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 |
|---|---|---|---|
| LEWISGALE MEDICAL CENTER | ROANOKE, VA | $523.00 | $4.37 – $7.28 |
| HCA FLORIDA LARGO HOSPITAL | LARGO, FL | $532.44 | $4.55 – $67.68 |
| Adventhealth Ocala | Ocala, FL | $538.81 | $5.02 – $11.14 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford, TX | $544.87 | $3.01 – $19.37 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City, MO | not published | $2.71 – $10.92 |
| RESEARCH MEDICAL CENTER | Kansas City, MO | not published | $2.71 – $10.92 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE, KS | not published | $2.71 – $10.92 |
| MENORAH MEDICAL CENTER | Overland Park, KS | not published | $2.71 – $10.92 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit, MO | not published | $2.71 – $10.92 |
| CENTERPOINT MEDICAL CENTER | Independence, MO | not published | $2.71 – $10.92 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington, MO | not published | $4.27 – $10.92 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION, FL | not published | $4.97 – $73.28 |
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART, FL | not published | $5.00 – $69.46 |
| HCA FLORIDA PUTNAM HOSPITAL | Palatka, FL | not published | $4.55 – $64.67 |
| OVIEDO MEDICAL CENTER | Oviedo, FL | not published | $4.55 – $66.77 |
| HCA FLORIDA ORANGE PARK HOSPITAL | MIDDLEBURG, FL | not published | $4.02 – $66.67 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE, FL | not published | $4.55 – $67.68 |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | NEWBERRY, FL | not published | $4.52 – $72.60 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK, FL | not published | $4.52 – $64.67 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL, FL | not published | $4.97 – $72.69 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA, FL | not published | $4.55 – $67.68 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON, FL | not published | $4.55 – $67.68 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH, FL | not published | $4.97 – $72.69 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD, CO | not published | $2.93 – $11.95 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton, CO | not published | $2.38 – $11.50 |
| TRICITIES HOSPITAL | HOPEWELL, VA | not published | $4.37 – $21.54 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD, VA | not published | $4.37 – $22.44 |
| SUMMIT MEDICAL CENTER | MT JULIET, TN | not published | $2.26 – $15.06 |
| HORIZON MEDICAL CENTER | DICKSON, TN | not published | $2.26 – $15.06 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE, TN | not published | $2.26 – $15.06 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $3.01 – $19.37 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | not published | $3.01 – $19.37 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | not published | $3.01 – $19.37 |
| WellSpan Newberry Hospital | Etters, PA | not published | not published |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | not published | $3.01 – $20.14 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $3.01 – $19.37 |
| Gerald Champion Regional Medical Center | Alamogordo, NM | not published | $5.38 – $8.07 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $4.68 – $11.30 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | not published | $4.22 – $9.86 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | not published | $16.33 – $18.91 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | not published | $4.77 – $5.27 |
| Sanford Fargo Medical Center | Fargo, ND | not published | $4.77 – $10.28 |
| Sanford Medical Center Bismarck | Bismarck, ND | not published | $4.77 – $10.28 |
| Sanford Worthington Medical Center | Worthington, MN | not published | $4.77 – $5.27 |
| Sanford Bemidji Medical Center | Bemidji, MN | not published | $4.77 – $5.27 |
| Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center) | Hoffman Estates, IL | not published | $1.08 – $22.24 |
| Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center) | Elk Grove Village, IL | not published | $1.08 – $22.24 |
| Garrett Regional Medical Center | Oakland, MD | not published | not published |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | not published | $4.22 – $19.37 |
| Sentara Williamsburg Regional Medical Center | Williamsburg, VA | not published | $5.02 – $5.27 |