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 |
|---|---|---|---|
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $74.70 | $4.22 – $21.17 |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $74.70 | $4.22 – $21.17 |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $74.70 | $4.22 – $21.17 |
| Texas Health Hospital Frisco | Frisco, TX | $74.70 | $4.22 – $21.17 |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $74.70 | $4.22 – $21.17 |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $74.70 | $4.22 – $21.17 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $74.70 | $4.22 – $21.17 |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $74.70 | $4.22 – $21.17 |
| Texas Health Hospital Rockwall | Rockwall, TX | $74.70 | $4.22 – $21.17 |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | $74.70 | $4.22 – $21.17 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $74.70 | $4.22 – $21.17 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $74.70 | $4.22 – $21.17 |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | $74.70 | $5.02 – $21.17 |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $74.70 | $4.22 – $21.17 |
| St. Joseph’s Hospital and Medical Center | Phoenix, AZ | $74.88 | $2.11 – $154.84 |
| CHI Memorial Hospital - Georgia | Ringgold, GA | $75.48 | $5.02 – $12.04 |
| CHI Memorial Hospital Hixson | Hixson, TN | $75.48 | $4.46 – $178.50 |
| OSF St Mary Medical Center | Galesburg, IL | $75.60 | $5.02 – $5.12 |
| Redwood Memorial Hospital | Fortuna, CA | $75.99 | $58.65 – $58.65 |
| Sanford Chamberlain Medical Center | Chamberlain, SD | $76.00 | $32.49 – $85.50 |
| AdventHealth Polk | Columbus, NC | $76.02 | not published |
| Sierra Nevada Memorial Hospital | Grass Valley, CA | $76.30 | $5.02 – $137.20 |
| HSHS St. Joseph's Hospital | HIGHLAND, IL | $76.32 | $8.84 – $106.00 |
| Siena Hospital | Henderson, NV | $76.50 | $3.18 – $232.53 |
| Mercy Medical Center Redding | Redding, CA | $76.56 | $2.01 – $5.02 |
| St. Joseph Medical Center | Tacoma, WA | $77.04 | $5.02 – $174.45 |
| Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) | Williamsport, IN | $77.40 | $1.91 – $11.45 |
| Middlesboro ARH Hospital | Middlesboro, KY | $78.00 | $4.26 – $5.02 |
| HSHS Holy Family Hospital | GREENVILLE, IL | $78.48 | $3.99 – $12.55 |
| California Hospital Medical Center | Los Angeles, CA | $78.57 | $5.02 – $127.98 |
| OSF Saint Anthony Medical Center | Rockford, IL | $79.80 | $5.02 – $17.57 |
| AdventHealth New Smyrna Beach | New Smyrna Beach, FL | $80.38 | $4.77 – $10.97 |
| Whitesburg ARH Hospital | Whitesburg, KY | $80.40 | $4.26 – $5.02 |
| AdventHealth Parker | Parker, CO | $80.41 | $4.92 – $9.29 |
| AdventHealth Castle Rock | Castle Rock, CO | $80.41 | $4.92 – $9.29 |
| AdventHealth Littleton | Littleton, CO | $80.41 | $4.92 – $9.29 |
| AdventHealth Porter | Denver, CO | $80.41 | $4.92 – $9.29 |
| AdventHealth Avista | Louisville, CO | $80.41 | $4.92 – $9.29 |
| Providence St Mary Medical Center | Walla Walla, WA | $80.50 | $5.02 – $9.29 |
| Mercy Orthopedic Hospital Springfield | Ozark, MO | $80.60 | $3.83 – $29.34 |
| Yavapai Regional Medical Center (East) | Prescott, AZ | $80.88 | $5.02 – $9.35 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg, CA | $81.84 | $0.52 – $45.51 |
| St. Elizabeth Hospital | Enumclaw, WA | $82.19 | $5.02 – $209.34 |
| UPMC Muncy | Muncy, PA | $82.80 | $4.96 – $11.81 |
| UPMC Williamsport | Williamsport, PA | $82.80 | $4.96 – $8.87 |
| St. Bernardine Medical Center | San Bernardino, CA | $83.25 | $4.32 – $45.10 |
| Providence Mount Carmel Hospital | Colville, WA | $84.00 | not published |
| OSF St Francis Hospital | Escanaba, MI | $84.00 | not published |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | $84.98 | $4.00 – $10.74 |
| indian river hospital | Vero Beach, FL | $85.15 | $2.59 – $104.80 |