Inf lwr xtr fscl pln blk uni w/wo image cost at US hospitals

HC INF LWR XTR FSCL PLN BLK UNI W/WO IMAGE · CPT 64474

$98.35

lowest cash price

$762.00

national median

$5,290.45

highest cash price

120

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $98.35–$5,290.45 — the variation is the story.

Median cash price over time

Sep 1, 2025 ($1,205.50) → Sep 1, 2026 ($762.00)

By state

State Hospitals Lowest cash Median Highest
Alaska 1 not published by hospital not published by hospital not published by hospital
Arkansas 1 $233.25 $233.25 $233.25
California 33 $397.60 $397.60 $397.60
Colorado 5 not published by hospital not published by hospital not published by hospital
Florida 3 $477.75 $477.75 $477.75
Georgia 21 $246.00 $246.00 $246.00
Illinois 17 $547.92 $780.00 $811.20
Indiana 1 not published by hospital not published by hospital not published by hospital
Iowa 11 $811.20 $811.20 $811.20
Kansas 7 not published by hospital not published by hospital not published by hospital
Kentucky 6 $472.81 $532.22 $638.73
Louisiana 5 not published by hospital not published by hospital not published by hospital
Maine 7 $855.90 $1,120.50 $2,068.70
Michigan 17 $98.35 $98.35 $98.35
Minnesota 2 not published by hospital not published by hospital not published by hospital
Missouri 15 $1,788.15 $1,788.15 $5,290.45
New Hampshire 1 $1,205.50 $1,205.50 $1,205.50
New Jersey 16 not published by hospital not published by hospital not published by hospital
New York 15 $127.20 $127.20 $127.20
North Carolina 12 $1,581.68 $1,581.68 $1,581.68
North Dakota 2 not published by hospital not published by hospital not published by hospital
Ohio 29 $477.75 $477.75 $477.75
Oklahoma 3 not published by hospital not published by hospital not published by hospital
Oregon 5 $182.79 $182.79 $182.79
Pennsylvania 7 $133.80 $135.00 $179.40
South Carolina 5 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 1 not published by hospital not published by hospital not published by hospital
Texas 57 $390.60 $390.60 $2,202.30
Virginia 14 $762.00 $762.00 $762.00
Washington 17 $1,327.53 $1,327.53 $1,327.53
Wisconsin 17 $1,060.00 $1,060.00 $1,205.60

All hospitals

Hospital Location Cash price Negotiated range
Sanford USD Medical Center Sioux Falls, SD not published $205.31 – $226.92
Petaluma Valley Hospital Petaluma, CA not published $593.00 – $1,687.00
SSM Health DePaul Hospital - St. Louis Bridgeton, MO not published $541.00 – $1,628.00
Adventhealth Shawnee Mission Shawnee Mission, KS not published $1,087.00 – $1,087.00
SSM Health St. Clare Hospital - Fenton Fenton, MO not published $541.00 – $1,628.00

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