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 |
|---|---|---|---|
| Jacobi Medical Center | Bronx, NY | $109.46 | $0.01 – $645.00 |
| South Brooklyn Health | Brooklyn, NY | $109.46 | $0.01 – $645.00 |
| North Central Bronx | Bronx, NY | $109.46 | $0.01 – $645.00 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $115.20 | $45.64 – $97.34 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $115.20 | $45.64 – $132.48 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $115.20 | $45.64 – $97.34 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $115.20 | $45.64 – $97.34 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $115.20 | $45.64 – $97.34 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $115.20 | $45.64 – $97.34 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $115.20 | $37.44 – $97.34 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $115.20 | $45.64 – $97.34 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $115.20 | $45.64 – $97.34 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $115.20 | $45.64 – $97.34 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $115.20 | $45.64 – $97.34 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $115.20 | $45.64 – $97.34 |
| Uniontown Hospital | Uniontown, PA | $117.00 | $28.34 – $204.52 |
| Berkeley Medical Center | Martinsburg, WV | $117.00 | $27.56 – $68.46 |
| West Virginia University Hospitals | Morgantown, WV | $117.00 | $25.43 – $165.73 |
| AdventHealth Parker | Parker, CO | $119.16 | $87.63 – $198.26 |
| AdventHealth Littleton | Littleton, CO | $119.16 | $87.63 – $198.26 |
| AdventHealth Porter | Denver, CO | $119.16 | $87.63 – $198.26 |
| AdventHealth Avista | Louisville, CO | $119.16 | $87.63 – $200.46 |
| AdventHealth Castle Rock | Castle Rock, CO | $119.16 | $87.63 – $198.26 |
| Thomas Hospitals | South Charleston, WV | $121.00 | $37.05 – $196.31 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville, FL | $134.31 | $90.06 – $190.34 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville, FL | $134.31 | $89.14 – $190.34 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $139.68 | $27.90 – $86.67 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $139.68 | $27.90 – $232.81 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $139.68 | $27.90 – $63.11 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $139.68 | $27.90 – $232.81 |
| CHI Health St. Mary's | Nebraska City, NE | $145.25 | $37.49 – $168.00 |
| Wellstar Cobb Hospital | Austell, GA | $145.86 | not published |
| Wellstar Douglas Hospital | Douglasville, GA | $145.86 | not published |
| Wellstar Kennestone Hospital | Marietta, GA | $145.86 | not published |
| Wellstar MCG Health | Augusta, GA | $145.86 | $89.02 – $174.49 |
| Wellstar North Fulton Hospital | Roswell, GA | $145.86 | not published |
| Wellstar Paulding Hospital | Hiram, GA | $145.86 | not published |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280, GA | $145.86 | not published |
| Wellstar Spalding Regional Hospital | Griffin, GA | $145.86 | not published |
| Wellstar Sylvan Grove Hospital | Jackson, GA | $145.86 | not published |
| Wellstar West Georgia Medical Center | Lagrange, GA | $145.86 | not published |
| Wellstar Windy Hill Hospital | Marietta, GA | $145.86 | not published |
| CHI Health Plainview | Plainview, NE | $147.00 | $106.75 – $236.99 |
| CHI Health Schuyler | Schuyler, NE | $148.75 | $37.49 – $198.14 |
| Braxton County Memorial Hospital | Gassaway, WV | $152.00 | not published |
| Barnesville Hospital | Barnesville, OH | $152.00 | not published |
| Potomac Valley Hospital | Keyser, WV | $152.00 | not published |
| Princeton Community Hospital | Princeton, WV | $152.00 | $25.76 – $225.94 |
| Summersville Regional Medical Center | Summersville, WV | $152.00 | not published |
| Wetzel County Hospital | New Martinsville, WV | $152.00 | $28.34 – $67.88 |