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 |
|---|---|---|---|
| Grant Memorial Hospital | Petersburg, WV | $156.00 | not published |
| Mercy Hospital Oklahoma City | Oklahoma City, OK | $159.90 | $93.93 – $211.35 |
| OSF Little Company of Mary Medical Center | Evergreen Park, IL | $215.40 | $108.87 – $202.49 |
| Emory Long-Term Acute Care Hospital | Decatur, GA | $235.00 | not published |
| Emory Rehabilitation Hospital | Atlanta, GA | $235.00 | not published |
| Emory University Hospital | Ne, GA | $235.00 | $101.90 – $216.02 |
| Emory Decatur Hospital | Decatur, GA | $235.00 | $101.90 – $216.02 |
| Emory Hillandale Hospital | Lithonia, GA | $235.00 | not published |
| Emory Johns Creek Hospital | Johns Creek, GA | $235.00 | not published |
| Emory Saint Joseph's Hospital | Atlanta, GA | $235.00 | not published |
| Emory University Hospital Midtown | Atlanta, GA | $235.00 | $103.19 – $218.75 |
| akron general | Akron, OH | $260.00 | $1.10 – $360.00 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York, NY | $270.00 | $49.00 – $136.83 |
| cleveland clinic main campus | Cleveland, OH | $414.70 | $0.01 – $574.20 |
| avon hospital | Avon, OH | $414.70 | $0.01 – $574.20 |
| euclid hospital | Euclid, OH | $414.70 | $0.01 – $574.20 |
| fairview hospital | Cleveland, OH | $414.70 | $0.01 – $574.20 |
| lutheran hospital | Cleveland, OH | $414.70 | $0.01 – $574.20 |
| hillcrest hospital | Mayfield Heights, OH | $414.70 | $0.01 – $574.20 |
| marymount hospital | Garfield Heights, OH | $414.70 | $0.01 – $574.20 |
| medina hospital | Medina, OH | $414.70 | $0.01 – $574.20 |
| mercy hospital | Canton, OH | $414.70 | $0.01 – $574.20 |
| south pointe hospital | Warrensville Heights, OH | $414.70 | $0.01 – $574.20 |
| cleveland clinic florida weston hospital | Weston, FL | $518.70 | $34.32 – $678.30 |
| martin north hospital | Stuart, FL | $518.70 | $36.13 – $399.00 |
| indian river hospital | Vero Beach, FL | $518.70 | $34.32 – $638.40 |
| MultiCare Deaconess Hospital | Spokane, WA | not published | $110.94 – $338.29 |
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC, FL | not published | $36.10 – $36.86 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION, FL | not published | $36.10 – $36.86 |
| HCA FLORIDA OCALA HOSPITAL | SUMMERFIELD, FL | not published | $34.20 – $36.00 |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | Tampa, FL | not published | $34.20 – $34.92 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie, FL | not published | $36.86 – $36.86 |
| UCF LAKE NONA HOSPITAL | Orlando, FL | not published | $34.20 – $34.92 |
| HCA FLORIDA TWIN CITIES HOSPITAL | DEFUNIAK SPRINGS, FL | not published | $34.20 – $36.00 |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY, FL | not published | $34.20 – $34.92 |
| HCA FLORIDA ST. PETERSBURG HOSPITAL | NORTH, FL | not published | $34.20 – $34.92 |
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART, FL | not published | $36.10 – $36.86 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH, FL | not published | $34.20 – $34.92 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE, FL | not published | $34.20 – $34.92 |
| HCA FLORIDA PUTNAM HOSPITAL | Palatka, FL | not published | $34.20 – $36.00 |
| HCA FLORIDA POINCIANA HOSPITAL | DAVENPORT, FL | not published | $34.20 – $36.00 |
| HCA FLORIDA PALMS WEST HOSPITAL | LOXAHATCHEE, FL | not published | $36.10 – $36.86 |
| OVIEDO MEDICAL CENTER | Oviedo, FL | not published | $34.92 – $34.92 |
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO, FL | not published | $34.20 – $36.00 |
| HCA FLORIDA ORANGE PARK HOSPITAL | MIDDLEBURG, FL | not published | $34.20 – $34.92 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE, FL | not published | $34.20 – $34.92 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE, FL | not published | $36.10 – $36.86 |
| HCA FLORIDA NORTHSIDE HOSPITAL | ST PETERSBURG, FL | not published | $34.20 – $34.92 |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | NEWBERRY, FL | not published | $34.20 – $36.00 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI, FL | not published | $38.00 – $38.80 |