Multi den insert direct form cost at US hospitals
Multi den insert direct form · HCPCS A5512
$19.74
lowest cash price
$51.00
national median
$150.59
highest cash price
9
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $19.74–$150.59 — the variation is the story.
Median cash price over time
Jan 1, 2026 ($19.74) → Jun 1, 2026 ($51.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | not published by hospital | not published by hospital | not published by hospital |
| California | 6 | not published by hospital | not published by hospital | not published by hospital |
| Colorado | 8 | not published by hospital | not published by hospital | not published by hospital |
| Florida | 43 | $39.00 | $39.00 | $150.59 |
| Illinois | 9 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 11 | not published by hospital | not published by hospital | not published by hospital |
| Kansas | 1 | 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 | 12 | $19.74 | $51.00 | $51.00 |
| Minnesota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Missouri | 2 | 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 | not published by hospital | not published by hospital | not published by hospital |
| New York | 11 | not published by hospital | not published by hospital | not published by hospital |
| North Carolina | 11 | not published by hospital | not published by hospital | not published by hospital |
| North Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 22 | $31.20 | $31.20 | $31.20 |
| Oklahoma | 3 | not published by hospital | not published by hospital | not published by hospital |
| South Carolina | 2 | not published by hospital | not published by hospital | not published by hospital |
| South Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Texas | 13 | not published by hospital | not published by hospital | not published by hospital |
| Virginia | 8 | not published by hospital | not published by hospital | not published by hospital |
| Washington | 1 | not published by hospital | not published by hospital | not published by hospital |
| Wisconsin | 2 | $24.91 | $24.91 | $24.91 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Genesys Hospital | Grand Blanc Twp, MI | $19.74 | $21.77 – $21.77 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | $24.91 | $30.13 – $43.58 |
| cleveland clinic main campus | Cleveland, OH | $31.20 | $1.10 – $46.92 |
| AdventHealth Orlando | Orlando, FL | $39.00 | not published |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $51.00 | $25.14 – $146.31 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $51.00 | $25.14 – $73.07 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $51.00 | $25.14 – $73.58 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $51.00 | $25.14 – $63.68 |
| Adventhealth Carrollwood | Tampa, FL | $150.59 | not published |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY, FL | not published | $35.85 – $53.59 |
| HCA FLORIDA ST. PETERSBURG HOSPITAL | NORTH, FL | not published | $35.85 – $53.59 |
| OVIEDO MEDICAL CENTER | Oviedo, FL | not published | $35.85 – $53.59 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE, FL | not published | $35.85 – $42.13 |
| Covenant Hospital Levelland | Levelland, TX | not published | $33.14 – $33.14 |
| Providence Saint John's Health Center | Santa Monica, CA | not published | $51.40 – $61.01 |
| HCA FLORIDA POINCIANA HOSPITAL | DAVENPORT, FL | not published | $35.85 – $53.59 |
| HCA FLORIDA LEHIGH HOSPITAL | LEHIGH ACRES, FL | not published | $35.85 – $44.35 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH, FL | not published | $35.85 – $53.59 |
| HCA HOUSTON SOUTHEAST | PASADENA, TX | not published | $36.22 – $79.46 |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | not published | $21.78 – $72.12 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD, FL | not published | $35.85 – $53.59 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE, FL | not published | $35.85 – $62.83 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness, FL | not published | $35.85 – $40.66 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | not published | $58.13 – $63.42 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | not published | $36.96 – $45.30 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | not published | $36.96 – $66.53 |
| Atrium Health University City | Charlotte, NC | not published | $36.96 – $45.30 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | not published | $36.96 – $38.16 |
| south pointe hospital | Warrensville Heights, OH | not published | $33.18 – $38.42 |
| mercy hospital | Canton, OH | not published | $29.77 – $32.75 |
| medina hospital | Medina, OH | not published | $29.17 – $33.78 |
| indian river hospital | Vero Beach, FL | not published | $66.96 – $66.96 |
| HENRICO DOCTORS HOSPITAL | RICHMOND, VA | not published | $31.42 – $39.55 |
| Monmouth Medical Center | Long Branch, NJ | not published | $21.78 – $72.12 |
| Jersey City Medical Center | Jersey City, NJ | not published | $21.25 – $72.12 |
| Atrium Health Union | Monroe, NC | not published | $36.96 – $45.30 |
| marymount hospital | Garfield Heights, OH | not published | $28.13 – $32.57 |
| martin north hospital | Stuart, FL | not published | $53.40 – $53.40 |
| lodi hospital | Lodi, OH | not published | $48.64 – $56.32 |
| Atrium Health Lincoln | Lincolnton, NC | not published | $36.96 – $45.30 |
| Atrium Health Cabarrus | Concord, NC | not published | $36.96 – $45.30 |
| Atrium Health Cleveland | Shelby, NC | not published | $44.36 – $45.80 |
| HCA FLORIDA NORTHSIDE HOSPITAL | ST PETERSBURG, FL | not published | $35.85 – $53.59 |
| Covenant Hospital Plainview | Plainview, TX | not published | $33.14 – $33.14 |
| Providence Saint Joseph Medical Center | Burbank, CA | not published | $51.40 – $51.40 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL, FL | not published | $35.85 – $77.62 |
| hillcrest hospital | Mayfield Heights, OH | not published | $31.17 – $36.09 |
| Atrium Health Stanly | Albermarle, NC | not published | $44.36 – $45.80 |
| lutheran hospital | Cleveland, OH | not published | $28.49 – $32.99 |
| fairview hospital | Cleveland, OH | not published | $29.93 – $34.65 |