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 |
|---|---|---|---|
| San Leandro Medical Center | SAN LEANDRO, CA | $268.80 | $118.00 – $118.00 |
| Santa Clara Medical Center | SANTA CLARA, CA | $268.80 | $118.00 – $118.00 |
| San Rafael Medical Center | SAN RAFAEL, CA | $268.80 | $118.00 – $118.00 |
| Santa Rosa Medical Center | SANTA ROSA, CA | $268.80 | $118.00 – $118.00 |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $268.80 | $118.00 – $118.00 |
| South Sacramento Medical Center | SACRAMENTO, CA | $268.80 | $118.00 – $118.00 |
| Vacaville Medical Center | VACAVILLE, CA | $268.80 | $118.00 – $118.00 |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $268.80 | $118.00 – $118.00 |
| Vallejo Medical Center | VALLEJO, CA | $268.80 | $118.00 – $118.00 |
| Antioch Medical Center | ANTIOCH, CA | $268.80 | $118.00 – $118.00 |
| Fremont Medical Center | FREMONT, CA | $268.80 | $118.00 – $118.00 |
| Fresno Medical Center | FRESNO, CA | $268.80 | $118.00 – $118.00 |
| Roseville Medical Center | ROSEVILLE, CA | $268.80 | $118.00 – $118.00 |
| San Jose Medical Center | SAN JOSE, CA | $268.80 | $118.00 – $118.00 |
| San Francisco Medical Center | SAN FRANCISCO, CA | $268.80 | $118.00 – $118.00 |
| AdventHealth Orlando | Orlando, FL | $281.00 | $90.88 – $240.83 |
| Adventhealth North Pinellas | Tarpon Springs, FL | $295.04 | $90.88 – $201.75 |
| Adventhealth Zephyrhills | Zephyrhills, FL | $299.00 | $90.88 – $210.76 |
| Adventhealth Tampa | Tampa, FL | $299.00 | $90.88 – $201.75 |
| Adventhealth Riverview | Riverview, FL | $299.00 | not published |
| Adventhealth Wesley Chapel | Wesley Chapel, FL | $299.00 | $90.88 – $201.75 |
| Adventhealth Carrollwood | Tampa, FL | $299.00 | $90.88 – $201.75 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor, NY | $302.00 | $98.98 – $253.61 |
| NewYork-Presbyterian Queens | Flushing, NY | $302.00 | $5.53 – $254.06 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York, NY | $302.00 | $5.53 – $308.23 |
| Adventhealth Redmond | Rome, GA | $345.07 | $62.80 – $251.44 |
| Providence Holy Family Hospital | Spokane, WA | $356.30 | $96.98 – $311.23 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $388.39 | $25.18 – $151.47 |
| cleveland clinic main campus | Cleveland, OH | $395.20 | $1.10 – $547.20 |
| akron general | Akron, OH | $395.20 | $0.87 – $547.20 |
| avon hospital | Avon, OH | $395.20 | $0.87 – $547.20 |
| euclid hospital | Euclid, OH | $395.20 | $0.87 – $547.20 |
| fairview hospital | Cleveland, OH | $395.20 | $0.87 – $547.20 |
| lutheran hospital | Cleveland, OH | $395.20 | $0.87 – $547.20 |
| hillcrest hospital | Mayfield Heights, OH | $395.20 | $0.87 – $547.20 |
| lodi hospital | Lodi, OH | $395.20 | $88.05 – $547.20 |
| marymount hospital | Garfield Heights, OH | $395.20 | $0.87 – $547.20 |
| medina hospital | Medina, OH | $395.20 | $0.87 – $547.20 |
| mercy hospital | Canton, OH | $395.20 | $1.01 – $547.20 |
| south pointe hospital | Warrensville Heights, OH | $395.20 | $0.87 – $547.20 |
| WellSpan Gettysburg Hospital | Gettysburg, PA | $398.40 | $44.03 – $497.84 |
| WellSpan Chambersburg Hospital | Chambersburg, PA | $398.40 | $26.95 – $497.84 |
| WellSpan Waynesboro Hospital | Waynesboro, PA | $398.40 | $54.34 – $497.84 |
| WellSpan Good Samaritan Hospital | Lebanon, PA | $398.40 | $26.95 – $497.84 |
| WellSpan Ephrata Community Hospital | Ephrata, PA | $398.40 | $44.03 – $497.84 |
| Houston Methodist Hospital | Houston, TX | $413.00 | $87.42 – $349.69 |
| Baptist Health Floyd | New Albany, IN | $419.19 | $82.61 – $838.38 |
| Baptist Health Hardin | Elizabethtown, KY | $419.19 | $88.05 – $1,117.84 |
| Baptist Health Corbin | Corbin, KY | $419.19 | $558.92 – $1,117.84 |
| Baptist Health La Grange | La Grange, KY | $419.19 | $287.04 – $1,117.84 |