Dstr mal ls f/e/e/n/l/m3.1-4 cost at US hospitals

DSTR MAL LS F/E/E/N/L/M3.1-4 · CPT 17284

$68.60

lowest cash price

$724.37

national median

$6,839.00

highest cash price

122

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $68.60–$6,839.00 — the variation is the story.

Cheapest published cash price

$68.60

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 7 not published by hospital not published by hospital not published by hospital
Arkansas 4 $386.75 $386.75 $386.75
California 79 $68.60 $1,713.60 $1,713.60
Colorado 13 $567.59 $567.59 $567.59
Florida 71 $832.00 $1,127.10 $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 $688.00 $688.00 $688.00
Indiana 25 not published by hospital not published by hospital not published by hospital
Iowa 14 $688.00 $688.00 $688.00
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 $412.80 $412.80 $412.80
Nebraska 9 $189.39 $189.39 $189.39
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 16 $724.37 $724.37 $1,331.20
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 41 $501.60 $832.00 $1,193.40
Oklahoma 9 not published by hospital not published by hospital not published by hospital
Oregon 9 $423.36 $423.36 $423.36
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 $120.06 $122.25 $122.25
Texas 93 $542.62 $542.62 $602.32
Virginia 17 $122.25 $1,284.00 $1,284.00
Washington 29 not published by hospital not published by hospital not published by hospital
West Virginia 5 $826.00 $849.50 $944.00
Wisconsin 17 $538.40 $538.40 $538.40

All hospitals

Hospital Location Cash price Negotiated range
Uchicago Medicine Adventhealth Hinsdale Hinsdale, IL not published $430.00 – $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 $695.01 – $2,079.00
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 $319.11 – $1,310.98
Community Hospital San Bernardino San Bernardino, CA not published $153.38 – $1,516.65
Lincoln Health Damariscotta, ME not published $191.77 – $534.53
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 $377.85 – $377.85
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 $377.85 – $377.85
CHI Health Nebraska Heart Lincoln, NE not published $377.85 – $377.85
CHI Health Good Samaritan Kearney, NE not published $377.85 – $377.85
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 $126.81 – $969.59
MEDICAL CITY WEATHERFORD HOSPITAL Weatherford, TX not published $128.74 – $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 – $3,408.00
MEDICAL CITY MCKINNEY HOSPITAL McKinney, TX not published $128.74 – $746.15
Sentara Northern Virginia Medical Center Woodbridge, VA not published $484.00 – $2,603.00
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 – $1,008.67
Ascension Providence Waco, TX not published $126.75 – $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 $191.77 – $534.53
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 – $3,391.00
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 $954.50 – $1,004.50
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 $318.94 – $994.59
Ascension Saint Thomas Rutherford Murfreesboro, TN not published $527.62 – $1,004.50
Corewell Health Troy Troy, MI not published $351.59 – $994.16

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