Fecal microbiota prep instil (CPT G0455)
G0455 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
204 of 2110 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Tampa General Hospital | Tampa, FL | $3.58 | $10.22 | $971.14 | 0.0× |
| Ochsner Medical Center - Baton Rouge | Baton Rouge, LA | $23.04 | $72 | $842.07 | 0.0× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $801.49 | 0.1× |
| North Mississippi Medical Center-Hamilton | Hamilton, AL | $55.04 | $128 | $834.09 | 0.1× |
| North Mississippi Medical Center-Iuka | Iuka, MS | $55.04 | $128 | $842.24 | 0.1× |
| North Mississippi Medical Center-Tupelo | Tupelo, MS | $55.04 | $128 | $839.05 | 0.1× |
| North Mississippi Medical Center-Eupora | Eupora, MS | $55.04 | $128 | $825.88 | 0.1× |
| North Mississippi Medical Center Gilmore-Amory | Amory, MS | $55.04 | $128 | $801.77 | 0.1× |
| North Mississippi Medical Center-Pontotoc | Pontotoc, MS | $55.04 | $128 | $801.77 | 0.1× |
| Russell Medical | Alexander City, AL | $60.12 | $167 | $834.09 | 0.1× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $73 | $243 | $934.20 | 0.1× |
| Marion General Hospital | Columbia, MS | $82.53 | $412.61 | $801.77 | 0.1× |
| Highland Community Hospital | Picayune, MS | $82.53 | $412.61 | $822.12 | 0.1× |
| East Carroll Parish Hospital | Lake Providence, LA | $96.75 | $129 | $846.69 | 0.1× |
| St. Bernards Medical Center | Jonesboro, AR | $97.50 | $150 | $872 | 0.1× |
| UAB Medical West | Bessemer, AL | $105.75 | $141 | $850.62 | 0.1× |
| OU Health University of Oklahoma Medical Center | Oklahoma City, OK | $108.85 | $1,088.51 | $894.41 | 0.1× |
| Forrest General Hospital | Hattiesburg, MS | $115.54 | $412.61 | $805.65 | 0.1× |
| Walthall General Hospital | Tylertown, MS | $115.54 | $412.61 | $801.77 | 0.1× |
| Hilton Head Medical Center | Hilton Head Island, SC | $123.10 | — | $864.93 | 0.1× |
| East Cooper Medical Center | Mount Pleasant, SC | $123.10 | — | $864.93 | 0.1× |
| Coastal Carolina Medical Center | Hardeeville, SC | $123.10 | — | $864.93 | 0.1× |
| Jefferson Davis Community Hospital | Prentiss, MS | $144.42 | $412.61 | $801.77 | 0.2× |
| Columbus Community Hospital | Columbus, TX | $146.25 | $195 | $934.20 | 0.2× |
| Perry County General Hospital | Richton, MS | $148.54 | $412.61 | $801.77 | 0.2× |
| Nebraska Medical Center | Omaha, NE | $160.42 | $246.80 | $965.66 | 0.2× |
| Bellevue Medical Center | Bellevue, NE | $160.42 | $246.80 | $965.66 | 0.2× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $203.86 | $339.77 | $934.20 | 0.2× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $203.86 | $339.77 | $934.20 | 0.2× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $203.86 | $339.77 | $934.20 | 0.2× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $203.86 | $339.77 | $934.20 | 0.2× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $203.86 | $339.77 | $934.20 | 0.2× |
| Baptist Anderson Regional Medical Center | Meridian, MS | $205.92 | $936 | $825.88 | 0.2× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $213.15 | $735 | $888.02 | 0.2× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $213.15 | $735 | $882.83 | 0.2× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $213.15 | $735 | $892.18 | 0.2× |
| UT Medical Center | Knoxville, TN | $215.75 | $863 | $843.73 | 0.3× |
| Mercy Hospital Oklahoma City, Inc | Oklahoma City, OK | $235.95 | $363 | $894.41 | 0.3× |
| Titus Regional Medical Center | Mount Pleasant, TX | $260.40 | $434 | $934.20 | 0.3× |
| UT Health East Texas Athens Hospital | Athens, TX | $286.80 | $2,868 | $934.20 | 0.3× |
| Deaconess Henderson Hospital | Henderson, KY | $299.70 | $999 | $929.52 | 0.3× |
| Ochsner LSU Health - Academic Medical Center | Shreveport, LA | $322.14 | $1,239 | $897.20 | 0.4× |
| St. Vincent General Hospital District | Leadville, CO | $332.50 | $475 | $981 | 0.3× |
| Faith Health | Norfolk, NE | $335.54 | $536 | $965.66 | 0.3× |
| Ochsner LSU Health - St. Mary Medical Center | Shreveport, LA | $346.92 | $1,239 | $842.07 | 0.4× |
| St. John's Medical Center | Jackson, WY | $350 | $350 | $950.10 | 0.4× |
| Ascension Saint Thomas Hospital West | Nashville, TN | $356.43 | $1,188.10 | $892.18 | 0.4× |
| USA Health Providence Hospital | Mobile, AL | $360 | $360 | $839.62 | 0.4× |
| Baptist Anderson Regional Medical Center-South | Meridian, MS | $374.40 | $936 | $801.77 | 0.5× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $389.40 | $1,298 | $981 | 0.4× |
| Vanderbilt University Hospital | Nashville, TN | $396.90 | $735 | $912.88 | 0.4× |
| Tops Surgical Specialty Hospital | Houston, TX | $405.30 | $1,158 | $934.20 | 0.4× |
| MUSC Health Black River Medical Center | Cades, SC | $407.50 | $815 | $864.93 | 0.5× |
| Longs Peak Hospital | Longmont, CO | $454.30 | $1,298 | $991.89 | 0.5× |
| UCHealth Broomfield Hospital | Broomfield, CO | $454.30 | $1,298 | $984.13 | 0.5× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $454.30 | $1,298 | $981 | 0.5× |
| MUSC Health University Medical Center | Charleston, SC | $503.50 | $1,007 | $864.93 | 0.6× |
| Mercy Hospital St. Louis | St. Louis, MO | $505.05 | $86 | $931.46 | 0.5× |
| Mercy Hospital Jefferson | Festus, MO | $505.05 | $86 | $931.46 | 0.5× |
| Mercy Hospital Southeast | Cape Girardeau, MO | $505.05 | $86 | $931.46 | 0.5× |
| Mercy Hospital Lincoln | Troy, MO | $505.05 | $86 | $931.46 | 0.5× |
| Methodist Healthcare Memphis Hospitals | Memphis, TN | $563.42 | $2,561 | $861.63 | 0.7× |
| Methodist Olive Branch Hospital | Olive Branch, MS | $563.42 | $2,561 | $861.63 | 0.7× |
| Ochsner Medical Center - Hancock | Bay St. Louis, MS | $565.06 | $1,487 | $866.24 | 0.7× |
| CHRISTUS St. Frances Cabrini Hospital | Alexandria, LA | $614.12 | $2,362 | $877.59 | 0.7× |
| Baptist Memorial Hospital-Golden Triangle | Columbus, MS | $648.25 | $2,593 | $837 | 0.8× |
| Ochsner Medical Center - New Orleans | New Orleans, LA | $694.32 | $1,615.50 | $872.91 | 0.8× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $743.49 | $1,239.15 | $934.20 | 0.8× |
| Scott & White Hospital-round Rock | Round Rock, TX | $743.49 | $1,239.15 | $934.20 | 0.8× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $743.49 | $1,239.15 | $934.20 | 0.8× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $743.49 | $1,239.15 | $934.20 | 0.8× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $743.49 | $1,239.15 | $934.20 | 0.8× |
| University Health System | San Antonio, TX | $747.75 | $2,991 | $934.20 | 0.8× |
| Emory University Hospital | Atlanta, GA | $759 | $759 | $932.77 | 0.8× |
| Emory Decatur Hospital | Decatur, GA | $759 | $759 | $932.77 | 0.8× |
| Emory University Hospital Midtown | Atlanta, GA | $759 | $759 | $944.57 | 0.8× |
| Emory Saint Joseph's Hospital | Atlanta, GA | $759 | $759 | $944.57 | 0.8× |
| Emory Hillandale Hospital | Lithonia, GA | $759 | $759 | $932.77 | 0.8× |
| Emory Johns Creek Hospital | Johns Creek, GA | $759 | $759 | $944.57 | 0.8× |
| St. Catherine Hospital - Garden City | Garden City, KS | $802.71 | $2,006.76 | $926.84 | 0.9× |
| UK Albert B. Chandler Hospital | Lexington, KY | $816.87 | $2,042.17 | $908.20 | 0.9× |
| Riverview Regional Medical Center | Gadsden, AL | $830 | $2,235.82 | $834.09 | 1.0× |
| Duke University Hospital | Durham, NC | $838.89 | $3,107 | $925.36 | 0.9× |
| Mayo Clinic Hospital in Florida | Jacksonville, FL | $876.85 | $1,349 | $971.14 | 0.9× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $897.47 | $1,495.78 | $934.20 | 1.0× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $897.47 | $1,495.78 | $934.20 | 1.0× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $897.47 | $1,495.78 | $934.20 | 1.0× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $897.47 | $1,495.78 | $934.20 | 1.0× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $897.47 | $1,495.78 | $935.73 | 1.0× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $897.47 | $1,495.78 | $934.20 | 1.0× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $897.47 | $1,495.78 | $934.20 | 1.0× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $897.47 | $1,495.78 | $934.20 | 1.0× |
| Baylor Regional Medical Center at Plano | Plano, TX | $897.47 | $1,495.78 | $934.20 | 1.0× |
| The Heart Hospital Baylor Denton | Denton, TX | $897.47 | $1,495.78 | $934.20 | 1.0× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $897.47 | $1,495.78 | $934.20 | 1.0× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $897.47 | $1,495.78 | $934.20 | 1.0× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $897.47 | $1,495.78 | $934.20 | 1.0× |
| Baylor Scott and White The Heart Hospital Corinth | Denton, TX | $897.47 | $1,495.78 | $934.20 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $915.16 | — | $971.14 | 0.9× |
| Longmont United Hospital | Longmont, CO | $919.44 | $2,298.60 | $991.89 | 0.9× |
| St. Anthony Hospital | Lakewood, CO | $919.44 | $2,298.60 | $981 | 0.9× |
| Penrose Hospital | Colorado Springs, CO | $919.44 | $2,298.60 | $981 | 0.9× |
| St. Anthony North Health Campus | Westminster, CO | $919.44 | $2,298.60 | $981 | 0.9× |
| OrthoColorado Hospital | Lakewood, CO | $919.44 | $2,298.60 | $981 | 0.9× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $919.44 | $2,298.60 | $981 | 0.9× |
| Dallas Regional Medical Center | Mesquite, TX | $929 | $2,235.82 | $934.20 | 1.0× |
| Methodist Hospital | Omaha, NE | $931.32 | $2,587 | $965.66 | 1.0× |
| St. Thomas More Hospital | Canon City, CO | $931.73 | $2,329.32 | $981 | 0.9× |
| St. Mary-Corwin Hospital | Pueblo, CO | $939.68 | $2,349.18 | $981 | 1.0× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $1,001.10 | — | $844.52 | 1.2× |
| Our Lady of the Lake Regional Medical Center | Baton Rouge, LA | $1,031.50 | $2,063 | $842.07 | 1.2× |
| Freeman Neosho Hospital | Neosho, MO | $1,032 | $1,720 | $931.46 | 1.1× |
| Missouri Baptist Medical Center | Town and Country, MO | $1,046.40 | $1,744 | $931.46 | 1.1× |
| Mercy Hospital Durango | Durango, CO | $1,050.38 | $2,625.95 | $981 | 1.1× |
| Southwest Mississippi Regional Medical Center | McComb, MS | $1,054.20 | $1,757 | $801.77 | 1.3× |
| UMMC Greenwood | Greenwood, MS | $1,069.60 | $1,337 | $801.77 | 1.3× |
| Griffin Hospital | Derby, CT | $1,089.93 | — | $1,114.85 | 1.0× |
| Valleywise Health Medical Center | Phoenix, AZ | $1,141.19 | — | $992.34 | 1.1× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $1,162.73 | — | $892.18 | 1.3× |
| Baxter Health | Mountain Home, AR | $1,238.27 | $2,063.78 | $846.75 | 1.5× |
| Ste. Genevieve County Memorial Hospital | Ste. Genevieve, MO | $1,250 | $2,500 | $931.46 | 1.3× |
| SSM Health Saint Louis University Hospital | St. Louis, MO | $1,257.85 | $2,287 | $931.46 | 1.4× |
| Aiken Regional Medical Centers | Aiken, SC | $1,263.60 | $3,159 | $864.93 | 1.5× |
| Columbus Regional Healthcare System | Whiteville, NC | $1,417.97 | $2,025.66 | $895.60 | 1.6× |
| Springhill Medical Center | Mobile, AL | $1,443.71 | $1,698.48 | $839.62 | 1.7× |
| Tidelands Georgetown Memorial Hospital | Georgetown, SC | $1,463 | $2,318 | $864.93 | 1.7× |
| Tidelands Waccamaw Community Hospital | Murrells Inlet, SC | $1,463 | $2,318 | $864.93 | 1.7× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $1,489.50 | $2,482.50 | $934.20 | 1.6× |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $1,489.50 | $2,482.50 | $934.20 | 1.6× |
| Texas Health Harris Methodist Hospital Southwest F | Fort Worth, TX | $1,489.50 | $2,482.50 | $935.73 | 1.6× |
| Texas Health Presbyterian Hospital Rockwall | Rockwall, TX | $1,489.50 | $2,482.50 | $934.20 | 1.6× |
| Texas Health Hospital Frisco | Frisco, TX | $1,489.50 | $2,482.50 | $934.20 | 1.6× |
| George Washington University Hospital | Washington, DC | $1,523.60 | $3,809 | $1,098.60 | 1.4× |
| Cedar Hill Regional Medical Center GW Health | Washington, DC | $1,523.60 | $3,809 | $1,098.60 | 1.4× |
| University of Kansas Hospital | Kansas City, KS | $1,565.01 | $7,825.07 | $868.24 | 1.8× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $1,579.50 | $3,510 | $981 | 1.6× |
| The Hospital at Westlake Medical Center | Austin, TX | $1,751.76 | $5,262.40 | $934.20 | 1.9× |
| Duncan Regional Hospital, Inc | Duncan, OK | $1,858.80 | — | $894.41 | 2.1× |
| Candler Hospital | Savannah, GA | $1,918.50 | $6,395 | $814.94 | 2.4× |
| St. Joseph's Hospital | Savannah, GA | $1,918.50 | $6,395 | $814.94 | 2.4× |
| Sarasota Memorial Hospital | Sarasota, FL | $2,042.40 | $5,106 | $971.14 | 2.1× |
| Sarasota Memorial Hospital - Venice | North Venice, FL | $2,042.40 | $5,106 | $971.14 | 2.1× |
| Methodist Dallas Medical Center | Dallas, TX | $2,182 | $4,364 | $934.20 | 2.3× |
| Methodist Richardson Medical Center | Richardson, TX | $2,182 | $4,364 | $934.20 | 2.3× |
| Methodist Charlton Medical Center | Dallas, TX | $2,182 | $4,364 | $934.20 | 2.3× |
| Methodist Mansfield Medical Center | Mansfield, TX | $2,182 | $4,364 | $935.73 | 2.3× |
| Methodist Southlake Medical Center | Southlake, TX | $2,182 | $4,364 | $935.73 | 2.3× |
| Methodist Midlothian Medical Center | Midlothian, TX | $2,182 | $4,364 | $934.20 | 2.3× |
| Methodist Celina Medical Center | Celina, TX | $2,182 | $4,364 | $934.20 | 2.3× |
| Mosaic Life Care at St. Joseph - Medical Center | St. Joseph, MO | $2,252.50 | $2,650 | $931.46 | 2.4× |
| Mosaic Medical Center - Albany | Albany, MO | $2,252.50 | $2,650 | $931.46 | 2.4× |
| Mosaic Medical Center - Maryville | Maryville, MO | $2,252.50 | $2,650 | $931.46 | 2.4× |
| Iredell Memorial Hospital | Statesville, NC | $2,288.25 | $8,475 | $903.70 | 2.5× |
| AnMed Cannon | Pickens, SC | $2,387.50 | $4,775 | $888.53 | 2.7× |
| AnMed Medical Center | Anderson, SC | $2,387.50 | $4,775 | $864.93 | 2.8× |
| UCHealth Greeley Hospital | Greeley, CO | $2,437.80 | $4,063 | $982.31 | 2.5× |
| Helen Keller Hospital | Sheffield, AL | $2,500 | $2,500 | $801.49 | 3.1× |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | $2,555.20 | $6,388 | $971.14 | 2.6× |
| Orlando Health - Health Central Hospital | Ocoee, FL | $2,555.20 | $6,388 | $971.14 | 2.6× |
| Orlando Health Bayfront Hospital | Saint Petersburg, FL | $2,555.20 | $6,388 | $971.14 | 2.6× |
| Orlando Health South Lake Hospital | Clermont, FL | $2,555.20 | $6,388 | $971.14 | 2.6× |
| Orlando Health Sebastian River Hospital | Sebastian, FL | $2,555.20 | $6,388 | $971.14 | 2.6× |
| Orlando Health Melbourne Hospital | Melbourne, FL | $2,555.20 | $6,388 | $971.14 | 2.6× |
| Orlando Health St. Cloud Hospital | Saint Cloud, FL | $2,555.20 | $6,388 | $971.14 | 2.6× |
| Methodist Fremont Health | Fremont, NE | $2,682.87 | $7,251 | $965.66 | 2.8× |
| Northwest Surgical Hospital | Oklahoma City, OK | $2,683.23 | — | $894.41 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $2,683.23 | — | $894.41 | 3.0× |
| United Regional Health Care System | Wichita Falls, TX | $2,755.49 | $2,900.52 | $934.20 | 2.9× |
| Poudre Valley Hospital | Fort Collins, CO | $2,844.10 | $4,063 | $981 | 2.9× |
| Medical Center of the Rockies | Loveland, CO | $2,844.10 | $4,063 | $981 | 2.9× |
| Bayhealth Hospital, Kent Campus | Dover, DE | $2,918.16 | $3,474 | $1,037.09 | 2.8× |
| Bayhealth Hospital, Sussex Campus | Milford, DE | $2,918.16 | $3,474 | $1,004.94 | 2.9× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $2,921.88 | $2,921.88 | $934.20 | 3.1× |
| Cleveland Clinic Hospital | Weston, FL | $2,963.35 | $4,559 | $971.14 | 3.1× |
| UCHealth University of Colorado Hospital | Aurora, CO | $2,999.15 | $8,569 | $981 | 3.1× |
| University Medical Center | Lubbock, TX | $3,139 | $3,139 | $934.20 | 3.4× |
| Memorial Regional Hospital | Hollywood, FL | $3,409.70 | $4,871 | $971.14 | 3.5× |
| Memorial Hospital Pembroke | Pembroke Pines, FL | $3,409.70 | $4,871 | $971.14 | 3.5× |
| Memorial Hospital West | Pembroke Pines, FL | $3,409.70 | $4,871 | $971.14 | 3.5× |
| Memorial Hospital Miramar | Miramar, FL | $3,409.70 | $4,871 | $971.14 | 3.5× |
| St. Elizabeth Healthcare Ft. Thomas Hospital | Fort Thomas, KY | $3,660.87 | $3,660.87 | $906.26 | 4.0× |
| St. Elizabeth Healthcare Edgewood Hospital | Edgewood, KY | $3,660.87 | $3,660.87 | $922 | 4.0× |
| St. Elizabeth Healthcare Florence Hospital | Florence, KY | $3,660.87 | $3,660.87 | $906.26 | 4.0× |
| St. Elizabeth Healthcare Grant Hospital | Williamstown, KY | $3,660.87 | $3,660.87 | $906.26 | 4.0× |
| Freeman Hospital West | Joplin, MO | $4,080.60 | $6,801 | $931.46 | 4.4× |
| Nemours Children's Hospital, Delaware | Wilmington, DE | $4,391 | $4,391 | $989.83 | 4.4× |
| Saint Francis Hospital | Hartford, CT | $15,808.35 | — | $1,114.85 | 14.2× |
| The Medical Center at Bowling Green | Bowling Green, KY | — | $1,240 | $882.83 | — |
| The Medical Center at Russellville | Russellville, KY | — | $1,240 | $872.57 | — |
| The Medical Center at Caverna | Horse Cave, KY | — | $1,240 | $872.57 | — |
| The Medical Center at Franklin | Franklin, KY | — | $1,240 | $872.57 | — |
| The Medical Center at Scottsville | Scottsville, KY | — | $1,240 | $872.57 | — |
| The Medical Center at Albany | Albany, KY | — | $1,240 | $872.57 | — |
| Ephraim McDowell James B. Haggin Hospital | Harrodsburg, KY | — | $1,889.88 | $872.57 | — |
| Saline Memorial Hospital | Benton, AR | — | $3,229.86 | $873.77 | — |
| University of Texas M D Anderson Cancer Center | Houston, TX | — | $3,468 | $934.20 | — |
| UAB St. Vincent's Blount | Oneonta, AL | — | $3,794 | $850.62 | — |
| UAB St. Vincent's East | Birmingham, AL | — | $5,071 | $850.62 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $5,166.10 | $981 | — |
| UAB St. Vincent's Birmingham | Birmingham, AL | — | $6,738.50 | $850.62 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $7,606.65 | $981 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $7,606.65 | $981 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $7,606.65 | $991.89 | — |
| Middlesex Hospital | Middletown, CT | — | $999,999,999 | $1,114.85 | — |
"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.