Bilirubin direct cost at US hospitals
HC Bilirubin Direct · CPT 82248
$3.63
lowest cash price
$51.35
national median
$544.87
highest cash price
904
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $3.63–$544.87 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($56.65) → Sep 1, 2026 ($43.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 5 | $39.78 | $56.94 | $140.40 |
| Arizona | 24 | $13.36 | $25.44 | $90.81 |
| Arkansas | 11 | $13.68 | $56.55 | $91.00 |
| California | 91 | $20.86 | $75.99 | $228.60 |
| Colorado | 12 | $3.63 | $80.41 | $220.72 |
| Florida | 57 | $10.92 | $93.78 | $538.81 |
| Georgia | 25 | $23.00 | $55.77 | $295.90 |
| Hawaii | 2 | $36.00 | $36.00 | $43.52 |
| Illinois | 51 | $14.52 | $68.60 | $119.40 |
| Indiana | 26 | $25.00 | $61.73 | $117.60 |
| Iowa | 29 | $24.00 | $36.60 | $97.50 |
| Kansas | 11 | $43.60 | $60.00 | $146.48 |
| Kentucky | 22 | $36.29 | $61.73 | $219.00 |
| Louisiana | 1 | $31.72 | $31.72 | $31.72 |
| Maine | 7 | $29.70 | $93.60 | $98.55 |
| Maryland | 2 | $9.60 | $9.60 | $9.60 |
| Michigan | 27 | $6.93 | $22.00 | $84.00 |
| Minnesota | 18 | $23.20 | $25.73 | $85.60 |
| Mississippi | 11 | $5.28 | $31.60 | $50.00 |
| Missouri | 21 | $21.75 | $37.40 | $86.45 |
| Montana | 2 | $23.20 | $23.20 | $43.20 |
| Nebraska | 13 | $14.11 | $43.26 | $68.85 |
| Nevada | 4 | $19.76 | $69.09 | $96.39 |
| New Hampshire | 1 | $103.80 | $103.80 | $103.80 |
| New Jersey | 23 | $5.02 | $5.52 | $34.80 |
| New Mexico | 2 | $65.10 | $65.10 | $65.10 |
| New York | 23 | $5.02 | $5.02 | $122.00 |
| North Carolina | 15 | $39.00 | $58.75 | $76.02 |
| North Dakota | 4 | $30.40 | $30.40 | $30.40 |
| Ohio | 67 | $12.35 | $41.40 | $114.60 |
| Oklahoma | 18 | $18.20 | $37.74 | $84.98 |
| Oregon | 12 | $16.28 | $25.50 | $30.00 |
| Pennsylvania | 33 | $10.50 | $33.00 | $186.60 |
| South Carolina | 11 | $41.50 | $63.00 | $154.00 |
| South Dakota | 7 | $34.40 | $43.20 | $76.00 |
| Tennessee | 35 | $4.48 | $8.85 | $384.47 |
| Texas | 103 | $26.88 | $74.70 | $544.87 |
| Virginia | 43 | $8.74 | $72.50 | $523.00 |
| Washington | 33 | $8.40 | $45.50 | $102.66 |
| West Virginia | 18 | $10.40 | $24.50 | $89.40 |
| Wisconsin | 35 | $13.11 | $47.17 | $181.79 |
| Wyoming | 4 | $6.72 | $25.22 | $27.26 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Waldron | Waldron, AR | $56.55 | $4.47 – $22.88 |
| Mercy Hospital Boonville | Booneville, AR | $56.55 | $4.47 – $22.88 |
| Mark Twain Medical Center | San Andreas, CA | $56.61 | $5.02 – $12.30 |
| Franklin Memorial Hospital | Farmington, ME | $56.65 | $5.02 – $53.25 |
| Providence Alaska Medical Center | Anchorage, AK | $56.94 | $13.86 – $34.31 |
| MUSC Health Main Campus - Charleston | Charleston, SC | $57.00 | $5.02 – $12.35 |
| MUSC Health Orangeburg Medical Center | Orangeburg, SC | $57.00 | $5.02 – $5.52 |
| MercyOne North Iowa Medical Center | Mason City, IA | $57.20 | $4.87 – $88.00 |
| Aurora Baycare Medical Center | Green Bay, WI | $57.50 | $4.02 – $17.62 |
| Aurora Medical Center Bay Area | Marinette, WI | $57.50 | $4.02 – $17.62 |
| Aurora Medical Center Burlington | Burlington, WI | $57.50 | $4.02 – $17.62 |
| Aurora Medical Center Grafton | Grafton, WI | $57.50 | $4.02 – $17.62 |
| Aurora Medical Center Manitowoc | Two Rivers, WI | $57.50 | $4.02 – $17.62 |
| Aurora Medical Center Kenosha | Kenosha, WI | $57.50 | $4.02 – $17.62 |
| Aurora Medical Center Fond du Lac | Fond Du Lac, WI | $57.50 | $4.02 – $17.62 |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | $57.50 | $4.02 – $17.62 |
| Aurora Psychiatric Hospital | Wauwatosa, WI | $57.50 | $4.02 – $17.62 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | $57.50 | $4.02 – $17.62 |
| Aurora Medical Center Summit | Summit, WI | $57.50 | $4.02 – $17.62 |
| Aurora Medical Center Washington County | Hartford, WI | $57.50 | $4.02 – $17.62 |
| Aurora West Allis Medical Center | West Allis, WI | $57.50 | $4.02 – $17.62 |
| UPMC Altoona | Altoona, PA | $58.20 | $4.96 – $77.60 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington, KY | $58.65 | $4.26 – $132.86 |
| Atrium Health Anson | Wadesboro, NC | $58.75 | $5.09 – $111.63 |
| Atrium Health Mercy | Charlotte, NC | $58.75 | $5.09 – $108.10 |
| Atrium Health Pineville | Charlotte, NC | $58.75 | $5.09 – $108.10 |
| Atrium Health Stanly | Albermarle, NC | $58.75 | $5.09 – $112.80 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $58.75 | $6.26 – $103.40 |
| Atrium Health Cleveland | Shelby, NC | $58.75 | $5.09 – $111.63 |
| Atrium Health Cabarrus | Concord, NC | $58.75 | $5.09 – $111.63 |
| Atrium Health Lincoln | Lincolnton, NC | $58.75 | $5.09 – $111.63 |
| Atrium Health Union | Monroe, NC | $58.75 | $5.09 – $111.63 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $58.75 | $5.09 – $108.10 |
| Atrium Health University City | Charlotte, NC | $58.75 | $5.09 – $108.10 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $58.75 | $5.09 – $105.75 |
| UPMC Mercy | Pittsburgh, PA | $58.80 | $4.18 – $13.33 |
| WILLITS HOSPITAL INC | Willits, CA | $58.80 | $5.75 – $59.70 |
| OSF Healthcare Saint Katharine Medical Center | Dixon, IL | $58.80 | $5.02 – $5.02 |
| MultiCare Capital Medical Center | Olympia, WA | $58.80 | $3.65 – $9.10 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | $59.04 | $4.27 – $10.04 |
| Providence St Joseph Hospital | Chewelah, WA | $59.50 | not published |
| St Jude Medical Center | Fullerton, CA | $59.52 | $4.27 – $10.04 |
| Hardin Memorial Hospital | Kenton, OH | $59.80 | not published |
| Orange County Anaheim Medical Center | Anaheim, CA | $59.80 | $3.00 – $3.00 |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $59.80 | $3.00 – $3.00 |
| Downey Medical Center | Downey, CA | $59.80 | $3.00 – $3.00 |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $59.80 | $3.00 – $3.00 |
| Riverside Medical Center | RIVERSIDE, CA | $59.80 | $3.00 – $3.00 |
| South Bay Medical Center | HARBOR CITY, CA | $59.80 | $3.00 – $3.00 |
| San Marcos Medical Center | SAN MARCOS, CA | $59.80 | $3.00 – $3.00 |