Optx mndblr fx xtrnl fixj cost at US hospitals
OPTX MNDBLR FX XTRNL FIXJ · CPT 21454
$363.22
lowest cash price
$6,547.81
national median
$14,319.20
highest cash price
80
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $363.22–$14,319.20 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($6,772.21) → Sep 1, 2026 ($7,000.36)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | not published by hospital | not published by hospital | not published by hospital |
| Arizona | 6 | not published by hospital | not published by hospital | not published by hospital |
| California | 72 | $14,319.20 | $14,319.20 | $14,319.20 |
| Colorado | 13 | not published by hospital | not published by hospital | not published by hospital |
| Florida | 53 | $1,913.60 | $1,913.60 | $1,913.60 |
| Georgia | 23 | not published by hospital | not published by hospital | not published by hospital |
| Hawaii | 1 | not published by hospital | not published by hospital | not published by hospital |
| Illinois | 25 | $1,285.60 | $1,285.60 | $1,285.60 |
| Indiana | 25 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 14 | $1,285.60 | $1,285.60 | $1,285.60 |
| Kansas | 8 | not published by hospital | not published by hospital | not published by hospital |
| Kentucky | 1 | 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 | $8,139.99 | $8,139.99 | $8,139.99 |
| Minnesota | 10 | not published by hospital | not published by hospital | not published by hospital |
| Missouri | 14 | not published by hospital | not published by hospital | not published by hospital |
| 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 | $6,966.64 |
| New Mexico | 2 | not published by hospital | not published by hospital | not published by hospital |
| New York | 14 | $7,000.36 | $7,000.36 | $7,000.36 |
| 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 | 36 | $1,913.60 | $1,913.60 | $1,913.60 |
| Oklahoma | 9 | not published by hospital | not published by hospital | not published by hospital |
| Oregon | 8 | not published by hospital | not published by hospital | not published by hospital |
| Pennsylvania | 1 | $363.22 | $363.22 | $363.22 |
| South Carolina | 9 | 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 |
| Tennessee | 15 | not published by hospital | not published by hospital | not published by hospital |
| Texas | 97 | $5,289.89 | $5,289.89 | $5,289.89 |
| Virginia | 11 | not published by hospital | not published by hospital | not published by hospital |
| Washington | 29 | not published by hospital | not published by hospital | not published by hospital |
| West Virginia | 1 | $8,547.50 | $8,547.50 | $8,547.50 |
| Wisconsin | 17 | $3,318.40 | $3,318.40 | $3,318.40 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento, CA | not published | $424.23 – $8,551.15 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel, IN | not published | $137.73 – $3,420.55 |
| Marion General Hospital | Marion, OH | not published | $5,652.51 – $5,878.61 |
| SSM Health Monroe Hospital | Monroe, WI | not published | $5,750.12 – $8,960.00 |
| St. Bernardine Medical Center | San Bernardino, CA | not published | $424.23 – $14,657.06 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo, IN | not published | $116.87 – $3,420.55 |
| Providence St Joseph Hospital Orange | Orange, CA | not published | $5,463.00 – $14,085.70 |
| Doctors Hospital | Columbus, OH | not published | $5,832.86 – $20,001.00 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | not published | $745.07 – $11,239.75 |
| St. Luke's Health - Springwoods Village Hospital | Spring, TX | not published | $2,177.00 – $2,177.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land, TX | not published | $2,177.00 – $2,177.00 |
| Mercy Medical Center Redding | Redding, CA | not published | $843.15 – $7,516.44 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | not published | $399.59 – $1,432.11 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | not published | $3,972.41 – $10,081.11 |
| Atrium Health University City | Charlotte, NC | not published | $399.59 – $578.01 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | not published | $137.73 – $3,420.55 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | not published | $403.59 – $478.59 |
| south pointe hospital | Warrensville Heights, OH | not published | $4,114.91 – $6,160.68 |
| mercy hospital | Canton, OH | not published | $3,691.94 – $6,160.68 |
| medina hospital | Medina, OH | not published | $3,617.44 – $6,160.68 |
| indian river hospital | Vero Beach, FL | not published | $3,243.49 – $6,800.15 |
| St Patrick Hospital - Broadway Campus | Missoula, MT | not published | $6,108.53 – $17,423.47 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | not published | $4,666.00 – $14,085.70 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | not published | $4,812.00 – $9,773.00 |
| Baylor St Luke's Medical Center | Houston, TX | not published | $2,177.00 – $2,177.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta, CA | not published | $721.18 – $2,280.22 |
| Northridge Hospital Medical Center | Northridge, CA | not published | $424.23 – $3,343.65 |
| Dominican Hospital | Santa Cruz, CA | not published | $424.23 – $25,438.42 |
| Mercy Medical Center Merced | Merced, CA | not published | $424.23 – $7,516.44 |
| Sierra Nevada Memorial Hospital | Grass Valley, CA | not published | $424.23 – $7,773.77 |
| Providence St Joseph Medical Center | Polson, MT | not published | $17,423.47 – $17,423.47 |
| Atrium Health Union | Monroe, NC | not published | $399.59 – $578.01 |
| marymount hospital | Garfield Heights, OH | not published | $3,487.54 – $6,160.68 |
| martin north hospital | Stuart, FL | not published | $3,414.20 – $6,800.15 |
| Atrium Health Lincoln | Lincolnton, NC | not published | $399.59 – $578.01 |
| Atrium Health Cabarrus | Concord, NC | not published | $399.59 – $578.01 |
| Atrium Health Cleveland | Shelby, NC | not published | $399.59 – $478.59 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | not published | $403.59 – $485.53 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | not published | $609.83 – $6,030.19 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | not published | $926.00 – $10,276.96 |
| Adventhealth Redmond | Rome, GA | not published | $2,363.00 – $17,104.12 |
| AdventHealth Orlando | Orlando, FL | not published | $6,181.95 – $16,382.18 |
| Adventhealth Gordon | Calhoun, GA | not published | $1,665.00 – $11,917.47 |
| Adventhealth Central Texas | Killeen, TX | not published | $5,946.81 – $9,514.89 |
| AdventHealth Avista | Louisville, CO | not published | $897.06 – $11,680.98 |
| Ascension St. Francis Hospital, Inc. | Milwaukee, WI | not published | $2,195.07 – $2,195.07 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | not published | $520.06 – $1,879.76 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | not published | $540.44 – $5,675.12 |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | not published | $540.44 – $5,675.12 |
| Mercy San Juan Medical Center | Carmichael, CA | not published | $424.23 – $9,717.21 |