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 |
|---|---|---|---|
| Yavapai Regional Medical Center (East) | Prescott, AZ | not published | $465.26 – $7,820.80 |
| St. Joseph’s Hospital and Medical Center | Phoenix, AZ | not published | $465.26 – $7,599.45 |
| Ascension Saint Thomas Midtown | Nashville, TN | not published | $2,543.00 – $3,142.00 |
| Atrium Health Anson | Wadesboro, NC | not published | $371.51 – $422.39 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale, WI | not published | $2,302.00 – $16,897.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco, TX | not published | $1,630.12 – $16,955.09 |
| Covenant Hospital Plainview | Plainview, TX | not published | $6,876.93 – $12,759.36 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | not published | $2,455.00 – $20,383.00 |
| Grant Medical Center | Columbus, OH | not published | $6,804.96 – $30,765.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas, TX | not published | $1,630.12 – $16,955.09 |
| Berger Hospital | Circleville, OH | not published | $1,129.15 – $10,169.00 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | $8,821.00 – $17,439.00 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | not published | $706.79 – $1,759.43 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | not published | $2,455.00 – $20,358.00 |
| SSM Health St. Mary's Hospital - Madison | Madison, WI | not published | $5,141.35 – $17,504.00 |
| Providence Holy Cross Medical Center | Mission Hills, CA | not published | $2,455.00 – $16,065.00 |
| Sanford Fargo Medical Center | Fargo, ND | not published | $442.06 – $7,173.31 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | not published | $678.32 – $14,525.57 |
| Advocate Condell Medical Center | Libertyville, IL | not published | $6,700.00 – $13,854.95 |
| UPMC Bedford | Everett, PA | not published | $579.71 – $7,127.72 |
| UPMC Altoona | Altoona, PA | not published | $285.92 – $7,127.72 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | not published | $6,626.33 – $9,276.86 |
| Advocate Christ Medical Center | Oak Lawn, IL | not published | $8,821.00 – $17,439.00 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | not published | $7,277.00 – $26,494.55 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | not published | $7,864.44 – $20,015.00 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | not published | $4,175.00 – $12,251.91 |
| Adventhealth Tampa | Tampa, FL | not published | $7,369.96 – $16,361.30 |
| Adventhealth Ottawa | Ottawa, KS | not published | $6,560.00 – $11,282.33 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | not published | $706.79 – $1,759.43 |
| Community Hospital San Bernardino | San Bernardino, CA | not published | $380.49 – $17,151.60 |
| Banner University Medical Center Tucson | Tucson, AZ | not published | $3,191.68 – $4,221.50 |
| Lincoln Health | Damariscotta, ME | not published | $430.83 – $902.15 |
| Wellstar Windy Hill Hospital | Marietta, GA | not published | $6,455.07 – $12,651.93 |
| CHI Health St. Francis | Grand Island, NE | not published | $833.30 – $833.30 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg, FL | not published | $5,590.00 – $5,590.00 |
| CHI Health St. Elizabeth | Lincoln, NE | not published | $833.30 – $833.30 |
| CHI Health Nebraska Heart | Lincoln, NE | not published | $833.30 – $833.30 |
| CHI Health Good Samaritan | Kearney, NE | not published | $833.30 – $833.30 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $1,605.67 – $13,002.46 |
| OSF Little Company of Mary Medical Center | Evergreen Park, IL | not published | $2,360.00 – $14,067.00 |
| OSF Sacred Heart Medical Center – Urbana | Danville, IL | not published | $4,342.00 – $7,714.16 |
| Sentara Norfolk General Hospital | Norfolk, VA | not published | $5,220.00 – $7,230.15 |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | not published | $3,988.00 – $7,889.00 |
| Sentara Williamsburg Regional Medical Center | Williamsburg, VA | not published | $7,023.57 – $7,230.15 |
| Adventhealth Waterman | Tavares, FL | not published | $7,369.96 – $14,871.10 |
| AdventHealth Littleton | Littleton, CO | not published | $782.54 – $13,772.88 |
| Midwest Orthopedic Specialty Hospital | Franklin, WI | not published | $1,622.44 – $1,622.44 |
| Ascension Providence | Waco, TX | not published | $1,630.12 – $10,282.28 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville, FL | not published | $5,618.00 – $5,618.00 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville, FL | not published | $5,727.00 – $5,727.00 |