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 Saint John's Health Center Santa Monica, CA not published $475.93 – $5,977.00
SSM Health Ripon Community Hospital Ripon, WI not published $1,887.00 – $2,654.00
Mercy General Hospital Sacramento, CA not published $143.12 – $769.26
Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) Carmel, IN not published $35.19 – $221.38
Marion General Hospital Marion, OH not published $388.16 – $403.68
SSM Health Monroe Hospital Monroe, WI not published $394.86 – $4,217.00
St. Bernardine Medical Center San Bernardino, CA not published $143.12 – $1,128.00
Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) Kokomo, IN not published $33.45 – $221.38
Providence St Joseph Hospital Orange Orange, CA not published $444.42 – $4,971.00
Doctors Hospital Columbus, OH not published $400.54 – $3,714.00
SSM Health St. Anthony Hospital - Shawnee Shawnee, OK not published $306.54 – $762.40
CHI St. Vincent Hospital Hot Springs Hot Springs, AR not published $373.34 – $373.34
Mercy Medical Center Redding Redding, CA not published $284.45 – $769.26
Atrium Health Carolinas Medical Center Charlotte, NC not published $155.29 – $879.37
University Hospitals Ahuja Medical Center Beachwood, OH not published $384.59 – $692.27
Atrium Health University City Charlotte, NC not published $155.29 – $233.94
Ascension St. Vincent Evansville (St. Mary's Health, Inc.) IN 47750|10388 Warrick Wellness Trail Newburgh, IN not published $35.19 – $221.38
Carolinas Rehabilitation Charlotte Charlotte, NC not published $156.84 – $193.70
south pointe hospital Warrensville Heights, OH not published $153.39 – $423.05
medina hospital Medina, OH not published $134.84 – $423.05
indian river hospital Vero Beach, FL not published $98.33 – $466.97
St Patrick Hospital - Broadway Campus Missoula, MT not published $419.47 – $1,217.32
Providence Mission Hospital - Mission Viejo Mission Viejo, CA not published $444.42 – $5,171.00
Santa Rosa Memorial Hospital Santa Rosa, CA not published $565.65 – $4,042.00
Mercy Medical Center Mt. Shasta Mt Shasta, CA not published $243.30 – $769.26
Northridge Hospital Medical Center Northridge, CA not published $143.12 – $1,128.00
Dominican Hospital Santa Cruz, CA not published $143.12 – $1,718.06
Mercy Medical Center Merced Merced, CA not published $143.12 – $507.64
Sierra Nevada Memorial Hospital Grass Valley, CA not published $143.12 – $525.02
Atrium Health Union Monroe, NC not published $155.29 – $233.94
marymount hospital Garfield Heights, OH not published $130.01 – $423.05
martin north hospital Stuart, FL not published $103.50 – $466.97
Atrium Health Lincoln Lincolnton, NC not published $155.29 – $233.94
Atrium Health Cabarrus Concord, NC not published $155.29 – $233.94
Atrium Health Cleveland Shelby, NC not published $155.29 – $193.70
Atrium Health Behavioral Health Charlotte Charlotte, NC not published $156.84 – $196.51
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis, MO not published $222.67 – $2,302.00
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook, IL not published $430.00 – $705.72
Adventhealth Zephyrhills Zephyrhills, FL not published $424.52 – $984.49
Adventhealth Redmond Rome, GA not published $422.50 – $1,322.00
Adventhealth Gordon Calhoun, GA not published $404.64 – $818.37
Adventhealth Central Texas Killeen, TX not published $201.81 – $4,826.69
Ascension St. Francis Hospital, Inc. Milwaukee, WI not published $387.95 – $1,025.56
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh, WI not published $212.19 – $1,032.60
Ascension Seton Edgar B. Davis (Ascension Seton) Luling, TX not published $116.24 – $1,000.00
Ascension Seton Cedar Park Hospital Cedar Park, TX not published $116.24 – $1,000.00
Mercy San Juan Medical Center Carmichael, CA not published $143.12 – $769.26
Glendale Memorial Hospital Health Center Glendale, CA not published $223.63 – $634.55
St Jude Medical Center Fullerton, CA not published $444.42 – $4,188.00
Providence Saint Joseph Medical Center Burbank, CA not published $522.85 – $2,581.00

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