health range across 2 matching MRF lines |
Perham, MN | $221–$227.50 | $340–$350 | $137.61 | varies |
| Mountrail County Medical Center Inc | Stanley, ND | $221 | $246 | $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× |
| Floyd Valley Healthcare | Le Mars, IA | $224 | $224 | $137.61 | 1.6× |
| Phelps Health Hospital range across 3 matching MRF lines |
Rolla, MO | $225.40–$246.30 | $322–$351.86 | $137.61 | varies |
| Clay County Hospital | Flora, IL | $226 | $226 | $137.61 | 1.6× |
| Wyandot Memorial Hospital | Upper Sandusky, OH | $226.77 | $251.97 | $137.61 | 1.6× |
| Memorial Medical Center | Port Lavaca, TX | $226.80 | $324 | $137.61 | 1.6× |
| Henry County Hospital, Inc | Napoleon, OH | $227.25 | $303 | $137.61 | 1.7× |
| Livingston Healthcare | Livingston, MT | $228 | $240 | $137.61 | 1.7× |
| Knox Community Hospital | Mount Vernon, OH | $228.14 | $285.18 | $137.61 | 1.7× |
| Tmc- Bonham Hospital | Bonham, TX | $228.80 | $763.40 | $137.61 | 1.7× |
| Riverwood Healthcare Center range across 4 matching MRF lines |
Aitkin, MN | $229.60–$336 | $410–$600 | $137.61 | varies |
| Weiser Memorial Hospital | Weiser, ID | $229.88 | $306.50 | $137.61 | 1.7× |
| Amberwell Hiawatha range across 2 matching MRF lines |
Hiawatha, KS | $230–$291 | $230–$291 | $137.61 | varies |
| Amberwell Atchison Association range across 2 matching MRF lines |
Atchison, KS | $230–$291 | $230–$291 | $137.61 | varies |
| 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× |
| Lower Umpqua Hospital District | Reedsport, OR | $232.02 | $429.67 | $137.61 | 1.7× |
| CHI St. Alexius Health Dickinson | Dickinson, ND | $232.47 | $369 | $137.61 | 1.7× |
| River Hospital | Alexandria Bay, NY | $233.51 | $284 | $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× |
| Wagner Community Memorial Hospital - Cah | Wagner, SD | $234.90 | $261 | $137.61 | 1.7× |
| Syringa Hospital & Clinics | Grangeville, ID | $236.70 | $263 | $137.61 | 1.7× |
| Wilbarger General Hospital | Vernon, TX | $236.78 | $394.63 | $137.61 | 1.7× |
| Titus Regional Medical Center | Mount Pleasant, TX | $237 | $395 | $137.61 | 1.7× |
| Unity Medical Center | Grafton, ND | $237 | $237 | $137.61 | 1.7× |
| Pinckneyville Community Hospital | Pinckneyville, IL | $237 | $237 | $137.61 | 1.7× |
| John C Fremont Healthcare District | Mariposa, CA | $238.41 | $476.82 | $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× |
| Morrison Community Hospital | Morrison, IL | $240 | $240 | $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× |
| Ridgecrest Regional Hospital | Ridgecrest, CA | $241.15 | $455 | $137.61 | 1.8× |
| Ringgold County Hospital | Mount Ayr, IA | $241.20 | $268 | $137.61 | 1.8× |
| Mayers Memorial Hospital | Fall River Mills, CA | $242 | $242 | $137.61 | 1.8× |
| Stillwater Billings Clinic | Columbus, MT | $242 | $242 | $137.61 | 1.8× |
| University Hospitals Cleveland Medical Center | Cleveland, OH | $243 | $324 | $137.61 | 1.8× |
| UH Rainbow Babies & Children's Hospital | Cleveland, OH | $243 | $324 | $137.61 | 1.8× |
| Power County Hospital District | American Falls, ID | $243.90 | $244 | $137.61 | 1.8× |
| Sutter Coast Hospital | Crescent City, CA | $245 | $245 | $137.61 | 1.8× |
| Sutter Lakeside Hospital | Lakeport, CA | $245 | $245 | $137.61 | 1.8× |
| Henry County Memorial Hospital | New Castle, IN | $245.91 | $351.30 | $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× |
| Liberty Dayton Regional Medical Center range across 3 matching MRF lines |
Liberty, TX | $251–$253 | $359–$362 | $137.61 | varies |
| Catalina Island Medical Center | Avalon, CA | $251.30 | $359 | $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× |
| WhidbeyHealth Medical Center range across 2 matching MRF lines |
Coupeville, WA | $252–$500 | $252–$500 | $137.61 | varies |
| John H Stroger Jr Hospital | Chicago, IL | $252.70 | $361 | $137.61 | 1.8× |
| Provident Hospital of Chicago | Chicago, IL | $252.70 | $361 | $137.61 | 1.8× |
| Abbeville Area Medical Center | Abbeville, SC | $252.99 | $361.41 | $137.61 | 1.8× |
| Northwood Deaconess Health Center | Northwood, ND | $253 | $316 | $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× |
| The University of Chicago Medical Center range across 4 matching MRF lines |
Chicago, IL | $254–$653 | $254–$653 | $137.61 | varies |
| Pullman Regional Hospital range across 2 matching MRF lines |
Pullman, WA | $255–$332.35 | $300–$391 | $137.61 | varies |
| Wickenburg Community Hospital | Wickenburg, AZ | $255.45 | $393 | $137.61 | 1.9× |
| Mid-Valley Hospital | Omak, WA | $255.50 | $365 | $137.61 | 1.9× |
| Waverly Health Center | Waverly, IA | $255.84 | $492 | $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× |
| ThedaCare Regional Medical Center - Neenah Inc | Neenah, WI | $256.54 | $458.10 | $137.61 | 1.9× |
| ThedaCare Regional Medical Center - Appleton Inc | Appleton, WI | $256.54 | $458.10 | $137.61 | 1.9× |
| ThedaCare Medical Center - Wild Rose Inc | Wild Rose, WI | $256.54 | $458.10 | $137.61 | 1.9× |
| ThedaCare Medical Center New London | New London, WI | $256.54 | $458.10 | $137.61 | 1.9× |
| ThedaCare Medical Center - Waupaca Inc | Waupaca, WI | $256.54 | $458.10 | $137.61 | 1.9× |
| ThedaCare Medical Center - Shawano Inc | Shawano, WI | $256.54 | $458.10 | $137.61 | 1.9× |
| ThedaCare Medical Center - Berlin Inc | Berlin, WI | $256.54 | $458.10 | $137.61 | 1.9× |
| Fairview Regional Medical Center Authority | Fairview, OK | $257 | — | $137.61 | 1.9× |
| Falls Community Hospital and Clinic | Marlin, TX | $257.09 | $321.36 | $137.61 | 1.9× |
| Davis County Hospital | Bloomfield, IA | $258 | $258 | $137.61 | 1.9× |
| Franklin General Hospital | Hampton, IA | $258.30 | $287 | $137.61 | 1.9× |
| Door County Medical Center | Sturgeon Bay, WI | $258.75 | $345 | $137.61 | 1.9× |
| Frances Mahon Deaconess Hospital | Glasgow, MT | $259.20 | $288 | $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× |
| Southern Coos Hospital & Health Center | Bandon, OR | $260.46 | $260.46 | $137.61 | 1.9× |
| Lewis County General Hospital | Lowville, NY | $261.47 | $318 | $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× |
| Virginia Gay Hospital | Vinton, IA | $264.80 | $331 | $137.61 | 1.9× |
| Madison Healthcare Services - Madison Hospital | Madison, MN | $265.20 | $312 | $137.61 | 1.9× |
| Barrett Hospital & Healthcare | Dillon, MT | $266 | $280 | $137.61 | 1.9× |
| Sioux Center Health | Sioux Center, IA | $266.75 | $275 | $137.61 | 1.9× |
| Bath Community Hospital | Hot Springs, VA | $266.81 | $381.16 | $137.61 | 1.9× |
| Mahaska Health Partnership range across 2 matching MRF lines |
Oskaloosa, IA | $267.75–$404.60 | $315–$476 | $137.61 | varies |
| Gritman Medical Center | Moscow, ID | $268 | $268 | $137.61 | 1.9× |
| Beth Israel Deaconess Medical Center | Boston, MA | $268 | $268 | $137.61 | 1.9× |
| Artesia General Hospital | Artesia, NM | $268.80 | $448 | $137.61 | 2.0× |
| 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× |
| Mount Sinai Hospital | New York, NY | $270 | $300 | $137.61 | 2.0× |
| Mount Sinai West | New York, NY | $270 | $300 | $137.61 | 2.0× |
| Mount Sinai Brooklyn | Brooklyn, NY | $270 | $300 | $137.61 | 2.0× |
| Sarah Bush Lincoln Health Center | Mattoon, IL | $270 | $270 | $137.61 | 2.0× |
| Sarah Bush Lincoln Fayette County Hospital | Vandalia, IL | $270 | $270 | $137.61 | 2.0× |
| Corewell Health Grand Rapids Hospitals Butterworth | Grand Rapids, MI | $271 | $271 | $137.61 | 2.0× |
| McKenzie County Healthcare Systems Inc | Watford City, ND | $271.70 | $418 | $137.61 | 2.0× |
| Mountainview Medical Center | White Sulphur Spring, MT | $272.63 | $340.79 | $137.61 | 2.0× |
| Coquille Valley Hospital | Coquille, OR | $276.04 | $394.34 | $137.61 | 2.0× |
| Decatur Health | Oberlin, KS | $276.30 | $307 | $137.61 | 2.0× |
| Mammoth Hospital | Mammoth Lakes, CA | $276.50 | $395 | $137.61 | 2.0× |
| Beatrice Community Hospital & Health Center, Inc | Beatrice, NE | $277 | $277 | $137.61 | 2.0× |
| Ruby Valley Medical Center | Sheridan, MT | $279.90 | $311 | $137.61 | 2.0× |
| Carle Bromenn Medical Center | Normal, IL | $280 | $280 | $137.61 | 2.0× |
| Carle Eureka Hospital range across 2 matching MRF lines |
Eureka, IL | $280–$326 | $280–$326 | $137.61 | varies |
| Northbay Medical Center range across 4 matching MRF lines |
Fairfield, CA | $280.37–$350.46 | $280.37–$350.46 | $137.61 | varies |
| Billings Clinic Hospital | Billings, MT | $282 | $282 | $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× |
| BronxCare Hospital Center | Bronx, NY | $285.38 | $285.38 | $137.61 | 2.1× |
| Callaway District Hospital | Callaway, NE | $286 | $318 | $137.61 | 2.1× |
| Freeman Medical Center - Cah | Freeman, SD | $286.15 | $295 | $137.61 | 2.1× |
| Munson Healthcare Cadillac Hospital | Cadillac, MI | $286.45 | $337 | $137.61 | 2.1× |
| Martha's Vineyard Hospital range across 2 matching MRF lines |
Oak Bluffs, MA | $286.50–$357 | $382–$476 | $137.61 | varies |
| CAMC Greenbrier Valley Medical Center | Ronceverte, WV | $288 | $288 | $137.61 | 2.1× |
| Memorial Hospital Los Banos | Los Banos, CA | $289 | $289 | $137.61 | 2.1× |
| Norton Sound Regional Hospital | Nome, AK | $289.50 | $579 | $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× |
| Ventura County Medical Center | Ventura, CA | $295 | $590 | $137.61 | 2.1× |
| Sierra Vista Hospital | T Or C, NM | $295.88 | $394.50 | $137.61 | 2.2× |
| Kaweah Health Medical Center range across 2 matching MRF lines |
Visalia, CA | $296–$350 | $296–$350 | $137.61 | varies |
| Charleston Area Medical Center range across 2 matching MRF lines |
Charleston, WV | $297–$351 | $297–$351 | $137.61 | varies |
| Jefferson Healthcare | Port Townsend, WA | $297.60 | $372 | $137.61 | 2.2× |
| South Shore University Hospital | Bay Shore, NY | $299.45 | — | $137.61 | 2.2× |
| Huntington Hospital | Huntington, NY | $299.45 | — | $137.61 | 2.2× |
| Peconic Bay Medical Center | Riverhead, NY | $299.45 | — | $137.61 | 2.2× |
| Mather Hospital | Port Jefferson, NY | $299.45 | — | $137.61 | 2.2× |
| Phelps Hospital | Sleepy Hollow, NY | $299.45 | — | $137.61 | 2.2× |
| Plainview Hospital | Plainview, NY | $299.45 | — | $137.61 | 2.2× |
| North Shore University Hospital | Manhasset, NY | $300 | — | $137.61 | 2.2× |
| Lenox Hill Hospital | New York, NY | $300 | — | $137.61 | 2.2× |
| Staten Island University Hospital | Staten Island, NY | $300 | — | $137.61 | 2.2× |
| Glen Cove Hospital | Glen Cove, NY | $300 | — | $137.61 | 2.2× |
| Long Island Jewish Medical Center | New Hyde Park, NY | $300 | — | $137.61 | 2.2× |
| Heart of America Medical Center | Rugby, ND | $300.75 | $401 | $137.61 | 2.2× |
| First Care Health Center | Park River, ND | $301 | $301 | $137.61 | 2.2× |
| Jackson County Regional Health Center | Maquoketa, IA | $302 | $302 | $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× |
| Gateway Regional Medical Center | Granite City, IL | $303.53 | $505.88 | $137.61 | 2.2× |
| Cibola General Hospital | Grants, NM | $305.70 | $382.13 | $137.61 | 2.2× |
| Sentara Albemarle Medical Center | Elizabeth City, NC | $306 | $612 | $137.61 | 2.2× |
| Mayo Clinic Health System In Eau Claire | Eau Claire, WI | $307.80 | $342 | $137.61 | 2.2× |
| Mayo Clinic Health System-oakridge | Osseo, WI | $307.80 | $342 | $137.61 | 2.2× |
| Mayo Clinic Health System-chippewa Valley | Bloomer, WI | $307.80 | $342 | $137.61 | 2.2× |
| Mayo Clinic Health System-northland | Barron, WI | $307.80 | $342 | $137.61 | 2.2× |
| Mayo Clinic Health System-red Cedar | Menomonie, WI | $307.80 | $342 | $137.61 | 2.2× |
| SMP Health St. Aloisius | Harvey, ND | $309 | $343 | $137.61 | 2.2× |
| Mitchell County Regional Health | Osage, IA | $309.56 | $343.95 | $137.61 | 2.2× |
| Phillips County Medical Center | Malta, MT | $310 | $310 | $137.61 | 2.3× |
| Lake District Hospital | Lakeview, OR | $311.10 | $366 | $137.61 | 2.3× |
| Mayo Clinic Health System In La Crosse | La Crosse, WI | $313.20 | $348 | $137.61 | 2.3× |
| Mayo Clinic Health System In Sparta | Sparta, WI | $313.20 | $348 | $137.61 | 2.3× |
| Ridgeview Le Sueur Medical Center | Le Sueur, MN | $315 | $450 | $137.61 | 2.3× |
| Santiam Hospital & Clinics | Stayton, OR | $316 | $316 | $137.61 | 2.3× |
| Jamestown Regional Medical Center | Jamestown, ND | $316 | $395 | $137.61 | 2.3× |
| Stony Brook University Hospital | Stony Brook, NY | $317 | $317 | $137.61 | 2.3× |
| Pembina County Memorial Hospital | Cavalier, ND | $319 | $319 | $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× |
| Memorialcare Long Beach Medical Center | Long Beach, CA | $322 | $322 | $137.61 | 2.3× |
| Memorialcare Saddleback Medical Center | Laguna Hills, CA | $322 | $322 | $137.61 | 2.3× |
| Memorialcare Orange Coast Medical Center | Fountain Valley, CA | $322 | $322 | $137.61 | 2.3× |
| Memorial Care Miller Children's & Women's Hosp Lb | Long Beach, CA | $322 | $322 | $137.61 | 2.3× |
| Southwest Healthcare Services | Bowman, ND | $324.90 | $361 | $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× |
| Trinity Health Grand Rapids Hospital | Grand Rapids, MI | $334.75 | — | $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× |
| Wyckoff Heights Medical Center | Brooklyn, NY | $337.05 | $337.05 | $137.61 | 2.4× |
| Dahl Memorial Healthcare Association Inc | Ekalaka, MT | $341.25 | $341.25 | $137.61 | 2.5× |
| Erie County Medical Center | Buffalo, NY | $342.82 | — | $137.61 | 2.5× |
| Wallowa Memorial Hospital range across 2 matching MRF lines |
Enterprise, OR | $346–$363 | $346–$363 | $137.61 | varies |
| Sentara Halifax Regional Hospital | South Boston, VA | $348 | $696 | $137.61 | 2.5× |
| SCK Health | Arkansas City, KS | $350 | $350 | $137.61 | 2.5× |
| Ashley Medical Center range across 2 matching MRF lines |
Ashley, ND | $350.50–$355 | $350.50–$355 | $137.61 | varies |
| New York Community Hospital of Brooklyn, Inc. | Brooklyn, NY | $352.07 | $352.07 | $137.61 | 2.6× |
| St. Charles Madras | Madras, OR | $352.80 | $441 | $137.61 | 2.6× |
| Bitterroot Health - Daly Hospital | Hamilton, MT | $354 | $354 | $137.61 | 2.6× |
| Towner County Medical Center | Cando, ND | $354 | $354 | $137.61 | 2.6× |
| Parkland Memorial Hospital | Dallas, TX | $356 | $890 | $137.61 | 2.6× |
| Strong Memorial Hospital | Rochester, NY | $357 | — | $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× |
| Sarah D Culbertson Memorial Hospital | Rushville, IL | $363.60 | $404 | $137.61 | 2.6× |
| Nor-lea Hospital District | Lovington, NM | $365 | $365 | $137.61 | 2.7× |
| Cherry County Hospital | Valentine, NE | $365.40 | $365.40 | $137.61 | 2.7× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $366.18 | $718 | $137.61 | 2.7× |
| Hillsboro Area Hospital range across 2 matching MRF lines |
Hillsboro, IL | $370.80–$381.92 | $412–$424.35 | $137.61 | varies |
| Crossing Rivers Health Medical Center | Prairie Du Chien, WI | $374 | $374 | $137.61 | 2.7× |
| Ellsworth County Medical Center | Ellsworth, KS | $374.25 | $374.25 | $137.61 | 2.7× |
| Providence Seaside Hospital | Seaside, OR | $375 | $500 | $137.61 | 2.7× |
| Providence Hood River Memorial Hospital | Hood River, OR | $375 | $500 | $137.61 | 2.7× |
| Monument Health Spearfish Hospital | Spearfish, SD | $375.20 | $469 | $137.61 | 2.7× |
| Monument Health Rapid City Hospital | Rapid City, SD | $375.20 | $469 | $137.61 | 2.7× |
| Monument Health Lead-deadwood Hospital | Deadwood, SD | $375.20 | $469 | $137.61 | 2.7× |
| Monument Health Sturgis Hospital | Sturgis, SD | $375.20 | $469 | $137.61 | 2.7× |
| Monument Health Custer Hospital | Custer, SD | $375.20 | $469 | $137.61 | 2.7× |
| Sauk Prairie Hospital | Prairie Du Sac, WI | $376.34 | $688 | $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× |
| MercyOne Centerville Medical Center | Centerville, IA | $386 | $386 | $137.61 | 2.8× |
| Tioga Medical Center | Tioga, ND | $389 | $389 | $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× |
| Central Peninsula General Hospital | Soldotna, AK | $399 | $399 | $137.61 | 2.9× |
| Memorial Hospital of Carbon County | Rawlins, WY | $400.50 | $534 | $137.61 | 2.9× |
| St. Andrews Health Center - Cah | Bottineau, ND | $401 | $446 | $137.61 | 2.9× |
| The Carle Foundation Hospital | Urbana, IL | $404 | $404 | $137.61 | 2.9× |
| Doctors Hosptal at Renaissance range across 6 matching MRF lines |
Edinburg, TX | $405.31–$518.40 | $405.31–$518.40 | $137.61 | varies |
| Clifton-Fine Hospital | Star Lake, NY | $407.81 | $407.81 | $137.61 | 3.0× |
| Maimonides Medical Center | Brooklyn, NY | $413 | $413 | $137.61 | 3.0× |
| Saint Francis Medical Center | Cape Girardeau, MO | $417 | $417 | $137.61 | 3.0× |
| Providence Valdez Medical Center | Valdez, AK | $417.30 | $535 | $137.61 | 3.0× |
| Marshfield Medical Center Dickinson Hospital | Iron Mountain, MI | $417.99 | $491.75 | $137.61 | 3.0× |
| Jerold Phelps Community Hospital | Garberville, CA | $420.54 | $525.67 | $137.61 | 3.1× |
| Cascade Medical | Leavenworth, WA | $423.20 | $529 | $137.61 | 3.1× |
| Emanate Health Inter-community Hospital | Covina, CA | $425 | $425 | $137.61 | 3.1× |
| Emanate Health Foothill Presbyterian Hospital | Glendora, CA | $425 | $425 | $137.61 | 3.1× |
| Dayton General Hospital | Dayton, WA | $437.40 | $486 | $137.61 | 3.2× |
| Massachusetts General Hospital range across 2 matching MRF lines |
Boston, MA | $439.50–$671.25 | $586–$895 | $137.61 | varies |
| Brigham and Women's Hospital range across 2 matching MRF lines |
Boston, MA | $439.50–$671.25 | $586–$895 | $137.61 | varies |
| Riverside University Health System-medical Center | Moreno Valley, CA | $447.66 | $447.66 | $137.61 | 3.3× |
| Newton Wellesley Hospital | Newton, MA | $462.75 | $617 | $137.61 | 3.4× |
| Fairbanks Memorial Hospital | Fairbanks, AK | $468.35 | $493 | $137.61 | 3.4× |
| Columbia Basin Hospital | Ephrata, WA | $474 | $474 | $137.61 | 3.4× |
| Wheatland Memorial Hospital | Harlowton, MT | $475 | $475 | $137.61 | 3.5× |
| Athol Hospital | Athol, MA | $482 | $482 | $137.61 | 3.5× |
| Presentation Medical Center | Rolla, ND | $484 | $538 | $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× |
| St. John's Episcopal Hospital at South Shore | Far Rockaway, NY | $505.30 | $505.30 | $137.61 | 3.7× |
| Rapides Regional Medical Center | Alexandria, LA | $506.40 | $506.40 | $137.61 | 3.7× |
| Curry General Hospital | Gold Beach, OR | $512 | $512 | $137.61 | 3.7× |
| Brooklyn Hospital Center - Downtown Campus range across 7 matching MRF lines |
Brooklyn, NY | $513.19–$659.39 | $513.19–$659.39 | $137.61 | varies |
| Kaleida Health | Buffalo, NY | $514 | $514 | $137.61 | 3.7× |
| Natividad Medical Center | Salinas, CA | $539 | $539 | $137.61 | 3.9× |
| 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× |
| Coast Plaza Hospital | Norwalk, CA | $596 | $596 | $137.61 | 4.3× |
| Incline Village Community Hospital | Incline Village, NV | $616 | $616 | $137.61 | 4.5× |
| Tahoe Forest Hospital | Truckee, CA | $616 | $616 | $137.61 | 4.5× |
| Roundup Memorial Healthcare | Roundup, MT | $623 | $623 | $137.61 | 4.5× |
| Zuckerberg San Francisco General Hosp & Trauma Ctr | San Francisco, CA | $641 | $641 | $137.61 | 4.7× |
| 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× |
| Santa Clara Valley Medical Center | San Jose, CA | $670.60 | $958 | $137.61 | 4.9× |
| Regional Medical Center of San Jose | San Jose, CA | $670.60 | $958 | $137.61 | 4.9× |
| Montefiore Medical Center range across 2 matching MRF lines |
Bronx, NY | $715–$719.40 | $1,100 | $137.61 | varies |
| Crescent Medical Center Lancaster | Lancaster, TX | $771 | $1,186 | $137.61 | 5.6× |
| MercyOne New Hampton Medical Center range across 2 matching MRF lines |
New Hampton, IA | $1,101.75–$1,177.15 | — | $137.61 | varies |
| Vandalia Health Webster Memorial Hospital range across 2 matching MRF lines |
Webster Springs, WV | $4,760,307.30–$5,677,307.30 | $6,800,439–$8,110,439 | $137.61 | varies |
| Macneal Hospital | Berwyn, IL | — | $65 | $137.61 | — |
| Hegg Memorial Health Center | Rock Valley, IA | — | $118 | $137.61 | — |
| Cameron Regional Medical Center | Cameron, MO | — | $132 | $137.61 | — |
| Moab Regional Hospital | Moab, UT | — | $133 | $137.61 | — |
| Mccone County Health Center | Circle, MT | — | $150 | $137.61 | — |
| Summit Pacific Medical Center | Elma, WA | — | $162 | $137.61 | — |
| Mount San Rafael Hospital range across 4 matching MRF lines |
Trinidad, CO | — | $165.50–$230.50 | $137.61 | — |
| CrossRidge Community Hospital range across 4 matching MRF lines |
Wynne, AR | — | $175–$215 | $137.61 | — |
| Pella Regional Health Center range across 2 matching MRF lines |
Pella, IA | — | $183–$184 | $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 | — |
| Henry Ford Jackson Hospital | Jackson, MI | — | $194 | $137.61 | — |
| Kearny County Hospital | Lakin, KS | — | $200 | $137.61 | — |
| Compass Memorial Healthcare | Marengo, IA | — | $207.92 | $137.61 | — |
| St. Luke Community Hospital | Ronan, MT | — | $209 | $137.61 | — |
| Mineral Community Hospital range across 2 matching MRF lines |
Superior, MT | — | $212.45–$215 | $137.61 | — |
| Antelope Memorial Hospital | Neligh, NE | — | $225 | $137.61 | — |
| Graham Hospital Association | Canton, IL | — | $228.10 | $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 | — |
| Henry County Health Center | Mount Pleasant, IA | — | $262 | $137.61 | — |
| Brookdale Hospital Medical Center | Brooklyn, NY | — | $274 | $137.61 | — |
| West Carroll Memorial Hospital | Oak Grove, LA | — | $275 | $137.61 | — |
| Schoolcraft Memorial Hospital | Manistique, MI | — | $294 | $137.61 | — |
| Eisenhower Medical Center | Rancho Mirage, CA | — | $307 | $137.61‡ | — |
| Ohio State University Hospitals | Columbus, OH | — | $332 | $137.61 | — |
| James Cancer Hospital & Solove Research Institute | Columbus, OH | — | $332 | $137.61 | — |
| F F Thompson Hospital | Canandaigua, NY | — | $367 | $137.61 | — |
| Adams County Regional Medical Center | Seaman, OH | — | $385 | $137.61 | — |
| Lawrence County Memorial Hospital | Lawrenceville, IL | — | $405 | $137.61 | — |
| Uvalde Memorial Hospital | Uvalde, TX | — | $426 | $137.61 | — |
| Ridgeview Sibley Medical Center | Arlington, MN | — | $450 | $137.61 | — |
| Upstate University Hospital | Syracuse, NY | — | $488 | $137.61 | — |
| Richmond University Medical Center | Staten Island, NY | — | $823 | $137.61 | — |
| St. Barnabas Hospital | Bronx, NY | — | $997 | $137.61 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.
‡ Price taken from the hospital's inpatient list; no outpatient price posted.