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
LEE'S SUMMIT MEDICAL CENTER Lee's Summit, MO not published $343.20 – $966.58
SSM Health St. Clare Hospital - Baraboo Baraboo, WI not published $538.41 – $4,401.00
SSM Health St. Mary's Hospital - Centralia Centralia, IL not published $792.00 – $831.60
Franklin Memorial Hospital Farmington, ME not published $191.77 – $502.10
Wellstar MCG Health Augusta, GA not published $647.66 – $2,572.00
Wellstar Kennestone Hospital Marietta, GA not published $750.69 – $2,665.00
Wellstar Douglas Hospital Douglasville, GA not published $743.94 – $2,665.00
Wellstar Cobb Hospital Austell, GA not published $750.69 – $2,665.00
MercyOne Genesis Aledo Medical Center Aledo, IL not published $465.04 – $688.16
Adventhealth Rollins Brook Lampasas, TX not published $198.04 – $4,826.69
CHRISTUS Children's Hospital San Antonio, TX not published $128.74 – $574.00
Adventhealth Daytona Beach Daytona Beach, FL not published $733.21 – $1,288.13
St. John's Camarillo Hospital Camarillo, CA not published $188.66 – $1,458.18
MercyOne Genesis Silvis Medical Center Silvis, IL not published $171.71 – $957.14
MercyOne Genesis Davenport Medical Center Davenport, IA not published $585.94 – $820.32
CHRISTUS St. Vincent Regional Medical Center Santa Fe, NM not published $188.62 – $1,291.92
CHRISTUS St. Francis Cabrini Hospital Alexandria, LA not published $419.00 – $1,423.35
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport, LA not published $429.00 – $950.04
CHRISTUS Ochsner St. Patrick Hospital Lake Charles, LA not published $417.00 – $1,107.87
CHRISTUS Ochsner Lake Area Hospital Lake Charles, LA not published $417.00 – $1,090.83
CHRISTUS Louisiana Surgical Hospital Alexandria, LA not published $224.02 – $1,368.33
CHRISTUS Coushatta Health Care Center Coushatta, LA not published $1,295.29 – $1,295.29
Central Medical Center Seattle, WA not published not published
Westside Medical Center HILLSBORO, OR not published not published
Sunnyside Medical Center CLACKAMAS, OR not published not published
Providence St Peter Hospital Olympia, WA not published $722.49 – $3,870.00
Providence Holy Family Hospital Spokane, WA not published $823.58 – $3,379.00
Uchicago Medicine Adventhealth Glenoaks Glendale Heights, IL not published $398.00 – $1,283.05
SSM Health Cardinal Glennon Children's Hospital Saint Louis, MO not published $216.77 – $3,868.00
Adventhealth Ocala Ocala, FL not published $771.80 – $1,713.39
Adventhealth Manchester Manchester, KY not published $693.47 – $693.47
Adventhealth Fish Memorial Orange City, FL not published $733.21 – $1,468.88
Adventhealth Dade City Dade City, FL not published $771.80 – $1,749.43
Dell Seton Medical Center at The University of Texas (Ascension Seton) Austin, TX not published $114.07 – $1,000.00
Providence Regional Medical Center Everett - Colby Campus Everett, WA not published $841.66 – $5,987.00
HCA FLORIDA PASADENA HOSPITAL South Pasadena, FL not published $500.02 – $510.55
HCA FLORIDA CITRUS HOSPITAL Inverness, FL not published $465.27 – $475.07
Dell Children's Medical Center (Ascension Seton) Austin, TX not published $114.07 – $1,000.00
Ascension Seton Smithville (Ascension Seton) Smithville, TX not published $114.07 – $1,038.13
Ascension Calumet Hospital, Inc. Chilton, WI not published $208.77 – $1,010.40
Ascension Via Christi Hospital Manhattan, Inc Manhattan, KS not published $209.65 – $1,585.11
Providence St Vincent Medical Center Portland, OR not published $808.35 – $9,178.00
Providence Centralia Hospital Centralia, WA not published $855.84 – $2,907.57
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City, OK not published $301.50 – $1,579.00
SSM Health St. Mary's Hospital - Jefferson City Jefferson City, MO not published $736.19 – $2,277.00
Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) Boonville, IN not published $33.10 – $223.45
Adventhealth South Overland Park Overland Park, KS not published $699.72 – $2,079.00
St. Mary Medical Center Long Beach, CA not published $153.38 – $1,244.43
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 $208.77 – $1,235.81

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