healthcosts.net
Pelvic CT scan (with contrast) cost at US hospitals
CT pelvis with contrast · CPT 72193
$140.40
lowest cash price
$1,706.25
national median
$4,905.25
highest cash price
229
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $140.40–$4,905.25 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($1,297.60) → Aug 1, 2026 ($1,680.60)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Arizona | 17 | $320.56 | $428.22 | $1,962.81 |
| California | 1 | $1,928.91 | $1,928.91 | $1,928.91 |
| Colorado | 4 | $425.85 | $495.98 | $2,222.48 |
| Florida | 12 | $997.75 | $3,380.65 | $3,602.30 |
| Georgia | 11 | $1,602.51 | $1,602.51 | $1,602.51 |
| Illinois | 11 | $885.00 | $1,245.00 | $2,088.38 |
| Indiana | 1 | $1,680.60 | $1,680.60 | $1,680.60 |
| Iowa | 26 | $758.16 | $1,805.05 | $3,436.00 |
| Maine | 7 | $1,013.90 | $1,949.20 | $3,251.40 |
| Maryland | 1 | $140.40 | $140.40 | $140.40 |
| Michigan | 19 | $241.18 | $1,786.00 | $2,737.00 |
| Minnesota | 10 | $2,002.40 | $2,211.20 | $2,607.20 |
| Nebraska | 1 | $2,379.10 | $2,379.10 | $2,379.10 |
| Nevada | 1 | $1,635.62 | $1,635.62 | $1,635.62 |
| New Hampshire | 1 | $2,871.10 | $2,871.10 | $2,871.10 |
| New Jersey | 3 | $194.55 | $197.04 | $209.65 |
| New York | 13 | $210.32 | $212.47 | $669.60 |
| North Carolina | 12 | $1,608.98 | $1,608.98 | $1,608.98 |
| North Dakota | 4 | $1,599.20 | $2,152.80 | $2,252.80 |
| Ohio | 21 | $798.20 | $1,129.70 | $1,782.75 |
| Pennsylvania | 24 | $679.80 | $1,424.40 | $4,599.60 |
| South Dakota | 7 | $1,929.60 | $2,273.60 | $2,428.80 |
| Texas | 22 | $2,177.28 | $2,199.47 | $2,721.60 |
| Virginia | 5 | $796.00 | $796.00 | $796.00 |
| Wisconsin | 1 | $4,905.25 | $4,905.25 | $4,905.25 |
| Wyoming | 4 | $481.74 | $2,237.40 | $2,561.82 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Western Maryland | Cumberland, MD | $140.40 | $234.00 – $234.00 |
| Ocean University Medical Center | Brick, NJ | $194.55 | $178.02 – $2,433.75 |
| Bayshore Medical Center | Holmdel, NJ | $197.04 | $197.04 – $2,758.25 |
| Hackensack University Medical Center | Hackensack, NJ | $209.65 | $167.72 – $2,348.28 |
| Kings County Hospital Center | Brooklyn, NY | $210.32 | $132.19 – $1,280.36 |
| Bellevue Hospital Center | NY 10016, NY | $212.47 | $128.78 – $1,581.54 |
| Queens Hospital Center | Jamaica, NY | $212.47 | $131.22 – $1,280.36 |
| Woodhull Medical Center | Brooklyn, NY | $212.47 | $132.19 – $1,280.36 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $241.18 | $34.08 – $1,610.55 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $241.18 | $34.08 – $1,526.26 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $241.18 | $34.08 – $1,526.26 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $241.18 | $34.08 – $1,526.26 |
| Banner Gateway Medical Center | Gilbert, AZ | $320.56 | $129.45 – $1,835.25 |
| Banner University Medical Center South | Tucson, AZ | $367.03 | $129.45 – $2,312.00 |
| Banner University Medical Center Tucson | Tucson, AZ | $375.70 | $129.45 – $2,312.00 |
| Banner Baywood Medical Center | Mesa, AZ | $384.18 | $129.45 – $1,835.25 |
| Banner Boswell Medical Center | Sun City, AZ | $389.07 | $129.45 – $1,957.60 |
| Banner Heart Hospital | Mesa, AZ | $393.97 | $129.45 – $1,835.25 |
| Banner Casa Grande Medical Center | Casa Grande, AZ | $403.76 | $129.45 – $1,835.25 |
| Banner University Medical Center Phoenix | Phoenix, AZ | $406.20 | $129.45 – $1,835.25 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland, CO | $425.85 | $88.40 – $1,211.25 |
| Banner Del Webb Medical Center | Sun City West, AZ | $428.22 | $129.45 – $1,957.60 |
| Banner Goldfield Medical Center | Apache Junction, AZ | $433.12 | $129.45 – $1,835.25 |
| Banner Ironwood Medical Center | San Tan Valley, AZ | $442.91 | $129.45 – $1,835.25 |
| Banner Thunderbird Medical Center | Glendale, AZ | $472.27 | $72.99 – $1,835.25 |
| Banner Desert Medical Center | Mesa, AZ | $477.16 | $129.45 – $1,835.25 |
| Banner Wyoming Medical Center | Casper, WY | $481.74 | $178.02 – $1,101.12 |
| Banner Estrella Medical Center | Phoenix, AZ | $486.95 | $129.45 – $1,835.25 |
| Banner Fort Collins Medical Center | Fort Collins, CO | $495.98 | $173.54 – $1,211.25 |
| Banner Ocotillo Medical Center | Chandler, AZ | $648.46 | $129.45 – $1,835.25 |
| UPMC Chautauqua | Jamestown, NY | $669.60 | $175.11 – $1,004.40 |
| UPMC Cole | Coudersport, PA | $679.80 | $147.09 – $906.40 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $758.16 | $45.76 – $547.76 |
| Inova Alexandria Hospital | Alexandria, VA | $796.00 | $178.02 – $1,432.00 |
| Inova Fairfax Hospital | Falls Church, VA | $796.00 | $178.02 – $1,432.00 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | $796.00 | $178.02 – $1,432.00 |
| Inova Loudoun Hospital | Leesburg, VA | $796.00 | $178.02 – $1,432.00 |
| Inova Mount Vernon Hospital | Alexandria, VA | $796.00 | $178.02 – $1,432.00 |
| avon hospital | Avon, OH | $798.20 | $0.87 – $1,105.20 |
| euclid hospital | Euclid, OH | $798.20 | $0.87 – $1,105.20 |
| fairview hospital | Cleveland, OH | $798.20 | $0.87 – $1,105.20 |
| lutheran hospital | Cleveland, OH | $798.20 | $0.87 – $1,105.20 |
| hillcrest hospital | Mayfield Heights, OH | $798.20 | $0.87 – $1,105.20 |
| lodi hospital | Lodi, OH | $798.20 | $178.02 – $1,105.20 |
| marymount hospital | Garfield Heights, OH | $798.20 | $0.87 – $1,105.20 |
| medina hospital | Medina, OH | $798.20 | $0.87 – $1,105.20 |
| south pointe hospital | Warrensville Heights, OH | $798.20 | $0.87 – $1,105.20 |
| Banner Payson Medical Center | Payson, AZ | $816.68 | $129.45 – $1,452.60 |
| Advocate Christ Medical Center | Oak Lawn, IL | $885.00 | $269.08 – $1,416.00 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | $890.00 | $269.08 – $1,424.00 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | $955.00 | $269.08 – $1,528.00 |
| UPMC Bedford | Everett, PA | $957.60 | $61.23 – $1,436.40 |
| martin north hospital | Stuart, FL | $997.75 | $43.34 – $767.50 |
| indian river hospital | Vero Beach, FL | $997.75 | $51.84 – $1,228.00 |
| Sterling Regional Medical Center | Sterling, CO | $1,006.83 | $178.91 – $3,617.13 |
| Stephens Memorial Hospital | Norway, ME | $1,013.90 | $54.58 – $944.95 |
| cleveland clinic main campus | Cleveland, OH | $1,129.70 | $1.10 – $1,105.20 |
| akron general | Akron, OH | $1,129.70 | $0.87 – $1,105.20 |
| mercy hospital | Canton, OH | $1,129.70 | $1.01 – $1,105.20 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $1,158.65 | $50.66 – $763.26 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $1,158.65 | $50.66 – $695.19 |
| UPMC Jameson | New Castle, PA | $1,188.60 | $99.47 – $1,743.28 |
| UPMC Kane | Kane, PA | $1,190.40 | $136.85 – $718.56 |
| Advocate South Suburban Hospital | Hazel Crest, IL | $1,225.00 | $269.08 – $2,386.30 |
| Advocate Trinity Hospital | Chicago, IL | $1,225.00 | $269.08 – $1,960.00 |
| Advocate Condell Medical Center | Libertyville, IL | $1,245.00 | $269.08 – $1,992.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $1,276.20 | $170.40 – $238.57 |
| Mid Coast Hospital | Brunswick, ME | $1,297.60 | $52.33 – $681.20 |
| cleveland clinic florida weston hospital | Weston, FL | $1,329.25 | $48.44 – $1,304.75 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | $1,350.00 | $269.08 – $2,160.00 |
| UPMC Altoona | Altoona, PA | $1,357.20 | $86.50 – $1,809.60 |
| UPMC Northwest | Seneca, PA | $1,368.00 | $153.92 – $1,938.00 |
| UPMC Carlisle | Carlisle, PA | $1,424.40 | $113.31 – $2,017.90 |
| UPMC Community Osteopathic | Harrisburg, PA | $1,424.40 | $74.80 – $1,154.10 |
| UPMC Hanover | Hanover, PA | $1,424.40 | $113.31 – $2,065.38 |
| UPMC Lititz | Lititz, PA | $1,424.40 | $113.31 – $2,017.90 |
| UPMC Memorial | York, PA | $1,424.40 | $113.31 – $2,017.90 |
| UPMC Somerset | Somerset, PA | $1,424.40 | $99.47 – $718.56 |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $1,434.00 | $170.40 – $238.57 |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $1,434.00 | $1.00 – $2,198.80 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $1,434.00 | $812.60 – $1,744.70 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $1,434.00 | $201.32 – $1,123.30 |
| Sanford Medical Center Bismarck | Bismarck, ND | $1,599.20 | $169.12 – $1,799.10 |
| Wellstar Cobb Hospital | Austell, GA | $1,602.51 | $178.16 – $329.59 |
| Wellstar Douglas Hospital | Douglasville, GA | $1,602.51 | $176.56 – $326.63 |
| Wellstar Kennestone Hospital | Marietta, GA | $1,602.51 | $178.16 – $329.59 |
| Wellstar MCG Health | Augusta, GA | $1,602.51 | $153.71 – $443.97 |
| Wellstar North Fulton Hospital | Roswell, GA | $1,602.51 | $178.16 – $329.59 |
| Wellstar Paulding Hospital | Hiram, GA | $1,602.51 | $178.16 – $329.59 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280, GA | $1,602.51 | not published |
| Wellstar Spalding Regional Hospital | Griffin, GA | $1,602.51 | $175.93 – $344.83 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | $1,602.51 | $385.65 – $518.62 |
| Wellstar West Georgia Medical Center | Lagrange, GA | $1,602.51 | $172.60 – $338.29 |
| Wellstar Windy Hill Hospital | Marietta, GA | $1,602.51 | $173.28 – $339.64 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $1,602.75 | $170.10 – $306.19 |
| Atrium Health Anson | Wadesboro, NC | $1,608.98 | $48.07 – $3,057.05 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $1,608.98 | $48.55 – $2,831.80 |
| Atrium Health Cleveland | Shelby, NC | $1,608.98 | $48.07 – $3,057.05 |
| Atrium Health Cabarrus | Concord, NC | $1,608.98 | $48.07 – $3,057.05 |
| Atrium Health Lincoln | Lincolnton, NC | $1,608.98 | $48.07 – $3,057.05 |
| Atrium Health Mercy | Charlotte, NC | $1,608.98 | $48.07 – $2,960.51 |
| Atrium Health Pineville | Charlotte, NC | $1,608.98 | $48.07 – $2,960.51 |
| Atrium Health Stanly | Albermarle, NC | $1,608.98 | $48.07 – $3,089.23 |
| Atrium Health Union | Monroe, NC | $1,608.98 | $48.07 – $3,057.05 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $1,608.98 | $48.55 – $2,960.51 |
| Atrium Health University City | Charlotte, NC | $1,608.98 | $48.07 – $2,960.51 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $1,608.98 | $48.07 – $2,896.16 |
| Advocate Sherman Hospital | Elgin, IL | $1,610.00 | $269.08 – $2,898.00 |
| Banner Churchill Community Hospital | Fallon, NV | $1,635.62 | $867.88 – $3,204.48 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $1,657.50 | $157.36 – $2,550.00 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | $1,669.00 | $174.77 – $314.59 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | $1,669.00 | $174.77 – $314.59 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $1,678.50 | $165.94 – $2,014.20 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | $1,680.60 | $41.27 – $650.00 |
| MercyOne North Iowa Medical Center | Mason City, IA | $1,706.25 | $169.72 – $2,625.00 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $1,710.75 | $165.94 – $2,052.90 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $1,710.75 | $165.94 – $2,052.90 |
| University Hospitals Elyria Medical Center | Elyria, OH | $1,710.75 | $165.94 – $2,052.90 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $1,710.75 | $179.20 – $2,052.90 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $1,740.05 | $1,059.82 – $2,677.00 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $1,740.05 | $1,011.91 – $3,013.23 |
| MercyOne Newton Medical Center | Newton, IA | $1,740.05 | $166.03 – $2,677.00 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $1,745.00 | $50.66 – $1,744.99 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $1,782.75 | $736.87 – $2,139.30 |
| University Hospitals Geneva Medical Center | Geneva, OH | $1,782.75 | $475.40 – $2,139.30 |
| Corewell Health Big Rapids | Big Rapids, MI | $1,786.00 | $174.77 – $352.38 |
| Corewell Health Gerber | Fremont, MI | $1,786.00 | $352.38 – $352.38 |
| Corewell Health Reed City | Po Box 75, MI | $1,786.00 | $352.38 – $352.38 |
| Corewell Health Greenville | Greenville, MI | $1,786.00 | $174.77 – $352.38 |
| Corewell Health Zeeland | Zeeland, MI | $1,786.00 | $174.77 – $352.38 |
| Corewell Health Pennock | Hastings, MI | $1,786.00 | $352.38 – $352.38 |
| MercyOne Clinton Medical Center | Clinton, IA | $1,805.05 | $161.52 – $2,777.00 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $1,810.25 | $165.56 – $2,785.00 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $1,876.33 | $50.66 – $879.53 |
| UPMC Muncy | Muncy, PA | $1,902.00 | $110.72 – $2,536.00 |
| UPMC Williamsport | Williamsport, PA | $1,902.00 | $110.72 – $2,536.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $1,914.25 | $165.25 – $2,945.00 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $1,914.25 | $165.25 – $2,945.00 |
| Banner Lassen Medical Center | Susanville, CA | $1,928.91 | $35.60 – $3,288.30 |
| Sanford Canton Inwood Medical Center | Canton, SD | $1,929.60 | $824.90 – $2,170.80 |
| Franklin Memorial Hospital | Farmington, ME | $1,949.20 | $54.58 – $1,631.48 |
| Banner Page Hospital | Page, AZ | $1,962.81 | $50.20 – $1,796.70 |
| Sanford Bagley Medical Center | Bagley, MN | $2,002.40 | $186.92 – $2,252.70 |
| Sanford Bemidji Medical Center | Bemidji, MN | $2,002.40 | $132.55 – $2,252.70 |
| UPMC Horizon-Greenville | Greenville, PA | $2,034.00 | $151.95 – $2,881.50 |
| Waldo County General Hospital | Belfast, ME | $2,055.55 | $54.58 – $1,936.33 |
| Sanford Vermillion Hospital | Vermillion, SD | $2,075.20 | $765.23 – $2,334.60 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $2,088.38 | $50.66 – $1,023.30 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $2,088.38 | $50.66 – $1,151.22 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $2,088.38 | $50.66 – $1,070.29 |
| Sanford Wheaton | Wheaton, MN | $2,115.20 | $186.92 – $2,379.60 |
| Sanford Medical Center Hillsboro | Hillsboro, ND | $2,152.80 | $446.60 – $2,421.90 |
| Sanford Medical Center Mayville | Mayville, ND | $2,152.80 | $446.60 – $2,421.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham, TX | $2,177.28 | $236.02 – $3,265.92 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station, TX | $2,177.28 | $167.39 – $3,265.92 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple, TX | $2,177.28 | $175.06 – $3,265.92 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco, TX | $2,177.28 | $167.39 – $2,721.60 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple, TX | $2,177.28 | $167.39 – $3,265.92 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas, TX | $2,199.47 | $167.39 – $2,749.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco, TX | $2,199.47 | $167.39 – $2,749.34 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth, TX | $2,199.47 | $167.39 – $2,749.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine, TX | $2,199.47 | $167.67 – $2,749.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving, TX | $2,199.47 | $167.39 – $2,749.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett, TX | $2,199.47 | $167.39 – $2,749.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney, TX | $2,199.47 | $167.39 – $2,749.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco, TX | $2,199.47 | $167.39 – $2,749.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano, TX | $2,199.47 | $167.39 – $2,749.34 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton, TX | $2,199.47 | $167.39 – $2,749.34 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney, TX | $2,199.47 | $167.39 – $2,749.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie, TX | $2,199.47 | $167.39 – $2,749.34 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie, TX | $2,199.47 | $167.39 – $2,749.34 |
| Sanford Thief River Falls Medical Center | Thief River Falls, MN | $2,211.20 | $186.92 – $2,487.60 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls, MN | $2,211.20 | $186.92 – $2,487.60 |
| East Morgan County Hospital | Brush, CO | $2,222.48 | $50.15 – $115.43 |
| Community Hospital | Torrington, WY | $2,237.40 | $1,640.76 – $3,617.13 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | $2,242.40 | $169.12 – $2,522.70 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $2,243.52 | $50.66 – $2,383.73 |
| Sanford Sheldon Medical Center | Sheldon, IA | $2,244.00 | $799.43 – $2,524.50 |
| Sanford Fargo Medical Center | Fargo, ND | $2,252.80 | $133.87 – $2,534.40 |
| Sanford Canby Medical Center | Canby, MN | $2,271.20 | $186.92 – $2,555.10 |
| Sanford Chamberlain Medical Center | Chamberlain, SD | $2,273.60 | $971.96 – $2,557.80 |
| Sanford USD Medical Center | Sioux Falls, SD | $2,283.20 | $81.44 – $2,568.60 |
| Corewell Health Lakeland Watervliet | Watervliet, MI | $2,292.00 | $176.66 – $264.99 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | $2,292.00 | $174.77 – $525.61 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $2,297.75 | $50.66 – $1,157.49 |
| UPMC Wellsboro | Wellsboro, PA | $2,300.00 | $110.72 – $2,587.50 |
| Pen Bay Medical Center | Rockport, ME | $2,306.60 | $52.85 – $1,023.81 |
| Sanford Worthington Medical Center | Worthington, MN | $2,348.80 | $135.41 – $2,642.40 |
| Sanford Clear Lake Medical Center | Clear Lake, SD | $2,378.40 | $893.20 – $2,675.70 |
| Ogallala Community Hospital | Ogallala, NE | $2,379.10 | $1,640.76 – $3,617.13 |
| Sanford Hospital Webster | Webster, SD | $2,428.80 | $953.30 – $2,732.40 |
| Washakie Medical Center | Worland, WY | $2,457.41 | $57.12 – $115.43 |
| Sanford Westbrook Hospital | Westbrook, MN | $2,544.00 | $186.92 – $2,862.00 |
| Sanford Tracy Hospital | Tracy, MN | $2,544.00 | $186.92 – $2,862.00 |
| Platte County Hospital | Wheatland, WY | $2,561.82 | $1,789.92 – $3,617.13 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $2,587.64 | $50.66 – $950.95 |
| Sanford Luverne Medical Center | Luverne, MN | $2,607.20 | $186.92 – $2,933.10 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $2,654.40 | $154.10 – $3,760.40 |
| MercyOne Centerville Medical Center | Centerville, IA | $2,677.00 | $734.57 – $2,677.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110, TX | $2,721.60 | $167.39 – $3,402.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100, TX | $2,721.60 | $167.39 – $4,082.40 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park, TX | $2,721.60 | $167.39 – $4,082.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor, TX | $2,721.60 | $236.02 – $3,628.80 |
| UPMC St. Margaret | Pittsburgh, PA | $2,722.80 | $146.54 – $3,857.30 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | $2,737.00 | $162.61 – $513.37 |
| Corewell Health Taylor | Taylor, MI | $2,737.00 | $162.61 – $513.37 |
| Corewell Health Trenton | Trenton, MI | $2,737.00 | $162.61 – $513.37 |
| Corewell Health Troy | Troy, MI | $2,737.00 | $162.54 – $513.37 |
| Corewell Health Wayne | Wayne, MI | $2,737.00 | $162.61 – $513.37 |
| UPMC McKeesport | Mckeesport, PA | $2,836.20 | $154.10 – $4,017.95 |
| UPMC Hamot | Erie, PA | $2,838.00 | $134.02 – $3,311.00 |
| MaineHealth - Memorial Hospital | North Conway, NH | $2,871.10 | $52.33 – $1,462.48 |
| UPMC East | Monroeville, PA | $2,917.20 | $154.10 – $3,889.60 |
| UPMC Mercy | Pittsburgh, PA | $3,054.00 | $141.48 – $4,581.00 |
| Boca Raton Regional Hospital | BOCA RATON, FL | $3,074.50 | $179.88 – $3,088.69 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $3,126.55 | $50.66 – $3,466.56 |
| UPMC Magee | Pittsburgh, PA | $3,160.80 | $154.10 – $4,846.56 |
| Lincoln Health | Damariscotta, ME | $3,251.40 | $54.58 – $2,952.27 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $3,380.65 | $183.17 – $4,680.90 |
| Doctors Hospital | CORAL GABLES, FL | $3,380.65 | $183.17 – $4,680.90 |
| Fishermens Community Hospital | MARATHON, FL | $3,380.65 | $197.10 – $4,680.90 |
| Homestead Hospital | HOMESTEAD, FL | $3,380.65 | $167.89 – $4,680.90 |
| Mariners Hospital | TAVERNIER, FL | $3,380.65 | $197.10 – $4,680.90 |
| West Kendall Baptist Hospital | MIAMI, FL | $3,380.65 | $183.17 – $4,680.90 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $3,436.00 | $165.56 – $3,436.00 |
| Baptist Hospital | MIAMI, FL | $3,602.30 | $173.17 – $4,680.90 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $3,602.30 | $183.17 – $4,680.90 |
| UPMC Presbyterian | Pittsburgh, PA | $4,599.60 | $103.80 – $6,516.10 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $4,905.25 | $51.06 – $2,035.68 |
| South Brooklyn Health | Brooklyn, NY | not published | $128.13 – $1,228.00 |
| North Central Bronx | Bronx, NY | not published | $210.66 – $1,280.36 |
| Metropolitan Hospital Center | New York, NY | not published | $128.13 – $1,228.00 |
| Spring Harbor Hospital | Westbrook, ME | not published | $52.33 – $112.29 |
| Lincoln Medical Center | Bronx, NY | not published | $128.13 – $1,228.00 |
| Jacobi Medical Center | Bronx, NY | not published | $164.02 – $1,280.36 |
| Henry J. Carter Specialty Hospital | New York, NY | not published | not published |
| Harlem Hospital Center | New York, NY | not published | $128.13 – $1,228.00 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $163.10 – $1,228.00 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | not published | $547.26 – $633.67 |