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 |
|---|---|---|---|
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver, CO | not published | $10,531.72 – $10,975.16 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton, CO | not published | $10,531.72 – $10,975.16 |
| HCA HealthONE AURORA | Aurora, CO | not published | $10,531.72 – $10,975.16 |
| HCA HOUSTON WEST | HOUSTON, TX | not published | $1,597.52 – $9,466.23 |
| HCA HOUSTON SOUTHEAST | PASADENA, TX | not published | $1,597.52 – $9,466.23 |
| HCA HOUSTON TOMBALL | HOUSTON, TX | not published | $1,711.63 – $9,466.23 |
| HCA HOUSTON NORTHWEST | SPRING, TX | not published | $1,711.63 – $9,683.84 |
| HCA HOUSTON PEARLAND | Pearland, TX | not published | $1,711.63 – $11,152.74 |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | not published | $1,597.52 – $9,683.84 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD, TX | not published | $1,597.52 – $8,704.58 |
| HCA HOUSTON MEDICAL CENTER | Houston, TX | not published | $1,711.63 – $11,152.74 |
| HCA HOUSTON CONROE | CONROE, TX | not published | $1,597.52 – $9,466.23 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER, SC | not published | $420.83 – $3,279.83 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | not published | $420.83 – $3,427.43 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | not published | $1,630.12 – $13,000.12 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $1,630.12 – $12,948.06 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | not published | $1,605.67 – $11,859.98 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | not published | $1,630.12 – $11,207.14 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | not published | $1,630.12 – $11,859.98 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | not published | $1,605.67 – $12,458.42 |
| Kettering Health Troy | Troy, OH | not published | $6,916.57 – $22,431.00 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | not published | $6,997.04 – $22,431.00 |
| Kettering Health Greene Memorial | Xenia, OH | not published | $6,916.57 – $22,431.00 |
| Soin Medical Center | Beaver Creek, OH | not published | $6,953.78 – $22,431.00 |
| Kettering Health Dayton (Grandview) | Dayton, OH | not published | $6,953.78 – $22,431.00 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | not published | $6,997.04 – $22,431.00 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | not published | $6,953.78 – $22,431.00 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | not published | $1,640.16 – $18,792.00 |
| MUSC Health Kershaw Medical Center | Camden, SC | not published | $1,202.15 – $11,769.00 |
| MUSC Health Florence Medical Center | Florence, SC | not published | $1,640.16 – $12,276.00 |
| MUSC Health Chester Medical Center | Chester, SC | not published | $1,640.16 – $29,543.00 |
| WellSpan Chambersburg Hospital | Chambersburg, PA | not published | $970.00 – $31,837.11 |
| St. Clare Hospital | Lakewood, WA | not published | $16,834.43 – $16,834.43 |
| St. Francis Hospital | Federal Way, WA | not published | $16,834.43 – $16,834.43 |
| St. Elizabeth Hospital | Enumclaw, WA | not published | $16,834.43 – $16,834.43 |
| St. Michael Medical Center | Silverdale, WA | not published | $29,159.71 – $29,159.71 |
| St. Joseph Medical Center | Tacoma, WA | not published | $16,834.43 – $16,834.43 |
| St. Anthony Hospital | Gig Harbor, WA | not published | $16,834.43 – $16,834.43 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | not published | $8,419.45 – $21,301.96 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | not published | $1,630.12 – $11,751.18 |
| Canton-Potsdam Hospital | Potsdam, NY | not published | $323.96 – $377.96 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | not published | $309.57 – $502.41 |
| MultiCare Allenmore Hospital | Tacoma, WA | not published | $2,065.60 – $33,877.43 |
| MultiCare Valley Hospital | Spokane Valley, WA | not published | $1,973.02 – $27,532.51 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | not published | $2,055.31 – $48,661.38 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | not published | $2,064.79 – $33,877.43 |
| MultiCare Covington Medical Center | Covington, WA | not published | $2,018.13 – $33,877.43 |
| MultiCare Capital Medical Center | Olympia, WA | not published | $2,171.82 – $36,513.42 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS, TX | not published | $1,711.63 – $1,711.63 |
| MultiCare Auburn Medical Center | Auburn, WA | not published | $2,018.13 – $33,877.43 |