Mr safety determination physician/other qhp cost at US hospitals

HC MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP · CPT 76016

$25.00

lowest cash price

$160.20

national median

$665.60

highest cash price

464

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $25.00–$665.60 — the variation is the story.

Most expensive published cash price

$665.60

indian river hospital — Vero Beach, FL

Median cash price over time

Sep 1, 2025 ($214.95) → Sep 1, 2026 ($161.40)

By state

State Hospitals Lowest cash Median Highest
Alaska 2 not published by hospital not published by hospital not published by hospital
Arizona 18 $29.02 $38.88 $69.55
Arkansas 2 $36.45 $36.45 $264.00
California 48 $70.85 $269.36 $269.36
Colorado 17 $46.82 $266.73 $442.94
Florida 81 $116.40 $242.45 $665.60
Georgia 21 $211.00 $211.00 $237.57
Hawaii 1 not published by hospital not published by hospital not published by hospital
Illinois 37 $132.80 $179.20 $260.00
Indiana 10 $130.00 $130.00 $305.17
Iowa 16 $63.00 $132.80 $185.00
Kansas 9 $243.81 $243.81 $380.38
Kentucky 16 $81.72 $138.60 $305.17
Louisiana 5 not published by hospital not published by hospital not published by hospital
Maine 7 $122.60 $214.95 $255.65
Michigan 23 $119.66 $119.66 $220.00
Minnesota 10 not published by hospital not published by hospital not published by hospital
Missouri 13 $97.35 $97.35 $380.38
Montana 1 $362.40 $362.40 $362.40
Nebraska 10 $56.58 $63.00 $95.49
Nevada 1 $57.89 $57.89 $57.89
New Hampshire 1 $176.10 $176.10 $176.10
New Jersey 21 $27.21 $46.16 $103.69
New Mexico 3 not published by hospital not published by hospital not published by hospital
New York 17 $104.19 $104.19 $223.54
North Carolina 15 $146.55 $146.55 $226.75
North Dakota 2 not published by hospital not published by hospital not published by hospital
Ohio 52 $85.50 $141.20 $566.80
Oklahoma 6 not published by hospital not published by hospital not published by hospital
Oregon 8 $479.40 $479.40 $479.40
Pennsylvania 23 $160.20 $161.40 $435.60
South Carolina 11 $25.00 $25.00 $211.20
South Dakota 2 not published by hospital not published by hospital not published by hospital
Tennessee 34 $39.10 $39.90 $373.33
Texas 103 $39.03 $120.51 $427.92
Virginia 41 $39.10 $132.50 $218.00
Washington 22 $123.24 $137.70 $261.80
West Virginia 5 $272.00 $292.50 $292.50
Wisconsin 31 $163.24 $260.00 $261.90
Wyoming 4 $55.44 $93.63 $101.88

All hospitals

Hospital Location Cash price Negotiated range
62-0123940 BMH Collierville Collierville, TN $51.03 $34.50 – $161.26
Banner Wyoming Medical Center Casper, WY $55.44 $35.64 – $126.72
Banner Heart Hospital Mesa, AZ $56.02 $45.36 – $154.85
CHI Health Nebraska Heart Lincoln, NE $56.58 $29.52 – $100.86
Banner Payson Medical Center Payson, AZ $57.24 $43.96 – $97.20
Mercy Gilbert Medical Center Gilbert, AZ $57.81 $32.90 – $180.95
Banner Churchill Community Hospital Fallon, NV $57.89 $28.08 – $103.68
Sterling Regional Medical Center Sterling, CO $59.85 $37.11 – $129.01
CHI Health St. Elizabeth Lincoln, NE $61.50 $28.29 – $98.40
Chandler Regional Medical Center Chandler, AZ $62.98 $32.90 – $197.40
CHI Health Mercy Council Bluffs Council Bluffs, IA $63.00 $22.50 – $127.50
CHI Health Creighton University Medical Center - Bergan Mercy Omaha, NE $63.00 $25.50 – $127.50
Lasting Hope Recovery Center Omaha, NE $63.00 $25.50 – $127.50
CHI Health Immanuel Omaha, NE $63.00 $21.00 – $127.50
CHI Health Lakeside Omaha, NE $63.00 $24.00 – $127.50
CHI Health Midlands Papillion, NE $63.00 $27.00 – $127.50
Banner Fort Collins Medical Center Fort Collins, CO $69.29 $54.53 – $212.38
Banner Page Hospital Page, AZ $69.55 $25.78 – $72.20
Banner Lassen Medical Center Susanville, CA $70.85 $17.61 – $104.76
CHI Health St. Francis Grand Island, NE $72.57 $28.29 – $115.62
CHI Health Good Samaritan Kearney, NE $75.03 $25.83 – $114.39
Ascension Saint Thomas Rutherford Murfreesboro, TN $75.90 $66.62 – $118.06
Ascension Saint Thomas Highlands Sparta, TN $75.90 $70.15 – $116.35
Ascension Saint Thomas DeKalb Smithville, TN $75.90 $70.15 – $116.35
Ascension Saint Thomas River Park McMinnville, TN $75.90 $70.15 – $116.35
Ascension Saint Thomas Midtown Nashville, TN $75.90 $46.24 – $118.06
St. Luke's Health - The Vintage Hospital Houston, TX $77.00 $59.40 – $220.00
Baylor St Luke's Medical Center Houston, TX $77.00 $59.40 – $220.00
St. Luke's Health - Sugar Land Hospital Sugar Land, TX $77.00 $59.40 – $220.00
St. Luke's Health - Springwoods Village Hospital Spring, TX $77.00 $59.40 – $220.00
St. Luke's Health - Lakeside Hospital The Woodlands, TX $77.00 $59.40 – $220.00
Methodist Charlton Medical Center Dallas, TX $81.00 $85.51 – $230.87
Methodist Dallas Medical Center Dallas, TX $81.00 $87.42 – $236.04
Methodist Mansfield Medical Center Mansfield, TX $81.00 $87.57 – $236.43
Methodist Midlothian Medical Center Midlothian, TX $81.00 $87.42 – $236.04
Methodist Richardson Medical Center Richardson, TX $81.00 $87.42 – $236.04
Methodist Celina Medical Center Celina, TX $81.00 $84.68 – $218.55
Methodist Southlake Medical Center Souhtlake, TX $81.00 $84.12 – $236.43
CHI Saint Joseph Health - Saint Joseph London London, KY $81.72 $32.71 – $208.39
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling, KY $82.46 $47.10 – $204.75
Southampton Medical Center Franklin, VA $83.10 not published
Southern Virginia Medical Center Emporia, VA $83.10 not published
Southside Regional Medical Center Petersburg, VA $83.10 not published
University Hospitals Conneaut Medical Center Conneaut, OH $85.50 $2,260.00 – $2,260.00
University Hospitals Geneva Medical Center Geneva, OH $85.50 $2,528.00 – $2,528.00
University Hospitals Samaritan Medical Center Ashland, OH $85.50 $84.40 – $151.91
East Morgan County Hospital Brush, CO $88.31 $25.71 – $59.17
CHI Saint Joseph Health - Saint Joseph East Lexington, KY $89.58 $54.51 – $202.93
St. Luke's Health - Patients Medical Center Pasadena, TX $92.40 $100.00 – $1,535.00
Community Hospital Torrington, WY $93.63 $58.52 – $129.01

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