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
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 – $3,408.00
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 $320.14 – $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 $321.93 – $994.59
Corewell Health Gross Pointe Grosse Pointe, MI not published $320.48 – $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 – $3,408.00
Ascension Saint Thomas River Park McMinnville, TN not published $141.57 – $1,004.50
Corewell Health Greenville Greenville, MI not published $312.73 – $1,325.55
Sentara Virginia Beach General Hospital Virginia Beach, VA not published $735.52 – $3,408.00
Sentara Leigh Hospital Norfolk, VA not published $735.52 – $3,408.00
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 $141.57 – $1,004.50
Sentara Martha Jefferson Hospital Charlottesville, VA not published $511.00 – $1,010.00
Sentara Albemarle Regional Medical Center Elizabeth City, NC not published $706.42 – $720.55
Corewell Health Blodgett Hospital East Grand Rapids, MI not published $274.94 – $1,325.55
Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) Jenks, OK not published $233.07 – $236.17
Ascension St. John Sapulpa (St. John Sapulpa, Inc.) Sapulpa, OK not published $233.07 – $389.10
Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) Nowata, OK not published $233.07 – $446.17
Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) Bartlesville, OK not published $233.07 – $1,403.12
Ascension St. John Owasso (Owasso Medical Facility, Inc.) Owasso, OK not published $233.07 – $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 – $247.61
Ascension Saint Thomas Highlands Sparta, TN not published $141.57 – $1,004.50
Ascension St. John Medical Center (St. John Medical Center, Inc.) Tulsa, OK not published $233.07 – $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 $33.10 – $223.45
Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) Fishers, IN not published $35.48 – $223.45
St Elias Specialty Hospital Anchorage, AK not published $182.35 – $1,575.00
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 $174.71 – $1,302.46
Covenant Medical Center Lubbock, TX not published $182.35 – $2,681.00
Arizona General Hospital Mesa Mesa, AZ not published $208.13 – $672.00
Henry Ford Rochester Hospital Rochester, MI not published $232.28 – $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 $274.94 – $1,325.55
MaineHealth - Memorial Hospital North Conway, NH not published $191.25 – $534.53
Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) Vernon, IN not published $35.48 – $223.45
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
Providence Willamette Falls Medical Center Oregon City, OR not published $808.35 – $9,178.00
Corewell Health Gerber Fremont, MI not published $312.73 – $312.73
Corewell Health Big Rapids Big Rapids, MI not published $312.73 – $1,325.55
SSM Health St. Mary's Hospital - Janesville Janesville, WI not published $558.33 – $4,074.00

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