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 |
|---|---|---|---|
| CHI Health Lakeside | Omaha, NE | $43.26 | $4.87 – $87.55 |
| CHI Health Midlands | Papillion, NE | $43.26 | $4.87 – $87.55 |
| CASTLE MEDICAL CENTER | Kailua, HI | $43.52 | $2.81 – $98.00 |
| Grady Memorial Hospital | Delaware, OH | $43.55 | $5.02 – $5.22 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan, KS | $43.60 | $1.08 – $98.10 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | $44.00 | $4.92 – $10.71 |
| Southside Regional Medical Center | Petersburg, VA | $44.10 | not published |
| OSF Healthcare Divine Mercy Continuing Care Hospital | Peoria, IL | $44.40 | not published |
| Sanford Thief River Falls Medical Center | Thief River Falls, MN | $44.80 | $19.24 – $50.40 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls, MN | $44.80 | $19.24 – $50.40 |
| Arizona General Hospital Laveen | Phoenix, AZ | $44.89 | $3.01 – $160.14 |
| Riverside Methodist Hospital | Columbus, OH | $45.50 | $5.02 – $18.83 |
| Dublin Methodist Hospital | Dublin, OH | $45.50 | $5.02 – $18.83 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | $45.50 | $5.02 – $18.07 |
| MercyOne Clinton Medical Center | Clinton, IA | $45.50 | $4.87 – $70.00 |
| Grant Medical Center | Columbus, OH | $45.50 | $5.02 – $18.83 |
| Doctors Hospital | Columbus, OH | $45.50 | $5.02 – $18.83 |
| Tiffin Hospital | Tiffin, OH | $45.60 | not published |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | $45.85 | $5.02 – $13.41 |
| WHITE MEMORIAL MEDICAL CENTER | MONTEBELLO, CA | $45.90 | $1.58 – $55.75 |
| Gouverneur Hospital | Gouverneur, NY | $46.17 | $4.87 – $65.29 |
| UPMC Kane | Kane, PA | $46.20 | $4.96 – $21.67 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe, FL | $46.33 | $5.02 – $19.12 |
| Boca Raton Regional Hospital | BOCA RATON, FL | $46.80 | $5.02 – $15.02 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | $47.17 | $5.02 – $21.78 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | $47.17 | $5.02 – $21.78 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $47.25 | $5.02 – $10.04 |
| 62-1166050 BMH Carroll County | Huntingdon, TN | $47.84 | $4.37 – $10.04 |
| Ascension Providence | Waco, TX | $47.88 | $4.22 – $22.14 |
| Arizona General Hospital Mesa | Mesa, AZ | $48.42 | $3.01 – $160.14 |
| ADVENTIST HEALTH TULARE | Tulare, CA | $48.45 | $1.43 – $51.01 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | $49.29 | $4.52 – $19.17 |
| Ascension Saint Thomas Midtown | Nashville, TN | $49.29 | $1.81 – $19.17 |
| Ascension Saint Thomas Highlands | Sparta, TN | $49.31 | $3.51 – $19.17 |
| Ascension Saint Thomas DeKalb | Smithville, TN | $49.31 | $3.51 – $19.17 |
| Ascension Saint Thomas River Park | McMinnville, TN | $49.31 | $3.51 – $19.17 |
| Banner Page Hospital | Page, AZ | $49.37 | $5.02 – $38.95 |
| CHI Health St. Elizabeth | Lincoln, NE | $49.50 | $4.87 – $79.20 |
| CHI Saint Joseph Health - Saint Joseph London | London, KY | $49.61 | $4.26 – $126.49 |
| UPMC Cole | Coudersport, PA | $49.80 | $3.26 – $66.40 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | $49.86 | $4.22 – $62.33 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | $49.86 | $4.22 – $37.28 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | $49.86 | $4.22 – $62.33 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | $49.86 | $4.22 – $62.33 |
| Corewell Health Lakeland Watervliet | Watervliet, MI | $50.00 | $5.02 – $7.53 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | $50.00 | $5.02 – $29.67 |
| 62-1519754 BMH Golden Triangle | Columbus, MS | $50.00 | $4.82 – $14.06 |
| Mercy Hospital Stoddard | Dexter, MO | $50.05 | $4.52 – $17.57 |
| Springfield Medical Center | Springfield, OH | $50.40 | not published |
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil, IN | $51.00 | $1.91 – $11.45 |