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 |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE, FL | not published | $34.20 – $34.92 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER, CO | not published | $36.10 – $142.94 |
| HCA FLORIDA LARGO HOSPITAL | LARGO, FL | not published | $34.20 – $34.92 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD, FL | not published | $34.20 – $36.00 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK, FL | not published | $34.20 – $36.00 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL, FL | not published | $38.00 – $38.80 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS, FL | not published | $36.10 – $36.86 |
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring, FL | not published | $34.92 – $34.92 |
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY, FL | not published | $34.20 – $36.00 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE, FL | not published | $34.20 – $36.00 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS, FL | not published | $34.20 – $34.92 |
| HCA FLORIDA ENGLEWOOD HOSPITAL | ENGLEWOOD, FL | not published | $34.20 – $34.92 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE, FL | not published | $34.20 – $36.00 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA, FL | not published | $34.20 – $34.92 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON, FL | not published | $34.20 – $34.92 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON, FL | not published | $34.20 – $34.92 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH, FL | not published | $38.00 – $38.80 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD, CO | not published | $137.16 – $142.94 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver, CO | not published | $137.16 – $142.94 |
| HCA HealthONE SKY RIDGE | Lone Tree, CO | not published | $137.16 – $142.94 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER, CO | not published | $137.16 – $142.94 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver, CO | not published | $137.16 – $142.94 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton, CO | not published | $137.16 – $142.94 |
| HCA HealthONE AURORA | Aurora, CO | not published | $137.16 – $142.94 |
| HCA HOUSTON WEST | HOUSTON, TX | not published | $75.91 – $75.91 |
| HCA HOUSTON SOUTHEAST | PASADENA, TX | not published | $75.91 – $75.91 |
| HCA HOUSTON TOMBALL | HOUSTON, TX | not published | $75.91 – $75.91 |
| HCA HOUSTON NORTHWEST | SPRING, TX | not published | $75.91 – $75.91 |
| HCA HOUSTON PEARLAND | Pearland, TX | not published | $75.91 – $75.91 |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | not published | $75.91 – $75.91 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD, TX | not published | $75.91 – $75.91 |
| HCA HOUSTON MEDICAL CENTER | Houston, TX | not published | $75.91 – $75.91 |
| HCA HOUSTON CONROE | CONROE, TX | not published | $75.91 – $75.91 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $89.21 – $89.21 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | not published | $89.21 – $89.21 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | not published | $89.21 – $89.21 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | not published | $89.21 – $89.21 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | not published | $89.21 – $89.21 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | not published | $98.72 – $108.59 |
| MUSC Health Chester Medical Center | Chester, SC | not published | $98.72 – $108.59 |
| MUSC Health Main Campus - Charleston | Charleston, SC | not published | $94.49 – $103.93 |
| Virginia Mason Medical Center | Seattle, WA | not published | $1.18 – $1,210.79 |
| Canton-Potsdam Hospital | Potsdam, NY | not published | $38.39 – $44.79 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | not published | $36.69 – $52.61 |
| Newark Wayne Community Hospital | Newark, NY | not published | $42.66 – $88.89 |
| MultiCare Allenmore Hospital | Tacoma, WA | not published | $116.19 – $487.67 |
| MultiCare Valley Hospital | Spokane Valley, WA | not published | $114.27 – $337.53 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | not published | $119.68 – $596.56 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | not published | $116.19 – $487.67 |
| MultiCare Covington Medical Center | Covington, WA | not published | $115.61 – $487.67 |