Dstr mal ls f/e/e/n/l/m>4.0 cost at US hospitals

DSTR MAL LS F/E/E/N/L/M>4.0 · CPT 17286

$66.01

lowest cash price

$886.40

national median

$6,839.00

highest cash price

128

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $66.01–$6,839.00 — the variation is the story.

Cheapest published cash price

$66.01

LODI MEMORIAL HOSPITAL ASSOCIATION INC — Lodi, CA

Most expensive published cash price

$6,839.00

Cooperman Barnabas Medical Center — Livingston, NJ

Median cash price over time

Sep 1, 2025 ($726.29) → Sep 1, 2026 ($755.08)

By state

State Hospitals Lowest cash Median Highest
Alaska 2 not published by hospital not published by hospital not published by hospital
Arizona 6 not published by hospital not published by hospital not published by hospital
Arkansas 2 not published by hospital not published by hospital not published by hospital
California 82 $66.01 $1,713.60 $1,713.60
Colorado 13 $681.12 $681.12 $681.12
Florida 71 $1,164.80 $1,784.25 $1,978.81
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 $886.40 $886.40 $886.40
Indiana 25 not published by hospital not published by hospital not published by hospital
Iowa 14 $886.40 $886.40 $886.40
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 $1,016.25 $1,016.25 $1,016.25
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 $518.40 $518.40 $518.40
Nebraska 9 $256.74 $256.74 $256.74
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 21 $668.98 $3,986.00 $6,839.00
New Mexico 3 not published by hospital not published by hospital not published by hospital
New York 18 $724.37 $755.08 $1,651.23
North Carolina 13 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 $1,164.80 $1,164.80 $1,193.40
Oklahoma 9 not published by hospital not published by hospital not published by hospital
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 97 $79.80 $512.61 $530.71
Virginia 17 $134.55 $1,810.00 $1,810.00
Washington 29 $894.03 $894.03 $894.03
West Virginia 5 $410.00 $840.00 $849.50
Wisconsin 17 $632.80 $632.80 $632.80

All hospitals

Hospital Location Cash price Negotiated range
SSM Health St. Anthony Hospital - Midwest Midwest City, OK not published $410.05 – $1,521.15
Advocate Christ Medical Center Oak Lawn, IL not published $925.24 – $6,291.00
Swedish Medical Center - First Hill Campus Seattle, WA not published $855.84 – $2,600.04
Providence Sacred Heart Medical Center and Children's Hospital Spokane, WA not published $823.58 – $2,096.01
Uchicago Medicine Adventhealth Hinsdale Hinsdale, IL not published $775.37 – $1,283.05
Adventhealth Tampa Tampa, FL not published $771.80 – $1,713.39
Adventhealth Palm Coast Parkway Palm Coast, FL not published $733.21 – $1,648.48
Adventhealth Ottawa Ottawa, KS not published $162.00 – $1,181.51
Adventhealth Lake Wales Lake Wales, FL not published $771.80 – $1,713.39
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon, WI not published $431.14 – $1,419.71
Community Hospital San Bernardino San Bernardino, CA not published $199.08 – $1,569.15
Lincoln Health Damariscotta, ME not published $259.36 – $685.50
Wellstar Windy Hill Hospital Marietta, GA not published $592.33 – $2,665.00
San Bernardino - Fontana Medical Center FONTANA, CA not published not published
CHI Health St. Francis Grand Island, NE not published $513.35 – $513.35
Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center) Hoffman Estates, IL not published $606.20 – $1,033.72
Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) Middleburg, FL not published $596.01 – $1,259.60
CHI Health St. Elizabeth Lincoln, NE not published $513.35 – $513.35
CHI Health Nebraska Heart Lincoln, NE not published $513.35 – $513.35
CHI Health Good Samaritan Kearney, NE not published $513.35 – $513.35
Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) Chicago, IL not published $638.10 – $1,033.72
Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center) Elk Grove Village, IL not published $606.20 – $1,033.72
South Bay Medical Center HARBOR CITY, CA not published not published
MEDICAL CITY ARLINGTON HOSPITAL RED OAK, TX not published $151.08 – $1,155.15
MEDICAL CITY WEATHERFORD HOSPITAL Weatherford, TX not published $153.38 – $746.15
Riverside Medical Center RIVERSIDE, CA not published not published
OSF Little Company of Mary Medical Center Evergreen Park, IL not published $308.00 – $1,473.13
OSF Sacred Heart Medical Center – Urbana Danville, IL not published $792.00 – $4,342.00
Sentara Norfolk General Hospital Norfolk, VA not published $735.52 – $5,220.00
MEDICAL CITY MCKINNEY HOSPITAL McKinney, TX not published $153.38 – $746.15
Sentara Northern Virginia Medical Center Woodbridge, VA not published $484.00 – $3,988.00
Downey Medical Center Downey, CA not published not published
Sentara Williamsburg Regional Medical Center Williamsburg, VA not published $735.52 – $757.16
Adventhealth Waterman Tavares, FL not published $771.80 – $1,557.33
Adventhealth Palm Coast Palm Coast, FL not published $733.21 – $1,648.48
Panorama Medical Center PANORAMA CITY, CA not published not published
CHI St. Vincent North Sherwood, AR not published $744.59 – $744.59
Midwest Orthopedic Specialty Hospital Franklin, WI not published $594.39 – $1,292.59
Ascension Providence Waco, TX not published $151.01 – $899.91
Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) Jacksonville, FL not published $589.86 – $1,259.60
Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) Jacksonville, FL not published $596.01 – $1,259.60
Stephens Memorial Hospital Norway, ME not published $259.36 – $685.50
Wellstar West Georgia Medical Center Lagrange, GA not published $727.26 – $2,665.00
Wellstar Sylvan Grove Hospital Jackson, GA not published $1,772.77 – $4,714.00
Wellstar Spalding Regional Hospital Griffin, GA not published $741.31 – $2,665.00
Sentara CarePlex Hospital Hampton, VA not published $735.52 – $757.16
Wellstar Paulding Hospital Hiram, GA not published $750.69 – $2,665.00
Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) Saint Johns, FL not published $602.15 – $1,259.60
Wellstar North Fulton Hospital Roswell, GA not published $750.69 – $2,665.00
Ascension Saint Thomas Hickman Centerville, TN not published $45.00 – $2,225.50

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