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 |
|---|---|---|---|
| MultiCare Capital Medical Center | Olympia, WA | not published | $115.29 – $525.61 |
| MultiCare Auburn Medical Center | Auburn, WA | not published | $115.61 – $487.67 |
| Houston Methodist Cypress Hospital | Cypress, TX | not published | $101.21 – $199.00 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | not published | $101.21 – $204.11 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | not published | $56.45 – $199.00 |
| Houston Methodist Willowbrook Hospital | Houston, TX | not published | $101.21 – $199.00 |
| Houston Methodist Baytown Hospital | Baytown, TX | not published | $101.21 – $199.00 |
| Houston Methodist West Hospital | Houston, TX | not published | $101.21 – $408.21 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | not published | $101.21 – $199.00 |
| Houston Methodist Hospital | Houston, TX | not published | $101.21 – $408.21 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | not published | $89.21 – $89.21 |
| Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) | Carmel, IN | not published | $6.45 – $48.81 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | not published | $88.50 – $204.44 |
| Texas Health Hospital Mansfield | Mansfield, TX | not published | $88.50 – $204.11 |
| OSF Healthcare Saint Katharine Medical Center | Dixon, IL | not published | $108.87 – $108.87 |
| OSF Saint Francis Medical Center | Peoria, IL | not published | $43.81 – $370.10 |
| OSF Saint Anthony's Health Center | Alton, IL | not published | $108.87 – $111.04 |
| OSF Saint Anthony Medical Center | Rockford, IL | not published | $43.81 – $381.03 |
| Parkview Logansport Hospital | Logansport, IN | not published | $107.48 – $214.97 |
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne, IN | not published | $107.48 – $161.22 |
| Morristown-Hamblen Hospital Association | Morristown, TN | not published | $35.13 – $96.78 |
| Parkwest Medical Center | Knoxville, TN | not published | $33.84 – $96.78 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | not published | $35.13 – $96.78 |
| LeConte Medical Center | Sevierville, TN | not published | $35.13 – $103.65 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle, TX | not published | $89.21 – $89.21 |
| Fort Sanders Regional Medical Center | Knoxville, TN | not published | $35.13 – $96.78 |
| Fort Loudoun Medical Center | Lenoir City, TN | not published | $35.13 – $96.78 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | not published | $92.65 – $185.30 |
| Cumberland Medical Center, Inc. | Crossville, TN | not published | $42.16 – $103.65 |
| CHRISTUS St. Michael Hospital - Atlanta | Atlanta, TX | not published | $84.99 – $181.62 |
| CHRISTUS Good Shepherd Medical Center - Longview | Longview, TX | not published | $52.23 – $176.68 |
| Gerald Champion Regional Medical Center | Alamogordo, NM | not published | $53.70 – $141.11 |
| CHRISTUS Spohn Hospital Corpus Christi - Shoreline | Corpus Christi, TX | not published | $41.20 – $179.92 |
| Claiborne Medical Center | Tazewell, TN | not published | $35.13 – $103.65 |
| Roane County Medical Center | Harriman, TN | not published | $35.13 – $96.78 |
| CHRISTUS Spohn Hospital - Kleberg | Kingsville, TX | not published | $35.85 – $187.24 |
| CHRISTUS Spohn Hospital - Beeville | Beeville, TX | not published | $81.71 – $187.24 |
| CHRISTUS Spohn Hospital - Alice | Alice, TX | not published | $75.59 – $187.24 |
| CHRISTUS Southeast Texas Jasper Memorial | Jasper, TX | not published | $93.31 – $186.62 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $79.15 – $226.79 |
| CHRISTUS Trinity Mother Frances Hospital - Winnsboro | Winnsboro, TX | not published | $103.81 – $103.81 |
| CHRISTUS Good Shepherd Medical Center - Marshall | Marshall, TX | not published | $52.23 – $176.68 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee, WI | not published | $89.82 – $125.75 |
| Kadlec Regional Medical Center | Richland, WA | not published | $84.74 – $307.09 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | not published | $31.59 – $161.35 |
| Providence St Mary Medical Center | Walla Walla, WA | not published | $78.98 – $209.43 |
| Providence Milwaukie Hospital | Milwaukie, OR | not published | $111.11 – $307.93 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | not published | $31.59 – $134.63 |
| Swedish Edmonds Hospital | Edmonds, WA | not published | $115.69 – $353.43 |
| Covenant Hospital Levelland | Levelland, TX | not published | $77.53 – $116.47 |