Aco ccm; at least 20 min 99490aco cost at US hospitals
ACO CCM; at least 20 min 99490ACO · CPT 99490
$9.15
lowest cash price
$102.47
national median
$518.70
highest cash price
176
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $9.15–$518.70 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($103.08) → Sep 1, 2026 ($109.46)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | not published by hospital | not published by hospital | not published by hospital |
| Arizona | 1 | $77.91 | $77.91 | $77.91 |
| California | 14 | $9.15 | $29.64 | $102.96 |
| Colorado | 13 | $119.16 | $119.16 | $119.16 |
| Florida | 50 | $134.31 | $518.70 | $518.70 |
| Georgia | 19 | $145.86 | $145.86 | $235.00 |
| Illinois | 20 | $80.40 | $80.40 | $215.40 |
| Indiana | 18 | $60.00 | $60.60 | $60.60 |
| Iowa | 16 | $76.80 | $115.20 | $115.20 |
| Kansas | 5 | not published by hospital | not published by hospital | not published by hospital |
| Kentucky | 1 | $96.00 | $96.00 | $96.00 |
| Louisiana | 6 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 19 | $139.68 | $139.68 | $139.68 |
| Minnesota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Mississippi | 4 | $19.80 | $30.45 | $69.60 |
| Missouri | 8 | not published by hospital | not published by hospital | not published by hospital |
| Montana | 2 | $92.80 | $92.80 | $92.80 |
| Nebraska | 3 | $145.25 | $147.00 | $148.75 |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 21 | $101.09 | $102.38 | $108.93 |
| New Mexico | 2 | not published by hospital | not published by hospital | not published by hospital |
| New York | 16 | $109.46 | $109.46 | $270.00 |
| North Carolina | 13 | $87.00 | $87.00 | $87.00 |
| North Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 24 | $152.00 | $414.70 | $414.70 |
| Oklahoma | 10 | $68.54 | $68.54 | $159.90 |
| Oregon | 6 | $80.64 | $80.64 | $80.64 |
| Pennsylvania | 1 | $117.00 | $117.00 | $117.00 |
| South Carolina | 3 | not published by hospital | not published by hospital | not published by hospital |
| South Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Tennessee | 18 | $38.55 | $38.55 | $38.55 |
| Texas | 86 | $36.96 | $71.94 | $73.50 |
| Virginia | 11 | $38.55 | $91.00 | $99.00 |
| Washington | 22 | $91.60 | $91.60 | $91.60 |
| West Virginia | 16 | $30.50 | $117.00 | $156.00 |
| Wisconsin | 12 | $90.20 | $90.20 | $90.20 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Sugar Land Hospital | Sugar Land, TX | $73.50 | $47.36 – $210.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring, TX | $73.50 | $47.36 – $210.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands, TX | $73.50 | $47.36 – $210.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $76.80 | not published |
| Yavapai Regional Medical Center (East) | Prescott, AZ | $77.91 | $89.25 – $104.51 |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $80.40 | not published |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $80.40 | $57.22 – $123.28 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $80.40 | $97.82 – $2,679.00 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $80.40 | $154.96 – $2,970.16 |
| MID-COLUMBIA MEDICAL CENTER | The Dalles, OR | $80.64 | $43.03 – $224.95 |
| CHI Health Mercy Corning | Corning, IA | $84.00 | $75.25 – $171.50 |
| CHI Health Missouri Valley | Missouri Valley, IA | $85.75 | $61.25 – $171.50 |
| Sentara Albemarle Regional Medical Center | Elizabeth City, NC | $87.00 | not published |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | $87.00 | not published |
| Sentara RMH Medical Center | Harrisonburg, VA | $87.00 | not published |
| SSM Health St. Clare Hospital - Baraboo | Baraboo, WI | $90.20 | not published |
| Sentara Leigh Hospital | Norfolk, VA | $91.00 | not published |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | $91.00 | not published |
| Sentara Princess Anne Hospital | Virginia Beach, VA | $91.00 | not published |
| Sentara Obici Hospital | Suffolk, VA | $91.00 | not published |
| Sentara CarePlex Hospital | Hampton, VA | $91.00 | not published |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | $91.00 | not published |
| Sentara Norfolk General Hospital | Norfolk, VA | $91.00 | not published |
| MultiCare Yakima Memorial Hospital | Yakima, WA | $91.60 | $121.19 – $277.42 |
| Providence St Joseph Medical Center | Polson, MT | $92.80 | $247.51 – $247.51 |
| Camden Clark Medical Center | Parkersburg, WV | $95.00 | $37.05 – $67.88 |
| Jackson General Hospital | Ripley, WV | $95.00 | not published |
| Paintsville ARH Hospital | Paintsville, KY | $96.00 | $58.23 – $58.23 |
| Jefferson Medical Center | Ranson, WV | $97.50 | not published |
| St. Joseph's Hospital | Buckhannon, WV | $97.50 | not published |
| Sentara Halifax Regional Hospital | South Boston, VA | $99.00 | $101.90 – $104.90 |
| Reynolds Memorial Hospital | Glen Dale, WV | $100.00 | $25.21 – $67.88 |
| Ocean University Medical Center | Brick, NJ | $101.09 | $81.98 – $158.13 |
| Southern Ocean Medical Center | Manahawkin, NJ | $101.09 | $81.98 – $121.31 |
| Bayshore Medical Center | Holmdel, NJ | $102.38 | $102.38 – $122.86 |
| Jersey Shore University Medical Center | Neptune City, NJ | $102.38 | $81.98 – $122.86 |
| Riverview Medical Center | Red Bank, NJ | $102.38 | $81.98 – $122.86 |
| Raritan Bay Medical Center | Perth Amboy, NJ | $102.47 | $84.42 – $122.97 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | $102.47 | $84.42 – $158.13 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg, CA | $102.96 | $64.71 – $278.92 |
| Hackensack University Medical Center | Hackensack, NJ | $108.93 | $84.42 – $114.38 |
| Palisades Medical Center | North Bergen, NJ | $108.93 | $84.42 – $118.74 |
| Bellevue Hospital Center | NY 10016, NY | $109.46 | $0.01 – $645.00 |
| Kings County Hospital Center | Brooklyn, NY | $109.46 | $0.01 – $645.00 |
| Lincoln Medical Center | Bronx, NY | $109.46 | $0.01 – $645.00 |
| Metropolitan Hospital Center | New York, NY | $109.46 | $0.01 – $645.00 |
| Harlem Hospital Center | New York, NY | $109.46 | $0.01 – $645.00 |
| Woodhull Medical Center | Brooklyn, NY | $109.46 | $0.01 – $645.00 |
| Queens Hospital Center | Jamaica, NY | $109.46 | $0.01 – $645.00 |
| Elmhurst Hospital Center | NY 11373, NY | $109.46 | $0.01 – $645.00 |