Ins/rpl prph sac/gstr npg/r cost at US hospitals
Ins/rpl prph sac/gstr npg/r · CPT 64590
$771.00
lowest cash price
$18,129.80
national median
$123,130.61
highest cash price
203
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $771.00–$123,130.61 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($25,297.37) → Sep 1, 2026 ($25,376.43)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | not published by hospital | not published by hospital | not published by hospital |
| Arizona | 19 | not published by hospital | not published by hospital | not published by hospital |
| Arkansas | 2 | $13,232.39 | $13,232.39 | $26,269.28 |
| California | 72 | $13,227.20 | $13,227.20 | $15,339.48 |
| Colorado | 14 | $4,354.23 | $4,354.23 | $4,354.23 |
| Florida | 63 | $22,662.25 | $22,662.25 | $22,662.25 |
| Georgia | 23 | $5,810.00 | $5,810.00 | $5,810.00 |
| Hawaii | 1 | not published by hospital | not published by hospital | not published by hospital |
| Illinois | 35 | $782.40 | $56,693.80 | $109,523.29 |
| Indiana | 25 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 16 | $771.00 | $782.40 | $42,016.18 |
| Kansas | 8 | not published by hospital | not published by hospital | not published by hospital |
| Kentucky | 1 | $75,293.27 | $75,293.27 | $75,293.27 |
| 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 | 24 | $26,675.88 | $26,675.88 | $26,675.88 |
| Minnesota | 10 | not published by hospital | not published by hospital | not published by hospital |
| Mississippi | 5 | not published by hospital | not published by hospital | not published by hospital |
| Missouri | 16 | $39,232.27 | $39,232.27 | $47,352.43 |
| Montana | 1 | not published by hospital | not published by hospital | not published by hospital |
| Nebraska | 8 | not published by hospital | not published by hospital | not published by hospital |
| 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 | $3,786.00 | $6,311.00 | $25,254.20 |
| New Mexico | 2 | not published by hospital | not published by hospital | not published by hospital |
| New York | 18 | $25,376.43 | $25,376.43 | $25,376.43 |
| North Carolina | 14 | $11,167.59 | $11,167.59 | $11,167.59 |
| North Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 59 | $1,458.60 | $23,700.00 | $77,529.79 |
| Oklahoma | 11 | $14,687.75 | $32,149.97 | $33,831.84 |
| Oregon | 8 | not published by hospital | not published by hospital | not published by hospital |
| Pennsylvania | 15 | $4,192.00 | $4,192.00 | $4,192.00 |
| South Carolina | 11 | $105,235.24 | $105,235.24 | $123,130.61 |
| South Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Tennessee | 18 | not published by hospital | not published by hospital | not published by hospital |
| Texas | 107 | $14,695.12 | $30,785.50 | $45,520.80 |
| Virginia | 19 | $52,705.98 | $85,291.10 | $95,752.73 |
| Washington | 30 | $27,617.52 | $27,617.52 | $27,617.52 |
| West Virginia | 14 | $3,493.50 | $4,225.50 | $21,857.50 |
| Wisconsin | 17 | not published by hospital | not published by hospital | not published by hospital |
| Wyoming | 1 | not published by hospital | not published by hospital | not published by hospital |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Orthopedic Hospital Fort Smith | Fort Smith, AR | $26,269.28 | $240.82 – $36,455.46 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $26,675.88 | $170.19 – $57,689.53 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $26,675.88 | $170.19 – $44,459.81 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $26,675.88 | $170.19 – $43,032.55 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $26,675.88 | $170.19 – $44,459.81 |
| Virginia Mason Medical Center | Seattle, WA | $27,617.52 | $8.03 – $782.99 |
| O'Bleness Hospital | Athens, OH | $30,521.40 | not published |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | $30,785.50 | $2,214.47 – $38,002.61 |
| Houston Methodist West Hospital | Houston, TX | $30,785.50 | $2,214.47 – $77,954.07 |
| Houston Methodist Baytown Hospital | Baytown, TX | $30,785.50 | $2,214.47 – $38,002.61 |
| Houston Methodist Willowbrook Hospital | Houston, TX | $30,785.50 | $2,214.47 – $38,002.61 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $30,785.50 | $2,214.47 – $38,002.61 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $30,785.50 | $2,214.47 – $38,977.04 |
| Houston Methodist Continuing Care Hospital | Katy, TX | $30,785.50 | $3,081.00 – $9,275.00 |
| Houston Methodist Cypress Hospital | Cypress, TX | $30,785.50 | $2,989.00 – $38,002.61 |
| Mercy Hospital Oklahoma City | Oklahoma City, OK | $32,149.97 | $220.62 – $40,361.09 |
| Mercy Hospital Ardmore | Northwest Ardmore, OK | $33,831.84 | $257.31 – $44,108.90 |
| Mercy Orthopedic Hospital Springfield | Ozark, MO | $39,232.27 | $252.08 – $48,989.52 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $42,016.18 | $0.96 – $37,663.62 |
| Mercy West Hospital | Cincinnati, OH | $42,675.46 | $19,234.03 – $19,618.71 |
| St Elizabeth Youngstown Hospital | Youngstown, OH | $42,803.38 | $18,765.47 – $19,140.78 |
| Northwestern Medicine Palos Hospital | Palos Heights, IL | $44,669.23 | not published |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $45,520.80 | $14,745.31 – $15,924.93 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | $45,520.80 | $14,745.31 – $15,924.93 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $45,520.80 | $14,745.31 – $16,219.84 |
| Texas Health Hospital Frisco | Frisco, TX | $45,520.80 | $14,745.31 – $15,924.93 |
| Texas Health Hospital Rockwall | Rockwall, TX | $45,520.80 | $14,745.31 – $15,924.93 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $45,520.80 | $14,745.31 – $16,219.84 |
| Tiffin Hospital | Tiffin, OH | $45,697.35 | $18,306.43 – $18,672.56 |
| Mercy Hospital Southeast | Cape Girardeau, MO | $47,352.43 | $250.82 – $124,669.66 |
| Springfield Medical Center | Springfield, OH | $47,385.28 | $18,621.58 – $18,994.01 |
| Southside Regional Medical Center | Petersburg, VA | $52,705.98 | $18,928.40 – $19,306.96 |
| Northwestern Medicine Kishwaukee Hospital | DeKalb, IL | $56,693.80 | not published |
| Defiance Hospital | Defiance, OH | $57,607.78 | $19,300.62 – $19,300.62 |
| St Ritas Medical Center | Lima, OH | $58,416.95 | $19,234.03 – $19,618.71 |
| Anderson Hospital | Cincinnati, OH | $58,936.74 | $18,905.80 – $19,283.92 |
| Jewish Hospital | Cincinnati, OH | $59,718.07 | $18,905.80 – $19,283.92 |
| Fairfield Hospital | Fairfield, OH | $61,979.36 | $19,234.03 – $19,234.03 |
| Lorain Hospital | Lorain, OH | $62,566.53 | $18,354.00 – $18,721.08 |
| Northwestern Memorial Hospital | Chicago, IL | $66,205.44 | not published |
| Northwestern Medicine McHenry Hospital | McHenry, IL | $66,436.64 | not published |
| St Anne Hospital | Toledo, OH | $73,556.38 | $18,846.34 – $19,223.27 |
| Lourdes Hospital | Paducah, KY | $75,293.27 | $19,285.16 – $19,670.86 |
| St Joseph Warren Hospital | Warren, OH | $76,377.75 | $18,354.00 – $18,721.08 |
| St Elizabeth Boardman Hospital | Youngstown, OH | $77,529.79 | $18,354.00 – $18,721.08 |
| Mary Immaculate Hospital | Newport News, VA | $85,291.10 | $18,928.40 – $19,306.96 |
| Northwestern Medicine Delnor Hospital | Geneva, IL | $86,186.39 | not published |
| St Mary's Hospital | Richmond, VA | $89,277.64 | $19,463.54 – $19,852.82 |
| Memorial Regional Hospital | Mechanicsville, VA | $95,752.73 | $19,463.54 – $19,852.82 |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest, IL | $96,082.83 | not published |