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

139

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 17 $124.74 $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
Pennsylvania 2 $130.41 $130.41 $147.42
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
Sanford USD Medical Center Sioux Falls, SD not published $176.74 – $417.91
Petaluma Valley Hospital Petaluma, CA not published $547.82 – $1,921.00
SSM Health Saint Louis University Hospital Saint Louis, MO not published $255.67 – $3,085.00
SSM Health DePaul Hospital - St. Louis Bridgeton, MO not published $222.67 – $2,302.00
Adventhealth Shawnee Mission Shawnee Mission, KS not published $384.87 – $2,079.00
Mark Twain Medical Center San Andreas, CA not published $143.12 – $143.12
Arroyo Grande Hospital Santa Maria, CA not published $143.12 – $507.64
San Martin Hospital Las Vegas, NV not published $170.13 – $450.39
Arizona General Hospital Laveen Phoenix, AZ not published $211.71 – $438.61
Siena Hospital Henderson, NV not published $170.13 – $450.39
Providence Alaska Medical Center Anchorage, AK not published $3,965.23 – $10,428.00
Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) Salem, IN not published $35.19 – $221.38
Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) Indianapolis, IN not published $35.19 – $221.38
Ascension St. Vincent Carmel Ambulatory Surgery Center Carmel, IN not published $33.45 – $221.38
SSM Health St. Anthony Hospital - Midwest Midwest City, OK not published $306.54 – $1,579.00
Providence Medford Medical Center Medford, OR not published $411.98 – $1,029.94
Van Wert Hospital Van Wert, OH not published $417.44 – $425.79
SSM Health St. Clare Hospital - Fenton Fenton, MO not published $222.67 – $2,302.00
O'Bleness Hospital Athens, OH not published $388.16 – $392.04
Mansfield Hospital Mansfield, OH not published $388.16 – $403.68
University Hospitals Beachwood Medical Center Beachwood, OH not published $384.59 – $974.06

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