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 |
|---|---|---|---|
| French Hospital | San Luis Obispo, CA | $114.08 | $2.46 – $15.19 |
| St Anne Hospital | Toledo, OH | $114.60 | not published |
| Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) | Salem, IN | $115.20 | $1.91 – $11.45 |
| ADVENTIST HEALTH DELANO | Delano, CA | $117.20 | $1.43 – $33.00 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | $117.60 | $1.91 – $11.45 |
| Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) | Indianapolis, IN | $117.60 | $1.91 – $11.45 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | $117.60 | $1.91 – $11.45 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | $117.60 | $1.91 – $11.45 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel, IN | $117.60 | $1.91 – $11.45 |
| Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) | Carmel, IN | $117.60 | $1.91 – $11.45 |
| OSF Saint Elizabeth Medical Center | Ottawa, IL | $119.40 | $5.02 – $5.12 |
| St. Joseph's Medical Center Stockton | Stockton, CA | $120.25 | $4.27 – $238.62 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor, NY | $122.00 | $3.51 – $39.23 |
| NewYork-Presbyterian Queens | Flushing, NY | $122.00 | $3.51 – $39.68 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York, NY | $122.00 | $3.51 – $93.85 |
| AdventHealth Orlando | Orlando, FL | $124.00 | $5.02 – $13.30 |
| Arroyo Grande Hospital | Santa Maria, CA | $124.55 | $4.56 – $12.92 |
| Adventhealth Murray | Po Box 1406, GA | $125.96 | $5.02 – $9.95 |
| Adventhealth Gordon | Calhoun, GA | $125.96 | $4.92 – $9.95 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $126.60 | $4.67 – $13.45 |
| Houston Methodist Hospital | Houston, TX | $127.00 | $5.02 – $20.88 |
| RIDEOUT MEMORIAL HOSPITAL | Marysville, CA | $128.92 | $1.32 – $9.04 |
| Emory Decatur Hospital | Decatur, GA | $133.00 | $3.77 – $10.64 |
| Emory Hillandale Hospital | Lithonia, GA | $133.00 | $3.77 – $10.64 |
| Emory Long-Term Acute Care Hospital | Decatur, GA | $133.00 | $6.86 – $6.86 |
| Emory Johns Creek Hospital | Johns Creek, GA | $133.00 | $3.77 – $10.64 |
| Emory Rehabilitation Hospital | Atlanta, GA | $133.00 | $3.77 – $7.53 |
| Emory Saint Joseph's Hospital | Atlanta, GA | $133.00 | $3.77 – $10.64 |
| Emory University Hospital | Ne, GA | $133.00 | $3.77 – $10.64 |
| Emory University Hospital Midtown | Atlanta, GA | $133.00 | $3.77 – $10.64 |
| Adventhealth Rollins Brook | Lampasas, TX | $133.68 | $4.52 – $19.33 |
| Adventhealth Central Texas | Killeen, TX | $133.68 | $4.52 – $19.33 |
| Covenant Specialty Hospital | Lubbock, TX | $137.76 | not published |
| Covenant Medical Center | Lubbock, TX | $137.76 | $5.02 – $21.89 |
| Covenant Children's Hospital | Lubbock, TX | $137.76 | $10.96 – $21.89 |
| Providence Kodiak Island Medical Center | Kodiak, AK | $140.40 | not published |
| Adventhealth Fish Memorial | Orange City, FL | $140.58 | $4.77 – $9.55 |
| Adventhealth Wauchula | Wauchula, FL | $141.61 | not published |
| St. Luke's Health - The Vintage Hospital | Houston, TX | $144.20 | $3.61 – $412.00 |
| Baylor St Luke's Medical Center | Houston, TX | $144.20 | $3.61 – $412.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land, TX | $144.20 | $3.61 – $412.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring, TX | $144.20 | $3.61 – $412.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands, TX | $144.20 | $3.61 – $412.00 |
| Adventhealth Sebring | Sebring, FL | $145.92 | $5.15 – $11.41 |
| Adventhealth Shawnee Mission | Shawnee Mission, KS | $146.48 | $2.11 – $14.56 |
| Adventhealth South Overland Park | Overland Park, KS | $146.48 | $2.11 – $14.56 |
| Adventhealth Ottawa | Ottawa, KS | $146.48 | $2.11 – $21.03 |
| Mercy Medical Center Merced | Merced, CA | $148.32 | $5.02 – $103.40 |
| UPMC Hamot | Erie, PA | $151.80 | $4.96 – $13.33 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD, FL | $152.25 | $4.55 – $68.84 |