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
Providence Little Company of Mary Med Center Torrance Torrance, CA not published $522.85 – $5,106.00
California Hospital Medical Center Los Angeles, CA not published $143.12 – $1,128.00
Banner North Colorado Medical Center - Loveland Campus Loveland, CO not published $3,990.00 – $13,923.00
Advocate Good Samaritan Hospital Downers Grove, IL not published $603.89 – $6,291.00
Providence St Luke's Rehabilitation Medical Center Spokane, WA not published $453.00 – $498.30
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee, WI not published $324.36 – $1,128.98
Providence Little Co of Mary Med Center San Pedro San Pedro, CA not published $522.85 – $5,100.00
Providence Holy Cross Medical Center Mission Hills, CA not published $522.85 – $2,589.00
SSM Health St. Mary's Hospital - Madison Madison, WI not published $296.15 – $4,198.00
Advocate Condell Medical Center Libertyville, IL not published $603.89 – $4,528.00
MercyOne Genesis Davenport West Medical Center Davenport, IA not published $382.44 – $535.41
Advocate Christ Medical Center Oak Lawn, IL not published $603.89 – $6,291.00
Providence Sacred Heart Medical Center and Children's Hospital Spokane, WA not published $453.00 – $1,152.88
Uchicago Medicine Adventhealth Hinsdale Hinsdale, IL not published $426.48 – $705.72
Adventhealth Tampa Tampa, FL not published $424.52 – $942.42
Adventhealth Palm Coast Parkway Palm Coast, FL not published $403.29 – $906.72
Adventhealth Ottawa Ottawa, KS not published $382.28 – $2,079.00
Adventhealth Lake Wales Lake Wales, FL not published $424.52 – $942.42
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon, WI not published $324.36 – $1,128.98
Community Hospital San Bernardino San Bernardino, CA not published $143.12 – $1,128.00
Lincoln Health Damariscotta, ME not published $194.97 – $549.31
Wellstar Windy Hill Hospital Marietta, GA not published $376.07 – $2,665.00
San Bernardino - Fontana Medical Center FONTANA, CA not published not published
CHI Health St. Francis Grand Island, NE not published $384.03 – $384.03
Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center) Hoffman Estates, IL not published $395.66 – $674.70
Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) Middleburg, FL not published $389.01 – $822.13
CHI Health St. Elizabeth Lincoln, NE not published $384.03 – $384.03
CHI Health Nebraska Heart Lincoln, NE not published $384.03 – $384.03
CHI Health Good Samaritan Kearney, NE not published $384.03 – $384.03
Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) Chicago, IL not published $416.48 – $674.70
Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center) Elk Grove Village, IL not published $395.66 – $674.70
South Bay Medical Center HARBOR CITY, CA not published not published
MEDICAL CITY ARLINGTON HOSPITAL RED OAK, TX not published $131.71 – $988.07
MEDICAL CITY WEATHERFORD HOSPITAL Weatherford, TX not published $133.72 – $410.41
Riverside Medical Center RIVERSIDE, CA not published not published
OSF Little Company of Mary Medical Center Evergreen Park, IL not published $308.00 – $810.27
OSF Sacred Heart Medical Center – Urbana Danville, IL not published $435.63 – $4,342.00
Sentara Norfolk General Hospital Norfolk, VA not published $404.56 – $3,408.00
MEDICAL CITY MCKINNEY HOSPITAL McKinney, TX not published $133.72 – $410.41
Sentara Northern Virginia Medical Center Woodbridge, VA not published $404.56 – $2,603.00
Downey Medical Center Downey, CA not published not published
Sentara Williamsburg Regional Medical Center Williamsburg, VA not published $404.56 – $416.46
Adventhealth Waterman Tavares, FL not published $424.52 – $856.59
Adventhealth Palm Coast Palm Coast, FL not published $403.29 – $906.72
CHI St. Vincent North Sherwood, AR not published $373.34 – $373.34
Panorama Medical Center PANORAMA CITY, CA not published not published
Midwest Orthopedic Specialty Hospital Franklin, WI not published $387.95 – $1,025.56
Ascension Providence Waco, TX not published $129.16 – $587.36
Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) Jacksonville, FL not published $385.00 – $822.13
Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) Jacksonville, FL not published $389.01 – $822.13

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