Liver Function Test cost at US hospitals
Hepatic function panel · CPT 80076
$5.68
lowest cash price
$93.60
national median
$718.20
highest cash price
225
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $5.68–$718.20 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($125.55) → Aug 1, 2026 ($48.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Arizona | 18 | $21.15 | $44.20 | $168.15 |
| California | 1 | $67.61 | $67.61 | $67.61 |
| Colorado | 4 | $5.68 | $5.75 | $66.53 |
| Florida | 12 | $93.60 | $383.50 | $383.50 |
| Georgia | 11 | $115.44 | $115.44 | $115.44 |
| Illinois | 11 | $59.40 | $80.00 | $80.00 |
| Indiana | 1 | $37.80 | $37.80 | $37.80 |
| Iowa | 27 | $59.40 | $69.00 | $464.00 |
| Maine | 7 | $92.85 | $159.35 | $203.95 |
| Maryland | 1 | $17.40 | $17.40 | $17.40 |
| Michigan | 19 | $11.27 | $26.00 | $48.00 |
| Minnesota | 9 | $48.00 | $120.00 | $175.20 |
| Nebraska | 1 | $66.20 | $66.20 | $66.20 |
| Nevada | 1 | $52.06 | $52.06 | $52.06 |
| New Hampshire | 1 | $260.40 | $260.40 | $260.40 |
| New Jersey | 4 | $8.17 | $8.17 | $66.80 |
| New York | 13 | $8.17 | $8.17 | $48.00 |
| North Carolina | 12 | $198.50 | $198.50 | $198.50 |
| North Dakota | 4 | $112.80 | $112.80 | $112.80 |
| Ohio | 21 | $36.40 | $36.40 | $187.50 |
| Pennsylvania | 24 | $54.00 | $156.00 | $718.20 |
| South Dakota | 7 | $64.00 | $108.00 | $136.00 |
| Texas | 22 | $149.95 | $193.52 | $193.52 |
| Virginia | 5 | $228.00 | $228.00 | $228.00 |
| Wisconsin | 1 | $142.04 | $142.04 | $142.04 |
| Wyoming | 4 | $10.50 | $66.42 | $71.82 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins, CO | $5.68 | $7.92 – $23.75 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland, CO | $5.75 | $6.42 – $23.75 |
| Bellevue Hospital Center | NY 10016, NY | $8.17 | $4.74 – $70.62 |
| Kings County Hospital Center | Brooklyn, NY | $8.17 | $4.74 – $70.74 |
| Queens Hospital Center | Jamaica, NY | $8.17 | $4.74 – $66.43 |
| Bayshore Medical Center | Holmdel, NJ | $8.17 | $8.17 – $143.49 |
| Hackensack University Medical Center | Hackensack, NJ | $8.17 | $6.54 – $167.00 |
| Woodhull Medical Center | Brooklyn, NY | $8.17 | $4.74 – $26.84 |
| Ocean University Medical Center | Brick, NJ | $8.17 | $7.70 – $143.49 |
| Banner Wyoming Medical Center | Casper, WY | $10.50 | $6.75 – $24.00 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $11.27 | $4.27 – $42.12 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $11.27 | $4.27 – $36.18 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $11.27 | $4.27 – $36.18 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $11.27 | $4.27 – $36.18 |
| UPMC Western Maryland | Cumberland, MD | $17.40 | $29.00 – $29.00 |
| Banner Payson Medical Center | Payson, AZ | $21.15 | $8.17 – $40.50 |
| Banner Heart Hospital | Mesa, AZ | $24.11 | $8.17 – $215.25 |
| Corewell Health Big Rapids | Big Rapids, MI | $26.00 | $5.76 – $14.71 |
| Corewell Health Gerber | Fremont, MI | $26.00 | $5.76 – $7.76 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | $26.00 | $5.09 – $14.71 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | $26.00 | $5.09 – $14.71 |
| Corewell Health Reed City | Po Box 75, MI | $26.00 | $5.76 – $7.76 |
| Corewell Health Greenville | Greenville, MI | $26.00 | $5.76 – $14.71 |
| Corewell Health Zeeland | Zeeland, MI | $26.00 | $5.76 – $14.71 |
| Corewell Health Pennock | Hastings, MI | $26.00 | $5.76 – $7.76 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | $30.00 | $7.60 – $11.03 |
| Corewell Health Taylor | Taylor, MI | $30.00 | $7.60 – $11.03 |
| Corewell Health Trenton | Trenton, MI | $30.00 | $7.60 – $11.03 |
| Corewell Health Troy | Troy, MI | $30.00 | $7.60 – $11.03 |
| Corewell Health Wayne | Wayne, MI | $30.00 | $7.60 – $11.03 |
| Banner University Medical Center South | Tucson, AZ | $31.36 | $8.17 – $160.80 |
| Banner Casa Grande Medical Center | Casa Grande, AZ | $32.43 | $8.17 – $215.25 |
| Banner University Medical Center Tucson | Tucson, AZ | $32.56 | $8.17 – $160.80 |
| Sterling Regional Medical Center | Sterling, CO | $35.64 | $8.17 – $104.76 |
| cleveland clinic main campus | Cleveland, OH | $36.40 | $1.10 – $50.40 |
| akron general | Akron, OH | $36.40 | $0.95 – $50.40 |
| avon hospital | Avon, OH | $36.40 | $0.95 – $50.40 |
| euclid hospital | Euclid, OH | $36.40 | $0.95 – $50.40 |
| fairview hospital | Cleveland, OH | $36.40 | $0.95 – $50.40 |
| lutheran hospital | Cleveland, OH | $36.40 | $0.95 – $50.40 |
| hillcrest hospital | Mayfield Heights, OH | $36.40 | $0.95 – $50.40 |
| lodi hospital | Lodi, OH | $36.40 | $4.21 – $50.40 |
| marymount hospital | Garfield Heights, OH | $36.40 | $0.95 – $50.40 |
| medina hospital | Medina, OH | $36.40 | $0.95 – $50.40 |
| mercy hospital | Canton, OH | $36.40 | $1.10 – $50.40 |
| south pointe hospital | Warrensville Heights, OH | $36.40 | $0.95 – $50.40 |
| Banner Baywood Medical Center | Mesa, AZ | $36.45 | $8.17 – $215.25 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | $37.80 | $2.99 – $18.63 |
| Banner Desert Medical Center | Mesa, AZ | $43.05 | $8.17 – $215.25 |
| Banner Boswell Medical Center | Sun City, AZ | $43.34 | $8.17 – $229.60 |
| Banner Del Webb Medical Center | Sun City West, AZ | $44.20 | $8.17 – $229.60 |
| Banner Estrella Medical Center | Phoenix, AZ | $45.35 | $8.17 – $215.25 |
| Banner Thunderbird Medical Center | Glendale, AZ | $45.35 | $8.17 – $215.25 |
| Banner University Medical Center Phoenix | Phoenix, AZ | $45.92 | $8.17 – $215.25 |
| Banner Gateway Medical Center | Gilbert, AZ | $47.64 | $8.17 – $215.25 |
| Corewell Health Lakeland Watervliet | Watervliet, MI | $48.00 | $8.17 – $12.26 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | $48.00 | $8.17 – $26.13 |
| Sanford Luverne Medical Center | Luverne, MN | $48.00 | $14.53 – $54.00 |
| UPMC Chautauqua | Jamestown, NY | $48.00 | $8.17 – $72.00 |
| Banner Ironwood Medical Center | San Tan Valley, AZ | $49.65 | $8.17 – $215.25 |
| Banner Churchill Community Hospital | Fallon, NV | $52.06 | $28.08 – $103.68 |
| UPMC Carlisle | Carlisle, PA | $54.00 | $8.09 – $76.50 |
| UPMC Community Osteopathic | Harrisburg, PA | $54.00 | $8.09 – $63.75 |
| UPMC Hanover | Hanover, PA | $54.00 | $8.09 – $78.30 |
| UPMC Lititz | Lititz, PA | $54.00 | $8.09 – $76.50 |
| UPMC Memorial | York, PA | $54.00 | $8.45 – $76.50 |
| UPMC Somerset | Somerset, PA | $54.00 | $8.08 – $56.25 |
| Banner Goldfield Medical Center | Apache Junction, AZ | $54.53 | $8.17 – $215.25 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $55.50 | $8.17 – $14.71 |
| Banner Ocotillo Medical Center | Chandler, AZ | $56.25 | $8.17 – $215.25 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $59.40 | $32.98 – $70.81 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $59.40 | $9.40 – $45.59 |
| Banner Page Hospital | Page, AZ | $60.59 | $8.17 – $102.60 |
| Sanford Sheldon Medical Center | Sheldon, IA | $61.60 | $21.95 – $69.30 |
| Sanford Canton Inwood Medical Center | Canton, SD | $64.00 | $27.36 – $72.00 |
| Ogallala Community Hospital | Ogallala, NE | $66.20 | $47.52 – $104.76 |
| Community Hospital | Torrington, WY | $66.42 | $47.52 – $104.76 |
| East Morgan County Hospital | Brush, CO | $66.53 | $45.51 – $104.76 |
| Carrier Clinic | Belle Mead, NJ | $66.80 | $7.00 – $24.22 |
| Banner Lassen Medical Center | Susanville, CA | $67.61 | $1.63 – $19.40 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $68.56 | $4.90 – $45.16 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $68.56 | $3.50 – $68.56 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $68.56 | $4.90 – $34.54 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $68.56 | $4.90 – $25.20 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $68.56 | $4.90 – $76.02 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $68.56 | $4.90 – $41.14 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $68.56 | $4.90 – $55.71 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $68.56 | $4.90 – $33.59 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $68.56 | $3.50 – $37.79 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $68.56 | $3.50 – $35.14 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $68.56 | $4.90 – $72.85 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $68.56 | $4.90 – $32.14 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $69.00 | $8.17 – $8.17 |
| Washakie Medical Center | Worland, WY | $69.34 | $51.84 – $104.76 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $71.50 | $7.92 – $110.00 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $71.50 | $7.92 – $110.00 |
| Platte County Hospital | Wheatland, WY | $71.82 | $51.84 – $104.76 |
| UPMC Bedford | Everett, PA | $75.00 | $2.95 – $112.50 |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $77.40 | not published |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $77.40 | $7.35 – $118.68 |
| UPMC Cole | Coudersport, PA | $79.20 | $5.31 – $105.60 |
| Advocate Christ Medical Center | Oak Lawn, IL | $80.00 | $8.17 – $144.63 |
| Advocate Condell Medical Center | Libertyville, IL | $80.00 | $8.17 – $128.00 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | $80.00 | $8.17 – $148.12 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | $80.00 | $8.17 – $149.02 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | $80.00 | $8.17 – $146.66 |
| Advocate Sherman Hospital | Elgin, IL | $80.00 | $8.17 – $144.00 |
| Advocate South Suburban Hospital | Hazel Crest, IL | $80.00 | $8.17 – $155.84 |
| Advocate Trinity Hospital | Chicago, IL | $80.00 | $8.17 – $148.12 |
| Sanford Vermillion Hospital | Vermillion, SD | $82.40 | $30.39 – $92.70 |
| UPMC Jameson | New Castle, PA | $87.60 | $8.08 – $128.48 |
| Franklin Memorial Hospital | Farmington, ME | $92.85 | $8.17 – $87.28 |
| cleveland clinic florida weston hospital | Weston, FL | $93.60 | $3.43 – $122.40 |
| indian river hospital | Vero Beach, FL | $93.60 | $4.31 – $115.20 |
| Sanford Hospital Webster | Webster, SD | $108.00 | $42.39 – $121.50 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $110.50 | $67.30 – $170.00 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $110.50 | $64.26 – $191.35 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $110.50 | $64.97 – $170.00 |
| MercyOne Elkader Medical Center | Elkader, IA | $110.50 | $87.50 – $177.68 |
| MercyOne Newton Medical Center | Newton, IA | $110.50 | $7.92 – $170.00 |
| Sanford Medical Center Hillsboro | Hillsboro, ND | $112.80 | $34.14 – $126.90 |
| Sanford Medical Center Mayville | Mayville, ND | $112.80 | $34.14 – $126.90 |
| Sanford Wheaton | Wheaton, MN | $113.60 | $34.38 – $127.80 |
| Sanford Canby Medical Center | Canby, MN | $114.40 | $34.62 – $128.70 |
| Wellstar Cobb Hospital | Austell, GA | $115.44 | $8.17 – $15.11 |
| Wellstar Douglas Hospital | Douglasville, GA | $115.44 | $8.17 – $15.11 |
| Wellstar Kennestone Hospital | Marietta, GA | $115.44 | $8.17 – $15.11 |
| Wellstar MCG Health | Augusta, GA | $115.44 | $8.17 – $25.33 |
| Wellstar North Fulton Hospital | Roswell, GA | $115.44 | $8.17 – $15.11 |
| Wellstar Paulding Hospital | Hiram, GA | $115.44 | $8.17 – $15.11 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280, GA | $115.44 | not published |
| Wellstar Spalding Regional Hospital | Griffin, GA | $115.44 | $8.17 – $16.01 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | $115.44 | $14.32 – $28.27 |
| Wellstar West Georgia Medical Center | Lagrange, GA | $115.44 | $8.17 – $16.01 |
| Wellstar Windy Hill Hospital | Marietta, GA | $115.44 | $8.17 – $16.01 |
| Sanford Clear Lake Medical Center | Clear Lake, SD | $118.40 | $75.92 – $133.20 |
| Sanford Thief River Falls Medical Center | Thief River Falls, MN | $120.00 | $51.53 – $135.00 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls, MN | $120.00 | $51.53 – $135.00 |
| UPMC Kane | Kane, PA | $121.20 | $8.08 – $161.60 |
| Lincoln Health | Damariscotta, ME | $125.55 | $8.17 – $118.02 |
| Sanford Chamberlain Medical Center | Chamberlain, SD | $136.00 | $58.14 – $153.00 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $141.75 | $2.99 – $170.10 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $141.75 | $2.99 – $170.10 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $141.75 | $3.86 – $170.10 |
| University Hospitals Elyria Medical Center | Elyria, OH | $141.75 | $8.17 – $170.10 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $141.75 | $2.99 – $170.10 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $142.04 | $4.90 – $55.40 |
| UPMC Horizon-Greenville | Greenville, PA | $142.20 | $7.31 – $201.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham, TX | $149.95 | $11.97 – $224.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station, TX | $149.95 | $7.34 – $224.93 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple, TX | $149.95 | $6.86 – $224.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco, TX | $149.95 | $6.86 – $187.44 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple, TX | $149.95 | $6.86 – $224.93 |
| UPMC Altoona | Altoona, PA | $156.00 | $8.08 – $208.00 |
| Waldo County General Hospital | Belfast, ME | $159.35 | $8.17 – $150.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110, TX | $161.95 | $6.86 – $202.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100, TX | $161.95 | $6.86 – $242.92 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park, TX | $161.95 | $6.86 – $242.92 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor, TX | $161.95 | $11.97 – $215.93 |
| Stephens Memorial Hospital | Norway, ME | $164.90 | $8.17 – $155.01 |
| UPMC East | Monroeville, PA | $168.00 | $8.08 – $224.00 |
| Banner Behavioral Health Hospital | Scottsdale, AZ | $168.15 | $8.17 – $200.90 |
| MercyOne Centerville Medical Center | Centerville, IA | $170.00 | $46.65 – $170.00 |
| Sanford Westbrook Hospital | Westbrook, MN | $175.20 | $53.02 – $197.10 |
| Sanford Tracy Hospital | Tracy, MN | $175.20 | $53.02 – $197.10 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $187.50 | $2.99 – $225.00 |
| University Hospitals Geneva Medical Center | Geneva, OH | $187.50 | $2.99 – $225.00 |
| UPMC Mercy | Pittsburgh, PA | $190.20 | $6.81 – $285.30 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas, TX | $193.52 | $6.86 – $241.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco, TX | $193.52 | $6.86 – $241.91 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth, TX | $193.52 | $6.86 – $241.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine, TX | $193.52 | $6.86 – $241.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving, TX | $193.52 | $6.86 – $241.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett, TX | $193.52 | $6.86 – $241.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney, TX | $193.52 | $6.86 – $241.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco, TX | $193.52 | $6.86 – $241.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano, TX | $193.52 | $6.86 – $241.91 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton, TX | $193.52 | $6.86 – $241.91 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney, TX | $193.52 | $6.86 – $241.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie, TX | $193.52 | $6.86 – $241.91 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie, TX | $193.52 | $6.86 – $241.91 |
| Atrium Health Anson | Wadesboro, NC | $198.50 | $8.33 – $377.15 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $198.50 | $9.88 – $349.36 |
| Atrium Health Cleveland | Shelby, NC | $198.50 | $8.33 – $377.15 |
| Atrium Health Cabarrus | Concord, NC | $198.50 | $8.33 – $377.15 |
| Atrium Health Lincoln | Lincolnton, NC | $198.50 | $8.33 – $377.15 |
| Atrium Health Mercy | Charlotte, NC | $198.50 | $8.33 – $365.24 |
| Atrium Health Pineville | Charlotte, NC | $198.50 | $8.33 – $365.24 |
| Atrium Health Stanly | Albermarle, NC | $198.50 | $8.33 – $381.12 |
| Atrium Health Union | Monroe, NC | $198.50 | $8.33 – $377.15 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $198.50 | $8.33 – $365.24 |
| Atrium Health University City | Charlotte, NC | $198.50 | $8.33 – $365.24 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $198.50 | $8.33 – $357.30 |
| UPMC Northwest | Seneca, PA | $198.60 | $7.41 – $281.35 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $201.00 | $7.59 – $267.75 |
| Pen Bay Medical Center | Rockport, ME | $203.95 | $8.17 – $191.71 |
| Mid Coast Hospital | Brunswick, ME | $203.95 | $4.41 – $191.71 |
| UPMC St. Margaret | Pittsburgh, PA | $215.40 | $7.05 – $305.15 |
| Inova Alexandria Hospital | Alexandria, VA | $228.00 | $8.17 – $286.87 |
| Inova Fairfax Hospital | Falls Church, VA | $228.00 | $8.17 – $286.87 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | $228.00 | $8.17 – $286.87 |
| Inova Loudoun Hospital | Leesburg, VA | $228.00 | $8.17 – $286.87 |
| Inova Mount Vernon Hospital | Alexandria, VA | $228.00 | $8.17 – $286.87 |
| UPMC Muncy | Muncy, PA | $232.20 | $8.08 – $309.60 |
| UPMC Williamsport | Williamsport, PA | $232.20 | $8.08 – $309.60 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $255.45 | $7.92 – $393.00 |
| MercyOne Clinton Medical Center | Clinton, IA | $255.45 | $7.92 – $393.00 |
| MercyOne North Iowa Medical Center | Mason City, IA | $255.45 | $7.92 – $393.00 |
| martin north hospital | Stuart, FL | $256.75 | $4.54 – $296.25 |
| MaineHealth - Memorial Hospital | North Conway, NH | $260.40 | $4.04 – $97.24 |
| Boca Raton Regional Hospital | BOCA RATON, FL | $276.90 | $8.17 – $278.18 |
| UPMC Wellsboro | Wellsboro, PA | $280.80 | $8.08 – $315.90 |
| UPMC Hamot | Erie, PA | $321.00 | $8.08 – $374.50 |
| UPMC McKeesport | Mckeesport, PA | $345.60 | $7.57 – $489.60 |
| Baptist Hospital | MIAMI, FL | $383.50 | $4.74 – $368.10 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $383.50 | $4.74 – $531.00 |
| Doctors Hospital | CORAL GABLES, FL | $383.50 | $4.59 – $531.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $383.50 | $4.59 – $368.10 |
| Fishermens Community Hospital | MARATHON, FL | $383.50 | $4.59 – $531.00 |
| Homestead Hospital | HOMESTEAD, FL | $383.50 | $4.59 – $531.00 |
| Mariners Hospital | TAVERNIER, FL | $383.50 | $4.59 – $531.00 |
| West Kendall Baptist Hospital | MIAMI, FL | $383.50 | $4.59 – $531.00 |
| UPMC Presbyterian | Pittsburgh, PA | $436.20 | $8.08 – $617.95 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $464.00 | $7.92 – $464.00 |
| UPMC Magee | Pittsburgh, PA | $718.20 | $7.65 – $1,101.24 |
| South Brooklyn Health | Brooklyn, NY | not published | $4.74 – $26.84 |
| North Central Bronx | Bronx, NY | not published | $4.74 – $48.69 |
| Metropolitan Hospital Center | New York, NY | not published | $4.74 – $49.68 |
| Spring Harbor Hospital | Westbrook, ME | not published | $8.17 – $16.64 |
| Lincoln Medical Center | Bronx, NY | not published | $4.74 – $53.84 |
| Jacobi Medical Center | Bronx, NY | not published | $4.74 – $77.41 |
| Henry J. Carter Specialty Hospital | New York, NY | not published | not published |
| Harlem Hospital Center | New York, NY | not published | $4.74 – $66.53 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $4.74 – $51.56 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | not published | $27.34 – $31.66 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | not published | $7.76 – $8.58 |
| Sanford Fargo Medical Center | Fargo, ND | not published | $7.76 – $16.73 |
| Sanford Medical Center Bismarck | Bismarck, ND | not published | $7.76 – $16.73 |
| Sanford Worthington Medical Center | Worthington, MN | not published | $7.76 – $8.58 |
| Sanford Bemidji Medical Center | Bemidji, MN | not published | $7.76 – $8.58 |
| Sanford USD Medical Center | Sioux Falls, SD | not published | $7.76 – $16.73 |