Tbs techl calculation only cost at US hospitals
Tbs techl calculation only · CPT 77091
$16.95
lowest cash price
$153.60
national median
$731.06
highest cash price
216
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $16.95–$731.06 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($105.08) → Sep 1, 2026 ($104.19)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | not published by hospital | not published by hospital | not published by hospital |
| Arkansas | 1 | $37.95 | $37.95 | $37.95 |
| California | 48 | $16.95 | $268.80 | $268.80 |
| Colorado | 13 | not published by hospital | not published by hospital | not published by hospital |
| Florida | 79 | $147.60 | $253.50 | $494.00 |
| Georgia | 23 | $224.73 | $224.73 | $345.07 |
| Hawaii | 1 | not published by hospital | not published by hospital | not published by hospital |
| Illinois | 39 | $57.50 | $196.00 | $196.00 |
| Indiana | 26 | $153.60 | $153.60 | $419.19 |
| Iowa | 15 | $186.55 | $186.55 | $203.45 |
| Kansas | 10 | $53.20 | $53.20 | $64.80 |
| Kentucky | 8 | $419.19 | $419.19 | $419.19 |
| 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 | 22 | $78.49 | $119.66 | $119.66 |
| Minnesota | 10 | not published by hospital | not published by hospital | not published by hospital |
| Mississippi | 2 | $98.12 | $98.12 | $178.40 |
| Missouri | 14 | $110.55 | $110.55 | $731.06 |
| Montana | 2 | 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 | $96.23 | $97.46 | $103.69 |
| New Mexico | 3 | not published by hospital | not published by hospital | not published by hospital |
| New York | 20 | $104.19 | $104.19 | $302.00 |
| 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 | 43 | $150.80 | $395.20 | $395.20 |
| Oklahoma | 6 | $100.98 | $128.15 | $128.70 |
| Oregon | 8 | not published by hospital | not published by hospital | not published by hospital |
| Pennsylvania | 6 | $93.60 | $398.40 | $398.40 |
| 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 | 24 | $53.13 | $129.47 | $129.47 |
| Texas | 94 | $73.71 | $99.13 | $677.00 |
| Virginia | 21 | not published by hospital | not published by hospital | not published by hospital |
| Washington | 22 | $134.13 | $138.84 | $356.30 |
| Wisconsin | 16 | $112.36 | $115.54 | $388.39 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | $100.98 | $40.21 – $179.11 |
| Henry Ford Providence Novi Hospital | Novi, MI | $103.04 | $25.11 – $119.05 |
| Hackensack University Medical Center | Hackensack, NJ | $103.69 | $19.45 – $255.47 |
| Palisades Medical Center | North Bergen, NJ | $103.69 | $21.46 – $223.67 |
| Bellevue Hospital Center | NY 10016, NY | $104.19 | $1.00 – $222.98 |
| Kings County Hospital Center | Brooklyn, NY | $104.19 | $1.00 – $222.98 |
| Lincoln Medical Center | Bronx, NY | $104.19 | $1.00 – $222.98 |
| Metropolitan Hospital Center | New York, NY | $104.19 | $1.00 – $222.98 |
| Harlem Hospital Center | New York, NY | $104.19 | $1.00 – $222.98 |
| Woodhull Medical Center | Brooklyn, NY | $104.19 | $1.00 – $222.98 |
| Queens Hospital Center | Jamaica, NY | $104.19 | $1.00 – $222.98 |
| Elmhurst Hospital Center | NY 11373, NY | $104.19 | $1.00 – $222.98 |
| Jacobi Medical Center | Bronx, NY | $104.19 | $1.00 – $222.98 |
| South Brooklyn Health | Brooklyn, NY | $104.19 | $1.00 – $222.98 |
| North Central Bronx | Bronx, NY | $104.19 | $1.00 – $222.98 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago, IL | $107.91 | $82.61 – $789.08 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $110.55 | $29.24 – $146.01 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $110.55 | $29.24 – $146.01 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $110.55 | $29.24 – $165.22 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $110.55 | $29.24 – $146.01 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $110.55 | $29.24 – $146.01 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $110.55 | $29.24 – $146.01 |
| OSF Saint Francis Medical Center | Peoria, IL | $111.00 | $93.26 – $317.04 |
| Midwest Orthopedic Specialty Hospital | Franklin, WI | $112.36 | $85.50 – $185.87 |
| Ascension St. Francis Hospital, Inc. | Milwaukee, WI | $112.36 | $85.50 – $185.87 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee, WI | $112.36 | $85.50 – $185.87 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | $115.54 | $45.61 – $188.56 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | $115.54 | $45.61 – $188.56 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $119.66 | $24.28 – $199.43 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $119.66 | $24.28 – $199.43 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $119.66 | $24.28 – $199.43 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $119.66 | $24.28 – $199.43 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | $121.05 | $86.13 – $348.83 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | $121.05 | $86.13 – $348.83 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | $123.30 | $86.13 – $348.83 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $128.15 | $40.21 – $179.11 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | $128.70 | $40.21 – $163.21 |
| Ascension Saint Thomas Highlands | Sparta, TN | $129.47 | $30.07 – $132.18 |
| Ascension Saint Thomas DeKalb | Smithville, TN | $129.47 | $30.07 – $132.18 |
| Ascension Saint Thomas River Park | McMinnville, TN | $129.47 | $30.07 – $132.18 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | $129.47 | $30.07 – $132.18 |
| Ascension Saint Thomas Midtown | Nashville, TN | $129.47 | $30.07 – $132.18 |
| Virginia Mason Medical Center | Seattle, WA | $134.13 | $3.25 – $257.34 |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | $138.84 | $99.10 – $330.09 |
| SSM Health Monroe Hospital | Monroe, WI | $139.15 | $77.26 – $84.53 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | $144.65 | $64.56 – $166.13 |
| SSM Health Waupun Memorial Hospital | Waupun, WI | $144.65 | $100.37 – $100.37 |
| SSM Health Ripon Community Hospital | Ripon, WI | $144.65 | $100.37 – $100.37 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe, FL | $147.60 | $94.66 – $194.81 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | $150.80 | $56.11 – $275.46 |