healthcosts.net
Lower Back (Lumbar Spine) CT scan (without contrast) cost at US hospitals
CT lumbar spine without contrast · CPT 72131
$107.40
lowest cash price
$1,517.10
national median
$4,083.00
highest cash price
231
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $107.40–$4,083.00 — the variation is the story.
Most expensive published cash price
$4,083.00
MercyOne West Des Moines Medical Center — West Des Moines, IAMedian cash price over time
Sep 1, 2025 ($1,382.10) → Aug 1, 2026 ($1,151.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Arizona | 17 | $266.57 | $437.69 | $1,347.91 |
| California | 1 | $1,396.89 | $1,396.89 | $1,396.89 |
| Colorado | 4 | $305.94 | $356.32 | $1,863.10 |
| Florida | 12 | $596.70 | $3,282.50 | $3,499.60 |
| Georgia | 11 | $1,610.70 | $1,610.70 | $1,610.70 |
| Illinois | 11 | $780.00 | $1,140.00 | $2,161.16 |
| Indiana | 1 | $885.00 | $885.00 | $885.00 |
| Iowa | 28 | $685.79 | $1,517.10 | $4,083.00 |
| Maine | 7 | $1,267.40 | $1,430.20 | $2,649.25 |
| Maryland | 1 | $107.40 | $107.40 | $107.40 |
| Michigan | 19 | $143.75 | $1,151.00 | $2,401.00 |
| Minnesota | 10 | $1,854.40 | $2,286.40 | $2,592.00 |
| Nebraska | 1 | $1,994.39 | $1,994.39 | $1,994.39 |
| Nevada | 1 | $997.15 | $997.15 | $997.15 |
| New Hampshire | 1 | $2,107.70 | $2,107.70 | $2,107.70 |
| New Jersey | 3 | $116.22 | $117.70 | $125.23 |
| New York | 13 | $125.85 | $127.14 | $507.00 |
| North Carolina | 12 | $1,504.05 | $1,504.05 | $1,504.05 |
| North Dakota | 4 | $1,284.00 | $1,468.80 | $2,568.80 |
| Ohio | 21 | $477.10 | $477.10 | $1,797.00 |
| Pennsylvania | 24 | $750.00 | $1,405.80 | $2,937.00 |
| South Dakota | 7 | $1,950.40 | $2,376.00 | $2,652.00 |
| Texas | 22 | $1,655.02 | $2,054.79 | $2,054.79 |
| Virginia | 5 | $651.50 | $651.50 | $651.50 |
| Wisconsin | 1 | $3,187.15 | $3,187.15 | $3,187.15 |
| Wyoming | 4 | $642.18 | $1,875.60 | $2,147.56 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Western Maryland | Cumberland, MD | $107.40 | $179.00 – $179.00 |
| Ocean University Medical Center | Brick, NJ | $116.22 | $106.34 – $2,288.25 |
| Bayshore Medical Center | Holmdel, NJ | $117.70 | $117.70 – $2,593.35 |
| Hackensack University Medical Center | Hackensack, NJ | $125.23 | $100.19 – $2,037.42 |
| Kings County Hospital Center | Brooklyn, NY | $125.85 | $74.86 – $1,306.92 |
| Bellevue Hospital Center | NY 10016, NY | $127.14 | $73.07 – $1,230.04 |
| Queens Hospital Center | Jamaica, NY | $127.14 | $74.26 – $1,306.92 |
| Woodhull Medical Center | Brooklyn, NY | $127.14 | $74.86 – $1,306.92 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $143.75 | $29.61 – $1,102.92 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $143.75 | $29.61 – $1,045.20 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $143.75 | $29.61 – $1,045.20 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $143.75 | $29.61 – $1,045.20 |
| Banner University Medical Center South | Tucson, AZ | $266.57 | $79.00 – $1,679.20 |
| Banner University Medical Center Tucson | Tucson, AZ | $272.87 | $79.00 – $1,679.20 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland, CO | $305.94 | $88.40 – $870.20 |
| Banner Gateway Medical Center | Gilbert, AZ | $339.68 | $79.00 – $1,944.75 |
| Banner Fort Collins Medical Center | Fort Collins, CO | $356.32 | $103.66 – $870.20 |
| Banner Baywood Medical Center | Mesa, AZ | $407.10 | $79.00 – $1,944.75 |
| Banner Boswell Medical Center | Sun City, AZ | $412.29 | $79.00 – $2,074.40 |
| Banner Heart Hospital | Mesa, AZ | $417.47 | $79.00 – $1,944.75 |
| Banner Casa Grande Medical Center | Casa Grande, AZ | $427.85 | $79.00 – $1,944.75 |
| Banner University Medical Center Phoenix | Phoenix, AZ | $430.44 | $79.00 – $1,944.75 |
| Banner Payson Medical Center | Payson, AZ | $437.69 | $79.00 – $778.50 |
| Banner Del Webb Medical Center | Sun City West, AZ | $453.78 | $79.00 – $2,074.40 |
| Banner Goldfield Medical Center | Apache Junction, AZ | $458.96 | $79.00 – $1,944.75 |
| Banner Ironwood Medical Center | San Tan Valley, AZ | $469.33 | $79.00 – $1,944.75 |
| akron general | Akron, OH | $477.10 | $0.87 – $660.60 |
| avon hospital | Avon, OH | $477.10 | $0.87 – $660.60 |
| euclid hospital | Euclid, OH | $477.10 | $0.87 – $660.60 |
| fairview hospital | Cleveland, OH | $477.10 | $0.87 – $660.60 |
| lutheran hospital | Cleveland, OH | $477.10 | $0.87 – $660.60 |
| hillcrest hospital | Mayfield Heights, OH | $477.10 | $0.87 – $660.60 |
| lodi hospital | Lodi, OH | $477.10 | $106.34 – $660.60 |
| marymount hospital | Garfield Heights, OH | $477.10 | $0.87 – $660.60 |
| medina hospital | Medina, OH | $477.10 | $0.87 – $660.60 |
| mercy hospital | Canton, OH | $477.10 | $1.01 – $660.60 |
| south pointe hospital | Warrensville Heights, OH | $477.10 | $0.87 – $660.60 |
| Banner Thunderbird Medical Center | Glendale, AZ | $500.45 | $72.99 – $1,944.75 |
| Banner Desert Medical Center | Mesa, AZ | $505.64 | $79.00 – $1,944.75 |
| UPMC Chautauqua | Jamestown, NY | $507.00 | $129.93 – $760.50 |
| Banner Estrella Medical Center | Phoenix, AZ | $516.01 | $79.00 – $1,944.75 |
| martin north hospital | Stuart, FL | $596.70 | $37.24 – $459.00 |
| indian river hospital | Vero Beach, FL | $596.70 | $44.54 – $734.40 |
| Banner Wyoming Medical Center | Casper, WY | $642.18 | $106.34 – $1,467.84 |
| Inova Alexandria Hospital | Alexandria, VA | $651.50 | $106.34 – $1,432.00 |
| Inova Fairfax Hospital | Falls Church, VA | $651.50 | $106.34 – $1,432.00 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | $651.50 | $106.34 – $1,432.00 |
| Inova Loudoun Hospital | Leesburg, VA | $651.50 | $106.34 – $1,432.00 |
| Inova Mount Vernon Hospital | Alexandria, VA | $651.50 | $106.34 – $1,432.00 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $685.79 | $41.60 – $495.48 |
| Banner Ocotillo Medical Center | Chandler, AZ | $687.14 | $79.00 – $1,944.75 |
| UPMC Jameson | New Castle, PA | $750.00 | $101.31 – $1,100.00 |
| cleveland clinic main campus | Cleveland, OH | $763.10 | $1.10 – $660.60 |
| UPMC Cole | Coudersport, PA | $771.60 | $145.52 – $1,028.80 |
| Advocate Christ Medical Center | Oak Lawn, IL | $780.00 | $160.73 – $1,248.00 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | $785.00 | $160.73 – $1,256.00 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $841.89 | $43.57 – $554.59 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $841.89 | $43.57 – $505.13 |
| Sterling Regional Medical Center | Sterling, CO | $844.02 | $106.87 – $3,032.22 |
| UPMC Bedford | Everett, PA | $847.80 | $36.58 – $1,271.70 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | $855.00 | $160.73 – $1,368.00 |
| UPMC Carlisle | Carlisle, PA | $876.00 | $100.71 – $1,241.00 |
| UPMC Community Osteopathic | Harrisburg, PA | $876.00 | $103.55 – $1,241.00 |
| UPMC Hanover | Hanover, PA | $876.00 | $100.57 – $1,270.20 |
| UPMC Lititz | Lititz, PA | $876.00 | $101.12 – $1,241.00 |
| UPMC Memorial | York, PA | $876.00 | $106.35 – $1,241.00 |
| UPMC Somerset | Somerset, PA | $876.00 | $100.37 – $1,095.00 |
| cleveland clinic florida weston hospital | Weston, FL | $882.70 | $41.62 – $780.30 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | $885.00 | $35.75 – $650.00 |
| UPMC Kane | Kane, PA | $954.60 | $105.70 – $641.23 |
| Banner Churchill Community Hospital | Fallon, NV | $997.15 | $529.10 – $1,953.60 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | $1,076.00 | $104.17 – $222.03 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | $1,076.00 | $104.17 – $222.03 |
| Advocate South Suburban Hospital | Hazel Crest, IL | $1,125.00 | $160.73 – $2,191.50 |
| Advocate Trinity Hospital | Chicago, IL | $1,125.00 | $160.73 – $1,800.00 |
| Advocate Condell Medical Center | Libertyville, IL | $1,140.00 | $160.73 – $1,824.00 |
| Corewell Health Big Rapids | Big Rapids, MI | $1,151.00 | $104.17 – $196.83 |
| Corewell Health Gerber | Fremont, MI | $1,151.00 | $196.83 – $196.83 |
| Corewell Health Reed City | Po Box 75, MI | $1,151.00 | $196.83 – $196.83 |
| Corewell Health Greenville | Greenville, MI | $1,151.00 | $104.17 – $196.83 |
| Corewell Health Zeeland | Zeeland, MI | $1,151.00 | $104.17 – $196.83 |
| Corewell Health Pennock | Hastings, MI | $1,151.00 | $196.83 – $196.83 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $1,224.87 | $43.57 – $1,224.86 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | $1,250.00 | $160.73 – $2,000.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $1,258.80 | $101.79 – $142.51 |
| Stephens Memorial Hospital | Norway, ME | $1,267.40 | $46.73 – $1,181.22 |
| Sanford Medical Center Bismarck | Bismarck, ND | $1,284.00 | $101.02 – $1,444.50 |
| Banner Page Hospital | Page, AZ | $1,347.91 | $43.76 – $1,233.84 |
| UPMC Northwest | Seneca, PA | $1,368.00 | $91.94 – $1,938.00 |
| Lincoln Health | Damariscotta, ME | $1,382.10 | $46.73 – $94.90 |
| Banner Lassen Medical Center | Susanville, CA | $1,396.89 | $21.27 – $2,381.35 |
| UPMC Altoona | Altoona, PA | $1,405.80 | $88.10 – $1,874.40 |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $1,414.80 | $101.79 – $142.51 |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $1,414.80 | $1.00 – $2,169.36 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $1,414.80 | $801.72 – $1,721.34 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $1,414.80 | $120.46 – $1,108.26 |
| Franklin Memorial Hospital | Farmington, ME | $1,430.20 | $46.73 – $1,197.08 |
| Sanford Medical Center Hillsboro | Hillsboro, ND | $1,468.80 | $352.55 – $1,652.40 |
| Sanford Medical Center Mayville | Mayville, ND | $1,468.80 | $352.55 – $1,652.40 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $1,498.25 | $98.68 – $2,305.00 |
| Atrium Health Anson | Wadesboro, NC | $1,504.05 | $43.99 – $2,857.70 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $1,504.05 | $43.99 – $2,647.13 |
| Atrium Health Cleveland | Shelby, NC | $1,504.05 | $43.99 – $2,857.70 |
| Atrium Health Cabarrus | Concord, NC | $1,504.05 | $43.99 – $2,857.70 |
| Atrium Health Lincoln | Lincolnton, NC | $1,504.05 | $43.99 – $2,857.70 |
| Atrium Health Mercy | Charlotte, NC | $1,504.05 | $43.99 – $2,767.45 |
| Atrium Health Pineville | Charlotte, NC | $1,504.05 | $43.99 – $2,767.45 |
| Atrium Health Stanly | Albermarle, NC | $1,504.05 | $43.99 – $2,887.78 |
| Atrium Health Union | Monroe, NC | $1,504.05 | $43.99 – $2,857.70 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $1,504.05 | $43.99 – $2,767.45 |
| Atrium Health University City | Charlotte, NC | $1,504.05 | $43.99 – $2,767.45 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $1,504.05 | $43.99 – $2,707.29 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $1,507.35 | $93.79 – $2,319.00 |
| Advocate Sherman Hospital | Elgin, IL | $1,510.00 | $160.73 – $2,718.00 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $1,517.10 | $924.03 – $2,334.00 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $1,517.10 | $882.25 – $2,627.15 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $1,517.10 | $892.05 – $2,334.00 |
| MercyOne Elkader Medical Center | Elkader, IA | $1,517.10 | $1,201.31 – $2,439.50 |
| MercyOne Newton Medical Center | Newton, IA | $1,517.10 | $98.96 – $2,334.00 |
| Corewell Health Lakeland Watervliet | Watervliet, MI | $1,554.00 | $105.30 – $157.95 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | $1,554.00 | $104.17 – $404.07 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $1,568.00 | $43.57 – $789.88 |
| MercyOne North Iowa Medical Center | Mason City, IA | $1,571.05 | $101.16 – $2,417.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $1,609.40 | $98.49 – $2,476.00 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $1,609.40 | $98.49 – $2,476.00 |
| Wellstar Cobb Hospital | Austell, GA | $1,610.70 | $106.19 – $196.45 |
| Wellstar Douglas Hospital | Douglasville, GA | $1,610.70 | $105.23 – $194.68 |
| Wellstar Kennestone Hospital | Marietta, GA | $1,610.70 | $106.19 – $196.45 |
| Wellstar MCG Health | Augusta, GA | $1,610.70 | $91.62 – $306.85 |
| Wellstar North Fulton Hospital | Roswell, GA | $1,610.70 | $106.19 – $196.45 |
| Wellstar Paulding Hospital | Hiram, GA | $1,610.70 | $106.19 – $196.45 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280, GA | $1,610.70 | not published |
| Wellstar Spalding Regional Hospital | Griffin, GA | $1,610.70 | $104.86 – $205.53 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | $1,610.70 | $298.22 – $344.93 |
| Wellstar West Georgia Medical Center | Lagrange, GA | $1,610.70 | $102.88 – $201.64 |
| Wellstar Windy Hill Hospital | Marietta, GA | $1,610.70 | $103.69 – $203.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110, TX | $1,655.02 | $99.77 – $2,068.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100, TX | $1,655.02 | $99.77 – $2,482.53 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park, TX | $1,655.02 | $99.77 – $2,482.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor, TX | $1,655.02 | $141.23 – $2,206.70 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $1,668.75 | $689.75 – $2,002.50 |
| University Hospitals Geneva Medical Center | Geneva, OH | $1,668.75 | $445.00 – $2,002.50 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $1,701.75 | $98.91 – $2,042.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham, TX | $1,731.42 | $141.23 – $2,597.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station, TX | $1,731.42 | $99.77 – $2,597.13 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple, TX | $1,731.42 | $104.75 – $2,597.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco, TX | $1,731.42 | $99.77 – $2,164.28 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple, TX | $1,731.42 | $99.77 – $2,597.13 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $1,734.75 | $98.91 – $2,081.70 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $1,734.75 | $98.91 – $2,081.70 |
| University Hospitals Elyria Medical Center | Elyria, OH | $1,734.75 | $98.91 – $2,081.70 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $1,734.75 | $106.81 – $2,081.70 |
| UPMC St. Margaret | Pittsburgh, PA | $1,740.00 | $87.53 – $2,465.00 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $1,795.80 | $94.21 – $2,544.05 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $1,797.00 | $101.39 – $182.50 |
| UPMC McKeesport | Mckeesport, PA | $1,810.20 | $93.97 – $2,564.45 |
| UPMC Horizon-Greenville | Greenville, PA | $1,815.00 | $90.77 – $2,571.25 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $1,833.23 | $43.57 – $859.32 |
| Waldo County General Hospital | Belfast, ME | $1,853.10 | $46.73 – $1,745.62 |
| Sanford Worthington Medical Center | Worthington, MN | $1,854.40 | $81.04 – $2,086.20 |
| UPMC East | Monroeville, PA | $1,863.00 | $101.65 – $2,484.00 |
| East Morgan County Hospital | Brush, CO | $1,863.10 | $43.40 – $99.91 |
| Sanford Wheaton | Wheaton, MN | $1,872.00 | $111.66 – $2,106.00 |
| Community Hospital | Torrington, WY | $1,875.60 | $1,375.44 – $3,032.22 |
| UPMC Hamot | Erie, PA | $1,906.80 | $115.76 – $2,224.60 |
| UPMC Mercy | Pittsburgh, PA | $1,950.00 | $84.51 – $2,925.00 |
| Sanford Canton Inwood Medical Center | Canton, SD | $1,950.40 | $833.80 – $2,194.20 |
| Ogallala Community Hospital | Ogallala, NE | $1,994.39 | $1,375.44 – $3,032.22 |
| Sanford Bagley Medical Center | Bagley, MN | $1,996.80 | $111.66 – $2,246.40 |
| Sanford Bemidji Medical Center | Bemidji, MN | $1,996.80 | $79.32 – $2,246.40 |
| Sanford Vermillion Hospital | Vermillion, SD | $2,018.40 | $744.29 – $2,270.70 |
| UPMC Magee | Pittsburgh, PA | $2,020.20 | $94.88 – $3,097.64 |
| UPMC Muncy | Muncy, PA | $2,051.40 | $112.77 – $2,735.20 |
| UPMC Williamsport | Williamsport, PA | $2,051.40 | $102.37 – $2,735.20 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas, TX | $2,054.79 | $99.77 – $2,568.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco, TX | $2,054.79 | $99.77 – $2,568.49 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth, TX | $2,054.79 | $99.77 – $2,568.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine, TX | $2,054.79 | $99.94 – $2,568.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving, TX | $2,054.79 | $99.77 – $2,568.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett, TX | $2,054.79 | $99.77 – $2,568.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney, TX | $2,054.79 | $99.77 – $2,568.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco, TX | $2,054.79 | $99.77 – $2,568.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano, TX | $2,054.79 | $99.77 – $2,568.49 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton, TX | $2,054.79 | $99.77 – $2,568.49 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney, TX | $2,054.79 | $99.77 – $2,568.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie, TX | $2,054.79 | $99.77 – $2,568.49 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie, TX | $2,054.79 | $99.77 – $2,568.49 |
| MercyOne Clinton Medical Center | Clinton, IA | $2,057.25 | $96.27 – $3,165.00 |
| Washakie Medical Center | Worland, WY | $2,060.03 | $49.44 – $99.91 |
| MaineHealth - Memorial Hospital | North Conway, NH | $2,107.70 | $44.98 – $854.32 |
| Platte County Hospital | Wheatland, WY | $2,147.56 | $1,500.48 – $3,032.22 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $2,161.16 | $43.57 – $1,058.96 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $2,161.16 | $43.57 – $1,191.34 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $2,161.16 | $43.57 – $1,107.59 |
| Sanford Thief River Falls Medical Center | Thief River Falls, MN | $2,286.40 | $111.66 – $2,572.20 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls, MN | $2,286.40 | $111.66 – $2,572.20 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $2,305.25 | $43.57 – $2,555.94 |
| MercyOne Centerville Medical Center | Centerville, IA | $2,334.00 | $640.45 – $2,334.00 |
| Sanford Chamberlain Medical Center | Chamberlain, SD | $2,344.80 | $1,002.40 – $2,637.90 |
| Sanford Hospital Webster | Webster, SD | $2,376.00 | $932.58 – $2,673.00 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $2,398.52 | $43.57 – $2,548.42 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | $2,401.00 | $96.92 – $434.62 |
| Corewell Health Taylor | Taylor, MI | $2,401.00 | $96.92 – $434.62 |
| Corewell Health Trenton | Trenton, MI | $2,401.00 | $96.92 – $434.62 |
| Corewell Health Troy | Troy, MI | $2,401.00 | $96.88 – $434.62 |
| Corewell Health Wayne | Wayne, MI | $2,401.00 | $96.92 – $434.62 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $2,427.55 | $43.57 – $892.12 |
| Sanford Canby Medical Center | Canby, MN | $2,447.20 | $111.66 – $2,753.10 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | $2,472.00 | $101.02 – $2,781.00 |
| UPMC Wellsboro | Wellsboro, PA | $2,480.80 | $112.77 – $2,790.90 |
| Sanford Luverne Medical Center | Luverne, MN | $2,495.20 | $111.66 – $2,807.10 |
| Sanford Sheldon Medical Center | Sheldon, IA | $2,508.00 | $893.48 – $2,821.50 |
| Sanford Clear Lake Medical Center | Clear Lake, SD | $2,539.20 | $705.10 – $2,856.60 |
| Sanford Fargo Medical Center | Fargo, ND | $2,568.80 | $80.11 – $2,889.90 |
| Sanford Westbrook Hospital | Westbrook, MN | $2,592.00 | $111.66 – $2,916.00 |
| Sanford Tracy Hospital | Tracy, MN | $2,592.00 | $111.66 – $2,916.00 |
| Pen Bay Medical Center | Rockport, ME | $2,649.25 | $45.43 – $1,515.35 |
| Mid Coast Hospital | Brunswick, ME | $2,649.25 | $44.98 – $681.20 |
| Sanford USD Medical Center | Sioux Falls, SD | $2,652.00 | $48.73 – $2,983.50 |
| UPMC Presbyterian | Pittsburgh, PA | $2,937.00 | $105.72 – $4,160.75 |
| Boca Raton Regional Hospital | BOCA RATON, FL | $2,984.80 | $107.21 – $2,998.58 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $3,187.15 | $43.92 – $1,322.66 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $3,282.50 | $67.49 – $4,545.00 |
| Doctors Hospital | CORAL GABLES, FL | $3,282.50 | $65.42 – $4,545.00 |
| Fishermens Community Hospital | MARATHON, FL | $3,282.50 | $65.42 – $4,545.00 |
| Homestead Hospital | HOMESTEAD, FL | $3,282.50 | $65.42 – $4,545.00 |
| Mariners Hospital | TAVERNIER, FL | $3,282.50 | $65.42 – $4,545.00 |
| West Kendall Baptist Hospital | MIAMI, FL | $3,282.50 | $65.42 – $4,545.00 |
| Baptist Hospital | MIAMI, FL | $3,499.60 | $67.49 – $4,545.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $3,499.60 | $65.42 – $4,545.00 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $4,083.00 | $98.68 – $4,083.00 |
| South Brooklyn Health | Brooklyn, NY | not published | $79.06 – $935.14 |
| North Central Bronx | Bronx, NY | not published | $119.78 – $373.42 |
| Metropolitan Hospital Center | New York, NY | not published | $79.06 – $1,056.00 |
| Spring Harbor Hospital | Westbrook, ME | not published | $44.98 – $96.75 |
| Lincoln Medical Center | Bronx, NY | not published | $79.06 – $1,056.00 |
| Jacobi Medical Center | Bronx, NY | not published | $79.06 – $1,306.92 |
| Henry J. Carter Specialty Hospital | New York, NY | not published | not published |
| Harlem Hospital Center | New York, NY | not published | $76.77 – $1,056.00 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $78.62 – $1,056.00 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | not published | $255.28 – $295.59 |