healthcosts.net
Sinus CT scan (with contrast) cost at US hospitals
CT maxillofacial/sinus with contrast · CPT 70487
$92.40
lowest cash price
$1,566.40
national median
$4,599.60
highest cash price
230
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $92.40–$4,599.60 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($1,267.40) → Aug 1, 2026 ($1,669.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Arizona | 17 | $220.86 | $331.30 | $1,050.68 |
| California | 1 | $1,016.66 | $1,016.66 | $1,016.66 |
| Colorado | 4 | $370.98 | $382.43 | $1,743.76 |
| Florida | 12 | $997.75 | $3,521.70 | $3,753.75 |
| Georgia | 11 | $1,473.03 | $1,473.03 | $1,473.03 |
| Illinois | 11 | $885.00 | $1,245.00 | $1,773.96 |
| Indiana | 1 | $1,680.60 | $1,680.60 | $1,680.60 |
| Iowa | 27 | $758.16 | $1,788.15 | $3,821.00 |
| Maine | 7 | $963.40 | $1,893.70 | $3,247.35 |
| Maryland | 1 | $92.40 | $92.40 | $92.40 |
| Michigan | 19 | $241.18 | $1,786.00 | $2,930.00 |
| Minnesota | 10 | $2,156.00 | $2,328.00 | $2,519.20 |
| Nebraska | 1 | $1,878.84 | $1,878.84 | $1,878.84 |
| Nevada | 1 | $629.58 | $629.58 | $629.58 |
| New Hampshire | 1 | $1,987.35 | $1,987.35 | $1,987.35 |
| New Jersey | 3 | $194.55 | $197.04 | $209.65 |
| New York | 13 | $210.32 | $212.47 | $652.20 |
| North Carolina | 12 | $1,419.18 | $1,419.18 | $1,419.18 |
| North Dakota | 4 | $1,566.40 | $1,566.40 | $2,292.80 |
| Ohio | 21 | $798.20 | $798.20 | $1,689.75 |
| Pennsylvania | 24 | $739.20 | $1,368.00 | $4,599.60 |
| South Dakota | 7 | $2,045.60 | $2,266.40 | $2,778.40 |
| Texas | 22 | $1,930.24 | $2,004.41 | $2,561.70 |
| Virginia | 5 | $853.00 | $853.00 | $853.00 |
| Wisconsin | 1 | $2,982.82 | $2,982.82 | $2,982.82 |
| Wyoming | 4 | $811.86 | $1,845.07 | $1,980.15 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Western Maryland | Cumberland, MD | $92.40 | $154.00 – $154.00 |
| Ocean University Medical Center | Brick, NJ | $194.55 | $178.02 – $2,470.10 |
| Bayshore Medical Center | Holmdel, NJ | $197.04 | $197.04 – $2,470.10 |
| Hackensack University Medical Center | Hackensack, NJ | $209.65 | $167.72 – $2,563.09 |
| Kings County Hospital Center | Brooklyn, NY | $210.32 | $88.20 – $1,738.01 |
| Bellevue Hospital Center | NY 10016, NY | $212.47 | $0.01 – $1,635.78 |
| Queens Hospital Center | Jamaica, NY | $212.47 | $87.41 – $1,738.01 |
| Woodhull Medical Center | Brooklyn, NY | $212.47 | $88.20 – $1,738.01 |
| Banner Heart Hospital | Mesa, AZ | $220.86 | $129.45 – $1,428.00 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $241.18 | $33.23 – $1,187.05 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $241.18 | $33.23 – $1,124.93 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $241.18 | $33.23 – $1,124.93 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $241.18 | $33.23 – $1,124.93 |
| Banner Casa Grande Medical Center | Casa Grande, AZ | $260.85 | $129.45 – $1,428.00 |
| Banner University Medical Center South | Tucson, AZ | $276.22 | $129.45 – $1,726.40 |
| Banner Gateway Medical Center | Gilbert, AZ | $289.41 | $129.45 – $1,428.00 |
| Banner Goldfield Medical Center | Apache Junction, AZ | $312.26 | $129.45 – $1,428.00 |
| Banner University Medical Center Phoenix | Phoenix, AZ | $317.97 | $129.45 – $1,428.00 |
| Banner Baywood Medical Center | Mesa, AZ | $317.97 | $129.45 – $1,428.00 |
| Banner University Medical Center Tucson | Tucson, AZ | $321.54 | $129.45 – $1,726.40 |
| Banner Estrella Medical Center | Phoenix, AZ | $331.30 | $129.45 – $1,428.00 |
| Banner Boswell Medical Center | Sun City, AZ | $335.10 | $129.45 – $1,523.20 |
| Banner Ironwood Medical Center | San Tan Valley, AZ | $335.10 | $129.45 – $1,428.00 |
| Banner Del Webb Medical Center | Sun City West, AZ | $337.01 | $129.45 – $1,523.20 |
| Banner Desert Medical Center | Mesa, AZ | $361.76 | $129.45 – $1,428.00 |
| Banner Ocotillo Medical Center | Chandler, AZ | $367.47 | $129.45 – $1,428.00 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland, CO | $370.98 | $88.40 – $1,087.75 |
| Banner Thunderbird Medical Center | Glendale, AZ | $371.28 | $72.99 – $1,428.00 |
| Banner Fort Collins Medical Center | Fort Collins, CO | $382.43 | $173.54 – $1,087.75 |
| Banner Payson Medical Center | Payson, AZ | $548.57 | $129.45 – $973.80 |
| Banner Churchill Community Hospital | Fallon, NV | $629.58 | $389.74 – $1,439.04 |
| UPMC Chautauqua | Jamestown, NY | $652.20 | $165.20 – $978.30 |
| UPMC Jameson | New Castle, PA | $739.20 | $92.00 – $1,084.16 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $758.16 | $43.16 – $547.76 |
| akron general | Akron, OH | $798.20 | $0.87 – $1,105.20 |
| 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 |
| mercy hospital | Canton, OH | $798.20 | $1.01 – $1,105.20 |
| south pointe hospital | Warrensville Heights, OH | $798.20 | $0.87 – $1,105.20 |
| Banner Wyoming Medical Center | Casper, WY | $811.86 | $178.02 – $1,855.68 |
| Sterling Regional Medical Center | Sterling, CO | $828.90 | $178.91 – $2,977.90 |
| UPMC Bedford | Everett, PA | $847.80 | $61.23 – $1,271.70 |
| Inova Alexandria Hospital | Alexandria, VA | $853.00 | $178.02 – $1,432.00 |
| Inova Fairfax Hospital | Falls Church, VA | $853.00 | $178.02 – $1,432.00 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | $853.00 | $178.02 – $1,432.00 |
| Inova Loudoun Hospital | Leesburg, VA | $853.00 | $178.02 – $1,432.00 |
| Inova Mount Vernon Hospital | Alexandria, VA | $853.00 | $178.02 – $1,432.00 |
| 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 |
| Mid Coast Hospital | Brunswick, ME | $963.40 | $51.03 – $680.16 |
| UPMC Kane | Kane, PA | $993.60 | $147.40 – $638.56 |
| martin north hospital | Stuart, FL | $997.75 | $48.17 – $767.50 |
| indian river hospital | Vero Beach, FL | $997.75 | $52.65 – $1,228.00 |
| Banner Lassen Medical Center | Susanville, CA | $1,016.66 | $35.60 – $1,754.73 |
| Banner Page Hospital | Page, AZ | $1,050.68 | $49.18 – $908.42 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $1,111.00 | $49.40 – $731.87 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $1,111.00 | $49.40 – $666.60 |
| cleveland clinic main campus | Cleveland, OH | $1,121.25 | $1.10 – $1,105.20 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $1,195.20 | $170.40 – $238.57 |
| UPMC Altoona | Altoona, PA | $1,204.80 | $80.00 – $1,606.40 |
| 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 |
| Stephens Memorial Hospital | Norway, ME | $1,267.40 | $53.23 – $1,181.22 |
| UPMC Carlisle | Carlisle, PA | $1,294.80 | $104.80 – $1,834.30 |
| UPMC Community Osteopathic | Harrisburg, PA | $1,294.80 | $104.80 – $1,834.30 |
| UPMC Hanover | Hanover, PA | $1,294.80 | $104.80 – $1,877.46 |
| UPMC Lititz | Lititz, PA | $1,294.80 | $104.80 – $1,834.30 |
| UPMC Memorial | York, PA | $1,294.80 | $104.80 – $1,834.30 |
| UPMC Somerset | Somerset, PA | $1,294.80 | $92.00 – $1,618.50 |
| cleveland clinic florida weston hospital | Weston, FL | $1,320.80 | $52.65 – $1,304.75 |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $1,342.80 | $170.40 – $238.57 |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $1,342.80 | $1.00 – $2,058.96 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $1,342.80 | $760.92 – $1,633.74 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $1,342.80 | $201.32 – $1,051.86 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | $1,350.00 | $269.08 – $2,160.00 |
| UPMC Cole | Coudersport, PA | $1,350.00 | $140.70 – $1,800.00 |
| UPMC Northwest | Seneca, PA | $1,368.00 | $147.40 – $1,938.00 |
| Atrium Health Anson | Wadesboro, NC | $1,419.18 | $49.91 – $2,696.43 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $1,419.18 | $49.91 – $2,497.75 |
| Atrium Health Cleveland | Shelby, NC | $1,419.18 | $49.91 – $2,696.43 |
| Atrium Health Cabarrus | Concord, NC | $1,419.18 | $49.91 – $2,696.43 |
| Atrium Health Lincoln | Lincolnton, NC | $1,419.18 | $49.91 – $2,696.43 |
| Atrium Health Mercy | Charlotte, NC | $1,419.18 | $49.91 – $2,611.28 |
| Atrium Health Pineville | Charlotte, NC | $1,419.18 | $49.91 – $2,611.28 |
| Atrium Health Stanly | Albermarle, NC | $1,419.18 | $49.91 – $2,724.82 |
| Atrium Health Union | Monroe, NC | $1,419.18 | $49.91 – $2,696.43 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $1,419.18 | $49.91 – $2,611.28 |
| Atrium Health University City | Charlotte, NC | $1,419.18 | $49.91 – $2,611.28 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $1,419.18 | $49.91 – $2,554.52 |
| Wellstar Cobb Hospital | Austell, GA | $1,473.03 | $178.16 – $329.59 |
| Wellstar Douglas Hospital | Douglasville, GA | $1,473.03 | $176.56 – $326.63 |
| Wellstar Kennestone Hospital | Marietta, GA | $1,473.03 | $178.16 – $329.59 |
| Wellstar MCG Health | Augusta, GA | $1,473.03 | $153.71 – $443.97 |
| Wellstar North Fulton Hospital | Roswell, GA | $1,473.03 | $178.16 – $329.59 |
| Wellstar Paulding Hospital | Hiram, GA | $1,473.03 | $178.16 – $329.59 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280, GA | $1,473.03 | not published |
| Wellstar Spalding Regional Hospital | Griffin, GA | $1,473.03 | $175.93 – $344.83 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | $1,473.03 | $254.93 – $518.62 |
| Wellstar West Georgia Medical Center | Lagrange, GA | $1,473.03 | $172.60 – $338.29 |
| Wellstar Windy Hill Hospital | Marietta, GA | $1,473.03 | $173.28 – $339.64 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $1,491.00 | $165.94 – $1,789.20 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $1,519.50 | $165.94 – $1,823.40 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $1,519.50 | $165.94 – $1,823.40 |
| University Hospitals Elyria Medical Center | Elyria, OH | $1,519.50 | $165.94 – $1,823.40 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $1,519.50 | $179.20 – $1,823.40 |
| Sanford Medical Center Hillsboro | Hillsboro, ND | $1,566.40 | $446.60 – $1,762.20 |
| Sanford Medical Center Mayville | Mayville, ND | $1,566.40 | $446.60 – $1,762.20 |
| Sanford Medical Center Bismarck | Bismarck, ND | $1,597.60 | $155.79 – $1,797.30 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $1,601.82 | $49.40 – $750.85 |
| Advocate Sherman Hospital | Elgin, IL | $1,610.00 | $269.08 – $2,898.00 |
| UPMC Hamot | Erie, PA | $1,612.80 | $129.91 – $1,881.60 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $1,614.05 | $49.40 – $1,614.05 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $1,619.25 | $669.29 – $1,943.10 |
| University Hospitals Geneva Medical Center | Geneva, OH | $1,619.25 | $431.80 – $1,943.10 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $1,660.10 | $157.36 – $2,554.00 |
| 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 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | $1,680.60 | $40.97 – $650.00 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $1,689.75 | $170.10 – $306.19 |
| East Morgan County Hospital | Brush, CO | $1,743.76 | $48.88 – $112.52 |
| MercyOne North Iowa Medical Center | Mason City, IA | $1,760.85 | $169.72 – $2,709.00 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $1,761.11 | $49.40 – $887.16 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $1,773.96 | $49.40 – $869.24 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $1,773.96 | $49.40 – $977.89 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $1,773.96 | $49.40 – $909.15 |
| 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 Cedar Falls Medical Center | Cedar Falls, IA | $1,788.15 | $165.25 – $2,751.00 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $1,788.15 | $165.25 – $2,751.00 |
| UPMC Horizon-Greenville | Greenville, PA | $1,806.00 | $147.40 – $2,558.50 |
| Community Hospital | Torrington, WY | $1,845.07 | $1,350.80 – $2,977.90 |
| MercyOne Clinton Medical Center | Clinton, IA | $1,847.30 | $161.52 – $2,842.00 |
| Ogallala Community Hospital | Ogallala, NE | $1,878.84 | $1,350.80 – $2,977.90 |
| Waldo County General Hospital | Belfast, ME | $1,893.70 | $53.23 – $1,783.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham, TX | $1,930.24 | $236.02 – $2,895.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station, TX | $1,930.24 | $167.33 – $2,895.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple, TX | $1,930.24 | $156.38 – $2,895.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco, TX | $1,930.24 | $156.38 – $2,412.80 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple, TX | $1,930.24 | $156.38 – $2,895.35 |
| Corewell Health Lakeland Watervliet | Watervliet, MI | $1,951.00 | $176.66 – $264.99 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | $1,951.00 | $174.77 – $350.05 |
| Washakie Medical Center | Worland, WY | $1,977.08 | $55.68 – $112.52 |
| Platte County Hospital | Wheatland, WY | $1,980.15 | $1,473.60 – $2,977.90 |
| MaineHealth - Memorial Hospital | North Conway, NH | $1,987.35 | $51.03 – $1,427.37 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $1,999.04 | $49.40 – $2,216.43 |
| Franklin Memorial Hospital | Farmington, ME | $2,003.20 | $53.23 – $1,676.68 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas, TX | $2,004.41 | $156.38 – $2,505.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco, TX | $2,004.41 | $156.38 – $2,505.51 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth, TX | $2,004.41 | $156.38 – $2,505.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine, TX | $2,004.41 | $156.38 – $2,505.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving, TX | $2,004.41 | $156.38 – $2,505.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett, TX | $2,004.41 | $156.38 – $2,505.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney, TX | $2,004.41 | $156.38 – $2,505.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco, TX | $2,004.41 | $156.38 – $2,505.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano, TX | $2,004.41 | $156.38 – $2,505.51 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton, TX | $2,004.41 | $156.38 – $2,505.51 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney, TX | $2,004.41 | $156.38 – $2,505.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie, TX | $2,004.41 | $156.38 – $2,505.51 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie, TX | $2,004.41 | $156.38 – $2,505.51 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $2,023.45 | $49.40 – $2,149.91 |
| Sanford Canton Inwood Medical Center | Canton, SD | $2,045.60 | $874.49 – $2,301.30 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $2,102.10 | $1,280.34 – $3,234.00 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $2,102.10 | $1,222.45 – $3,640.19 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $2,102.10 | $1,236.03 – $3,234.00 |
| MercyOne Newton Medical Center | Newton, IA | $2,102.10 | $166.03 – $3,234.00 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $2,146.95 | $165.56 – $3,303.00 |
| Sanford Thief River Falls Medical Center | Thief River Falls, MN | $2,156.00 | $186.92 – $2,425.50 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls, MN | $2,156.00 | $186.92 – $2,425.50 |
| UPMC Muncy | Muncy, PA | $2,160.00 | $102.40 – $2,880.00 |
| UPMC Williamsport | Williamsport, PA | $2,160.00 | $102.40 – $2,880.00 |
| Sanford Bagley Medical Center | Bagley, MN | $2,211.20 | $186.92 – $2,487.60 |
| Sanford Bemidji Medical Center | Bemidji, MN | $2,211.20 | $132.55 – $2,487.60 |
| Sanford Vermillion Hospital | Vermillion, SD | $2,216.00 | $817.15 – $2,493.00 |
| Sanford Clear Lake Medical Center | Clear Lake, SD | $2,228.00 | $893.20 – $2,506.50 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | $2,266.40 | $169.12 – $2,549.70 |
| Sanford Fargo Medical Center | Fargo, ND | $2,292.80 | $133.87 – $2,579.40 |
| Pen Bay Medical Center | Rockport, ME | $2,306.60 | $51.54 – $760.12 |
| Sanford Canby Medical Center | Canby, MN | $2,328.00 | $186.92 – $2,619.00 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $2,332.52 | $49.40 – $857.20 |
| Sanford Chamberlain Medical Center | Chamberlain, SD | $2,392.80 | $1,022.92 – $2,691.90 |
| Sanford Wheaton | Wheaton, MN | $2,423.20 | $186.92 – $2,726.10 |
| Sanford Luverne Medical Center | Luverne, MN | $2,431.20 | $186.92 – $2,735.10 |
| Sanford Worthington Medical Center | Worthington, MN | $2,497.60 | $135.41 – $2,809.80 |
| Sanford Westbrook Hospital | Westbrook, MN | $2,519.20 | $186.92 – $2,834.10 |
| Sanford Tracy Hospital | Tracy, MN | $2,519.20 | $186.92 – $2,834.10 |
| Sanford Sheldon Medical Center | Sheldon, IA | $2,528.00 | $900.60 – $2,844.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110, TX | $2,561.70 | $156.38 – $3,202.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100, TX | $2,561.70 | $156.38 – $3,842.55 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park, TX | $2,561.70 | $156.38 – $3,842.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor, TX | $2,561.70 | $236.02 – $3,415.60 |
| Sanford Hospital Webster | Webster, SD | $2,598.40 | $1,019.87 – $2,923.20 |
| UPMC Wellsboro | Wellsboro, PA | $2,612.80 | $102.40 – $2,939.40 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $2,654.40 | $147.40 – $3,760.40 |
| UPMC St. Margaret | Pittsburgh, PA | $2,722.80 | $146.54 – $3,857.30 |
| Sanford USD Medical Center | Sioux Falls, SD | $2,778.40 | $81.44 – $3,125.70 |
| UPMC McKeesport | Mckeesport, PA | $2,836.20 | $147.40 – $4,017.95 |
| UPMC East | Monroeville, PA | $2,917.20 | $147.40 – $3,889.60 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | $2,930.00 | $162.61 – $545.72 |
| Corewell Health Taylor | Taylor, MI | $2,930.00 | $162.61 – $545.72 |
| Corewell Health Trenton | Trenton, MI | $2,930.00 | $162.61 – $545.72 |
| Corewell Health Troy | Troy, MI | $2,930.00 | $162.54 – $545.72 |
| Corewell Health Wayne | Wayne, MI | $2,930.00 | $162.61 – $545.72 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $2,982.82 | $49.78 – $1,237.87 |
| UPMC Mercy | Pittsburgh, PA | $3,054.00 | $141.48 – $4,581.00 |
| UPMC Magee | Pittsburgh, PA | $3,160.80 | $147.40 – $4,846.56 |
| Boca Raton Regional Hospital | BOCA RATON, FL | $3,201.90 | $179.88 – $3,216.68 |
| MercyOne Centerville Medical Center | Centerville, IA | $3,234.00 | $887.41 – $3,234.00 |
| Lincoln Health | Damariscotta, ME | $3,247.35 | $53.23 – $2,948.59 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $3,521.70 | $183.17 – $4,876.20 |
| Doctors Hospital | CORAL GABLES, FL | $3,521.70 | $183.17 – $4,876.20 |
| Fishermens Community Hospital | MARATHON, FL | $3,521.70 | $197.10 – $4,876.20 |
| Homestead Hospital | HOMESTEAD, FL | $3,521.70 | $167.89 – $4,876.20 |
| Mariners Hospital | TAVERNIER, FL | $3,521.70 | $197.10 – $4,876.20 |
| West Kendall Baptist Hospital | MIAMI, FL | $3,521.70 | $183.17 – $4,876.20 |
| Baptist Hospital | MIAMI, FL | $3,753.75 | $173.17 – $4,876.20 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $3,753.75 | $183.17 – $4,876.20 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $3,821.00 | $165.56 – $3,821.00 |
| UPMC Presbyterian | Pittsburgh, PA | $4,599.60 | $96.00 – $6,516.10 |
| South Brooklyn Health | Brooklyn, NY | not published | $94.77 – $1,228.00 |
| North Central Bronx | Bronx, NY | not published | $141.11 – $1,738.01 |
| Metropolitan Hospital Center | New York, NY | not published | $94.77 – $1,228.00 |
| Spring Harbor Hospital | Westbrook, ME | not published | $51.03 – $108.40 |
| Lincoln Medical Center | Bronx, NY | not published | $94.77 – $1,228.00 |
| Jacobi Medical Center | Bronx, NY | not published | $94.77 – $1,738.01 |
| Henry J. Carter Specialty Hospital | New York, NY | not published | not published |
| Harlem Hospital Center | New York, NY | not published | $91.98 – $1,228.00 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $94.14 – $1,056.00 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | not published | $547.26 – $633.67 |