Lower Back (Lumbar Spine) MRI (with and without contrast) cost at US hospitals
MRI lumbar spine without and with contrast · CPT 72158
$390.30
lowest cash price
$2,750.00
national median
$9,808.20
highest cash price
227
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $390.30–$9,808.20 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($2,183.30) → Aug 1, 2026 ($3,387.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Arizona | 16 | $420.62 | $522.14 | $4,047.09 |
| California | 1 | $3,672.12 | $3,672.12 | $3,672.12 |
| Colorado | 4 | $457.89 | $504.32 | $1,585.84 |
| Florida | 12 | $2,002.00 | $4,846.40 | $4,846.40 |
| Georgia | 11 | $2,370.03 | $2,370.03 | $2,370.03 |
| Illinois | 11 | $1,915.00 | $2,575.00 | $5,408.23 |
| Indiana | 1 | $2,176.20 | $2,176.20 | $2,176.20 |
| Iowa | 27 | $1,643.20 | $3,803.15 | $7,543.00 |
| Maine | 7 | $2,183.30 | $3,301.70 | $3,956.45 |
| Maryland | 1 | $436.20 | $436.20 | $436.20 |
| Michigan | 19 | $479.72 | $3,520.00 | $5,869.00 |
| Minnesota | 10 | $3,850.40 | $4,103.20 | $4,399.20 |
| Nebraska | 1 | $1,716.04 | $1,716.04 | $1,716.04 |
| Nevada | 1 | $2,926.43 | $2,926.43 | $2,926.43 |
| New Hampshire | 1 | $8,730.55 | $8,730.55 | $8,730.55 |
| New Jersey | 3 | $390.30 | $395.29 | $420.58 |
| New York | 12 | $440.22 | $444.73 | $975.00 |
| North Carolina | 12 | $2,656.05 | $2,656.05 | $2,656.05 |
| North Dakota | 4 | $3,861.60 | $3,924.00 | $4,228.00 |
| Ohio | 19 | $1,601.60 | $1,601.60 | $2,886.75 |
| Pennsylvania | 24 | $1,907.40 | $3,601.80 | $9,808.20 |
| South Dakota | 7 | $3,938.40 | $4,230.40 | $4,865.60 |
| Texas | 22 | $3,167.94 | $3,196.33 | $3,200.98 |
| Virginia | 5 | $1,479.00 | $1,479.00 | $1,479.00 |
| Wisconsin | 1 | $3,141.13 | $3,141.13 | $3,141.13 |
| Wyoming | 4 | $1,200.78 | $1,736.87 | $1,841.03 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Ocean University Medical Center | Brick, NJ | $390.30 | $357.13 – $4,618.05 |
| Bayshore Medical Center | Holmdel, NJ | $395.29 | $395.29 – $5,133.15 |
| Hackensack University Medical Center | Hackensack, NJ | $420.58 | $336.46 – $4,791.91 |
| Banner Boswell Medical Center | Sun City, AZ | $420.62 | $266.89 – $2,900.80 |
| Banner Ironwood Medical Center | San Tan Valley, AZ | $424.24 | $266.89 – $2,719.50 |
| UPMC Western Maryland | Cumberland, MD | $436.20 | $727.00 – $727.00 |
| Kings County Hospital Center | Brooklyn, NY | $440.22 | $185.49 – $2,252.81 |
| Bellevue Hospital Center | NY 10016, NY | $444.73 | $180.83 – $2,120.29 |
| Queens Hospital Center | Jamaica, NY | $444.73 | $183.74 – $2,252.81 |
| Woodhull Medical Center | Brooklyn, NY | $444.73 | $185.49 – $2,252.81 |
| Banner Del Webb Medical Center | Sun City West, AZ | $453.25 | $266.89 – $2,900.80 |
| Banner Baywood Medical Center | Mesa, AZ | $456.88 | $266.89 – $2,719.50 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland, CO | $457.89 | $348.58 – $1,520.95 |
| Banner Estrella Medical Center | Phoenix, AZ | $464.13 | $266.89 – $2,719.50 |
| Banner Casa Grande Medical Center | Casa Grande, AZ | $478.63 | $266.89 – $2,719.50 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $479.72 | $67.31 – $2,952.43 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $479.72 | $67.31 – $2,797.92 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $479.72 | $67.31 – $2,797.92 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $479.72 | $67.31 – $2,797.92 |
| Banner Fort Collins Medical Center | Fort Collins, CO | $504.32 | $348.14 – $1,520.95 |
| Banner Ocotillo Medical Center | Chandler, AZ | $518.52 | $266.89 – $2,719.50 |
| Banner University Medical Center Phoenix | Phoenix, AZ | $522.14 | $266.89 – $2,719.50 |
| Banner Gateway Medical Center | Gilbert, AZ | $587.41 | $266.89 – $2,719.50 |
| Banner University Medical Center South | Tucson, AZ | $607.46 | $266.89 – $3,547.20 |
| Banner Thunderbird Medical Center | Glendale, AZ | $630.92 | $72.99 – $2,719.50 |
| Sterling Regional Medical Center | Sterling, CO | $682.25 | $358.91 – $2,525.88 |
| Banner Desert Medical Center | Mesa, AZ | $688.94 | $266.89 – $2,719.50 |
| Banner University Medical Center Tucson | Tucson, AZ | $793.69 | $266.89 – $3,547.20 |
| Banner Heart Hospital | Mesa, AZ | $960.27 | $266.89 – $2,719.50 |
| UPMC Chautauqua | Jamestown, NY | $975.00 | $351.19 – $1,462.50 |
| Banner Wyoming Medical Center | Casper, WY | $1,200.78 | $357.13 – $2,744.64 |
| Banner Payson Medical Center | Payson, AZ | $1,218.18 | $266.89 – $2,210.40 |
| Inova Alexandria Hospital | Alexandria, VA | $1,479.00 | $357.13 – $4,034.21 |
| Inova Fairfax Hospital | Falls Church, VA | $1,479.00 | $357.13 – $4,034.21 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | $1,479.00 | $357.13 – $4,034.21 |
| Inova Loudoun Hospital | Leesburg, VA | $1,479.00 | $357.13 – $4,034.21 |
| Inova Mount Vernon Hospital | Alexandria, VA | $1,479.00 | $357.13 – $4,034.21 |
| East Morgan County Hospital | Brush, CO | $1,585.84 | $99.03 – $227.95 |
| avon hospital | Avon, OH | $1,601.60 | $0.87 – $2,217.60 |
| euclid hospital | Euclid, OH | $1,601.60 | $0.87 – $2,217.60 |
| fairview hospital | Cleveland, OH | $1,601.60 | $0.87 – $2,217.60 |
| lutheran hospital | Cleveland, OH | $1,601.60 | $0.87 – $2,217.60 |
| hillcrest hospital | Mayfield Heights, OH | $1,601.60 | $0.87 – $2,217.60 |
| lodi hospital | Lodi, OH | $1,601.60 | $356.43 – $2,217.60 |
| marymount hospital | Garfield Heights, OH | $1,601.60 | $0.87 – $2,217.60 |
| medina hospital | Medina, OH | $1,601.60 | $0.87 – $2,217.60 |
| south pointe hospital | Warrensville Heights, OH | $1,601.60 | $0.87 – $2,217.60 |
| MercyOne North Iowa Medical Center | Mason City, IA | $1,643.20 | $190.28 – $2,528.00 |
| Ogallala Community Hospital | Ogallala, NE | $1,716.04 | $1,145.76 – $2,525.88 |
| Washakie Medical Center | Worland, WY | $1,736.87 | $112.80 – $227.95 |
| Platte County Hospital | Wheatland, WY | $1,762.91 | $1,249.92 – $2,525.88 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $1,789.64 | $87.88 – $1,293.01 |
| Community Hospital | Torrington, WY | $1,841.03 | $1,145.76 – $2,525.88 |
| UPMC Cole | Coudersport, PA | $1,907.40 | $355.95 – $2,543.20 |
| Advocate Christ Medical Center | Oak Lawn, IL | $1,915.00 | $539.81 – $3,064.00 |
| martin north hospital | Stuart, FL | $2,002.00 | $88.71 – $1,540.00 |
| indian river hospital | Vero Beach, FL | $2,002.00 | $106.11 – $2,464.00 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | $2,125.00 | $539.81 – $3,400.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $2,162.40 | $341.85 – $478.59 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | $2,176.20 | $82.27 – $700.00 |
| Pen Bay Medical Center | Rockport, ME | $2,183.30 | $105.04 – $1,655.87 |
| Mid Coast Hospital | Brunswick, ME | $2,183.30 | $104.00 – $943.20 |
| cleveland clinic main campus | Cleveland, OH | $2,197.00 | $1.10 – $2,217.60 |
| akron general | Akron, OH | $2,197.00 | $0.87 – $2,217.60 |
| mercy hospital | Canton, OH | $2,197.00 | $1.01 – $2,217.60 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $2,259.00 | $933.72 – $2,710.80 |
| University Hospitals Geneva Medical Center | Geneva, OH | $2,259.00 | $602.40 – $2,710.80 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | $2,360.00 | $539.81 – $3,776.00 |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $2,361.60 | $341.85 – $478.59 |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $2,361.60 | $372.28 – $3,621.12 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $2,361.60 | $1,338.24 – $2,873.28 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $2,361.60 | $421.38 – $1,849.92 |
| Wellstar Cobb Hospital | Austell, GA | $2,370.03 | $354.36 – $655.56 |
| Wellstar Douglas Hospital | Douglasville, GA | $2,370.03 | $351.17 – $649.66 |
| Wellstar Kennestone Hospital | Marietta, GA | $2,370.03 | $354.36 – $655.56 |
| Wellstar MCG Health | Augusta, GA | $2,370.03 | $305.72 – $840.38 |
| Wellstar North Fulton Hospital | Roswell, GA | $2,370.03 | $354.36 – $655.56 |
| Wellstar Paulding Hospital | Hiram, GA | $2,370.03 | $354.36 – $655.56 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280, GA | $2,370.03 | not published |
| Wellstar Spalding Regional Hospital | Griffin, GA | $2,370.03 | $349.93 – $685.86 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | $2,370.03 | $605.44 – $1,085.52 |
| Wellstar West Georgia Medical Center | Lagrange, GA | $2,370.03 | $343.30 – $672.87 |
| Wellstar Windy Hill Hospital | Marietta, GA | $2,370.03 | $362.70 – $710.90 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $2,525.67 | $100.51 – $1,663.78 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $2,525.67 | $100.51 – $1,515.40 |
| UPMC Hamot | Erie, PA | $2,536.20 | $281.64 – $2,958.90 |
| Advocate South Suburban Hospital | Hazel Crest, IL | $2,575.00 | $539.81 – $5,016.10 |
| Advocate Trinity Hospital | Chicago, IL | $2,575.00 | $539.81 – $4,120.00 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $2,590.50 | $330.06 – $3,108.60 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $2,590.50 | $330.06 – $3,108.60 |
| University Hospitals Elyria Medical Center | Elyria, OH | $2,590.50 | $330.06 – $3,108.60 |
| cleveland clinic florida weston hospital | Weston, FL | $2,597.40 | $99.15 – $2,618.00 |
| UPMC Altoona | Altoona, PA | $2,604.00 | $269.00 – $3,472.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | $2,650.00 | $539.81 – $4,240.00 |
| Atrium Health Anson | Wadesboro, NC | $2,656.05 | $97.35 – $5,046.50 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $2,656.05 | $98.32 – $4,674.65 |
| Atrium Health Cleveland | Shelby, NC | $2,656.05 | $97.35 – $5,046.50 |
| Atrium Health Cabarrus | Concord, NC | $2,656.05 | $97.35 – $5,046.50 |
| Atrium Health Lincoln | Lincolnton, NC | $2,656.05 | $97.35 – $5,046.50 |
| Atrium Health Mercy | Charlotte, NC | $2,656.05 | $97.35 – $4,887.13 |
| Atrium Health Pineville | Charlotte, NC | $2,656.05 | $97.35 – $4,887.13 |
| Atrium Health Stanly | Albermarle, NC | $2,656.05 | $97.35 – $5,099.62 |
| Atrium Health Union | Monroe, NC | $2,656.05 | $97.35 – $5,046.50 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $2,656.05 | $98.32 – $4,887.13 |
| Atrium Health University City | Charlotte, NC | $2,656.05 | $97.35 – $4,887.13 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $2,656.05 | $97.35 – $4,780.89 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $2,707.98 | $100.51 – $2,707.98 |
| UPMC Carlisle | Carlisle, PA | $2,713.80 | $338.22 – $3,844.55 |
| UPMC Community Osteopathic | Harrisburg, PA | $2,713.80 | $347.79 – $3,844.55 |
| UPMC Hanover | Hanover, PA | $2,713.80 | $337.76 – $3,935.01 |
| UPMC Lititz | Lititz, PA | $2,713.80 | $339.58 – $3,844.55 |
| UPMC Memorial | York, PA | $2,713.80 | $352.39 – $3,844.55 |
| UPMC Somerset | Somerset, PA | $2,713.80 | $309.35 – $3,392.25 |
| Advocate Condell Medical Center | Libertyville, IL | $2,750.00 | $539.81 – $4,400.00 |
| Advocate Sherman Hospital | Elgin, IL | $2,785.00 | $539.81 – $5,013.00 |
| UPMC Bedford | Everett, PA | $2,884.20 | $122.85 – $4,326.30 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $2,886.75 | $330.06 – $3,464.10 |
| Banner Churchill Community Hospital | Fallon, NV | $2,926.43 | $1,438.32 – $5,310.72 |
| UPMC Jameson | New Castle, PA | $2,946.00 | $309.35 – $4,320.80 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $3,141.13 | $101.16 – $2,191.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110, TX | $3,167.94 | $329.13 – $3,959.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100, TX | $3,167.94 | $329.13 – $4,751.91 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park, TX | $3,167.94 | $329.13 – $4,751.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor, TX | $3,167.94 | $494.01 – $4,223.92 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas, TX | $3,196.33 | $329.13 – $3,995.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco, TX | $3,196.33 | $329.13 – $3,995.41 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth, TX | $3,196.33 | $329.13 – $3,995.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine, TX | $3,196.33 | $329.13 – $3,995.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving, TX | $3,196.33 | $329.13 – $3,995.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett, TX | $3,196.33 | $329.13 – $3,995.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney, TX | $3,196.33 | $329.13 – $3,995.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco, TX | $3,196.33 | $329.13 – $3,995.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano, TX | $3,196.33 | $329.13 – $3,995.41 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton, TX | $3,196.33 | $329.13 – $3,995.41 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney, TX | $3,196.33 | $329.13 – $3,995.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie, TX | $3,196.33 | $329.13 – $3,995.41 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie, TX | $3,196.33 | $329.13 – $3,995.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham, TX | $3,200.98 | $494.01 – $4,801.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station, TX | $3,200.98 | $332.94 – $4,801.46 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple, TX | $3,200.98 | $329.13 – $4,801.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco, TX | $3,200.98 | $329.13 – $4,001.22 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple, TX | $3,200.98 | $329.13 – $4,801.46 |
| Stephens Memorial Hospital | Norway, ME | $3,301.70 | $107.81 – $3,077.18 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $3,307.20 | $328.68 – $5,088.00 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $3,307.20 | $328.68 – $5,088.00 |
| Lincoln Health | Damariscotta, ME | $3,347.25 | $107.81 – $3,039.30 |
| Waldo County General Hospital | Belfast, ME | $3,382.30 | $107.81 – $3,186.13 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | $3,387.00 | $347.62 – $625.71 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | $3,387.00 | $347.62 – $625.71 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $3,392.31 | $100.51 – $3,761.22 |
| Corewell Health Lakeland Watervliet | Watervliet, MI | $3,412.00 | $351.38 – $527.07 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | $3,412.00 | $347.62 – $2,069.16 |
| Corewell Health Big Rapids | Big Rapids, MI | $3,520.00 | $347.62 – $674.04 |
| Corewell Health Gerber | Fremont, MI | $3,520.00 | $674.04 – $674.04 |
| Corewell Health Reed City | Po Box 75, MI | $3,520.00 | $674.04 – $674.04 |
| Corewell Health Greenville | Greenville, MI | $3,520.00 | $347.62 – $674.04 |
| Corewell Health Zeeland | Zeeland, MI | $3,520.00 | $347.62 – $674.04 |
| Corewell Health Pennock | Hastings, MI | $3,520.00 | $674.04 – $674.04 |
| UPMC Horizon-Greenville | Greenville, PA | $3,601.80 | $304.83 – $5,102.55 |
| Banner Lassen Medical Center | Susanville, CA | $3,672.12 | $71.43 – $6,271.05 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $3,803.15 | $2,316.41 – $5,851.00 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $3,803.15 | $2,236.25 – $5,851.00 |
| MercyOne Elkader Medical Center | Elkader, IA | $3,803.15 | $3,011.51 – $6,115.47 |
| MercyOne Newton Medical Center | Newton, IA | $3,803.15 | $330.23 – $5,851.00 |
| UPMC Northwest | Seneca, PA | $3,827.40 | $308.78 – $5,422.15 |
| Sanford Wheaton | Wheaton, MN | $3,850.40 | $374.99 – $4,331.70 |
| Sanford Medical Center Bismarck | Bismarck, ND | $3,861.60 | $327.88 – $4,344.30 |
| Sanford Medical Center Hillsboro | Hillsboro, ND | $3,924.00 | $607.75 – $4,414.50 |
| Sanford Medical Center Mayville | Mayville, ND | $3,924.00 | $607.75 – $4,414.50 |
| Sanford Canton Inwood Medical Center | Canton, SD | $3,938.40 | $1,683.67 – $4,430.70 |
| Franklin Memorial Hospital | Farmington, ME | $3,956.45 | $107.81 – $3,311.55 |
| UPMC Muncy | Muncy, PA | $4,010.40 | $344.32 – $5,347.20 |
| UPMC Williamsport | Williamsport, PA | $4,010.40 | $343.82 – $5,347.20 |
| Sanford Bagley Medical Center | Bagley, MN | $4,034.40 | $374.99 – $4,538.70 |
| Sanford Bemidji Medical Center | Bemidji, MN | $4,034.40 | $277.45 – $4,538.70 |
| Banner Page Hospital | Page, AZ | $4,047.09 | $99.72 – $3,426.45 |
| Sanford Thief River Falls Medical Center | Thief River Falls, MN | $4,103.20 | $374.99 – $4,616.10 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls, MN | $4,103.20 | $374.99 – $4,616.10 |
| Sanford Chamberlain Medical Center | Chamberlain, SD | $4,159.20 | $1,778.06 – $4,679.10 |
| Sanford Vermillion Hospital | Vermillion, SD | $4,184.80 | $1,543.15 – $4,707.90 |
| Sanford Canby Medical Center | Canby, MN | $4,217.60 | $374.99 – $4,744.80 |
| Sanford Worthington Medical Center | Worthington, MN | $4,224.80 | $283.44 – $4,752.90 |
| Sanford Fargo Medical Center | Fargo, ND | $4,228.00 | $280.20 – $4,756.50 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | $4,230.40 | $339.27 – $4,759.20 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $4,243.06 | $100.51 – $1,988.93 |
| Sanford Luverne Medical Center | Luverne, MN | $4,279.20 | $374.99 – $4,814.10 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $4,317.30 | $329.29 – $6,642.00 |
| Sanford Hospital Webster | Webster, SD | $4,319.20 | $1,695.29 – $4,859.10 |
| Sanford Sheldon Medical Center | Sheldon, IA | $4,326.40 | $1,541.28 – $4,867.20 |
| Boca Raton Regional Hospital | BOCA RATON, FL | $4,345.90 | $357.78 – $4,365.96 |
| UPMC Kane | Kane, PA | $4,383.00 | $149.45 – $2,380.18 |
| Sanford Westbrook Hospital | Westbrook, MN | $4,399.20 | $374.99 – $4,949.10 |
| Sanford Tracy Hospital | Tracy, MN | $4,399.20 | $374.99 – $4,949.10 |
| Sanford Clear Lake Medical Center | Clear Lake, SD | $4,430.40 | $1,215.50 – $4,984.20 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $4,477.34 | $100.51 – $4,757.17 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $4,822.67 | $100.51 – $2,429.42 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $4,841.20 | $312.99 – $7,448.00 |
| Baptist Hospital | MIAMI, FL | $4,846.40 | $173.17 – $6,710.40 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $4,846.40 | $255.55 – $6,710.40 |
| Doctors Hospital | CORAL GABLES, FL | $4,846.40 | $247.73 – $6,710.40 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $4,846.40 | $247.73 – $6,710.40 |
| Fishermens Community Hospital | MARATHON, FL | $4,846.40 | $247.73 – $6,710.40 |
| Homestead Hospital | HOMESTEAD, FL | $4,846.40 | $167.89 – $6,710.40 |
| Mariners Hospital | TAVERNIER, FL | $4,846.40 | $247.73 – $6,710.40 |
| West Kendall Baptist Hospital | MIAMI, FL | $4,846.40 | $247.73 – $6,710.40 |
| UPMC Wellsboro | Wellsboro, PA | $4,850.40 | $344.32 – $5,456.70 |
| Sanford USD Medical Center | Sioux Falls, SD | $4,865.60 | $170.46 – $5,473.80 |
| MercyOne Clinton Medical Center | Clinton, IA | $4,882.80 | $321.26 – $7,512.00 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $5,340.27 | $100.51 – $1,962.55 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $5,408.23 | $100.51 – $2,650.03 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $5,408.23 | $100.51 – $2,981.28 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $5,408.23 | $100.51 – $2,771.71 |
| UPMC St. Margaret | Pittsburgh, PA | $5,810.40 | $293.97 – $8,231.40 |
| MercyOne Centerville Medical Center | Centerville, IA | $5,851.00 | $1,605.51 – $5,851.00 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | $5,869.00 | $323.42 – $1,292.57 |
| Corewell Health Taylor | Taylor, MI | $5,869.00 | $323.42 – $1,292.57 |
| Corewell Health Trenton | Trenton, MI | $5,869.00 | $323.42 – $1,292.57 |
| Corewell Health Troy | Troy, MI | $5,869.00 | $323.29 – $1,292.57 |
| Corewell Health Wayne | Wayne, MI | $5,869.00 | $323.42 – $1,292.57 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $5,999.40 | $316.41 – $8,499.15 |
| UPMC McKeesport | Mckeesport, PA | $6,049.20 | $315.59 – $8,569.70 |
| UPMC East | Monroeville, PA | $6,218.40 | $341.40 – $8,291.20 |
| UPMC Mercy | Pittsburgh, PA | $6,512.40 | $283.82 – $9,768.60 |
| UPMC Magee | Pittsburgh, PA | $6,741.00 | $318.66 – $10,336.20 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $7,543.00 | $329.29 – $7,543.00 |
| MaineHealth - Memorial Hospital | North Conway, NH | $8,730.55 | $104.00 – $2,519.33 |
| UPMC Presbyterian | Pittsburgh, PA | $9,808.20 | $322.80 – $13,894.95 |
| South Brooklyn Health | Brooklyn, NY | not published | $201.46 – $1,141.16 |
| North Central Bronx | Bronx, NY | not published | $296.78 – $845.23 |
| Metropolitan Hospital Center | New York, NY | not published | $201.46 – $1,285.00 |
| Spring Harbor Hospital | Westbrook, ME | not published | $104.00 – $220.00 |
| Lincoln Medical Center | Bronx, NY | not published | $201.46 – $1,285.00 |
| Jacobi Medical Center | Bronx, NY | not published | $201.46 – $2,252.81 |
| Harlem Hospital Center | New York, NY | not published | $195.60 – $1,285.00 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $200.28 – $1,285.00 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | not published | $536.61 – $621.34 |