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 |
|---|---|---|---|
| Henry Ford St John Hospital | Detroit, MI | not published | $28.62 – $172.20 |
| Robert Wood Johnson University Hospital Rahway | Rahway, NJ | not published | $101.09 – $201.17 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita, KS | not published | $85.55 – $239.54 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | not published | $68.90 – $182.20 |
| Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) | Vernon, IN | not published | $6.45 – $48.81 |
| MaineHealth - Memorial Hospital | North Conway, NH | not published | $47.37 – $120.79 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | not published | $101.22 – $151.84 |
| Providence Willamette Falls Medical Center | Oregon City, OR | not published | $111.11 – $307.93 |
| Franklin Memorial Hospital | Farmington, ME | not published | $46.51 – $120.79 |
| SSM Health St. Mary's Hospital - Centralia | Centralia, IL | not published | $108.87 – $114.31 |
| CHRISTUS Children's Hospital | San Antonio, TX | not published | $111.27 – $111.27 |
| Adventhealth Rollins Brook | Lampasas, TX | not published | $124.89 – $124.89 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS, TX | not published | $67.60 – $67.60 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | not published | $76.97 – $209.09 |
| CHRISTUS St. Vincent Regional Medical Center | Santa Fe, NM | not published | $53.70 – $195.22 |
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | not published | $86.23 – $209.74 |
| CHRISTUS Shreveport-Bossier Health System-Highland | Shreveport, LA | not published | $84.58 – $140.00 |
| CHRISTUS Ochsner St. Patrick Hospital | Lake Charles, LA | not published | $83.76 – $163.25 |
| CHRISTUS Ochsner Lake Area Hospital | Lake Charles, LA | not published | $82.40 – $160.74 |
| CHRISTUS Louisiana Surgical Hospital | Alexandria, LA | not published | $57.16 – $206.78 |
| CHRISTUS Coushatta Health Care Center | Coushatta, LA | not published | $190.87 – $190.87 |
| Providence St Peter Hospital | Olympia, WA | not published | $99.31 – $439.82 |
| Providence Holy Family Hospital | Spokane, WA | not published | $113.21 – $297.17 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | not published | $33.34 – $33.34 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | not published | $31.59 – $134.63 |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | not published | $115.69 – $329.87 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena, FL | not published | $34.20 – $34.92 |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | not published | $31.59 – $134.63 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan, KS | not published | $37.71 – $239.54 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | not published | $31.59 – $156.87 |
| Ascension Calumet Hospital, Inc. | Chilton, WI | not published | $53.13 – $90.54 |
| Providence St Vincent Medical Center | Portland, OR | not published | $111.11 – $307.93 |
| Providence Centralia Hospital | Centralia, WA | not published | $117.64 – $489.30 |
| Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) | Boonville, IN | not published | $5.08 – $48.81 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | not published | $101.19 – $183.16 |
| Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) | Williamsport, IN | not published | $5.08 – $48.81 |
| Robert Wood Johnson University Hospital Somerset | Somerville, NJ | not published | $33.81 – $201.17 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | not published | $53.13 – $186.75 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township, NJ | not published | $101.09 – $201.17 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | not published | $31.59 – $161.35 |
| Providence Portland Medical Center | Portland, OR | not published | $111.11 – $307.93 |
| Henry Ford Providence Novi Hospital | Novi, MI | not published | $28.62 – $1,044.98 |
| Henry J. Carter Specialty Hospital | New York, NY | not published | not published |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | not published | $96.11 – $173.00 |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood, IN | not published | $6.45 – $48.81 |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | not published | $58.79 – $225.39 |
| Riverside Methodist Hospital | Columbus, OH | not published | $97.95 – $97.95 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson, IN | not published | $5.08 – $48.81 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | not published | $75.36 – $193.93 |
| Wamego Health Center (Wamego Hospital Association) | Wamego, KS | not published | $37.71 – $57.10 |