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 |
|---|---|---|---|
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | $150.80 | $56.11 – $275.46 |
| Kettering Health Dayton (Grandview) | Dayton, OH | $150.80 | $56.11 – $275.46 |
| Soin Medical Center | Beaver Creek, OH | $150.80 | $56.11 – $275.46 |
| Kettering Health Greene Memorial | Xenia, OH | $150.80 | $56.11 – $275.46 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | $150.80 | $56.11 – $275.46 |
| Kettering Health Troy | Troy, OH | $150.80 | $56.11 – $275.46 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | $153.60 | $28.38 – $322.18 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | $153.60 | $28.38 – $322.18 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson, IN | $153.60 | $28.38 – $322.18 |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood, IN | $153.60 | $28.38 – $322.18 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | $153.60 | $28.38 – $322.18 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo, IN | $153.60 | $28.38 – $322.18 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel, IN | $153.60 | $28.38 – $322.18 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg, FL | $156.42 | $85.73 – $194.81 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola, FL | $158.80 | $88.38 – $194.81 |
| Lorain Hospital | Lorain, OH | $159.00 | not published |
| 64-0362400 Anderson Regional South Campus | Meridian, MS | $178.40 | $79.21 – $176.47 |
| MercyOne Newton Medical Center | Newton, IA | $186.55 | $82.37 – $287.00 |
| Northwestern Medicine Central DuPage Hospital | IL 60190, IL | $196.00 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest, IL | $196.00 | not published |
| Northwestern Medicine Delnor Hospital | Geneva, IL | $196.00 | not published |
| Northwestern Medicine Kishwaukee Hospital | DeKalb, IL | $196.00 | not published |
| Northwestern Medicine Marianjoy Rehabilitation Hospital | Wheaton, IL | $196.00 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights, IL | $196.00 | not published |
| Northwestern Medicine McHenry Hospital | McHenry, IL | $196.00 | not published |
| Northwestern Memorial Hospital | Chicago, IL | $196.00 | not published |
| MercyOne North Iowa Medical Center | Mason City, IA | $203.45 | $80.13 – $313.00 |
| AdventHealth Deland | Deland, FL | $210.01 | $86.33 – $181.24 |
| Adventhealth Palm Coast | Palm Coast, FL | $215.13 | $86.33 – $194.11 |
| Adventhealth Palm Coast Parkway | Palm Coast, FL | $215.13 | $86.33 – $206.53 |
| Texas Health Hospital Mansfield | Mansfield, TX | $216.33 | $87.42 – $174.84 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | $216.33 | $87.57 – $175.13 |
| Adventhealth Fish Memorial | Orange City, FL | $220.51 | $86.33 – $172.96 |
| Adventhealth Daytona Beach | Daytona Beach, FL | $220.51 | $86.33 – $151.68 |
| Adventhealth Waterman | Tavares, FL | $220.51 | $90.88 – $206.53 |
| Adventhealth Gordon | Calhoun, GA | $224.73 | $62.80 – $175.19 |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | $239.75 | $86.13 – $348.83 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | $249.20 | $96.98 – $246.80 |
| Baptist Hospital | MIAMI, FL | $253.50 | $47.84 – $351.00 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $253.50 | $47.84 – $351.00 |
| Doctors Hospital | CORAL GABLES, FL | $253.50 | $46.38 – $351.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $253.50 | $46.38 – $351.00 |
| Fishermens Community Hospital | MARATHON, FL | $253.50 | $46.38 – $351.00 |
| Homestead Hospital | HOMESTEAD, FL | $253.50 | $46.38 – $351.00 |
| Mariners Hospital | TAVERNIER, FL | $253.50 | $46.38 – $351.00 |
| West Kendall Baptist Hospital | MIAMI, FL | $253.50 | $46.38 – $351.00 |
| Adventhealth Sebring | Sebring, FL | $256.28 | $93.15 – $206.53 |
| Redwood City Medical Center | Redwood City, CA | $268.80 | $118.00 – $118.00 |
| Oakland Medical Center | Oakland, CA | $268.80 | $118.00 – $118.00 |
| Sacramento Medical Center | SACRAMENTO, CA | $268.80 | $118.00 – $118.00 |