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 Seton Northwest (Ascension Seton) Austin, TX not published $114.07 – $1,067.80
Providence Portland Medical Center Portland, OR not published $808.35 – $9,178.00
Henry Ford Providence Novi Hospital Novi, MI not published $118.64 – $827.65
Sequoia Hospital Redwood City, CA not published $153.38 – $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 $33.10 – $223.45
Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) Elwood, IN not published $35.48 – $223.45
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 $274.16 – $824.40
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 $33.10 – $223.45
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 $153.38 – $824.40
Wamego Health Center (Wamego Hospital Association) Wamego, KS not published $209.65 – $342.29
Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) Winchester, IN not published $33.10 – $223.45
Woodland Memorial Hospital Woodland, CA not published $153.38 – $824.40
Mercy Hospital of Folsom Folsom, CA not published $153.38 – $824.40
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 $33.10 – $223.45
Mercy Gilbert Medical Center Gilbert, AZ not published $208.13 – $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 $950.57 – $2,594.00
Advocate Trinity Hospital Chicago, IL not published $925.24 – $6,291.00
Mid Coast Hospital Brunswick, ME not published $191.25 – $534.53
Waldo County General Hospital Belfast, ME not published $191.77 – $534.53
Spring Harbor Hospital Westbrook, ME not published $191.25 – $534.53
Pen Bay Medical Center Rockport, ME not published $191.77 – $534.53
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 $221.91 – $2,302.00
Sanford USD Medical Center Sioux Falls, SD not published $197.39 – $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 $254.81 – $3,085.00
SSM Health DePaul Hospital - St. Louis Bridgeton, MO not published $221.91 – $2,302.00
Adventhealth Shawnee Mission Shawnee Mission, KS not published $699.72 – $2,079.00
Mark Twain Medical Center San Andreas, CA not published $153.38 – $153.38
Arroyo Grande Hospital Santa Maria, CA not published $153.38 – $777.77
San Martin Hospital Las Vegas, NV not published $164.79 – $690.05

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