|
Memorial Regional Hospital
|
Mechanicsville, VA |
$124.20
|
not published
|
|
Southampton Medical Center
|
Franklin, VA |
$126.60
|
not published
|
|
Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.)
|
Elwood, IN |
$127.20
|
$6.61 – $37.07
|
|
Sanford Sheldon Medical Center
|
Sheldon, IA |
$127.20
|
$13.97 – $44.10
|
|
Providence Regional Medical Center Everett - Colby Campus
|
Everett, WA |
$127.40
|
$16.26 – $68.29
|
|
Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital
|
Lake Forest, IL |
$128.10
|
not published
|
|
SSM Health Saint Louis University Hospital
|
Saint Louis, MO |
$128.15
|
$15.93 – $34.72
|
|
Ascension Seton Smithville (Ascension Seton)
|
Smithville, TX |
$128.25
|
$13.66 – $96.47
|
|
Ascension St. Vincent Carmel Ambulatory Surgery Center
|
Carmel, IN |
$128.40
|
$6.61 – $37.07
|
|
Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.)
|
Indianapolis, IN |
$128.40
|
$6.61 – $37.07
|
|
Ascension St. Vincent Naab Surgery Center
|
Indianapolis, IN |
$128.40
|
$6.61 – $37.07
|
|
Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.)
|
Fishers, IN |
$128.40
|
$6.61 – $37.07
|
|
Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.)
|
Carmel, IN |
$128.40
|
$6.61 – $37.07
|
|
St Elias Specialty Hospital
|
Anchorage, AK |
$130.26
|
$15.77 – $32.35
|
|
Franklin Memorial Hospital
|
Farmington, ME |
$131.55
|
$16.26 – $123.66
|
|
Northwestern Medicine Palos Hospital
|
Palos Heights, IL |
$131.60
|
not published
|
|
Sanford Vermillion Hospital
|
Vermillion, SD |
$132.80
|
$12.39 – $37.80
|
|
Providence St Joseph Hospital
|
Chewelah, WA |
$134.40
|
not published
|
|
University Hospitals Conneaut Medical Center
|
Conneaut, OH |
$135.00
|
$7.69 – $59.00
|
|
University Hospitals Geneva Medical Center
|
Geneva, OH |
$135.00
|
$7.69 – $69.00
|
|
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)
|
Mequon, WI |
$135.15
|
$16.26 – $71.05
|
|
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)
|
Milwaukee, WI |
$135.15
|
$16.26 – $71.05
|
|
Waldo County General Hospital
|
Belfast, ME |
$135.35
|
$16.26 – $127.50
|
|
Barbourville ARH Hospital
|
Barbourville, KY |
$135.60
|
$16.26 – $16.26
|
|
Sanford Wheaton
|
Wheaton, MN |
$137.60
|
$12.11 – $45.00
|
|
University Hospitals Cleveland Medical Center
|
Cleveland OH 44106|3999 Richmond Road, OH |
$142.50
|
$16.26 – $32.52
|
|
AdventHealth Polk
|
Columbus, NC |
$143.85
|
not published
|
|
Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.)
|
Kokomo, IN |
$145.80
|
$6.61 – $37.07
|
|
Massena Hospital
|
Massena, NY |
$146.19
|
$16.26 – $125.48
|
|
SSM Health St. Agnes Hospital - Fond du Lac
|
Fond Du Lac, WI |
$146.30
|
$12.20 – $31.38
|
|
SSM Health Waupun Memorial Hospital
|
Waupun, WI |
$146.30
|
$16.26 – $32.89
|
|
SSM Health Ripon Community Hospital
|
Ripon, WI |
$146.30
|
$16.26 – $32.89
|
|
UnityPoint Health - Meriter Hospital
|
Madison, WI |
$146.40
|
$9.76 – $65.42
|
|
MercyOne Cedar Falls Medical Center
|
Cedar Falls, IA |
$146.90
|
$15.76 – $226.00
|
|
University Hospitals Beachwood Medical Center
|
Beachwood, OH |
$150.00
|
$7.67 – $128.70
|
|
University Hospitals Elyria Medical Center
|
Elyria, OH |
$150.00
|
$16.26 – $29.27
|
|
University Hospitals St. John Medical Center
|
Westlake OH, OH |
$150.00
|
$7.69 – $29.27
|
|
University Hospitals Lake West Medical Center
|
Willoughby OH 44094|7590 Auburn Road, OH |
$150.00
|
$9.27 – $29.27
|
|
University Hospitals Parma Medical Center
|
Parma OH 44129|7007 Powers Boulevard, OH |
$150.00
|
$7.69 – $29.27
|
|
University Hospitals Portage Medical Center
|
Ravenna OH 44266, OH |
$150.00
|
$7.69 – $29.27
|
|
University Hospitals Regional Hospitals - Geauga Medical Center
|
Chardon, OH |
$150.00
|
$7.69 – $29.27
|
|
62-1519754 BMH Golden Triangle
|
Columbus, MS |
$150.00
|
$15.61 – $45.53
|
|
University Hospitals Ahuja Medical Center
|
Beachwood, OH |
$150.00
|
$7.69 – $128.70
|
|
Adventhealth Hendersonville
|
Hendersonville, NC |
$150.00
|
$16.26 – $40.60
|
|
Stephens Memorial Hospital
|
Norway, ME |
$151.15
|
$16.26 – $142.08
|
|
Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.)
|
Vernon, IN |
$152.40
|
$6.61 – $37.07
|
|
Southside Regional Medical Center
|
Petersburg, VA |
$153.90
|
not published
|
|
Northwestern Medicine Central DuPage Hospital
|
IL 60190, IL |
$154.00
|
not published
|
|
Northwestern Medicine Delnor Hospital
|
Geneva, IL |
$154.00
|
not published
|
|
Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.)
|
Williamsport, IN |
$154.20
|
$6.61 – $37.07
|