CPT 21820 · 1,034 hospitals reporting

Treat sternum fracture

The same procedure costs $66.41 at one hospital and $1,880 at another — a 28× spread for what's billed under the same code. Median: $358.

Cheapest published

$66.41

3 entries below $50 already filtered. Remaining low values usually reflect partial-cost line items (professional fee only), not full bills.

Median across 1,034 hospitals

$358

The realistic middle of the cash-price distribution. Use this as your benchmark.

Most expensive

$1,880

Highest published price. Often a gross-charge "list price" rarely actually paid.

Price distribution

253 hospitals · log-scale x-axis

Each bar = number of hospitals charging in that price range. Emerald bar contains the median. Amber dots = entries we flagged as likely partial-cost line items (excluded from the table below).

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Why some prices look unrealistically low or high

Hospitals publish their machine-readable files (MRFs) the way they choose. A single procedure code can appear with very different prices depending on what's being charged:

Global price — facility + implant + anesthesia + surgeon. This is what you'd actually be billed.
Professional fee only — surgeon's portion. Often $500–$2,500 for a major procedure that costs $20K+ globally.
Facility fee only — operating room and recovery, no implant or surgeon.
Per-unit / per-minute charges — e.g. anesthesia time billed at $0.68/min appearing under a CPT code.
Rate multipliers — values like 0.85 meaning "85% of Medicare" rather than dollars.

We filter the most obvious artifacts (under $50, or 25× above the median), but rows in the $500–$2K range for a major procedure are typically professional-only and we can't always tell. Use the median and high-end as the realistic range; treat very low rows as partial-cost line items, not full bills.

500 hospitals reporting

Hospital	State	Gross	Cash price	Min negotiated	Max negotiated	Your insurer
SANFORD USD MEDICAL CENTER	SD	$447	$358	—	—	3 insurers
TRINITY ROCK ISLAND	IL	$445	$356	—	—	4 insurers
UNITYPOINT HEALTH - MARSHALLTOWN	IA	$445	$356	—	—	1 insurers
TRINITY MUSCATINE	IA	$445	$356	—	—	3 insurers
TRINITY REGIONAL MEDICAL CENTER	IA	$445	$356	—	—	3 insurers
ST LUKES HOSPITAL	IA	$445	$356	—	—	3 insurers
UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI	IA	$445	$356	—	—	3 insurers
TRINITY - BETTENDORF	IA	$445	$356	—	—	4 insurers
ALLEN HOSPITAL	IA	$445	$356	—	—	4 insurers
FINLEY HOSPITAL	IA	$445	$356	—	—	5 insurers
ST LUKES REGIONAL MEDICAL CENTER	IA	$445	$356	—	—	3 insurers
GRINNELL REGIONAL MEDICAL CENTER	IA	$445	$356	—	—	5 insurers
GRUNDY COUNTY MEMORIAL HOSPITAL	IA	$445	$356	—	—	4 insurers
JONES REGIONAL MEDICAL CENTER	IA	$445	$356	—	—	5 insurers
SURGICAL INSTITUTE OF READING	PA	$2,316	$356	$61	$108,389	5 insurers
FAIRVIEW LAKES HEALTH SERVICES	MN	$903	$362	—	—	5 insurers
M HEALTH FAIRVIEW SOUTHDALE HOSPITAL	MN	$903	$362	—	—	5 insurers
M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER	MN	$903	$362	—	—	5 insurers
FAIRVIEW NORTHLAND REGIONAL HOSPITAL	MN	$903	$362	—	—	5 insurers
M HEALTH FAIRVIEW ST JOHN'S HOSPITAL	MN	$903	$362	—	—	5 insurers
M HEALTH FAIRVIEW WOODWINDS HOSPITAL	MN	$903	$362	—	—	5 insurers
OCHSNER CHOCTAW GENERAL	AL	$480	$365	—	—	5 insurers
SHARP MEMORIAL HOSPITAL	CA	$463	$347	—	—	5 insurers
GENEVA GENERAL HOSPITAL	NY	$852	$341	—	—	2 insurers
SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES	NY	$852	$341	—	—	5 insurers
UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER	OH	$501	$376	—	—	1 insurers
COPPER QUEEN COMMUNITY HOSPITAL	AZ	$484	$339	—	—	5 insurers
THE QUEENS MEDICAL CENTER	HI	$484	$339	—	—	5 insurers
JACKSON MEDICAL CENTER	AL	$380	$380	—	—	0 insurers
RIVER'S EDGE HOSPITAL & CLINIC	MN	$418	$334	—	—	5 insurers
BUCKTAIL MEDICAL CENTER	PA	$681	$381	—	—	2 insurers
M HEALTH FAIRVIEW RIDGES HOSPITAL	MN	$903	$384	—	—	5 insurers
OCHSNER STENNIS MEMORIAL HOSPITAL	MS	$480	$331	—	—	5 insurers
KEEFE MEMORIAL HOSPITAL	CO	$385	$385	—	—	0 insurers
MAURY REGIONAL HOSPITAL	TN	$799	$328	—	—	5 insurers
SNOQUALMIE VALLEY HOSPITAL	WA	$555	$322	—	—	5 insurers
OCHSNER WATKINS HOSPITAL	MS	$480	$322	—	—	5 insurers
JOHN H STROGER JR HOSPITAL	IL	$457	$320	—	—	5 insurers
PROVIDENT HOSPITAL OF CHICAGO	IL	$457	$320	—	—	5 insurers
HIGH POINT REGIONAL HEALTH SYSTEM	NC	$795	$398	—	—	0 insurers