Carbohydrate urine - sendout cost at US hospitals

Carbohydrate Urine - Sendout · CPT 84377

$3.63

lowest cash price

$66.64

national median

$659.14

highest cash price

373

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $3.63–$659.14 — the variation is the story.

Cheapest published cash price

$3.63

HCA FLORIDA SOUTH SHORE HOSPITAL — PARRISH, FL

Median cash price over time

Sep 1, 2025 ($5.50) → Sep 1, 2026 ($76.31)

By state

State Hospitals Lowest cash Median Highest
Alaska 2 not published by hospital not published by hospital not published by hospital
Arizona 20 $16.49 $35.72 $128.47
California 50 $22.77 $66.64 $164.36
Colorado 16 $51.98 $195.70 $659.14
Florida 70 $3.63 $69.37 $127.48
Georgia 24 $75.66 $75.66 $75.66
Hawaii 1 $33.75 $33.75 $33.75
Illinois 41 $33.57 $166.32 $476.00
Indiana 25 $74.40 $74.40 $74.40
Iowa 15 $33.57 $33.57 $154.20
Kansas 10 $51.60 $51.60 $138.62
Kentucky 7 $21.60 $125.33 $252.60
Louisiana 6 not published by hospital not published by hospital not published by hospital
Maine 7 not published by hospital not published by hospital not published by hospital
Michigan 26 $7.59 $7.59 $39.41
Minnesota 2 not published by hospital not published by hospital not published by hospital
Missouri 15 $57.75 $108.43 $189.97
Montana 2 not published by hospital not published by hospital not published by hospital
Nebraska 6 $34.02 $34.02 $140.38
Nevada 1 $110.38 $110.38 $110.38
New Hampshire 1 not published by hospital not published by hospital not published by hospital
New Jersey 21 $5.50 $6.05 $6.05
New Mexico 3 not published by hospital not published by hospital not published by hospital
New York 19 $5.50 $5.50 $27.00
North Carolina 14 not published by hospital not published by hospital not published by hospital
North Dakota 2 not published by hospital not published by hospital not published by hospital
Ohio 53 $19.80 $70.80 $364.00
Oklahoma 9 not published by hospital not published by hospital not published by hospital
Oregon 8 not published by hospital not published by hospital not published by hospital
Pennsylvania 20 $21.00 $30.60 $364.00
South Carolina 9 $50.50 $84.50 $405.00
South Dakota 3 $49.60 $49.60 $49.60
Tennessee 34 $4.62 $9.60 $9.60
Texas 117 $3.85 $92.50 $396.15
Virginia 32 $9.43 $9.60 $76.50
Washington 23 $14.79 $15.20 $39.20
West Virginia 16 $364.00 $364.00 $582.40
Wisconsin 30 not published by hospital not published by hospital not published by hospital
Wyoming 4 $96.18 $140.84 $152.28

All hospitals

Hospital Location Cash price Negotiated range
Ascension Saint Thomas DeKalb Smithville, TN not published $3.86 – $21.44
Sentara Halifax Regional Hospital South Boston, VA not published $4.78 – $5.78
Sentara RMH Medical Center Harrisonburg, VA not published $5.61 – $11.01
Sentara Martha Jefferson Hospital Charlottesville, VA not published $5.61 – $9.23
Corewell Health Reed City Po Box 75, MI not published $5.23 – $5.23
Sentara Albemarle Regional Medical Center Elizabeth City, NC not published $5.50 – $5.61
HCA HOUSTON WEST HOUSTON, TX not published $4.53 – $22.30
Corewell Health Blodgett Hospital East Grand Rapids, MI not published $5.23 – $13.49
Aurora West Allis Medical Center West Allis, WI not published $4.40 – $19.30
Aurora Medical Center Washington County Hartford, WI not published $4.40 – $19.30
Aurora Medical Center Summit Summit, WI not published $4.40 – $19.30
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee, WI not published $4.40 – $19.30
Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) Jenks, OK not published $5.73 – $8.56
Aurora Psychiatric Hospital Wauwatosa, WI not published $4.40 – $19.30
Aurora Medical Center Sheboygan County Sheboygan, WI not published $4.40 – $19.30
Ascension St. John Sapulpa (St. John Sapulpa, Inc.) Sapulpa, OK not published $5.73 – $13.38
Aurora Medical Center Fond du Lac Fond Du Lac, WI not published $4.40 – $19.30
Aurora Medical Center Kenosha Kenosha, WI not published $4.40 – $19.30
Aurora Medical Center Manitowoc Two Rivers, WI not published $4.40 – $19.30
Aurora Medical Center Grafton Grafton, WI not published $4.40 – $19.30
Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) Nowata, OK not published $5.73 – $60.18
Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) Bartlesville, OK not published $5.50 – $60.18
Ascension St. John Owasso (Owasso Medical Facility, Inc.) Owasso, OK not published $5.50 – $15.16
Ascension Saint Thomas Highlands Sparta, TN not published $3.86 – $21.44
Aurora Medical Center Burlington Burlington, WI not published $4.40 – $19.30
Ascension St. John Medical Center (St. John Medical Center, Inc.) Tulsa, OK not published $5.50 – $22.00
Ascension Via Christi Hospital St. Teresa, Inc. Wichita, KS not published $4.99 – $21.83
Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) Brazil, IN not published $1.99 – $12.54
Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) Fishers, IN not published $2.57 – $12.54
St Elias Specialty Hospital Anchorage, AK not published $5.34 – $10.96
Henry Ford Genesys Hospital Grand Blanc Twp, MI not published $3.19 – $11.66
Covenant Medical Center Lubbock, TX not published $5.50 – $23.98
Aurora Medical Center Bay Area Marinette, WI not published $4.40 – $19.30
Aurora Baycare Medical Center Green Bay, WI not published $4.40 – $19.30
Henry Ford Rochester Hospital Rochester, MI not published $2.97 – $10.45
Henry Ford St John Hospital Detroit, MI not published $4.48 – $15.55
Spring Harbor Hospital Westbrook, ME not published $5.50 – $11.20
Corewell Health Butterworth Hospital Grand Rapids, MI not published $5.23 – $13.49
Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) Wichita, KS not published $4.99 – $21.83
Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) Vernon, IN not published $2.57 – $12.54
MaineHealth - Memorial Hospital North Conway, NH not published $2.72 – $11.20
Corewell Health Lakeland St. Joseph St Joseph, MI not published $5.50 – $23.54
Corewell Health Lakeland Watervliet Watervliet, MI not published $5.50 – $8.25
Providence Willamette Falls Medical Center Oregon City, OR not published $5.41 – $11.00
Corewell Health Gerber Fremont, MI not published $5.23 – $5.23
Corewell Health Big Rapids Big Rapids, MI not published $4.95 – $9.90
SSM Health St. Mary's Hospital - Janesville Janesville, WI not published $4.12 – $43.73
SSM Health St. Clare Hospital - Baraboo Baraboo, WI not published $4.12 – $54.65
SSM Health St. Mary's Hospital - Centralia Centralia, IL not published $5.50 – $5.78
Franklin Memorial Hospital Farmington, ME not published $5.50 – $11.52

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