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
Ascension Sacred Heart Bay (Bay County Health System, Inc.) Panama City, FL not published $614.44 – $1,136.71
Corewell Health Wayne Wayne, MI not published $229.04 – $994.59
Ascension Saint Thomas Rutherford Murfreesboro, TN not published $45.00 – $2,225.50
Corewell Health Troy Troy, MI not published $229.04 – $994.16
Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) Joe, FL not published $658.07 – $1,217.43
Sentara Obici Hospital Suffolk, VA not published $735.52 – $5,220.00
Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) Pensacola, FL not published $614.44 – $1,136.71
Corewell Health Trenton Trenton, MI not published $229.04 – $994.59
Baldwin Park Medical Center BALDWIN PARK, CA not published not published
Henry Ford Warren Hospital Warren, MI not published $118.64 – $1,139.52
Corewell Health Taylor Taylor, MI not published $229.04 – $994.59
Corewell Health Gross Pointe Grosse Pointe, MI not published $229.04 – $994.59
Corewell Health Zeeland Zeeland, MI not published $312.73 – $1,325.55
Sentara Princess Anne Hospital Virginia Beach, VA not published $735.52 – $5,220.00
Ascension Saint Thomas River Park McMinnville, TN not published $45.00 – $2,225.50
Corewell Health Greenville Greenville, MI not published $312.73 – $1,325.55
Sentara Virginia Beach General Hospital Virginia Beach, VA not published $735.52 – $5,220.00
Sentara Leigh Hospital Norfolk, VA not published $735.52 – $5,220.00
Sentara Halifax Regional Hospital South Boston, VA not published $741.35 – $763.15
Sentara RMH Medical Center Harrisonburg, VA not published $735.52 – $757.16
Ascension Saint Thomas DeKalb Smithville, TN not published $45.00 – $2,225.50
Sentara Martha Jefferson Hospital Charlottesville, VA not published $511.00 – $2,845.00
Sentara Albemarle Regional Medical Center Elizabeth City, NC not published $706.42 – $720.55
Corewell Health Blodgett Hospital East Grand Rapids, MI not published $323.11 – $1,325.55
Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) Jenks, OK not published $313.40 – $318.23
Ascension St. John Sapulpa (St. John Sapulpa, Inc.) Sapulpa, OK not published $313.40 – $531.96
Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) Nowata, OK not published $313.40 – $609.98
Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) Bartlesville, OK not published $313.40 – $1,403.12
Ascension St. John Owasso (Owasso Medical Facility, Inc.) Owasso, OK not published $313.40 – $1,310.11
Orange County Anaheim Medical Center Anaheim, CA not published not published
Henry Ford Madison Heights Hospital Madison Heights, MI not published $118.64 – $252.88
Ascension Saint Thomas Highlands Sparta, TN not published $45.00 – $2,225.50
Ascension St. John Medical Center (St. John Medical Center, Inc.) Tulsa, OK not published $313.40 – $2,329.08
Ascension Via Christi Hospital St. Teresa, Inc. Wichita, KS not published $566.11 – $1,585.11
Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) Brazil, IN not published $44.40 – $301.07
Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) Fishers, IN not published $48.35 – $301.07
St Elias Specialty Hospital Anchorage, AK not published $186.18 – $783.27
Henry Ford River District Hospital China Township, MI not published $118.64 – $1,139.52
Henry Ford Genesys Hospital Grand Blanc Twp, MI not published $113.80 – $1,302.46
Covenant Medical Center Lubbock, TX not published $186.18 – $783.27
Arizona General Hospital Mesa Mesa, AZ not published $282.52 – $672.00
Henry Ford Rochester Hospital Rochester, MI not published $272.99 – $1,139.52
Henry Ford St John Hospital Detroit, MI not published $118.64 – $1,139.52
Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) Wichita, KS not published $566.11 – $1,585.11
Corewell Health Butterworth Hospital Grand Rapids, MI not published $323.11 – $1,325.55
MaineHealth - Memorial Hospital North Conway, NH not published $259.36 – $685.50
Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) Vernon, IN not published $48.35 – $301.07
Corewell Health Lakeland St. Joseph St Joseph, MI not published $587.67 – $1,104.62
Corewell Health Lakeland Watervliet Watervliet, MI not published $744.39 – $1,116.58
Dublin Methodist Hospital Dublin, OH not published $712.63 – $3,714.00

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