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
St. Mary Medical Center Long Beach, CA not published $199.08 – $1,569.15
Adventhealth Murray Po Box 1406, GA not published $688.12 – $1,363.85
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton, WI not published $283.43 – $1,298.51
Ascension Seton Northwest (Ascension Seton) Austin, TX not published $135.90 – $1,067.80
Providence Portland Medical Center Portland, OR not published $808.35 – $2,155.18
Henry Ford Providence Novi Hospital Novi, MI not published $118.64 – $827.65
Sequoia Hospital Redwood City, CA not published $199.08 – $2,809.77
Henry J. Carter Specialty Hospital New York, NY not published not published
University Hospitals Regional Hospitals - Geauga Medical Center Chardon, OH not published $699.22 – $1,258.59
Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) Williamsport, IN not published $44.40 – $301.07
Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) Elwood, IN not published $48.35 – $301.07
Grady Memorial Hospital Delaware, OH not published $712.63 – $741.13
SSM Health Waupun Memorial Hospital Waupun, WI not published $1,887.00 – $2,654.00
St. Elizabeth Community Hospital Red Bluff, CA not published $355.86 – $1,070.07
Riverside Methodist Hospital Columbus, OH not published $712.63 – $3,714.00
Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) Anderson, IN not published $44.40 – $301.07
Providence Newberg Medical Center Newberg, OR not published $808.35 – $1,503.34
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac, WI not published $548.27 – $2,334.00
Methodist Hospital of Sacramento Sacramento, CA not published $199.08 – $1,070.07
Wamego Health Center (Wamego Hospital Association) Wamego, KS not published $209.65 – $439.71
Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) Winchester, IN not published $44.40 – $301.07
Woodland Memorial Hospital Woodland, CA not published $199.08 – $1,070.07
Mercy Hospital of Folsom Folsom, CA not published $199.08 – $1,070.07
Ascension Via Christi Rehabilitation Hospital, Inc. Wichita, KS not published $566.11 – $1,585.11
Ascension St. Vincent Naab Surgery Center Indianapolis, IN not published $44.40 – $301.07
Mercy Gilbert Medical Center Gilbert, AZ not published $282.52 – $652.42
University Hospitals Cleveland Medical Center Cleveland OH 44106|3999 Richmond Road, OH not published $699.22 – $1,258.59
University Hospitals Portage Medical Center Ravenna OH 44266, OH not published $755.08 – $1,359.14
University Hospitals Parma Medical Center Parma OH 44129|7007 Powers Boulevard, OH not published $699.22 – $1,258.59
University Hospitals Lake West Medical Center Willoughby OH 44094|7590 Auburn Road, OH not published $699.22 – $1,258.59
University Hospitals Elyria Medical Center Elyria, OH not published $699.22 – $1,258.59
Corewell Health Pennock Hastings, MI not published $312.73 – $312.73
Providence Cedars-Sinai Tarzana Medical Center Tarzana, CA not published $203.00 – $1,484.00
Advocate Trinity Hospital Chicago, IL not published $925.24 – $6,291.00
Mid Coast Hospital Brunswick, ME not published $259.36 – $685.50
Waldo County General Hospital Belfast, ME not published $259.36 – $685.50
Spring Harbor Hospital Westbrook, ME not published $260.60 – $685.50
Pen Bay Medical Center Rockport, ME not published $259.36 – $685.50
LAFAYETTE REGIONAL HEALTH CENTER Lexington, MO not published $343.20 – $966.58
Advocate South Suburban Hospital Hazel Crest, IL not published $925.24 – $6,291.00
Advocate Sherman Hospital Elgin, IL not published $925.24 – $4,116.00
Advocate Childrens Hospital - Park Ridge Park Ridge, IL not published $925.24 – $6,291.00
Advocate Illinois Masonic Medical Center Chicago, IL not published $925.24 – $6,291.00
SSM Health St. Joseph Hospital- Wentzville Wentzville, MO not published $279.00 – $2,302.00
Sanford USD Medical Center Sioux Falls, SD not published $267.96 – $642.74
Swedish Medical Center Cherry Hill Seattle, WA not published $855.84 – $2,261.44
Petaluma Valley Hospital Petaluma, CA not published $995.98 – $1,921.00
SSM Health Saint Louis University Hospital Saint Louis, MO not published $289.00 – $3,085.00
SSM Health DePaul Hospital - St. Louis Bridgeton, MO not published $279.00 – $2,302.00
Adventhealth Shawnee Mission Shawnee Mission, KS not published $162.00 – $2,029.18

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