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 |
|---|---|---|---|
| Rochester General Hospital | Rochester, NY | $18.15 | $4.42 – $6.48 |
| Newark Wayne Community Hospital | Newark, NY | $18.15 | $4.32 – $7.83 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $18.15 | $3.34 – $11.30 |
| Mercy Hospital Oklahoma City | Oklahoma City, OK | $18.20 | $4.08 – $11.08 |
| Mercy Orthopedic Hospital Fort Smith | Fort Smith, AR | $18.20 | $4.47 – $22.88 |
| Mercy Hospital Ardmore | Northwest Ardmore, OK | $18.20 | $4.47 – $11.08 |
| Childrens Specialized Hospital | Mountainside, NJ | $19.00 | $4.02 – $4.14 |
| Henry Ford St John Hospital | Detroit, MI | $19.04 | $3.85 – $9.54 |
| Banner University Medical Center South | Tucson, AZ | $19.34 | $5.02 – $29.60 |
| Ascension Calumet Hospital, Inc. | Chilton, WI | $19.38 | $5.27 – $19.38 |
| Providence Medford Medical Center | Medford, OR | $19.50 | $4.02 – $10.04 |
| Banner Payson Medical Center | Payson, AZ | $19.74 | $5.02 – $37.80 |
| Banner Churchill Community Hospital | Fallon, NV | $19.76 | $10.66 – $39.36 |
| Banner University Medical Center Tucson | Tucson, AZ | $20.09 | $5.02 – $29.60 |
| Banner Baywood Medical Center | Mesa, AZ | $20.19 | $5.02 – $116.25 |
| Providence Hood River Memorial Hospital | Hood River, OR | $20.25 | not published |
| CHI St. Vincent North | Sherwood, AR | $20.34 | $3.78 – $16.28 |
| Rappahannock General Hospital | Kilmarnock, VA | $20.40 | not published |
| Ascension St. Francis Hospital, Inc. | Milwaukee, WI | $20.67 | $5.02 – $22.43 |
| Midwest Orthopedic Specialty Hospital | Franklin, WI | $20.67 | $5.02 – $22.43 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee, WI | $20.67 | $5.02 – $22.43 |
| TWIN CITIES COMMUNITY HOSPITAL | Templeton, CA | $20.86 | $5.02 – $339.72 |
| Princeton Community Hospital | Princeton, WV | $21.00 | $4.75 – $29.24 |
| Sunnyside Medical Center | CLACKAMAS, OR | $21.25 | $6.00 – $6.00 |
| Westside Medical Center | HILLSBORO, OR | $21.25 | $6.00 – $6.00 |
| Henry Ford Genesys Hospital | Grand Blanc Twp, MI | $21.42 | $0.98 – $10.64 |
| Virginia Mason Medical Center | Seattle, WA | $21.42 | $3.51 – $15.69 |
| St. Mary Medical Center | Long Beach, CA | $21.50 | $3.25 – $31.65 |
| Mercy Primary Care - Bernie | Bernie, MO | $21.75 | $2.11 – $10.54 |
| Corewell Health Pennock | Hastings, MI | $22.00 | $4.77 – $4.77 |
| Corewell Health Big Rapids | Big Rapids, MI | $22.00 | $4.52 – $9.04 |
| Corewell Health Gerber | Fremont, MI | $22.00 | $4.77 – $4.77 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | $22.00 | $4.77 – $11.93 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | $22.00 | $4.77 – $11.93 |
| Corewell Health Reed City | Po Box 75, MI | $22.00 | $4.77 – $4.77 |
| Corewell Health Greenville | Greenville, MI | $22.00 | $4.77 – $9.04 |
| Corewell Health Zeeland | Zeeland, MI | $22.00 | $4.52 – $9.04 |
| United Hospital Center | Bridgeport, WV | $22.00 | $4.75 – $7.93 |
| UPMC Jameson | New Castle, PA | $22.20 | $4.96 – $13.56 |
| The Unity Hospital of Rochester | Rochester, NY | $22.34 | $4.37 – $6.48 |
| MultiCare Valley Hospital | Spokane Valley, WA | $22.40 | $3.31 – $9.10 |
| MultiCare Deaconess Hospital | Spokane, WA | $22.40 | $3.34 – $9.10 |
| Braxton County Memorial Hospital | Gassaway, WV | $22.50 | not published |
| Weirton Medical Center | Weirton, WV | $22.50 | $4.75 – $25.55 |
| West Virginia University Hospitals | Morgantown, WV | $22.50 | $3.26 – $21.27 |
| cleveland clinic main campus | Cleveland, OH | $22.75 | $1.10 – $31.50 |
| akron general | Akron, OH | $22.75 | $0.95 – $31.50 |
| avon hospital | Avon, OH | $22.75 | $0.95 – $31.50 |
| euclid hospital | Euclid, OH | $22.75 | $0.95 – $31.50 |
| fairview hospital | Cleveland, OH | $22.75 | $0.95 – $31.50 |