Als 2 cost at US hospitals
als 2 · HCPCS A0433
$561.60
lowest cash price
$1,288.56
national median
$4,793.44
highest cash price
68
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $561.60–$4,793.44 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($1,863.90) → Jun 1, 2026 ($764.16)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | not published by hospital | not published by hospital | not published by hospital |
| California | 1 | not published by hospital | not published by hospital | not published by hospital |
| Colorado | 6 | $1,210.35 | $4,359.51 | $4,359.51 |
| Florida | 7 | $3,672.00 | $3,874.00 | $3,874.00 |
| Georgia | 15 | $760.43 | $1,288.56 | $4,793.44 |
| Illinois | 9 | not published by hospital | not published by hospital | not published by hospital |
| Indiana | 4 | $2,151.00 | $2,284.80 | $4,150.80 |
| Iowa | 11 | $1,019.08 | $1,019.08 | $1,596.98 |
| Kansas | 1 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | $902.00 | $1,863.90 | $2,539.70 |
| Michigan | 7 | not published by hospital | not published by hospital | not published by hospital |
| Minnesota | 4 | $1,691.20 | $1,784.00 | $2,438.40 |
| Missouri | 1 | $2,231.45 | $2,231.45 | $2,231.45 |
| Nevada | 1 | $1,304.13 | $1,304.13 | $1,304.13 |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 12 | not published by hospital | not published by hospital | not published by hospital |
| New York | 11 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 11 | $561.60 | $561.60 | $561.60 |
| Oklahoma | 4 | $2,044.00 | $2,044.00 | $2,044.00 |
| South Dakota | 1 | $1,836.00 | $1,836.00 | $1,836.00 |
| Tennessee | 2 | $760.43 | $760.43 | $1,086.69 |
| Texas | 20 | $764.16 | $764.16 | $3,727.68 |
| Wisconsin | 2 | $1,086.42 | $1,086.42 | $1,086.42 |
| Wyoming | 2 | $1,259.16 | $1,259.16 | $1,951.70 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo, IN | $2,151.00 | $156.01 – $582.25 |
| Mercy Orthopedic Hospital Springfield | Ozark, MO | $2,231.45 | $247.48 – $1,527.00 |
| Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) | Williamsport, IN | $2,284.80 | $156.01 – $582.25 |
| Sanford Bagley Medical Center | Bagley, MN | $2,438.40 | $737.92 – $2,743.20 |
| Franklin Memorial Hospital | Farmington, ME | $2,539.70 | $761.91 – $2,387.32 |
| Adventhealth Wesley Chapel | Wesley Chapel, FL | $3,672.00 | not published |
| Texas Health Hospital Mansfield | Mansfield, TX | $3,727.68 | not published |
| Adventhealth Tampa | Tampa, FL | $3,874.00 | not published |
| AdventHealth Orlando | Orlando, FL | $3,874.00 | not published |
| Adventhealth Riverview | Riverview, FL | $3,874.00 | not published |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | $4,150.80 | $156.01 – $764.22 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | $4,150.80 | $156.01 – $764.22 |
| AdventHealth Parker | Parker, CO | $4,359.51 | not published |
| AdventHealth Littleton | Littleton, CO | $4,359.51 | not published |
| AdventHealth Avista | Louisville, CO | $4,359.51 | not published |
| AdventHealth Porter | Denver, CO | $4,359.51 | not published |
| AdventHealth Castle Rock | Castle Rock, CO | $4,359.51 | not published |
| Adventhealth Redmond | Rome, GA | $4,793.44 | not published |
| Providence Saint John's Health Center | Santa Monica, CA | not published | $900.44 – $1,665.81 |
| HCA HOUSTON SOUTHEAST | PASADENA, TX | not published | $5,873.61 – $5,873.61 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | not published | $738.41 – $1,948.82 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | not published | $409.40 – $1,592.55 |
| indian river hospital | Vero Beach, FL | not published | $1,443.77 – $1,443.77 |
| Jersey City Medical Center | Jersey City, NJ | not published | $2,577.00 – $2,577.00 |
| martin north hospital | Stuart, FL | not published | $1,104.56 – $1,104.56 |
| cleveland clinic florida weston hospital | Weston, FL | not published | $1,204.98 – $1,204.98 |
| cleveland clinic main campus | Cleveland, OH | not published | $1,963.43 – $1,963.43 |
| HCA HOUSTON NORTHWEST | SPRING, TX | not published | $5,873.61 – $5,873.61 |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | not published | $5,873.61 – $5,873.61 |
| HCA HOUSTON CONROE | CONROE, TX | not published | $5,873.61 – $5,873.61 |
| HCA HOUSTON MEDICAL CENTER | Houston, TX | not published | $5,873.61 – $5,873.61 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD, TX | not published | $5,873.61 – $5,873.61 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | not published | $660.11 – $1,326.88 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | not published | $660.11 – $1,326.88 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | not published | $660.11 – $1,832.88 |
| Berger Hospital | Circleville, OH | not published | $749.58 – $749.58 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | not published | $660.11 – $2,182.00 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | not published | $660.11 – $1,326.88 |
| UnityPoint Health - Meriter Hospital | Madison, WI | not published | $627.47 – $1,015.86 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | not published | $660.11 – $1,326.88 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | $3,097.71 – $3,525.68 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | not published | $660.11 – $1,326.88 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | not published | $738.41 – $1,948.82 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | not published | $660.11 – $1,832.88 |
| Advocate Condell Medical Center | Libertyville, IL | not published | $1,909.25 – $2,171.90 |
| Advocate Christ Medical Center | Oak Lawn, IL | not published | $3,026.38 – $3,444.17 |
| HCA HOUSTON PEARLAND | Pearland, TX | not published | $5,873.61 – $5,873.61 |
| Adventhealth Ottawa | Ottawa, KS | not published | $658.86 – $1,265.73 |
| Trinitas Regional Medical Center | Elizabeth, NJ | not published | $1,669.00 – $1,669.00 |
| Lincoln Health | Damariscotta, ME | not published | $869.58 – $1,539.89 |