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 |
|---|---|---|---|
| Cumberland Medical Center, Inc. | Crossville, TN | not published | $6,857.67 – $7,200.55 |
| Claiborne Medical Center | Tazewell, TN | not published | $6,857.67 – $7,200.55 |
| CHRISTUS Spohn Hospital - Kleberg | Kingsville, TX | not published | $1,630.12 – $14,012.10 |
| Roane County Medical Center | Harriman, TN | not published | $6,403.05 – $6,723.20 |
| CHRISTUS Spohn Hospital - Beeville | Beeville, TX | not published | $1,630.12 – $14,012.10 |
| CHRISTUS Spohn Hospital - Alice | Alice, TX | not published | $1,630.12 – $14,012.10 |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | not published | $1,630.12 – $1,760.53 |
| CHRISTUS Southeast Texas Jasper Memorial | Jasper, TX | not published | $1,630.12 – $13,966.72 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | not published | $1,630.12 – $1,793.13 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $1,630.12 – $16,972.68 |
| CHI Health Midlands | Papillion, NE | not published | $833.30 – $833.30 |
| CHI Health Lakeside | Omaha, NE | not published | $833.30 – $833.30 |
| CHI Health Immanuel | Omaha, NE | not published | $833.30 – $833.30 |
| CHRISTUS Trinity Mother Frances Hospital - Winnsboro | Winnsboro, TX | not published | $1,630.12 – $6,963.66 |
| CHRISTUS Trinity Mother Frances Hospital - South Tyler | Tyler, TX | not published | $1,630.12 – $13,086.52 |
| CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs | Sulphur Springs, TX | not published | $1,630.12 – $14,260.32 |
| CHRISTUS Trinity Mother Frances Hospital - Jacksonville | Jacksonville, TX | not published | $1,630.12 – $6,963.66 |
| CHRISTUS Trinity Mother Frances Louis & Peaches Owens Heart Hospital | Tyler, TX | not published | $1,630.12 – $13,086.52 |
| CHRISTUS Good Shepherd Medical Center - Marshall | Marshall, TX | not published | $1,630.12 – $13,221.92 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | not published | $833.30 – $833.30 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | not published | $1,630.12 – $1,793.13 |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | not published | $1,630.12 – $1,793.13 |
| Texas Health Hospital Rockwall | Rockwall, TX | not published | $1,630.12 – $1,760.53 |
| Texas Health Presbyterian Hospital Plano | Plano, TX | not published | $1,630.12 – $1,760.53 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | not published | $1,630.12 – $1,793.13 |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | not published | $833.30 – $833.30 |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | not published | $1,630.12 – $1,760.53 |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | not published | $1,630.12 – $1,793.13 |
| Texas Health Hospital Frisco | Frisco, TX | not published | $1,630.12 – $1,760.53 |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | not published | $1,630.12 – $1,760.53 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | not published | $1,630.12 – $1,793.13 |
| Texas Health Presbyterian Hospital Denton | Denton, TX | not published | $1,630.12 – $1,793.13 |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | not published | $1,630.12 – $1,793.13 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | not published | $1,630.12 – $1,760.53 |
| Texas Health Presbyterian Hospital Allen | Allen, TX | not published | $1,630.12 – $1,760.53 |
| Texas Health Arlington Memorial Hospital | Arlington, TX | not published | $1,630.12 – $1,793.13 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | not published | $1,630.12 – $1,793.13 |
| Moanalua Medical Center | HONOLULU, HI | not published | not published |
| Adventhealth North Pinellas | Tarpon Springs, FL | not published | $7,369.96 – $16,361.30 |
| AdventHealth Castle Rock | Castle Rock, CO | not published | $782.54 – $13,772.88 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee, WI | not published | $1,622.44 – $1,622.44 |
| Kadlec Regional Medical Center | Richland, WA | not published | $750.99 – $20,183.74 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | not published | $447.39 – $6,365.22 |
| Providence St Mary Medical Center | Walla Walla, WA | not published | $6,064.71 – $14,549.21 |
| Providence Milwaukie Hospital | Milwaukie, OR | not published | $7,719.03 – $30,025.00 |
| Adventhealth Sebring | Sebring, FL | not published | $7,554.21 – $16,748.96 |
| Adventhealth Hendersonville | Hendersonville, NC | not published | $6,745.69 – $16,843.98 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | not published | $447.39 – $6,365.22 |
| Covenant Hospital Levelland | Levelland, TX | not published | $6,876.93 – $20,668.06 |
| Providence Saint John's Health Center | Santa Monica, CA | not published | $2,455.49 – $16,065.00 |