Dstr mal les s/n/h/f/g >4.0 cost at US hospitals

DSTR MAL LES S/N/H/F/G >4.0 · CPT 17276

$70.42

lowest cash price

$664.50

national median

$6,311.00

highest cash price

136

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $70.42–$6,311.00 — the variation is the story.

Cheapest published cash price

$70.42

LODI MEMORIAL HOSPITAL ASSOCIATION INC — Lodi, CA

Most expensive published cash price

$6,311.00

Robert Wood Johnson University Hospital Somerset — Somerville, NJ

Median cash price over time

Sep 1, 2025 ($461.12) → Sep 1, 2026 ($472.79)

By state

State Hospitals Lowest cash Median Highest
Alaska 2 not published by hospital not published by hospital not published by hospital
Arizona 6 $292.35 $292.35 $292.35
Arkansas 5 $395.20 $395.20 $395.20
California 82 $70.42 $1,713.60 $1,713.60
Colorado 14 $681.12 $681.12 $681.12
Florida 72 $845.00 $1,147.25 $1,276.11
Georgia 23 not published by hospital not published by hospital not published by hospital
Hawaii 1 not published by hospital not published by hospital not published by hospital
Illinois 30 $702.40 $702.40 $702.40
Indiana 25 not published by hospital not published by hospital not published by hospital
Iowa 16 $670.00 $702.40 $779.35
Kansas 10 not published by hospital not published by hospital not published by hospital
Kentucky 1 not published by hospital not published by hospital not published by hospital
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 25 $558.97 $558.97 $558.97
Minnesota 10 not published by hospital not published by hospital not published by hospital
Missouri 14 not published by hospital not published by hospital not published by hospital
Montana 2 $424.00 $424.00 $424.00
Nebraska 9 $191.20 $191.20 $191.20
Nevada 3 not published by hospital not published by hospital not published by hospital
New Hampshire 1 not published by hospital not published by hospital not published by hospital
New Jersey 20 $436.64 $3,786.00 $6,311.00
New Mexico 3 not published by hospital not published by hospital not published by hospital
New York 16 $472.79 $472.79 $1,107.30
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 40 $845.00 $845.00 $845.00
Oklahoma 9 $213.86 $213.86 $213.86
Oregon 8 not published by hospital not published by hospital not published by hospital
South Carolina 9 not published by hospital not published by hospital not published by hospital
South Dakota 2 not published by hospital not published by hospital not published by hospital
Tennessee 20 $132.02 $134.55 $134.55
Texas 93 $604.09 $664.50 $664.50
Virginia 17 $134.55 $1,152.50 $1,152.50
Washington 29 $580.38 $1,035.36 $1,035.36
West Virginia 5 $467.50 $519.50 $573.00
Wisconsin 17 $602.40 $602.40 $602.40

All hospitals

Hospital Location Cash price Negotiated range
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA $70.42 $124.72 – $454.93
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA $105.45 $25.00 – $522.85
Hancock County Hospital SNEEDVILLE, TN $132.02 $141.57 – $437.19
HANFORD COMMUNITY HOSPITAL Selma, CA $133.57 $55.00 – $522.85
ADVENTIST HEALTH TULARE Tulare, CA $133.57 $55.00 – $394.22
Bristol Regional Medical Center BRISTOL, TN $134.55 $169.88 – $897.00
Greeneville Community Hospital GREENEVILLE, TN $134.55 $101.93 – $826.95
Hawkins County Memorial Hospital ROGERSVILLE, TN $134.55 $141.57 – $804.03
Holston Valley Medical Center KINGSPORT, TN $134.55 $169.88 – $897.00
Lonesome Pine Hospital BIG STONE GAP, VA $134.55 $141.57 – $897.00
SONORA COMMUNITY HOSPITAL Sonora, CA $171.02 $25.00 – $456.16
REEDLEY COMMUNITY HOSPITAL Reedley, CA $191.14 $5.86 – $619.49
Ogallala Community Hospital Ogallala, NE $191.20 $186.12 – $410.31
UKIAH ADVENTIST HOSPITAL Ukiah, CA $201.20 $50.00 – $357.36
Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) Jenks, OK $213.86 $233.79 – $234.39
Ascension St. John Medical Center (St. John Medical Center, Inc.) Tulsa, OK $213.86 $233.79 – $1,520.16
Ascension St. John Owasso (Owasso Medical Facility, Inc.) Owasso, OK $213.86 $233.79 – $855.09
Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) Bartlesville, OK $213.86 $233.79 – $915.79
Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) Nowata, OK $213.86 $233.79 – $453.98
Ascension St. John Sapulpa (St. John Sapulpa, Inc.) Sapulpa, OK $213.86 $233.79 – $395.91
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA $271.62 $30.00 – $523.31
Yavapai Regional Medical Center (East) Prescott, AZ $292.35 $211.71 – $417.64
WILLITS HOSPITAL INC Willits, CA $301.80 $55.00 – $456.16
Mercy Hospital Ozark River Ozark, AR $395.20 $155.83 – $252.24
Mercy Hospital Paris Academy Paris, AR $395.20 $199.91 – $323.59
Mercy Hospital Boonville Booneville, AR $395.20 $159.10 – $252.24
Providence St Joseph Medical Center Polson, MT $424.00 $1,217.32 – $1,217.32
Ocean University Medical Center Brick, NJ $436.64 $399.53 – $650.15
Southern Ocean Medical Center Manahawkin, NJ $436.64 $415.79 – $523.97
Jersey Shore University Medical Center Neptune City, NJ $442.22 $415.79 – $530.67
Bayshore Medical Center Holmdel, NJ $442.22 $442.22 – $530.67
Riverview Medical Center Red Bank, NJ $442.22 $415.79 – $530.67
Raritan Bay Medical Center Perth Amboy, NJ $442.61 $264.05 – $531.13
JFK Johnson Rehabilitation Institute (JRI) Edison, NJ $442.61 $211.24 – $650.15
United Hospital Center Bridgeport, WV $467.50 $205.80 – $733.39
Camden Clark Medical Center Parkersburg, WV $467.50 $205.80 – $679.07
Hackensack University Medical Center Hackensack, NJ $470.51 $376.41 – $494.04
Palisades Medical Center North Bergen, NJ $470.51 $208.07 – $512.86
Bellevue Hospital Center NY 10016, NY $472.79 $169.68 – $761.17
Kings County Hospital Center Brooklyn, NY $472.79 $169.68 – $761.17
Lincoln Medical Center Bronx, NY $472.79 $230.48 – $590.98
Metropolitan Hospital Center New York, NY $472.79 $230.48 – $590.98
Harlem Hospital Center New York, NY $472.79 $224.78 – $590.98
Woodhull Medical Center Brooklyn, NY $472.79 $169.68 – $761.17
Queens Hospital Center Jamaica, NY $472.79 $169.68 – $761.17
Elmhurst Hospital Center NY 11373, NY $472.79 $224.85 – $590.98
Jacobi Medical Center Bronx, NY $472.79 $230.48 – $761.17
South Brooklyn Health Brooklyn, NY $472.79 $230.48 – $590.98
North Central Bronx Bronx, NY $472.79 $230.48 – $761.17
West Virginia University Hospitals Morgantown, WV $519.50 $184.12 – $1,036.92

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