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 |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh, PA | $153.00 | $4.96 – $13.45 |
| Adventhealth Connerton | Land O Lakes, FL | $153.49 | not published |
| MUSC Health Florence Medical Center | Florence, SC | $154.00 | $2.87 – $5.52 |
| Southern Virginia Medical Center | Emporia, VA | $159.60 | not published |
| St. Joseph's Behavioral Health Center | Stockton, CA | $161.60 | $5.02 – $74.40 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | $162.18 | $4.92 – $43.90 |
| St Mary's Hospital | Richmond, VA | $168.00 | not published |
| St Francis Medical Center | Midlothian, VA | $168.00 | not published |
| Memorial Regional Hospital | Mechanicsville, VA | $168.00 | not published |
| Richmond Community Hospital | Richmond, VA | $168.00 | not published |
| HCA FLORIDA OCALA HOSPITAL | SUMMERFIELD, FL | $169.88 | $4.55 – $65.55 |
| Adventhealth Waterman | Tavares, FL | $173.40 | $5.02 – $10.13 |
| Adventhealth Durand | Durand, WI | $181.79 | not published |
| UPMC Magee | Pittsburgh, PA | $186.60 | $4.70 – $13.45 |
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY, FL | $187.00 | $4.55 – $64.03 |
| Petaluma Valley Hospital | Petaluma, CA | $192.27 | $4.92 – $40.83 |
| Texas Health Hospital Mansfield | Mansfield, TX | $197.40 | $5.02 – $22.31 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | $197.40 | $5.02 – $22.31 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg, VA | $198.72 | $4.99 – $20.28 |
| Sequoia Hospital | Redwood City, CA | $208.21 | $2.01 – $17.46 |
| Queen of The Valley Medical Center | Napa, CA | $210.12 | $5.02 – $51.60 |
| Lourdes Hospital | Paducah, KY | $219.00 | not published |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver, CO | $220.72 | $4.97 – $5.27 |
| Adventhealth Tampa | Tampa, FL | $222.73 | $5.02 – $11.14 |
| Adventhealth Riverview | Riverview, FL | $222.73 | not published |
| Adventhealth Wesley Chapel | Wesley Chapel, FL | $222.73 | $5.02 – $11.14 |
| Adventhealth Zephyrhills | Zephyrhills, FL | $222.73 | $5.02 – $11.64 |
| Adventhealth Carrollwood | Tampa, FL | $222.73 | $5.02 – $11.14 |
| Dominican Hospital | Santa Cruz, CA | $228.60 | $5.02 – $73.10 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | $237.50 | $5.02 – $20.88 |
| Houston Methodist West Hospital | Houston, TX | $237.50 | $5.02 – $20.88 |
| Houston Methodist Baytown Hospital | Baytown, TX | $237.50 | $5.02 – $20.88 |
| Houston Methodist Willowbrook Hospital | Houston, TX | $237.50 | $5.02 – $20.88 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $237.50 | $5.02 – $9.79 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $237.50 | $5.02 – $20.88 |
| Houston Methodist Continuing Care Hospital | Katy, TX | $237.50 | not published |
| Houston Methodist Cypress Hospital | Cypress, TX | $237.50 | $5.02 – $20.88 |
| STONESPRINGS HOSPITAL CENTER | Dulles, VA | $245.43 | $3.85 – $28.50 |
| RESTON HOSPITAL CENTER | VIENNA, VA | $249.92 | $5.02 – $28.50 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG, VA | $261.00 | $4.37 – $5.37 |
| Adventhealth Dade City | Dade City, FL | $263.58 | $5.02 – $11.38 |
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring, FL | $273.00 | $5.02 – $61.17 |
| Adventhealth Redmond | Rome, GA | $295.90 | $4.12 – $13.96 |
| HENRICO DOCTORS HOSPITAL | RICHMOND, VA | $313.00 | $4.37 – $21.54 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI, VA | $315.00 | $3.85 – $5.37 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE, FL | $376.00 | $4.02 – $66.67 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR, VA | $380.00 | $4.37 – $7.28 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City, TN | $384.47 | $2.26 – $15.06 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle, TX | $445.96 | $3.01 – $19.37 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | $449.83 | $4.22 – $20.14 |