Nsl/sins ndsc tot w/sphendt cost at US hospitals
Nsl/sins ndsc tot w/sphendt · CPT 31257
$406.62
lowest cash price
$7,662.21
national median
$62,866.69
highest cash price
147
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $406.62–$62,866.69 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($7,914.90) → Sep 1, 2026 ($8,191.77)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | not published by hospital | not published by hospital | not published by hospital |
| Arizona | 8 | not published by hospital | not published by hospital | not published by hospital |
| Arkansas | 2 | $9,780.84 | $9,780.84 | $9,780.84 |
| California | 76 | $406.62 | $9,055.20 | $9,055.20 |
| Colorado | 13 | not published by hospital | not published by hospital | not published by hospital |
| Florida | 67 | $2,288.00 | $2,288.00 | $2,288.00 |
| Georgia | 23 | $9,445.00 | $9,445.00 | $9,445.00 |
| Hawaii | 1 | not published by hospital | not published by hospital | not published by hospital |
| Illinois | 32 | $2,227.20 | $46,528.45 | $55,328.31 |
| Indiana | 25 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 18 | $2,227.20 | $2,227.20 | $59,629.80 |
| Kansas | 8 | not published by hospital | not published by hospital | not published by hospital |
| Louisiana | 6 | 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 | 24 | $9,704.27 | $9,704.27 | $9,704.27 |
| Minnesota | 10 | not published by hospital | not published by hospital | not published by hospital |
| Mississippi | 4 | not published by hospital | not published by hospital | not published by hospital |
| Missouri | 15 | $23,126.41 | $23,126.41 | $23,126.41 |
| Montana | 2 | not published by hospital | not published by hospital | not published by hospital |
| Nebraska | 8 | not published by hospital | not published by hospital | not published by hospital |
| Nevada | 3 | 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 | $3,786.00 | $6,311.00 | $8,152.32 |
| New Mexico | 2 | not published by hospital | not published by hospital | not published by hospital |
| New York | 16 | $8,191.77 | $8,191.77 | $12,181.98 |
| North Carolina | 14 | 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 | 45 | $2,288.00 | $28,981.67 | $62,866.69 |
| Oklahoma | 4 | $3,564.00 | $3,564.00 | $15,010.48 |
| Oregon | 10 | $1,278.00 | $1,278.00 | $1,752.84 |
| Pennsylvania | 11 | $549.00 | $549.00 | $5,529.75 |
| South Carolina | 10 | $3,991.00 | $6,622.00 | $23,716.85 |
| South Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Tennessee | 17 | not published by hospital | not published by hospital | not published by hospital |
| Texas | 102 | $6,128.86 | $6,128.86 | $6,128.86 |
| Virginia | 18 | $34,189.90 | $35,787.22 | $44,942.98 |
| Washington | 27 | $8,776.08 | $8,776.08 | $8,776.08 |
| West Virginia | 5 | $3,693.50 | $6,966.75 | $14,574.00 |
| Wisconsin | 18 | $2,919.20 | $2,919.20 | $2,919.20 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi, CA | $406.62 | $15.00 – $1,222.58 |
| WILLITS HOSPITAL INC | Willits, CA | $451.80 | $369.20 – $1,255.38 |
| UPMC Cole | Coudersport, PA | $549.00 | $253.64 – $1,192.92 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg, CA | $993.96 | $20.67 – $692.67 |
| Providence Hood River Memorial Hospital | Hood River, OR | $1,278.00 | not published |
| NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK | Tillamook, OR | $1,752.84 | $48.00 – $961.50 |
| SONORA COMMUNITY HOSPITAL | Sonora, CA | $1,817.13 | $35.00 – $9,721.54 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $2,227.20 | $398.63 – $5,737.86 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $2,227.20 | $398.63 – $6,086.44 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $2,227.20 | $398.63 – $6,887.61 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $2,227.20 | $398.63 – $6,669.46 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $2,227.20 | $398.63 – $1,065.78 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $2,227.20 | $398.63 – $6,736.22 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $2,227.20 | $361.92 – $6,130.69 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $2,227.20 | $398.63 – $5,956.79 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $2,227.20 | $398.63 – $5,385.41 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $2,227.20 | $398.63 – $5,978.53 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $2,227.20 | $398.63 – $5,900.12 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $2,227.20 | $398.63 – $6,088.76 |
| cleveland clinic main campus | Cleveland, OH | $2,288.00 | $1.10 – $6,676.90 |
| akron general | Akron, OH | $2,288.00 | $1.10 – $6,907.92 |
| cleveland clinic florida weston hospital | Weston, FL | $2,288.00 | $339.84 – $8,106.95 |
| martin north hospital | Stuart, FL | $2,288.00 | $339.84 – $8,106.95 |
| mercy hospital | Canton, OH | $2,288.00 | $1.10 – $6,877.21 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $2,848.00 | $119.60 – $1,424.00 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $2,919.20 | $399.86 – $1,327.54 |
| Orange County Anaheim Medical Center | Anaheim, CA | $3,099.20 | not published |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $3,099.20 | not published |
| Downey Medical Center | Downey, CA | $3,099.20 | not published |
| Riverside Medical Center | RIVERSIDE, CA | $3,099.20 | not published |
| Panorama Medical Center | PANORAMA CITY, CA | $3,099.20 | not published |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $3,099.20 | not published |
| South Bay Medical Center | HARBOR CITY, CA | $3,099.20 | not published |
| San Marcos Medical Center | SAN MARCOS, CA | $3,099.20 | not published |
| West Los Angeles Medical Center | LOS ANGELES, CA | $3,099.20 | not published |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $3,099.20 | not published |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $3,099.20 | not published |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $3,099.20 | not published |
| Moreno Valley Medical Center | MORENO VALLEY, CA | $3,099.20 | not published |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $3,564.00 | $678.32 – $14,525.57 |
| Princeton Community Hospital | Princeton, WV | $3,693.50 | $7,215.04 – $42,024.72 |
| Community Medical Center | Toms River, NJ | $3,786.00 | $426.43 – $15,055.21 |
| Clara Maass Medical Center | Belleville, NJ | $3,986.00 | $411.38 – $15,455.26 |
| MUSC Health Black River Medical Center | Cades, SC | $3,991.00 | $1,458.44 – $11,692.00 |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | $4,350.00 | $1,025.94 – $15,055.21 |
| Camden Clark Medical Center | Parkersburg, WV | $4,584.00 | $6,736.74 – $11,789.30 |
| Robert Wood Johnson University Hospital Rahway | Rahway, NJ | $4,627.00 | $484.12 – $15,055.21 |
| Newark Beth Israel Medical Center | Newark, NJ | $4,881.00 | $230.79 – $15,532.92 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township, NJ | $5,110.00 | $396.33 – $15,055.21 |
| Jersey City Medical Center | Jersey City, NJ | $5,339.00 | $290.14 – $16,223.12 |