healthcosts.net
Sinus CT scan (without contrast) cost at US hospitals
CT maxillofacial/sinus without contrast · CPT 70486
$80.40
lowest cash price
$1,275.30
national median
$3,710.00
highest cash price
231
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $80.40–$3,710.00 — the variation is the story.
Most expensive published cash price
$3,710.00
MercyOne West Des Moines Medical Center — West Des Moines, IAMedian cash price over time
Sep 1, 2025 ($1,140.65) → Aug 1, 2026 ($1,151.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Arizona | 17 | $176.67 | $265.00 | $840.42 |
| California | 1 | $813.21 | $813.21 | $813.21 |
| Colorado | 4 | $296.78 | $305.94 | $1,395.01 |
| Florida | 12 | $596.70 | $2,984.15 | $3,181.10 |
| Georgia | 11 | $1,319.37 | $1,319.37 | $1,319.37 |
| Illinois | 11 | $780.00 | $1,125.00 | $1,536.19 |
| Indiana | 1 | $885.00 | $885.00 | $885.00 |
| Iowa | 28 | $683.83 | $1,324.60 | $3,710.00 |
| Maine | 7 | $799.75 | $1,382.10 | $1,920.60 |
| Maryland | 1 | $80.40 | $80.40 | $80.40 |
| Michigan | 19 | $143.75 | $1,151.00 | $2,342.00 |
| Minnesota | 10 | $1,629.60 | $1,876.00 | $2,285.60 |
| Nebraska | 1 | $1,503.07 | $1,503.07 | $1,503.07 |
| Nevada | 1 | $503.58 | $503.58 | $503.58 |
| New Hampshire | 1 | $1,728.30 | $1,728.30 | $1,728.30 |
| New Jersey | 3 | $116.22 | $117.70 | $125.23 |
| New York | 13 | $125.85 | $127.14 | $507.60 |
| North Carolina | 12 | $1,145.38 | $1,145.38 | $1,145.38 |
| North Dakota | 4 | $1,153.60 | $1,153.60 | $2,207.20 |
| Ohio | 21 | $477.10 | $720.20 | $1,650.00 |
| Pennsylvania | 24 | $616.20 | $1,226.40 | $2,937.00 |
| South Dakota | 7 | $1,618.40 | $1,952.00 | $2,199.20 |
| Texas | 22 | $1,640.48 | $1,704.54 | $2,137.91 |
| Virginia | 5 | $628.00 | $628.00 | $628.00 |
| Wisconsin | 1 | $1,930.44 | $1,930.44 | $1,930.44 |
| Wyoming | 4 | $649.32 | $1,476.06 | $1,584.12 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Western Maryland | Cumberland, MD | $80.40 | $89.00 – $89.00 |
| Ocean University Medical Center | Brick, NJ | $116.22 | $106.34 – $1,957.55 |
| Bayshore Medical Center | Holmdel, NJ | $117.70 | $117.70 – $2,057.00 |
| Hackensack University Medical Center | Hackensack, NJ | $125.23 | $100.19 – $2,031.25 |
| Kings County Hospital Center | Brooklyn, NY | $125.85 | $74.41 – $1,307.61 |
| Bellevue Hospital Center | NY 10016, NY | $127.14 | $0.01 – $1,230.69 |
| Queens Hospital Center | Jamaica, NY | $127.14 | $73.81 – $1,307.61 |
| Woodhull Medical Center | Brooklyn, NY | $127.14 | $74.41 – $1,307.61 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $143.75 | $25.35 – $1,030.81 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $143.75 | $25.35 – $976.86 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $143.75 | $25.35 – $976.86 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $143.75 | $25.35 – $976.86 |
| Banner Heart Hospital | Mesa, AZ | $176.67 | $79.00 – $1,142.25 |
| Banner Casa Grande Medical Center | Casa Grande, AZ | $208.65 | $79.00 – $1,142.25 |
| Banner University Medical Center South | Tucson, AZ | $220.93 | $79.00 – $1,380.80 |
| Banner Gateway Medical Center | Gilbert, AZ | $231.50 | $79.00 – $1,142.25 |
| Banner Goldfield Medical Center | Apache Junction, AZ | $249.77 | $79.00 – $1,142.25 |
| Banner University Medical Center Phoenix | Phoenix, AZ | $254.34 | $79.00 – $1,142.25 |
| Banner Baywood Medical Center | Mesa, AZ | $254.34 | $79.00 – $1,142.25 |
| Banner University Medical Center Tucson | Tucson, AZ | $257.17 | $79.00 – $1,380.80 |
| Banner Estrella Medical Center | Phoenix, AZ | $265.00 | $79.00 – $1,142.25 |
| Banner Boswell Medical Center | Sun City, AZ | $268.05 | $79.00 – $1,218.40 |
| Banner Ironwood Medical Center | San Tan Valley, AZ | $268.05 | $79.00 – $1,142.25 |
| Banner Del Webb Medical Center | Sun City West, AZ | $269.57 | $79.00 – $1,218.40 |
| Banner Desert Medical Center | Mesa, AZ | $289.37 | $79.00 – $1,142.25 |
| Banner Ocotillo Medical Center | Chandler, AZ | $293.94 | $79.00 – $1,142.25 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland, CO | $296.78 | $88.40 – $870.20 |
| Banner Thunderbird Medical Center | Glendale, AZ | $296.98 | $72.99 – $1,142.25 |
| Banner Fort Collins Medical Center | Fort Collins, CO | $305.94 | $103.66 – $870.20 |
| Banner Payson Medical Center | Payson, AZ | $438.56 | $79.00 – $778.50 |
| avon hospital | Avon, OH | $477.10 | $0.87 – $660.60 |
| euclid hospital | Euclid, OH | $477.10 | $0.87 – $660.60 |
| fairview hospital | Cleveland, OH | $477.10 | $0.87 – $660.60 |
| lutheran hospital | Cleveland, OH | $477.10 | $0.87 – $660.60 |
| hillcrest hospital | Mayfield Heights, OH | $477.10 | $0.87 – $660.60 |
| lodi hospital | Lodi, OH | $477.10 | $106.34 – $660.60 |
| marymount hospital | Garfield Heights, OH | $477.10 | $0.87 – $660.60 |
| medina hospital | Medina, OH | $477.10 | $0.87 – $660.60 |
| south pointe hospital | Warrensville Heights, OH | $477.10 | $0.87 – $660.60 |
| Banner Churchill Community Hospital | Fallon, NV | $503.58 | $311.74 – $1,151.04 |
| UPMC Chautauqua | Jamestown, NY | $507.60 | $129.93 – $761.40 |
| martin north hospital | Stuart, FL | $596.70 | $41.44 – $459.00 |
| indian river hospital | Vero Beach, FL | $596.70 | $40.11 – $734.40 |
| UPMC Jameson | New Castle, PA | $616.20 | $89.12 – $903.76 |
| Inova Alexandria Hospital | Alexandria, VA | $628.00 | $106.34 – $1,432.00 |
| Inova Fairfax Hospital | Falls Church, VA | $628.00 | $106.34 – $1,432.00 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | $628.00 | $106.34 – $1,432.00 |
| Inova Loudoun Hospital | Leesburg, VA | $628.00 | $106.34 – $1,432.00 |
| Inova Mount Vernon Hospital | Alexandria, VA | $628.00 | $106.34 – $1,432.00 |
| Banner Wyoming Medical Center | Casper, WY | $649.32 | $106.34 – $1,484.16 |
| Sterling Regional Medical Center | Sterling, CO | $663.12 | $106.87 – $2,382.32 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $683.83 | $35.62 – $494.06 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $719.47 | $37.54 – $473.95 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $719.47 | $37.54 – $431.68 |
| cleveland clinic main campus | Cleveland, OH | $720.20 | $1.10 – $660.60 |
| akron general | Akron, OH | $720.20 | $0.87 – $660.60 |
| mercy hospital | Canton, OH | $720.20 | $1.01 – $660.60 |
| UPMC Bedford | Everett, PA | $741.00 | $36.58 – $1,111.50 |
| Advocate Christ Medical Center | Oak Lawn, IL | $780.00 | $160.73 – $1,248.00 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | $785.00 | $160.73 – $1,256.00 |
| UPMC Carlisle | Carlisle, PA | $796.80 | $100.71 – $1,128.80 |
| UPMC Community Osteopathic | Harrisburg, PA | $796.80 | $101.53 – $1,128.80 |
| UPMC Hanover | Hanover, PA | $796.80 | $100.57 – $1,155.36 |
| UPMC Lititz | Lititz, PA | $796.80 | $101.12 – $1,128.80 |
| UPMC Memorial | York, PA | $796.80 | $101.53 – $1,128.80 |
| UPMC Somerset | Somerset, PA | $796.80 | $89.12 – $996.00 |
| Mid Coast Hospital | Brunswick, ME | $799.75 | $38.82 – $564.62 |
| Banner Lassen Medical Center | Susanville, CA | $813.21 | $21.27 – $1,403.59 |
| UPMC Kane | Kane, PA | $820.20 | $89.60 – $540.24 |
| cleveland clinic florida weston hospital | Weston, FL | $839.80 | $40.11 – $780.30 |
| Banner Page Hospital | Page, AZ | $840.42 | $37.65 – $726.63 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | $855.00 | $160.73 – $1,368.00 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | $885.00 | $34.02 – $650.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $909.00 | $101.79 – $142.51 |
| UPMC Altoona | Altoona, PA | $1,017.00 | $77.50 – $1,356.00 |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $1,021.80 | $101.79 – $142.51 |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $1,021.80 | $1.00 – $1,566.76 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $1,021.80 | $579.02 – $1,243.19 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $1,021.80 | $120.46 – $800.41 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | $1,076.00 | $104.17 – $187.51 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | $1,076.00 | $104.17 – $187.51 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $1,124.84 | $37.54 – $1,124.83 |
| Advocate South Suburban Hospital | Hazel Crest, IL | $1,125.00 | $160.73 – $2,191.50 |
| Advocate Trinity Hospital | Chicago, IL | $1,125.00 | $160.73 – $1,800.00 |
| Advocate Condell Medical Center | Libertyville, IL | $1,140.00 | $160.73 – $1,824.00 |
| Stephens Memorial Hospital | Norway, ME | $1,140.65 | $40.29 – $1,063.09 |
| UPMC Cole | Coudersport, PA | $1,144.80 | $136.50 – $1,526.40 |
| Atrium Health Anson | Wadesboro, NC | $1,145.38 | $37.94 – $2,176.21 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $1,145.38 | $37.94 – $2,015.86 |
| Atrium Health Cleveland | Shelby, NC | $1,145.38 | $37.94 – $2,176.21 |
| Atrium Health Cabarrus | Concord, NC | $1,145.38 | $37.94 – $2,176.21 |
| Atrium Health Lincoln | Lincolnton, NC | $1,145.38 | $37.94 – $2,176.21 |
| Atrium Health Mercy | Charlotte, NC | $1,145.38 | $37.94 – $2,107.49 |
| Atrium Health Pineville | Charlotte, NC | $1,145.38 | $37.94 – $2,107.49 |
| Atrium Health Stanly | Albermarle, NC | $1,145.38 | $37.94 – $2,199.12 |
| Atrium Health Union | Monroe, NC | $1,145.38 | $37.94 – $2,176.21 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $1,145.38 | $37.94 – $2,107.49 |
| Atrium Health University City | Charlotte, NC | $1,145.38 | $37.94 – $2,107.49 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $1,145.38 | $37.94 – $2,061.68 |
| Corewell Health Big Rapids | Big Rapids, MI | $1,151.00 | $104.17 – $196.83 |
| Corewell Health Gerber | Fremont, MI | $1,151.00 | $196.83 – $196.83 |
| Corewell Health Reed City | Po Box 75, MI | $1,151.00 | $196.83 – $196.83 |
| Corewell Health Greenville | Greenville, MI | $1,151.00 | $104.17 – $196.83 |
| Corewell Health Zeeland | Zeeland, MI | $1,151.00 | $104.17 – $196.83 |
| Corewell Health Pennock | Hastings, MI | $1,151.00 | $196.83 – $196.83 |
| Sanford Medical Center Hillsboro | Hillsboro, ND | $1,153.60 | $352.55 – $1,297.80 |
| Sanford Medical Center Mayville | Mayville, ND | $1,153.60 | $352.55 – $1,297.80 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $1,165.45 | $25.35 – $1,793.00 |
| UPMC Northwest | Seneca, PA | $1,226.40 | $91.94 – $1,737.40 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | $1,250.00 | $160.73 – $2,000.00 |
| Corewell Health Lakeland Watervliet | Watervliet, MI | $1,259.00 | $105.30 – $157.95 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | $1,259.00 | $104.17 – $1,264.15 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $1,275.30 | $776.76 – $1,962.00 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $1,275.30 | $741.64 – $2,208.43 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $1,275.30 | $749.88 – $1,962.00 |
| MercyOne Elkader Medical Center | Elkader, IA | $1,275.30 | $1,009.84 – $2,050.68 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $1,279.50 | $98.91 – $1,594.00 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $1,281.80 | $93.79 – $1,972.00 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $1,303.50 | $98.91 – $1,595.00 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $1,303.50 | $98.91 – $1,595.00 |
| University Hospitals Elyria Medical Center | Elyria, OH | $1,303.50 | $98.91 – $1,564.20 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $1,303.50 | $106.81 – $1,564.20 |
| Wellstar Cobb Hospital | Austell, GA | $1,319.37 | $106.19 – $196.45 |
| Wellstar Douglas Hospital | Douglasville, GA | $1,319.37 | $105.23 – $194.68 |
| Wellstar Kennestone Hospital | Marietta, GA | $1,319.37 | $106.19 – $196.45 |
| Wellstar MCG Health | Augusta, GA | $1,319.37 | $91.62 – $306.85 |
| Wellstar North Fulton Hospital | Roswell, GA | $1,319.37 | $106.19 – $196.45 |
| Wellstar Paulding Hospital | Hiram, GA | $1,319.37 | $106.19 – $196.45 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280, GA | $1,319.37 | not published |
| Wellstar Spalding Regional Hospital | Griffin, GA | $1,319.37 | $104.86 – $205.53 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | $1,319.37 | $221.42 – $369.17 |
| Wellstar West Georgia Medical Center | Lagrange, GA | $1,319.37 | $102.88 – $201.64 |
| Wellstar Windy Hill Hospital | Marietta, GA | $1,319.37 | $103.69 – $203.23 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $1,324.60 | $37.54 – $620.90 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $1,326.36 | $37.54 – $668.15 |
| Sanford Medical Center Bismarck | Bismarck, ND | $1,339.20 | $101.02 – $1,506.60 |
| Lincoln Health | Damariscotta, ME | $1,382.10 | $40.29 – $1,254.95 |
| East Morgan County Hospital | Brush, CO | $1,395.01 | $37.50 – $86.33 |
| Franklin Memorial Hospital | Farmington, ME | $1,430.20 | $40.29 – $1,197.08 |
| MercyOne Clinton Medical Center | Clinton, IA | $1,461.85 | $96.27 – $2,249.00 |
| UPMC Hamot | Erie, PA | $1,464.60 | $98.61 – $1,708.70 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $1,471.50 | $608.22 – $1,765.80 |
| University Hospitals Geneva Medical Center | Geneva, OH | $1,471.50 | $392.40 – $1,765.80 |
| Community Hospital | Torrington, WY | $1,476.06 | $1,080.64 – $2,382.32 |
| Ogallala Community Hospital | Ogallala, NE | $1,503.07 | $1,080.64 – $2,382.32 |
| Advocate Sherman Hospital | Elgin, IL | $1,510.00 | $160.73 – $2,718.00 |
| UPMC Horizon-Greenville | Greenville, PA | $1,528.20 | $90.77 – $2,164.95 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $1,536.19 | $37.54 – $752.73 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $1,536.19 | $37.54 – $846.82 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $1,536.19 | $37.54 – $787.29 |
| Waldo County General Hospital | Belfast, ME | $1,544.10 | $40.29 – $1,454.54 |
| Washakie Medical Center | Worland, WY | $1,581.66 | $42.72 – $86.33 |
| Platte County Hospital | Wheatland, WY | $1,584.12 | $1,178.88 – $2,382.32 |
| UPMC Muncy | Muncy, PA | $1,590.60 | $99.20 – $2,120.80 |
| UPMC Williamsport | Williamsport, PA | $1,590.60 | $99.20 – $2,120.80 |
| MercyOne North Iowa Medical Center | Mason City, IA | $1,597.70 | $101.16 – $2,458.00 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $1,608.28 | $37.54 – $1,708.79 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $1,609.40 | $98.49 – $2,476.00 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $1,609.40 | $98.49 – $2,476.00 |
| Sanford Canton Inwood Medical Center | Canton, SD | $1,618.40 | $691.87 – $1,820.70 |
| Sanford Wheaton | Wheaton, MN | $1,629.60 | $111.66 – $1,833.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham, TX | $1,640.48 | $141.23 – $2,460.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station, TX | $1,640.48 | $99.77 – $2,460.72 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple, TX | $1,640.48 | $104.75 – $2,460.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco, TX | $1,640.48 | $99.77 – $2,050.60 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple, TX | $1,640.48 | $99.77 – $2,460.72 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $1,650.00 | $101.39 – $182.50 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas, TX | $1,704.54 | $99.77 – $2,130.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco, TX | $1,704.54 | $99.77 – $2,130.68 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth, TX | $1,704.54 | $99.77 – $2,130.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine, TX | $1,704.54 | $99.94 – $2,130.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving, TX | $1,704.54 | $99.77 – $2,130.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett, TX | $1,704.54 | $99.77 – $2,130.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney, TX | $1,704.54 | $99.77 – $2,130.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco, TX | $1,704.54 | $99.77 – $2,130.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano, TX | $1,704.54 | $99.77 – $2,130.68 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton, TX | $1,704.54 | $99.77 – $2,130.68 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney, TX | $1,704.54 | $99.77 – $2,130.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie, TX | $1,704.54 | $99.77 – $2,130.68 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie, TX | $1,704.54 | $99.77 – $2,130.68 |
| Sanford Vermillion Hospital | Vermillion, SD | $1,705.60 | $628.94 – $1,918.80 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $1,712.40 | $37.54 – $1,898.61 |
| MaineHealth - Memorial Hospital | North Conway, NH | $1,728.30 | $38.82 – $854.32 |
| Sanford Thief River Falls Medical Center | Thief River Falls, MN | $1,729.60 | $111.66 – $1,945.80 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls, MN | $1,729.60 | $111.66 – $1,945.80 |
| UPMC St. Margaret | Pittsburgh, PA | $1,740.00 | $87.53 – $2,465.00 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $1,795.80 | $94.21 – $2,544.05 |
| UPMC McKeesport | Mckeesport, PA | $1,810.20 | $93.97 – $2,564.45 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | $1,854.40 | $101.02 – $2,086.20 |
| UPMC East | Monroeville, PA | $1,863.00 | $101.65 – $2,484.00 |
| Sanford Bagley Medical Center | Bagley, MN | $1,876.00 | $111.66 – $2,110.50 |
| Sanford Bemidji Medical Center | Bemidji, MN | $1,876.00 | $79.32 – $2,110.50 |
| Sanford Luverne Medical Center | Luverne, MN | $1,888.00 | $111.66 – $2,124.00 |
| Pen Bay Medical Center | Rockport, ME | $1,920.60 | $39.21 – $631.00 |
| UPMC Wellsboro | Wellsboro, PA | $1,924.00 | $99.20 – $2,164.50 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $1,930.44 | $37.83 – $801.13 |
| UPMC Mercy | Pittsburgh, PA | $1,950.00 | $84.51 – $2,925.00 |
| Sanford Chamberlain Medical Center | Chamberlain, SD | $1,952.00 | $834.48 – $2,196.00 |
| MercyOne Centerville Medical Center | Centerville, IA | $1,962.00 | $538.37 – $1,962.00 |
| MercyOne Newton Medical Center | Newton, IA | $1,962.00 | $98.96 – $1,962.00 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $2,005.12 | $37.54 – $736.88 |
| UPMC Magee | Pittsburgh, PA | $2,020.20 | $94.88 – $3,097.64 |
| Sanford Hospital Webster | Webster, SD | $2,034.40 | $798.50 – $2,288.70 |
| Sanford Canby Medical Center | Canby, MN | $2,045.60 | $111.66 – $2,301.30 |
| Sanford Westbrook Hospital | Westbrook, MN | $2,075.20 | $111.66 – $2,334.60 |
| Sanford Tracy Hospital | Tracy, MN | $2,075.20 | $111.66 – $2,334.60 |
| Sanford Sheldon Medical Center | Sheldon, IA | $2,112.00 | $752.40 – $2,376.00 |
| Sanford Clear Lake Medical Center | Clear Lake, SD | $2,128.00 | $705.10 – $2,394.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110, TX | $2,137.91 | $99.77 – $2,672.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100, TX | $2,137.91 | $99.77 – $3,206.86 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park, TX | $2,137.91 | $99.77 – $3,206.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor, TX | $2,137.91 | $141.23 – $2,850.54 |
| Sanford USD Medical Center | Sioux Falls, SD | $2,199.20 | $48.73 – $2,474.10 |
| Sanford Fargo Medical Center | Fargo, ND | $2,207.20 | $80.11 – $2,483.10 |
| Sanford Worthington Medical Center | Worthington, MN | $2,285.60 | $81.04 – $2,571.30 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | $2,342.00 | $96.92 – $445.89 |
| Corewell Health Taylor | Taylor, MI | $2,342.00 | $96.92 – $445.89 |
| Corewell Health Trenton | Trenton, MI | $2,342.00 | $96.92 – $445.89 |
| Corewell Health Troy | Troy, MI | $2,342.00 | $96.88 – $445.89 |
| Corewell Health Wayne | Wayne, MI | $2,342.00 | $96.92 – $445.89 |
| Boca Raton Regional Hospital | BOCA RATON, FL | $2,714.40 | $107.21 – $2,726.93 |
| UPMC Presbyterian | Pittsburgh, PA | $2,937.00 | $93.00 – $4,160.75 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $2,984.15 | $67.49 – $4,131.90 |
| Doctors Hospital | CORAL GABLES, FL | $2,984.15 | $65.42 – $4,131.90 |
| Fishermens Community Hospital | MARATHON, FL | $2,984.15 | $65.42 – $4,131.90 |
| Homestead Hospital | HOMESTEAD, FL | $2,984.15 | $65.42 – $4,131.90 |
| Mariners Hospital | TAVERNIER, FL | $2,984.15 | $65.42 – $4,131.90 |
| West Kendall Baptist Hospital | MIAMI, FL | $2,984.15 | $65.42 – $4,131.90 |
| Baptist Hospital | MIAMI, FL | $3,181.10 | $67.49 – $4,131.90 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $3,181.10 | $65.42 – $4,131.90 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $3,710.00 | $98.68 – $3,710.00 |
| South Brooklyn Health | Brooklyn, NY | not published | $83.71 – $1,228.00 |
| North Central Bronx | Bronx, NY | not published | $119.06 – $1,307.61 |
| Metropolitan Hospital Center | New York, NY | not published | $83.71 – $1,228.00 |
| Spring Harbor Hospital | Westbrook, ME | not published | $38.82 – $82.56 |
| Lincoln Medical Center | Bronx, NY | not published | $83.71 – $1,228.00 |
| Jacobi Medical Center | Bronx, NY | not published | $83.71 – $1,307.61 |
| Henry J. Carter Specialty Hospital | New York, NY | not published | not published |
| Harlem Hospital Center | New York, NY | not published | $81.29 – $1,228.00 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $83.26 – $1,056.00 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | not published | $255.28 – $295.59 |