Sterile water/saline, 500 ml cost at US hospitals
Sterile water/saline, 500 ml · HCPCS A4217
$1.40
lowest cash price
$26.79
national median
$80.00
highest cash price
57
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $1.40–$80.00 — the variation is the story.
Median cash price over time
Jan 1, 2026 ($22.09) → Sep 1, 2026 ($13.20)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | not published by hospital | not published by hospital | not published by hospital |
| California | 6 | not published by hospital | not published by hospital | not published by hospital |
| Colorado | 8 | not published by hospital | not published by hospital | not published by hospital |
| Florida | 38 | not published by hospital | not published by hospital | not published by hospital |
| Georgia | 11 | $12.17 | $12.17 | $12.17 |
| Illinois | 11 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 12 | $61.65 | $61.65 | $61.65 |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 9 | $6.17 | $6.17 | $22.09 |
| Minnesota | 5 | $14.00 | $40.00 | $75.59 |
| Missouri | 7 | 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 | not published by hospital | not published by hospital | not published by hospital |
| New York | 12 | $3.20 | $3.20 | $3.20 |
| North Carolina | 11 | not published by hospital | not published by hospital | not published by hospital |
| North Dakota | 4 | $26.79 | $31.60 | $40.00 |
| Ohio | 27 | $28.11 | $28.11 | $46.38 |
| Oklahoma | 3 | not published by hospital | not published by hospital | not published by hospital |
| Pennsylvania | 17 | $3.60 | $25.20 | $70.80 |
| South Carolina | 2 | not published by hospital | not published by hospital | not published by hospital |
| South Dakota | 3 | $1.40 | $1.40 | $80.00 |
| Texas | 17 | not published by hospital | not published by hospital | not published by hospital |
| Virginia | 8 | not published by hospital | not published by hospital | not published by hospital |
| Washington | 8 | not published by hospital | not published by hospital | not published by hospital |
| Wisconsin | 1 | not published by hospital | not published by hospital | not published by hospital |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Vermillion Hospital | Vermillion, SD | $1.40 | $0.52 – $1.58 |
| UPMC Chautauqua | Jamestown, NY | $3.20 | $2.20 – $3.60 |
| UPMC Muncy | Muncy, PA | $3.60 | $3.20 – $3.20 |
| UPMC Wellsboro | Wellsboro, PA | $3.60 | $3.20 – $3.20 |
| UPMC Williamsport | Williamsport, PA | $3.60 | $3.20 – $3.20 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $6.17 | $3.68 – $17.68 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $6.17 | $3.68 – $8.83 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $6.17 | $3.68 – $8.89 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $6.17 | $3.68 – $7.70 |
| UPMC Jameson | New Castle, PA | $7.80 | $2.69 – $17.53 |
| Wellstar Cobb Hospital | Austell, GA | $12.17 | not published |
| Wellstar Douglas Hospital | Douglasville, GA | $12.17 | not published |
| Wellstar Kennestone Hospital | Marietta, GA | $12.17 | not published |
| Wellstar MCG Health | Augusta, GA | $12.17 | not published |
| Wellstar North Fulton Hospital | Roswell, GA | $12.17 | not published |
| Wellstar Paulding Hospital | Hiram, GA | $12.17 | not published |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280, GA | $12.17 | not published |
| Wellstar Spalding Regional Hospital | Griffin, GA | $12.17 | not published |
| Wellstar Sylvan Grove Hospital | Jackson, GA | $12.17 | not published |
| Wellstar West Georgia Medical Center | Lagrange, GA | $12.17 | not published |
| Wellstar Windy Hill Hospital | Marietta, GA | $12.17 | not published |
| UPMC Kane | Kane, PA | $13.20 | $12.91 – $18.00 |
| UPMC Altoona | Altoona, PA | $13.20 | $2.23 – $17.53 |
| Sanford Bagley Medical Center | Bagley, MN | $14.00 | $4.24 – $15.75 |
| UPMC St. Margaret | Pittsburgh, PA | $21.60 | $4.50 – $21.51 |
| Henry Ford Rochester Hospital | Rochester, MI | $22.09 | $7.53 – $8.08 |
| UPMC Northwest | Seneca, PA | $24.00 | $21.21 – $21.21 |
| UPMC Horizon-Greenville | Greenville, PA | $25.20 | $17.53 – $17.53 |
| Sanford Medical Center Hillsboro | Hillsboro, ND | $26.79 | $7.90 – $29.38 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $28.11 | $2.11 – $33.72 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $28.11 | not published |
| University Hospitals Elyria Medical Center | Elyria, OH | $28.11 | $4.47 – $8.05 |
| University Hospitals Geneva Medical Center | Geneva, OH | $28.11 | not published |
| University Hospitals St. John Medical Center | Westlake OH, OH | $28.11 | $4.47 – $8.05 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $28.11 | $4.47 – $8.05 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | $28.11 | $2.55 – $8.05 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | $28.11 | $4.47 – $8.05 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | $28.11 | $4.47 – $8.05 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $28.11 | $4.47 – $8.94 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $28.11 | $4.47 – $8.05 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $28.11 | $4.47 – $33.72 |
| Sanford Medical Center Mayville | Mayville, ND | $31.60 | $7.94 – $29.52 |
| UPMC Mercy | Pittsburgh, PA | $31.80 | $4.46 – $13.84 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $32.55 | $4.50 – $25.44 |
| UPMC Western Psychiatric | Pittsburgh, PA | $32.55 | $4.41 – $4.41 |
| UPMC East | Monroeville, PA | $39.60 | $3.95 – $26.40 |
| UPMC Presbyterian | Pittsburgh, PA | $39.60 | $3.00 – $28.34 |
| Sanford Wheaton | Wheaton, MN | $40.00 | $7.43 – $27.64 |
| Sanford Medical Center Bismarck | Bismarck, ND | $40.00 | $4.01 – $45.00 |
| UPMC McKeesport | Mckeesport, PA | $42.00 | $2.96 – $17.53 |