_afb org id by sequencing rflx ast-sendout cost at US hospitals
_AFB Org ID by Sequencing Rflx AST-Sendout · CPT 87153
$15.38
lowest cash price
$300.00
national median
$2,813.29
highest cash price
685
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $15.38–$2,813.29 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($115.36) → Sep 1, 2026 ($404.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 5 | $206.70 | $237.12 | $304.98 |
| Arizona | 23 | $56.91 | $94.04 | $471.17 |
| Arkansas | 7 | $58.35 | $365.95 | $532.00 |
| California | 87 | $15.38 | $69.87 | $599.20 |
| Colorado | 17 | $133.94 | $408.37 | $2,762.00 |
| Florida | 81 | $45.88 | $268.63 | $2,303.16 |
| Georgia | 24 | $164.88 | $378.69 | $398.00 |
| Hawaii | 2 | $105.60 | $105.60 | $701.25 |
| Illinois | 46 | $93.75 | $349.20 | $1,014.48 |
| Indiana | 26 | $438.14 | $438.14 | $438.14 |
| Iowa | 18 | $289.60 | $289.60 | $514.50 |
| Kansas | 10 | $176.80 | $751.92 | $751.92 |
| Kentucky | 13 | $211.80 | $382.18 | $438.14 |
| Louisiana | 4 | $142.74 | $142.74 | $142.74 |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Maryland | 1 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 27 | $159.20 | $159.20 | $523.20 |
| Minnesota | 11 | $174.22 | $174.22 | $214.98 |
| Mississippi | 1 | $75.60 | $75.60 | $75.60 |
| Missouri | 16 | $139.70 | $347.75 | $389.35 |
| Montana | 2 | $218.40 | $218.40 | $300.00 |
| Nebraska | 12 | $238.39 | $514.50 | $814.30 |
| Nevada | 4 | $86.72 | $96.03 | $184.26 |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 21 | $115.36 | $126.90 | $126.90 |
| New Mexico | 2 | not published by hospital | not published by hospital | not published by hospital |
| New York | 22 | $115.36 | $115.36 | $513.81 |
| North Carolina | 14 | $68.93 | $68.93 | $707.00 |
| North Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 65 | $130.80 | $224.40 | $704.00 |
| Oklahoma | 12 | $253.82 | $381.15 | $609.81 |
| Oregon | 9 | $164.06 | $164.06 | $164.06 |
| Pennsylvania | 29 | $364.00 | $642.60 | $1,939.20 |
| South Carolina | 10 | $489.00 | $489.00 | $489.00 |
| South Dakota | 3 | $308.00 | $308.00 | $308.00 |
| Tennessee | 36 | $58.00 | $201.90 | $1,034.97 |
| Texas | 101 | $111.50 | $353.10 | $2,813.29 |
| Virginia | 43 | $131.00 | $445.80 | $2,193.48 |
| Washington | 31 | $70.00 | $292.00 | $789.88 |
| West Virginia | 12 | $186.50 | $472.00 | $743.00 |
| Wisconsin | 34 | $288.85 | $594.66 | $785.00 |
| Wyoming | 4 | $145.74 | $243.59 | $266.50 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield, CA | $15.38 | $23.87 – $1,165.02 |
| ST HELENA HOSPITAL | Vallejo, CA | $15.38 | $102.54 – $1,126.87 |
| SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES | Simi Valley, CA | $16.41 | $102.54 – $1,099.44 |
| WHITE MEMORIAL MEDICAL CENTER | MONTEBELLO, CA | $18.46 | $26.62 – $1,159.73 |
| HANFORD COMMUNITY HOSPITAL | Selma, CA | $19.48 | $28.20 – $1,989.62 |
| REEDLEY COMMUNITY HOSPITAL | Reedley, CA | $19.48 | $15.38 – $1,248.99 |
| ADVENTIST HEALTH TULARE | Tulare, CA | $19.48 | $24.10 – $1,658.04 |
| ADVENTIST HEALTH DELANO | Delano, CA | $20.51 | $23.98 – $758.89 |
| RIDEOUT MEMORIAL HOSPITAL | Marysville, CA | $22.56 | $20.51 – $207.65 |
| UKIAH ADVENTIST HOSPITAL | Ukiah, CA | $23.48 | $102.54 – $2,192.55 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi, CA | $27.69 | $102.54 – $680.93 |
| Mercy General Hospital | Sacramento, CA | $34.78 | $36.50 – $255.46 |
| WILLITS HOSPITAL INC | Willits, CA | $35.22 | $102.54 – $1,940.50 |
| ADVENTIST HEALTH CLEARLAKE HOSPITAL | Clearlake, CA | $36.91 | $102.54 – $1,900.61 |
| Woodland Memorial Hospital | Woodland, CA | $43.71 | $11.47 – $104.26 |
| Mercy San Juan Medical Center | Carmichael, CA | $43.71 | $11.47 – $255.46 |
| Northridge Hospital Medical Center | Northridge, CA | $44.51 | $14.60 – $210.32 |
| SONORA COMMUNITY HOSPITAL | Sonora, CA | $44.86 | $102.54 – $1,972.40 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns, FL | $45.88 | $101.52 – $288.40 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville, FL | $45.88 | $101.52 – $288.40 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville, FL | $45.88 | $101.52 – $288.40 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg, FL | $45.88 | $101.52 – $288.40 |
| Methodist Hospital of Sacramento | Sacramento, CA | $45.94 | $36.50 – $255.46 |
| St. Joseph's Medical Center Stockton | Stockton, CA | $46.90 | $21.90 – $104.26 |
| Glendale Memorial Hospital Health Center | Glendale, CA | $52.00 | $20.86 – $257.26 |
| St. Bernardine Medical Center | San Bernardino, CA | $53.12 | $27.11 – $512.70 |
| Banner Heart Hospital | Mesa, AZ | $56.91 | $50.00 – $260.25 |
| Banner Gateway Medical Center | Gilbert, AZ | $57.26 | $50.00 – $260.25 |
| LeConte Medical Center | Sevierville, TN | $58.00 | $51.91 – $208.80 |
| Sequoia Hospital | Redwood City, CA | $58.06 | $22.94 – $401.59 |
| 82-3844150 BMH Crittenden | West Memphis, AR | $58.35 | $70.73 – $230.72 |
| Bakersfield Memorial Hospital | Bakersfield, CA | $58.54 | $52.13 – $331.49 |
| Mercy Hospitals – Bakersfield | Bakersfield, CA | $59.18 | $52.13 – $331.49 |
| Banner University Medical Center South | Tucson, AZ | $61.42 | $50.00 – $277.60 |
| Mercy Hospital of Folsom | Folsom, CA | $62.05 | $11.47 – $255.46 |
| Community Hospital San Bernardino | San Bernardino, CA | $62.37 | $20.86 – $512.70 |
| Banner Boswell Medical Center | Sun City, AZ | $63.15 | $50.00 – $277.60 |
| Banner Goldfield Medical Center | Apache Junction, AZ | $63.85 | $50.00 – $260.25 |
| HCA FLORIDA ENGLEWOOD HOSPITAL | ENGLEWOOD, FL | $65.00 | $104.56 – $227.90 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS, FL | $65.00 | $104.56 – $220.84 |
| HCA FLORIDA LEHIGH HOSPITAL | LEHIGH ACRES, FL | $65.00 | $114.86 – $177.65 |
| CHI St. Vincent North | Sherwood, AR | $67.37 | $55.94 – $160.56 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg, CA | $67.68 | $102.54 – $1,479.28 |
| St. Mary Medical Center | Long Beach, CA | $68.59 | $26.07 – $512.70 |
| Atrium Health Anson | Wadesboro, NC | $68.93 | $20.83 – $130.96 |
| Atrium Health Mercy | Charlotte, NC | $68.93 | $30.35 – $171.01 |
| Atrium Health Pineville | Charlotte, NC | $68.93 | $14.13 – $144.20 |
| Atrium Health Stanly | Albermarle, NC | $68.93 | $16.56 – $132.34 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $68.93 | $26.19 – $121.31 |
| Atrium Health Cleveland | Shelby, NC | $68.93 | $23.08 – $130.96 |