Consultation/report referred slides prepared elsewhere cost at US hospitals
HC Consultation/Report Referred Slides Prepared Elsewhere · CPT 88321
$18.83
lowest cash price
$176.28
national median
$1,763.97
highest cash price
587
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $18.83–$1,763.97 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($46.38) → Sep 1, 2026 ($231.44)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | $356.16 | $356.16 | $356.16 |
| Arizona | 21 | $22.26 | $107.58 | $422.20 |
| Arkansas | 9 | $39.15 | $186.55 | $195.00 |
| California | 79 | $20.03 | $156.80 | $516.63 |
| Colorado | 17 | $38.95 | $311.00 | $1,280.91 |
| Florida | 75 | $72.89 | $453.60 | $1,295.00 |
| Georgia | 24 | $125.37 | $125.37 | $1,618.13 |
| Hawaii | 2 | $94.40 | $94.40 | $333.00 |
| Illinois | 45 | $25.20 | $269.40 | $920.15 |
| Indiana | 26 | $172.50 | $358.80 | $759.77 |
| Iowa | 24 | $115.50 | $178.40 | $760.48 |
| Kansas | 10 | $706.19 | $1,689.98 | $1,689.98 |
| Kentucky | 11 | $98.42 | $759.77 | $759.77 |
| Louisiana | 3 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | $21.25 | $318.70 | $561.00 |
| Michigan | 25 | $72.66 | $94.74 | $103.60 |
| Minnesota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Mississippi | 9 | $52.20 | $65.25 | $160.00 |
| Missouri | 17 | $69.85 | $154.00 | $1,273.56 |
| Montana | 2 | $560.00 | $560.00 | $560.00 |
| Nebraska | 10 | $115.50 | $115.50 | $1,319.20 |
| New Hampshire | 1 | $577.75 | $577.75 | $577.75 |
| New Jersey | 21 | $18.83 | $43.44 | $148.08 |
| New Mexico | 1 | not published by hospital | not published by hospital | not published by hospital |
| New York | 20 | $46.45 | $46.45 | $485.00 |
| 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 | 57 | $64.20 | $176.15 | $562.00 |
| Oklahoma | 13 | $36.85 | $183.30 | $282.00 |
| Oregon | 12 | $73.28 | $235.50 | $414.80 |
| Pennsylvania | 23 | $78.60 | $184.20 | $342.00 |
| South Carolina | 11 | $168.00 | $168.00 | $210.60 |
| South Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Tennessee | 25 | $54.81 | $104.64 | $206.01 |
| Texas | 115 | $38.91 | $182.00 | $1,763.97 |
| Virginia | 26 | $76.00 | $152.50 | $1,542.94 |
| Washington | 30 | $131.91 | $205.20 | $555.20 |
| West Virginia | 15 | $59.50 | $84.00 | $495.50 |
| Wisconsin | 34 | $151.62 | $220.00 | $461.06 |
| Wyoming | 2 | $33.18 | $33.18 | $63.12 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $178.40 | $33.84 – $145.30 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $178.40 | $31.81 – $145.30 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $178.40 | $44.08 – $107.70 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $178.40 | $36.91 – $96.89 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $178.40 | $31.57 – $145.30 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $178.40 | $33.78 – $145.30 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $178.40 | $30.54 – $134.46 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $178.40 | $27.93 – $132.21 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $178.40 | $33.46 – $145.30 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $178.40 | $34.52 – $145.30 |
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne, IN | $181.00 | $39.52 – $174.34 |
| Parkview Ortho Hospital | Fort Wayne, IN | $181.00 | $39.52 – $174.34 |
| St. Bernardine Medical Center | San Bernardino, CA | $181.49 | $40.61 – $437.35 |
| Mercy Hospital Aurora | Aurora, MO | $182.00 | $38.57 – $76.51 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | $182.00 | $37.52 – $73.17 |
| Houston Methodist West Hospital | Houston, TX | $182.00 | $37.52 – $150.08 |
| Houston Methodist Baytown Hospital | Baytown, TX | $182.00 | $37.52 – $73.17 |
| Houston Methodist Willowbrook Hospital | Houston, TX | $182.00 | $37.52 – $73.17 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $182.00 | $37.52 – $73.17 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $182.00 | $37.52 – $75.04 |
| Houston Methodist Continuing Care Hospital | Katy, TX | $182.00 | not published |
| Houston Methodist Cypress Hospital | Cypress, TX | $182.00 | $37.52 – $73.17 |
| Mercy Hospital Healdton | Healdton, OK | $183.30 | $66.78 – $85.60 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS, FL | $183.44 | $33.84 – $297.02 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | $183.87 | $29.48 – $465.70 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | $183.87 | $29.48 – $465.70 |
| UPMC Muncy | Muncy, PA | $184.20 | $48.00 – $146.68 |
| Mercy Hospital Berryville | Berryville, AR | $186.55 | $30.09 – $270.87 |
| Midwest Orthopedic Specialty Hospital | Franklin, WI | $187.62 | $24.95 – $346.38 |
| Ascension St. Francis Hospital, Inc. | Milwaukee, WI | $187.62 | $24.95 – $346.38 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee, WI | $187.62 | $24.95 – $346.38 |
| MultiCare Capital Medical Center | Olympia, WA | $189.20 | $27.50 – $193.23 |
| OSF Saint Anthony's Health Center | Alton, IL | $190.20 | $10.25 – $40.83 |
| Tiffin Hospital | Tiffin, OH | $190.80 | not published |
| Banner North Colorado Medical Center - Loveland Campus | Loveland, CO | $191.59 | $38.31 – $431.30 |
| Mercy Hospital Ozark | River Ozark, AR | $195.00 | $33.43 – $270.87 |
| Mercy Hospital Paris | Academy Paris, AR | $195.00 | $33.43 – $270.87 |
| Mercy Hospital Waldron | Waldron, AR | $195.00 | $33.43 – $270.87 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $195.00 | $33.96 – $300.00 |
| Mercy Hospital Boonville | Booneville, AR | $195.00 | $33.43 – $270.87 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE, FL | $196.99 | $33.84 – $306.53 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | $198.00 | $29.48 – $465.70 |
| CHI Health St. Elizabeth | Lincoln, NE | $198.00 | $15.37 – $396.00 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | $198.00 | $29.48 – $465.70 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | $200.34 | $24.95 – $336.34 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | $200.34 | $24.95 – $336.34 |
| Mercy Hospital Lincoln | Troy, MO | $200.85 | $38.21 – $101.63 |
| St. Michael Medical Center | Silverdale, WA | $201.97 | $160.05 – $411.85 |
| UPMC Horizon-Greenville | Greenville, PA | $204.00 | $33.50 – $131.19 |
| CHI Health Good Samaritan | Kearney, NE | $204.35 | $70.35 – $335.00 |