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 |
|---|---|---|---|
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel, IN | not published | $6.45 – $48.81 |
| Marion General Hospital | Marion, OH | not published | $97.00 – $100.88 |
| SSM Health Monroe Hospital | Monroe, WI | not published | $98.68 – $98.68 |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | not published | $101.09 – $201.17 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo, IN | not published | $5.08 – $48.81 |
| Providence St Joseph Hospital Orange | Orange, CA | not published | $111.06 – $241.72 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | not published | $76.97 – $190.53 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | not published | $46.22 – $99.13 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | not published | $96.11 – $173.00 |
| Atrium Health University City | Charlotte, NC | not published | $46.22 – $99.13 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | not published | $46.22 – $99.13 |
| St Patrick Hospital - Broadway Campus | Missoula, MT | not published | $104.83 – $247.51 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | not published | $111.06 – $241.72 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | not published | $141.36 – $144.24 |
| Monmouth Medical Center | Long Branch, NJ | not published | $102.38 – $203.74 |
| Jersey City Medical Center | Jersey City, NJ | not published | $41.33 – $216.77 |
| Atrium Health Union | Monroe, NC | not published | $46.22 – $99.13 |
| Atrium Health Lincoln | Lincolnton, NC | not published | $46.22 – $99.13 |
| Atrium Health Cabarrus | Concord, NC | not published | $46.22 – $99.13 |
| Atrium Health Cleveland | Shelby, NC | not published | $46.22 – $99.13 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | not published | $46.22 – $48.53 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | not published | $101.75 – $122.10 |
| Adventhealth Central Texas | Killeen, TX | not published | $102.05 – $163.28 |
| Ascension St. Francis Hospital, Inc. | Milwaukee, WI | not published | $89.82 – $125.75 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | not published | $53.13 – $186.75 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | not published | $31.59 – $134.63 |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | not published | $31.59 – $134.63 |
| lodi hospital | Lodi, OH | not published | $92.50 – $103.79 |
| Atrium Health Stanly | Albermarle, NC | not published | $46.22 – $99.13 |
| Atrium Health Pineville | Charlotte, NC | not published | $46.22 – $99.13 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | not published | $87.88 – $97.13 |
| Sanford Fargo Medical Center | Fargo, ND | not published | $49.60 – $97.13 |
| Sanford Medical Center Bismarck | Bismarck, ND | not published | $49.60 – $97.13 |
| Atrium Health Mercy | Charlotte, NC | not published | $46.22 – $99.13 |
| Sanford Worthington Medical Center | Worthington, MN | not published | $65.69 – $95.32 |
| Sanford Bemidji Medical Center | Bemidji, MN | not published | $64.30 – $95.32 |
| Covenant Children's Hospital | Lubbock, TX | not published | $110.62 – $110.62 |
| Healdsburg Hospital | Healdsburg, CA | not published | $136.88 – $136.88 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | not published | $101.75 – $122.10 |
| Newark Beth Israel Medical Center | Newark, NJ | not published | $32.88 – $207.56 |
| Swedish Issaquah | Issaquah, WA | not published | $117.97 – $369.14 |
| Ascension Saint Thomas Midtown | Nashville, TN | not published | $79.73 – $124.03 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | not published | $101.75 – $122.10 |
| Clara Maass Medical Center | Belleville, NJ | not published | $103.78 – $206.52 |
| Community Medical Center | Toms River, NJ | not published | $101.09 – $201.17 |
| Atrium Health Anson | Wadesboro, NC | not published | $46.22 – $99.13 |
| Covenant Hospital Plainview | Plainview, TX | not published | $68.45 – $116.47 |
| Berger Hospital | Circleville, OH | not published | $63.86 – $63.86 |
| UnityPoint Health - Meriter Hospital | Madison, WI | not published | $45.99 – $120.49 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | $139.81 – $185.13 |