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 |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane, WA | not published | $113.21 – $124.53 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | not published | $81.86 – $198.11 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | not published | $76.97 – $209.09 |
| Advocate Condell Medical Center | Libertyville, IL | not published | $139.81 – $185.13 |
| Advocate Christ Medical Center | Oak Lawn, IL | not published | $139.81 – $185.13 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | not published | $117.64 – $369.14 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | not published | $113.21 – $288.11 |
| Trinitas Regional Medical Center | Elizabeth, NJ | not published | $31.94 – $202.18 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | not published | $81.86 – $198.11 |
| Lincoln Health | Damariscotta, ME | not published | $49.28 – $120.79 |
| Stephens Memorial Hospital | Norway, ME | not published | $49.28 – $120.79 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $89.21 – $89.21 |
| Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center) | Hoffman Estates, IL | not published | $91.60 – $156.20 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg, FL | not published | $90.06 – $190.34 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago, IL | not published | $96.42 – $156.20 |
| Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center) | Elk Grove Village, IL | not published | $91.60 – $156.20 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford, TX | not published | $67.60 – $76.56 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | not published | $67.60 – $76.56 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | not published | $89.21 – $89.21 |
| Midwest Orthopedic Specialty Hospital | Franklin, WI | not published | $89.82 – $125.75 |
| Ascension Providence | Waco, TX | not published | $53.85 – $135.99 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns, FL | not published | $90.99 – $190.34 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City, FL | not published | $92.85 – $171.77 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | not published | $79.73 – $124.03 |
| Corewell Health Wayne | Wayne, MI | not published | $65.70 – $223.33 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe, FL | not published | $99.44 – $183.96 |
| Corewell Health Troy | Troy, MI | not published | $56.22 – $250.47 |
| Ascension Saint Thomas River Park | McMinnville, TN | not published | $26.85 – $122.23 |
| Corewell Health Trenton | Trenton, MI | not published | $65.70 – $199.19 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola, FL | not published | $92.85 – $171.77 |
| Henry Ford Warren Hospital | Warren, MI | not published | $28.62 – $172.20 |
| Henry Ford Madison Heights Hospital | Madison Heights, MI | not published | $28.62 – $45.75 |
| Corewell Health Taylor | Taylor, MI | not published | $65.70 – $261.55 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | not published | $56.49 – $148.61 |
| Ascension Saint Thomas DeKalb | Smithville, TN | not published | $26.85 – $122.23 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | not published | $68.90 – $182.20 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks, OK | not published | $35.65 – $35.65 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa, OK | not published | $35.65 – $75.51 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata, OK | not published | $35.65 – $75.51 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso, OK | not published | $35.65 – $197.98 |
| Ascension Saint Thomas Highlands | Sparta, TN | not published | $26.85 – $122.23 |
| Henry Ford River District Hospital | China Township, MI | not published | $28.62 – $172.20 |
| Ascension Via Christi Hospital St. Teresa, Inc. | Wichita, KS | not published | $85.55 – $239.54 |
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil, IN | not published | $5.08 – $48.81 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | not published | $6.45 – $48.81 |
| St Elias Specialty Hospital | Anchorage, AK | not published | $85.95 – $107.67 |
| Henry Ford Genesys Hospital | Grand Blanc Twp, MI | not published | $49.19 – $196.82 |
| Covenant Medical Center | Lubbock, TX | not published | $102.05 – $110.62 |
| Henry Ford Rochester Hospital | Rochester, MI | not published | $48.94 – $172.20 |
| Spring Harbor Hospital | Westbrook, ME | not published | $46.51 – $120.79 |