CPT 76817 · 1,652 hospitals reporting

Vaginal ultrasound of pregnant uterus

The same procedure costs $54 at one hospital and $6,507 at another — a 121× spread for what's billed under the same code. Median: $388.

Cheapest published
$54
18 entries below $50 already filtered. Remaining low values usually reflect partial-cost line items (professional fee only), not full bills.
Median across 1,652 hospitals
$388
The realistic middle of the cash-price distribution. Use this as your benchmark.
Most expensive
$6,507
Highest published price. Often a gross-charge "list price" rarely actually paid.

Price distribution

500 hospitals · log-scale x-axis
Cash price distributionmedian $388$100HOSPITALS →

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).

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
GLENDALE ADVENTIST MEDICAL CENTER
CA
Cash
$358
Gross
$1,098
GLENDALE ADVENTIST MEDICAL CENTER
CA
Cash
$358
Gross
$1,098
HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER
KS
Cash
$358
Gross
$1,098
HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER
KS
Cash
$358
Gross
$1,098
TRINITY MUSCATINE
IA
Cash
$358
Gross
$447
TRINITY REGIONAL MEDICAL CENTER
IA
Cash
$358
Gross
$447
ST LUKES HOSPITAL
IA
Cash
$358
Gross
$447
UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI
IA
Cash
$358
Gross
$447
ST LUKES REGIONAL MEDICAL CENTER
IA
Cash
$358
Gross
$447
CHANDLER REGIONAL MEDICAL CENTER
AZ
Cash
$358
Gross
$1,334
CHANDLER REGIONAL MEDICAL CENTER
AZ
Cash
$358
Gross
$1,334
HEYWOOD HOSPITAL -
MA
Cash
$356
Gross
$356
CARILION NEW RIVER VALLEY MEDICAL CENTER
VA
Cash
$356
Gross
$1,017
BURGESS HEALTH CENTER
IA
Cash
$355
Gross
$355
ST THOMAS MORE HOSPITAL
CO
Cash
$352
Gross
$881
JACKSON MEDICAL CENTER
AL
Cash
$352
Gross
$352
MULTICARE COVINGTON MEDICAL CENTER
WA
Cash
$352
Gross
$880
HOLY FAMILY MEMORIAL
WI
Cash
$350
Gross
—
ADVOCATE TRINITY HOSPITAL
IL
Cash
$350
Gross
$700
HUTCHINSON HEALTH
MN
Cash
$349
Gross
—
TUCSON MEDICAL CENTER
AZ
Cash
$349
Gross
$1,247
NEVADA REGIONAL MEDICAL CENTER
MO
Cash
$347
Gross
$347
CARILION MEDICAL CENTER
VA
Cash
$345
Gross
$987
CARILION FRANKLIN MEMORIAL HOSPITAL
VA
Cash
$345
Gross
$987
CARILION TAZEWELL COMMUNITY HOSPITAL
VA
Cash
$345
Gross
$987
CARILION GILES COMMUNITY HOSPITAL
VA
Cash
$345
Gross
$987
CHICOT MEMORIAL MEDICAL CENTER
AR
Cash
$343
Gross
$343
HAWARDEN REGIONAL HEALTHCARE
IA
Cash
$343
Gross
$404
SAINT ROSE DOMINICAN HOSPITALS - NORTH LAS VEGAS
NV
Cash
$342
Gross
$1,386
SAINT ROSE DOMINICAN HOSPITALS - NORTH LAS VEGAS
NV
Cash
$342
Gross
$1,386
VALLEY VIEW HOSPITAL ASSOCIATION
CO
Cash
$342
Gross
$380
VALLEY VIEW HOSPITAL ASSOCIATION
CO
Cash
$342
Gross
$380
CHEROKEE REGIONAL MEDICAL CENTER
IA
Cash
$342
Gross
$380
CHEROKEE REGIONAL MEDICAL CENTER
IA
Cash
$342
Gross
$380
REYNOLDS MEMORIAL HOSPITAL
WV
Cash
$341
Gross
$681
TOUCHETTE REGIONAL HOSPITAL INC
IL
Cash
$340
Gross
$548
SIOUX CENTER HEALTH
IA
Cash
$340
Gross
$350
SIOUX CENTER HEALTH
IA
Cash
$340
Gross
$350
CODY REGIONAL HEALTH
WY
Cash
$337
Gross
$397
KAISER FOUNDATION HOSPITAL - PANORAMA CITY
CA
Cash
$337
Gross
$964
KAISER FOUNDATION HOSPITAL - LOS ANGELES
CA
Cash
$337
Gross
$964
KAISER FOUNDATION HOSPITAL - DOWNEY
CA
Cash
$337
Gross
$964
KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO
CA
Cash
$337
Gross
$964
KAISER FOUNDATION HOSPITAL - SAN DIEGO
CA
Cash
$337
Gross
$964
KAISER FOUNDATION HOSPITAL - WEST LA
CA
Cash
$337
Gross
$964
KAISER FOUNDATION HOSPITAL - WOODLAND HILLS
CA
Cash
$337
Gross
$964
KAISER FOUNDATION HOSPITAL, RIVERSIDE
CA
Cash
$337
Gross
$964
KAISER FOUNDATION HOSPITAL - BALDWIN PARK
CA
Cash
$337
Gross
$964
KAISER FOUNDATION HOSPITAL-MORENO VALLEY
CA
Cash
$337
Gross
$964
MEMORIAL HOSPITAL SWEETWATER COUNTY
WY
Cash
$337
Gross
$337
NOVANT HEALTH FORSYTH MEDICAL CENTER
NC
Cash
$336
Gross
$560
PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER
OR
Cash
$335
Gross
$516
MID-COLUMBIA MEDICAL CENTER
OR
Cash
$335
Gross
$838
WILLAMETTE VALLEY MEDICAL CENTER
OR
Cash
$335
Gross
$838
CAPITAL HEALTH REGIONAL MEDICAL CENTER
NJ
Cash
$332
Gross
$831
MULTICARE AUBURN MEDICAL CENTER
WA
Cash
$332
Gross
$831
RALEIGH GENERAL HOSPITAL
WV
Cash
$331
Gross
$827
MERCY GILBERT MEDICAL CENTER
AZ
Cash
$328
Gross
$1,334
MERCY GILBERT MEDICAL CENTER
AZ
Cash
$328
Gross
$1,334
FRANKLIN COUNTY MEMORIAL HOSPITAL
NE
Cash
$328
Gross
$328
USC ARCADIA HOSPITAL
CA
Cash
$328
Gross
$937
COLUMBUS REGIONAL HEALTHCARE SYSTEM
NC
Cash
$327
Gross
$467
UCHEALTH YAMPA VALLEY MEDICAL CENTER
CO
Cash
$326
Gross
$362
RIVERSIDE MEDICAL CENTER
IL
Cash
$325
Gross
$1,220
METHODIST HOSPITALS INC
IN
Cash
$324
Gross
$463
DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL
AZ
Cash
$317
Gross
$1,386
DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL
AZ
Cash
$317
Gross
$1,386
ST MARY MEDICAL CENTER
CA
Cash
$317
Gross
$1,386
ST MARY MEDICAL CENTER
CA
Cash
$317
Gross
$1,386
SALINE MEMORIAL HOSPITAL
AR
Cash
$317
Gross
$1,056
SAINT JOSEPH EAST
KY
Cash
$313
Gross
$780
SAINT JOSEPH EAST
KY
Cash
$313
Gross
$780
SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS
NJ
Cash
$313
Gross
$780
SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS
NJ
Cash
$313
Gross
$780
COMMUNITY MEMORIAL HOSPITAL
MN
Cash
$312
Gross
$390
SYRACUSE AREA HEALTH
NE
Cash
$312
Gross
$390
COMMUNITY MEMORIAL HOSPITAL, INC
NY
Cash
$312
Gross
$390
CRENSHAW COMMUNITY HOSPITAL
AL
Cash
$310
Gross
$619
CRENSHAW COMMUNITY HOSPITAL
AL
Cash
$310
Gross
$619
WILLS MEMORIAL HOSPITAL
GA
Cash
$309
Gross
$412
SHERIDAN COUNTY HOSPITAL
KS
Cash
$309
Gross
$309
LANAI COMMUNITY HOSPITAL
HI
Cash
$307
Gross
$786
KULA HOSPITAL
HI
Cash
$307
Gross
$786
ADVENTHEALTH OCALA
FL
Cash
$306
Gross
$509
CHI ST JOSEPH HEALTH REGIONAL HOSPITAL
TX
Cash
$305
Gross
$872
UCHEALTH PIKES PEAK REGIONAL HOSPITAL
CO
Cash
$304
Gross
$380
SUSAN B ALLEN MEMORIAL HOSPITAL
KS
Cash
$304
Gross
$467
GARFIELD COUNTY PUBLIC HOSPITAL DISTRICT #1
WA
Cash
$303
Gross
$379
CASCADE MEDICAL CENTER
WA
Cash
$303
Gross
$379
NORTHWEST SURGICAL HOSPITAL
OK
Cash
$302
Gross
$1,548
MEMORIAL HOSPITAL
TX
Cash
$301
Gross
$602
TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH
TX
Cash
$301
Gross
$602
MEMORIAL HOSPITAL
TX
Cash
$301
Gross
$602
MEMORIAL HOSPITAL
TX
Cash
$301
Gross
$602
KELL WEST REGIONAL HOSPITAL
TX
Cash
$300
Gross
$441
WALKER BAPTIST MEDICAL CENTER
AL
Cash
$296
Gross
$494
CITIZENS BAPTIST MEDICAL CENTER
AL
Cash
$296
Gross
$494
JOHN F KENNEDY MEMORIAL HOSPITAL
CA
Cash
$296
Gross
$494
SIBLEY MEMORIAL HOSPITAL
DC
Cash
$296
Gross
$494
ARCHBOLD MEMORIAL HOSPITAL
GA
Cash
$296
Gross
$494
ALTON MEMORIAL HOSPITAL
IL
Cash
$296
Gross
$494
MEMORIAL HOSPITAL
IL
Cash
$296
Gross
$494
ADAMS MEMORIAL HOSPITAL
IN
Cash
$296
Gross
$494
MISSOURI BAPTIST MEDICAL CENTER
MO
Cash
$296
Gross
$494
BARNES-JEWISH WEST COUNTY HOSPITAL
MO
Cash
$296
Gross
$494
CHRISTIAN HOSPITAL NORTHEAST
MO
Cash
$296
Gross
$494
BARNES-JEWISH ST PETERS HOSPITAL
MO
Cash
$296
Gross
$494
PROGRESS WEST HOSPITAL
MO
Cash
$296
Gross
$494
TWIN CITY MEDICAL CENTER
OH
Cash
$295
Gross
$422
BOZEMAN HEALTH DEACONESS HOSPITAL
MT
Cash
$294
Gross
$368
BOZEMAN HEALTH BIG SKY MEDICAL CENTER
MT
Cash
$294
Gross
$368
CHI OAKES HOSPITAL
ND
Cash
$294
Gross
$565
CHI OAKES HOSPITAL
ND
Cash
$294
Gross
$565
WEST VIRGINIA UNIVERSITY HOSPITALS, INC
WV
Cash
$294
Gross
$587
BUENA VISTA REGIONAL MEDICAL CENTER
IA
Cash
$293
Gross
$293
WALLOWA MEMORIAL HOSPITAL
OR
Cash
$293
Gross
$325
HUMBOLDT COUNTY MEMORIAL HOSPITAL
IA
Cash
$292
Gross
$325
HUMBOLDT COUNTY MEMORIAL HOSPITAL
IA
Cash
$292
Gross
$325
FLUSHING HOSPITAL MEDICAL CENTER
NY
Cash
$292
Gross
$292
SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN
NY
Cash
$292
Gross
$292
NORTHERN INYO HOSPITAL
CA
Cash
$290
Gross
—
JACKSON GENERAL HOSPITAL
WV
Cash
$290
Gross
$579
JEFFERSON COUNTY HEALTH CENTER
IA
Cash
$289
Gross
$823
DUNCAN REGIONAL HOSPITAL, INC
OK
Cash
$289
Gross
$823
JEFFERSON COUNTY HOSPITAL
OK
Cash
$289
Gross
$823
HUGGINS HOSPITAL
NH
Cash
$287
Gross
$573
ST ANTHONY REGIONAL HOSPITAL & NURSING HOME
IA
Cash
$285
Gross
$1,627
ST ANTHONY REGIONAL HOSPITAL & NURSING HOME
IA
Cash
$285
Gross
$1,627
BURLESON ST JOSEPH HEALTH CENTER
TX
Cash
$285
Gross
$1,627
BURLESON ST JOSEPH HEALTH CENTER
TX
Cash
$285
Gross
$1,627
MADISON ST JOSEPH HEALTH CENTER
TX
Cash
$285
Gross
$1,627
MADISON ST JOSEPH HEALTH CENTER
TX
Cash
$285
Gross
$1,627
GRIMES ST JOSEPH HEALTH CENTER
TX
Cash
$285
Gross
$1,627
GRIMES ST JOSEPH HEALTH CENTER
TX
Cash
$285
Gross
$1,627
TACOMA GENERAL ALLENMORE HOSPITAL
WA
Cash
$282
Gross
$704
NORTHSIDE HOSPITAL FORSYTH
GA
Cash
$280
Gross
—
UNIONTOWN HOSPITAL
PA
Cash
$280
Gross
$559
ST MARY-CORWIN HOSPITAL
CO
Cash
$279
Gross
$699
ST. CATHERINE HOSPITAL - GARDEN CITY
KS
Cash
$279
Gross
$699
BOB WILSON MEMORIAL HOSPITAL
KS
Cash
$279
Gross
$699
BARAGA COUNTY MEMORIAL HOSPITAL
MI
Cash
$278
Gross
$278
THE PHYSICIANS' HOSPITAL IN ANADARKO
OK
Cash
$277
Gross
$462
RURAL WELLNESS STROUD HOSPITAL
OK
Cash
$277
Gross
$462
RURAL WELLNESS FAIRFAX HOSPITAL
OK
Cash
$277
Gross
$462
ST TAMMANY PARISH HOSPITAL
LA
Cash
$277
Gross
$462
CONEMAUGH NASON MEDICAL CENTER
PA
Cash
$277
Gross
$693
CONEMAUGH MEYERSDALE MEDICAL CENTER
PA
Cash
$277
Gross
$693
MONROE HOSPITAL
IN
Cash
$275
Gross
$275
HASKELL REGIONAL HOSPITAL, INC
OK
Cash
$275
Gross
$275
HAYWOOD REGIONAL MEDICAL CENTER
NC
Cash
$272
Gross
$680
OCHSNER MEDICAL CENTER-HANCOCK
MS
Cash
$272
Gross
$715
ELLIS HOSPITAL
NY
Cash
$270
Gross
$540
LORING HOSPITAL
IA
Cash
$270
Gross
$337
WILCOX MEMORIAL HOSPITAL
HI
Cash
$269
Gross
$673
ATRIUM HEALTH NAVICENT THE MEDICAL CENTER
GA
Cash
$269
Gross
$538
WEIRTON MEDICAL CENTER, INC
WV
Cash
$269
Gross
$538
ST LUKES HOSPITAL
MN
Cash
$269
Gross
$480
HOLMES COUNTY HOSPITAL AND CLINICS
MS
Cash
$269
Gross
$672
CHI ST ALEXIUS HEALTH DICKINSON
ND
Cash
$268
Gross
$426
CHI ST ALEXIUS HEALTH DICKINSON
ND
Cash
$268
Gross
$426
LINCOLN HEALTH HOSPITAL
CO
Cash
$268
Gross
$566
BARNESVILLE HOSPITAL ASSOCIATION, INC
OH
Cash
$267
Gross
$534
BERKELEY MEDICAL CENTER
WV
Cash
$267
Gross
$534
OCH REGIONAL MEDICAL CENTER
MS
Cash
$267
Gross
$417
BAKERSFIELD MEMORIAL HOSPITAL
CA
Cash
$266
Gross
$726
BAKERSFIELD MEMORIAL HOSPITAL
CA
Cash
$266
Gross
$726
CASTLEVIEW HOSPITAL
UT
Cash
$266
Gross
$484
CONEMAUGH MEMORIAL MEDICAL CENTER
PA
Cash
$266
Gross
$666
WYOMING COUNTY
NY
Cash
$266
Gross
$665
WYTHE COUNTY COMMUNITY HOSPITAL
VA
Cash
$266
Gross
$665
SPARTA COMMUNITY HOSPITAL
IL
Cash
$266
Gross
$266
MERCY MEDICAL CENTER
OR
Cash
$265
Gross
$496
MERCY MEDICAL CENTER
OR
Cash
$265
Gross
$496
FRYE REGIONAL MEDICAL CENTER
NC
Cash
$264
Gross
$659
SAN GORGONIO MEMORIAL HOSPITAL
CA
Cash
$263
Gross
$1,317
ST LOUIS CHILDRENS HOSPITAL
MO
Cash
$263
Gross
$438
STARR REGIONAL MEDICAL CENTER ATHENS
TN
Cash
$262
Gross
$1,339
WHEELING HOSPITAL, INC
WV
Cash
$262
Gross
$524
ADENA REGIONAL MEDICAL CENTER
OH
Cash
$261
Gross
$521
ADENA PIKE MEDICAL CENTER
OH
Cash
$261
Gross
$521
KAISER FOUNDATION HOSPITAL
HI
Cash
$260
Gross
$666
NORTON SCOTT HOSPITAL
IN
Cash
$259
Gross
$1,296
NORTON HOSPITALS, INC
KY
Cash
$259
Gross
$1,296
SIERRA NEVADA MEMORIAL HOSPITAL
CA
Cash
$258
Gross
$473
GROVE HILL MEMORIAL HOSPITAL
AL
Cash
$257
Gross
$429
CHI MEMORIAL HOSPITAL- GEORGIA
GA
Cash
$256
Gross
$864
CHI MEMORIAL HOSPITAL- GEORGIA
GA
Cash
$256
Gross
$864
CLINTON REGIONAL HOSPITAL
OK
Cash
$255
Gross
$319
AUBURN COMMUNITY HOSPITAL
NY
Cash
$254
Gross
$523
JAMAICA HOSPITAL MEDICAL CENTER
NY
Cash
$254
Gross
$254
BELL HOSPITAL
MI
Cash
$254
Gross
$423
FRANKLIN HOSPITAL
IL
Cash
$248
Gross
$331
BAPTIST MEDICAL CENTER SOUTH
AL
Cash
$247
Gross
$1,302
BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE
FL
Cash
$247
Gross
$1,302
BAPTIST MEDICAL CENTER BEACHES
FL
Cash
$247
Gross
$1,302
BAPTIST MEDICAL CENTER - NASSAU
FL
Cash
$247
Gross
$1,302
CHI SAINT JOSEPH BEREA NF
KY
Cash
$245
Gross
$509
CHI SAINT JOSEPH BEREA NF
KY
Cash
$245
Gross
$509
ISLAND HOSPITAL
WA
Cash
$245
Gross
$245
GRAND ITASCA CLINIC AND HOSPITAL
MN
Cash
$245
Gross
$576
M HEALTH FAIRVIEW RIDGES HOSPITAL
MN
Cash
$245
Gross
$576
YALE-NEW HAVEN HOSPITAL
CT
Cash
$244
Gross
$414
JACOBSON MEMORIAL HOSPITAL CARE CENTER
ND
Cash
$244
Gross
$325
DESERT VIEW HOSPITAL
NV
Cash
$243
Gross
$607
POMERENE HOSPITAL
OH
Cash
$242
Gross
$303
ASHLEY REGIONAL MEDICAL CENTER
UT
Cash
$241
Gross
$439
BAYLOR EMERGENCY MEDICAL CENTER AT AUBREY
TX
Cash
$240
Gross
$401
DEACONESS ILLINOIS CROSSROADS
IL
Cash
$238
Gross
$1,251
CENTRAL VERMONT MEDICAL CENTER
VT
Cash
$236
Gross
$236
MAGNOLIA REGIONAL MEDICAL HOSPITAL
AR
Cash
$235
Gross
$391
BRAXTON COUNTY MEMORIAL HOSPITAL, INC
WV
Cash
$233
Gross
$465
FAIRVIEW LAKES HEALTH SERVICES
MN
Cash
$231
Gross
$576
M HEALTH FAIRVIEW SOUTHDALE HOSPITAL
MN
Cash
$231
Gross
$576
M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER
MN
Cash
$231
Gross
$576
FAIRVIEW NORTHLAND REGIONAL HOSPITAL
MN
Cash
$231
Gross
$576
M HEALTH FAIRVIEW ST JOHN'S HOSPITAL
MN
Cash
$231
Gross
$576
M HEALTH FAIRVIEW WOODWINDS HOSPITAL
MN
Cash
$231
Gross
$576
UNITY HOSPITAL
NY
Cash
$230
Gross
$288
UNITY MEDICAL CENTER
TN
Cash
$230
Gross
$288
COX BARTON COUNTY HOSPITAL
MO
Cash
$230
Gross
$721
WILKES REGIONAL MEDICAL CENTER
NC
Cash
$228
Gross
$455
SIDNEY HEALTH CENTER
MT
Cash
$227
Gross
$367
MISSOURI DELTA MEDICAL CENTER
MO
Cash
$227
Gross
$906
CHI ST ALEXIUS HEALTH WILLISTON
ND
Cash
$224
Gross
$386
CHI ST ALEXIUS HEALTH WILLISTON
ND
Cash
$224
Gross
$386
MAUI MEMORIAL MEDICAL CENTER
HI
Cash
$223
Gross
$572
SCHNECK MEDICAL CENTER
IN
Cash
$223
Gross
—
UNM HOSPITAL
NM
Cash
$221
Gross
$401
COX MONETT HOSPITAL
MO
Cash
$220
Gross
$721
BRIDGTON HOSPITAL
ME
Cash
$216
Gross
$699
CHI ST ALEXIUS HEALTH DEVILS LAKE
ND
Cash
$216
Gross
$514
CHI ST ALEXIUS HEALTH DEVILS LAKE
ND
Cash
$216
Gross
$514
GREENWICH HOSPITAL ASSOCIATION -
CT
Cash
$215
Gross
$414
ADVOCATE SHERMAN HOSPITAL
IL
Cash
$215
Gross
$430
MCGEHEE HOSPITAL
AR
Cash
$214
Gross
$320
ANIMAS SURGICAL HOSPITAL, LLC
CO
Cash
$214
Gross
$597
DELTA MEMORIAL HOSPITAL
AR
Cash
$214
Gross
$267
LAKE MARTIN COMMUNITY HOSPITAL
AL
Cash
$214
Gross
$285
PARK NICOLLET METHODIST HOSPITAL
MN
Cash
$212
Gross
—
BRIDGEPORT HOSPITAL
CT
Cash
$211
Gross
$414
MUNSON HEALTHCARE CADILLAC HOSPITAL
MI
Cash
$209
Gross
$246
POTOMAC VALLEY HOSPITAL
WV
Cash
$209
Gross
$417
BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL FORTWORTH
TX
Cash
$206
Gross
$344
BAYLOR MEDICAL CENTER AT TROPHY CLUB
TX
Cash
$206
Gross
$344
BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE
TX
Cash
$206
Gross
$344
FRENCH HOSPITAL MEDICAL CENTER
CA
Cash
$206
Gross
$525
FRENCH HOSPITAL MEDICAL CENTER
CA
Cash
$206
Gross
$525
FORT LOUDOUN MEDICAL CENTER
TN
Cash
$204
Gross
$637
NAVICENT HEALTH BALDWIN
GA
Cash
$203
Gross
$405
ATRIUM HEALTH NAVICENT PEACH
GA
Cash
$203
Gross
$405
RUMFORD HOSPITAL
ME
Cash
$202
Gross
$699
CHOCTAW HEALTH CENTER
MS
Cash
$202
Gross
$404
CHOCTAW MEMORIAL HOSPITAL
OK
Cash
$202
Gross
$404
ADAMS COUNTY REGIONAL MEDICAL CENTER
OH
Cash
$202
Gross
$252
CONEMAUGH MINERS MEDICAL CENTER
PA
Cash
$199
Gross
$498
LASALLE GENERAL HOSPITAL
LA
Cash
$199
Gross
$331
HIGHLAND HILLS MEDICAL CENTER
MS
Cash
$198
Gross
$396
SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT
OK
Cash
$198
Gross
$264
TRINITY ROCK ISLAND
IL
Cash
$198
Gross
$247
TRINITY MUSCATINE
IA
Cash
$198
Gross
$247
TRINITY REGIONAL MEDICAL CENTER
IA
Cash
$198
Gross
$247
ST LUKES HOSPITAL
IA
Cash
$198
Gross
$247
UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI
IA
Cash
$198
Gross
$247
FINLEY HOSPITAL
IA
Cash
$198
Gross
$247
ST LUKES REGIONAL MEDICAL CENTER
IA
Cash
$198
Gross
$247
JONES REGIONAL MEDICAL CENTER
IA
Cash
$198
Gross
$247
CUMBERLAND MEDICAL CENTER
TN
Cash
$197
Gross
$637
MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION
TN
Cash
$197
Gross
$637
ROANE MEDICAL CENTER
TN
Cash
$197
Gross
$637
METHODIST MEDICAL CENTER OF OAK RIDGE
TN
Cash
$197
Gross
$637
LECONTE MEDICAL CENTER
TN
Cash
$197
Gross
$637
FORT SANDERS REGIONAL MEDICAL CENTER
TN
Cash
$197
Gross
$637
TERREBONNE GENERAL MEDICAL CENTER - PARISH
LA
Cash
$196
Gross
$734
PHYSICIANS MEDICAL CENTER
LA
Cash
$196
Gross
$734
GATEWAY REGIONAL MEDICAL CENTER
IL
Cash
$196
Gross
—
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR
NY
Cash
$196
Gross
$196
GOOD SAMARITAN HOSPITAL
CA
Cash
$195
Gross
$2,089
BON SECOURS COMMUNITY HOSPITAL
NY
Cash
$195
Gross
$2,089
ST ANTHONY COMMUNITY HOSPITAL
NY
Cash
$195
Gross
$2,089
ST GABRIELS HOSPITAL
MN
Cash
$195
Gross
$389
HILTON HEAD REGIONAL MEDICAL CENTER
SC
Cash
$194
Gross
—
EAST COOPER MEDICAL CENTER
SC
Cash
$194
Gross
—
COASTAL CAROLINA HOSPITAL
SC
Cash
$194
Gross
—
VALLEY MEDICAL CENTER
WA
Cash
$192
Gross
$274
MARY GREELEY MEDICAL CENTER
IA
Cash
$191
Gross
$445
MARY GREELEY MEDICAL CENTER
IA
Cash
$191
Gross
$445
GREATER BALTIMORE MEDICAL CENTER
MD
Cash
$190
Gross
$190
NORTON-KING'S DAUGHTERS' HEALTH
IN
Cash
$189
Gross
$861
DESOTO REGIONAL HEALTH SYSTEM
LA
Cash
$189
Gross
$270
JOHN H STROGER JR HOSPITAL
IL
Cash
$188
Gross
$268
PROVIDENT HOSPITAL OF CHICAGO
IL
Cash
$188
Gross
$268
NEOSHO MEMORIAL REGIONAL MEDICAL CENTER
KS
Cash
$187
Gross
$250
University of Arkansas Medical Sciences
AR
Cash
$185
Gross
$308
JACKSON HOSPITAL
FL
Cash
$185
Gross
$588
NORTHERN COCHISE COMMUNITY HOSPITAL, INC.
AZ
Cash
$183
Gross
$305
ST JOSEPH'S MEDICAL CENTER OF STOCKTON
CA
Cash
$183
Gross
$621
ST JOSEPH'S MEDICAL CENTER OF STOCKTON
CA
Cash
$183
Gross
$621
OKLAHOMA STATE UNIVERSITY MEDICAL CENTER
OK
Cash
$182
Gross
$1,821
EVERGREEN MEDICAL CENTER
AL
Cash
$181
Gross
$279
CENTRAL CAROLINA HOSPITAL
NC
Cash
$181
Gross
$453
GRAND ITASCA CLINIC AND HOSPITAL
MN
Cash
$180
Gross
$423
PEACE HARBOR MEDICAL CENTER
OR
Cash
$179
Gross
$276
MONROE COUNTY HOSPITAL
AL
Cash
$178
Gross
$446
MONROE COUNTY HOSPITAL
IA
Cash
$178
Gross
$446
DAVIS MEDICAL CENTER
WV
Cash
$176
Gross
$252
BROADDUS HOSPITAL ASSOCIATION, INC
WV
Cash
$176
Gross
$252
WEBSTER MEMORIAL HOSPITAL
WV
Cash
$176
Gross
$252
NORTHEASTERN VERMONT REGIONAL HOSPITAL
VT
Cash
$175
Gross
$233
NORTHFIELD HOSPITAL
MN
Cash
$173
Gross
$412
BAXTER HEALTH
AR
Cash
$172
Gross
$286
TMC- BONHAM HOSPITAL
TX
Cash
$169
Gross
$564
PUTNAM GENERAL HOSPITAL
GA
Cash
$169
Gross
$339
WASHINGTON REGIONAL MEDICAL CENTER
AR
Cash
$168
Gross
$224
ARKANSAS METHODIST MEDICAL CENTER
AR
Cash
$167
Gross
$334
SEVIER COUNTY MEDICAL CENTER
AR
Cash
$167
Gross
$278
BAPTIST HEALTH DEACONESS MADISONVILLE
KY
Cash
$165
Gross
$1,267
HARRISON MEMORIAL HOSPITAL
KY
Cash
$165
Gross
$235
LALLIE KEMP MEDICAL CENTER
LA
Cash
$163
Gross
$272
THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY
NY
Cash
$162
Gross
$162
UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER
MO
Cash
$162
Gross
$294
HOSPITAL GENERAL DE CASTANER
PR
Cash
$161
Gross
$202
SUMMIT SURGICAL, LLC
KS
Cash
$160
Gross
$200
BAPTIST HEALTH - VAN BUREN
AR
Cash
$157
Gross
$628
BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK
AR
Cash
$157
Gross
$628
BAPTIST HEALTH MEDICAL CENTER-DREW COUNTY
AR
Cash
$157
Gross
$628
BAPTIST HEALTH - FORT SMITH
AR
Cash
$157
Gross
$628
BAPTIST HEALTH MEDICAL CENTER-STUTTGART
AR
Cash
$157
Gross
$628
BAPTIST HEALTH MEDICAL CENTER-HOT SPRINGS COUNTY
AR
Cash
$157
Gross
$628
BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK
AR
Cash
$157
Gross
$628
BAPTIST HEALTH MEDICAL CENTER- CONWAY
AR
Cash
$157
Gross
$628
PAMPA REGIONAL MEDICAL CENTER
TX
Cash
$156
Gross
$824
CHI HEALTH NEBRASKA HEART
NE
Cash
$155
Gross
$337
CHI HEALTH NEBRASKA HEART
NE
Cash
$155
Gross
$337
GRAND ISLAND REGIONAL MEDICAL CENTER
NE
Cash
$155
Gross
$337
GRAND ISLAND REGIONAL MEDICAL CENTER
NE
Cash
$155
Gross
$337
KAISER PERMANENTE CENTRAL HOSPITAL
WA
Cash
$155
Gross
$250
CHI-ST VINCENT INFIRMARY
AR
Cash
$154
Gross
$601
CHI-ST VINCENT INFIRMARY
AR
Cash
$154
Gross
$601
PARIS COMMUNITY HOSPITAL
IL
Cash
$153
Gross
$438
PARIS REGIONAL MEDICAL CENTER
TX
Cash
$153
Gross
$438
CHI ST VINCENT MORRILTON
AR
Cash
$153
Gross
$601
CHI ST VINCENT MORRILTON
AR
Cash
$153
Gross
$601
MIZELL MEMORIAL HOSPITAL
AL
Cash
$153
Gross
$170
ST VINCENT MEDICAL CENTER/NORTH
AR
Cash
$153
Gross
$601
ST VINCENT MEDICAL CENTER/NORTH
AR
Cash
$153
Gross
$601
SOUTH CENTRAL REG MED CTR
MS
Cash
$152
Gross
$361
SOUTH CENTRAL HEALTH
ND
Cash
$152
Gross
$361
ST BERNARDINE MEDICAL CENTER
CA
Cash
$152
Gross
$455
SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES
NY
Cash
$151
Gross
$378
SURGICAL INSTITUTE OF READING
PA
Cash
$151
Gross
—
WESTERLY HOSPITAL
RI
Cash
$149
Gross
$414
D W MCMILLAN MEMORIAL HOSPITAL
AL
Cash
$149
Gross
$248
ATMORE COMMUNITY HOSPITAL
AL
Cash
$149
Gross
$248
CENTURA ST. CATHERINE-DODGE CITY
KS
Cash
$145
Gross
$363
MOSAIC LIFE CARE AT ST JOSEPH
MO
Cash
$144
Gross
$169
MOSAIC MEDICAL CENTER ALBANY
MO
Cash
$144
Gross
$169
WARM SPRINGS MEDICAL CENTER
GA
Cash
$144
Gross
$287
WARM SPRINGS MEDICAL CENTER
GA
Cash
$144
Gross
$287
CLINCH MEMORIAL HOSPITAL
GA
Cash
$143
Gross
$285
CLINCH MEMORIAL HOSPITAL
GA
Cash
$143
Gross
$285
GEORGE E WEEMS MEMORIAL HOSPITAL
FL
Cash
$142
Gross
$203
MAGEE GENERAL HOSPITAL
MS
Cash
$141
Gross
$405
EMANUEL MEDICAL CENTER
GA
Cash
$141
Gross
$351
DLP SWAIN COUNTY HOSPITAL LLC
NC
Cash
$141
Gross
$351
MCALESTER REGIONAL HEALTH CENTER
OK
Cash
$140
Gross
$351
RUSSELL REGIONAL HOSPITAL
KS
Cash
$140
Gross
$165
VIRTUA OUR LADY OF LOURDES HOSPITAL
NJ
Cash
$140
Gross
$1,398
VIRTUA MOUNT HOLLY HOSPITAL
NJ
Cash
$140
Gross
$1,398
USA HEALTH UNIVERSITY HOSPITAL
AL
Cash
$140
Gross
$497
JENNIE STUART MEDICAL CENTER
KY
Cash
$140
Gross
$450
THE UNIVERSITY HOSPITAL
NJ
Cash
$140
Gross
$497
UNIVERSITY HEALTH SYSTEM, INC
TN
Cash
$140
Gross
$497
ALTRU HOSPITAL
ND
Cash
$138
Gross
$227
MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM
AL
Cash
$138
Gross
$553
MOUNTAIN VIEW HOSPITAL
ID
Cash
$137
Gross
$196
IDAHO FALLS COMMUNITY HOSPITAL, LLC
ID
Cash
$137
Gross
$196
UNION GENERAL HOSPITAL
GA
Cash
$137
Gross
$274
CHATUGE REGIONAL HOSPITAL
GA
Cash
$137
Gross
$274
BAPTIST HEALTH MEDICAL CENTER HEBER SPRINGS
AR
Cash
$137
Gross
$548
BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA
AR
Cash
$137
Gross
$548
MID VALLEY HOSPITAL & CLINIC
WA
Cash
$136
Gross
$194
KANSAS MEDICAL CENTER LLC
KS
Cash
$135
Gross
$225
GENEVA GENERAL HOSPITAL
NY
Cash
$133
Gross
$334
PARADISE VALLEY HOSPITAL
CA
Cash
$133
Gross
$622
GARDEN GROVE HOSPITAL & MEDICAL CENTER
CA
Cash
$133
Gross
$1,319
WEST ANAHEIM MEDICAL CENTER
CA
Cash
$133
Gross
$1,319
LA PALMA INTERCOMMUNITY HOSPITAL
CA
Cash
$133
Gross
$1,319
CHINO VALLEY MEDICAL CENTER
CA
Cash
$133
Gross
$1,173
SAN DIMAS COMMUNITY HOSPITAL
CA
Cash
$133
Gross
$1,173
DESERT VALLEY HOSPITAL
CA
Cash
$133
Gross
$896
CENTINELA HOSPITAL MEDICAL CENTER
CA
Cash
$133
Gross
$419
MONTCLAIR HOSPITAL MEDICAL CENTER
CA
Cash
$133
Gross
$1,173
SHASTA REGIONAL MEDICAL CENTER
CA
Cash
$133
Gross
$863
SIOUX CENTER HEALTH
IA
Cash
$133
Gross
$137
HILLS & DALES GENERAL HOSPITAL
MI
Cash
$131
Gross
$568
PENDER COMMUNITY HOSPITAL
NE
Cash
$129
Gross
$286
CHI ST ALEXIUS HEALTH
ND
Cash
$127
Gross
$249
CHI ST ALEXIUS HEALTH
ND
Cash
$127
Gross
$249
JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL
PA
Cash
$125
Gross
—
JEFFERSON EINSTEIN MONTGOMERY HOSPITAL
PA
Cash
$125
Gross
—
RIVERWOOD HEALTHCARE CENTER
MN
Cash
$124
Gross
$222
SAINT MICHAEL'S MEDICAL CENTER
NJ
Cash
$121
Gross
$820
BENSON HOSPITAL
AZ
Cash
$120
Gross
$250
UP HEALTH SYSTEM PORTAGE
MI
Cash
$120
Gross
$200
LANDMARK MEDICAL CENTER
RI
Cash
$116
Gross
$812
BROADLAWNS MEDICAL CENTER
IA
Cash
$115
Gross
$115
WEISER MEMORIAL HOSPITAL
ID
Cash
$115
Gross
$153
SOUTHEAST HEALTH MEDICAL CENTER
AL
Cash
$114
Gross
$286
TRINITY - BETTENDORF
IA
Cash
$114
Gross
$143
ALLEN HOSPITAL
IA
Cash
$114
Gross
$143
GRUNDY COUNTY MEMORIAL HOSPITAL
IA
Cash
$114
Gross
$143
OCHSNER CHOCTAW GENERAL
AL
Cash
$113
Gross
$149
NORTH VISTA HOSPITAL
NV
Cash
$113
Gross
$2,267
UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER
MD
Cash
$112
Gross
$112
MERCY MEDICAL CENTER INC
MD
Cash
$111
Gross
$1,028
ST JOSEPH MEDICAL CENTER
WA
Cash
$111
Gross
$1,378
RANGE REGIONAL HEALTH SERVICES
MN
Cash
$111
Gross
$261
FIRST CARE HEALTH CENTER
ND
Cash
$108
Gross
$108
FIRST CARE HEALTH CENTER
ND
Cash
$108
Gross
$108
MOUNT GRANT GENERAL HOSPITAL
NV
Cash
$106
Gross
$824
ROXBOROUGH MEMORIAL HOSPITAL
PA
Cash
$106
Gross
$824
HIAWATHA COMMUNITY HOSPITAL
KS
Cash
$106
Gross
$163
GREAT FALLS CLINIC HOSPITAL
MT
Cash
$104
Gross
$104
SOUTHERN REGIONAL MEDICAL CENTER
GA
Cash
$104
Gross
$806
KNAPP MEDICAL CENTER
TX
Cash
$104
Gross
$927
MISSION REGIONAL MEDICAL CENTER
TX
Cash
$104
Gross
$574
DALLAS MEDICAL CENTER
TX
Cash
$104
Gross
$503
HARLINGEN MEDICAL CENTER
TX
Cash
$104
Gross
$911
CENTRAL MAINE MEDICAL CENTER
ME
Cash
$103
Gross
$699
GARDEN CITY HOSPITAL
MI
Cash
$103
Gross
$732
OCHSNER STENNIS MEMORIAL HOSPITAL
MS
Cash
$103
Gross
$149
TIPPAH COUNTY HOSPITAL
MS
Cash
$102
Gross
$102
LOWER BUCKS HOSPITAL
PA
Cash
$102
Gross
$690
BRISTOL HOSPITAL
CT
Cash
$102
Gross
$677
JOHNSON MEMORIAL HOSPITAL
IN
Cash
$102
Gross
$677
RUSSELL COUNTY HOSPITAL
KY
Cash
$102
Gross
$677
JOHNSTON HEALTH
NC
Cash
$102
Gross
$677
WELLMONT BRISTOL REGIONAL MEDICAL CENTER
TN
Cash
$102
Gross
$677
WELLMONT HOLSTON VALLEY MEDICAL CENTER
TN
Cash
$102
Gross
$677
SYCAMORE SHOALS HOSPITAL
TN
Cash
$102
Gross
$677
HAWKINS COUNTY MEMORIAL HOSPITAL
TN
Cash
$102
Gross
$677
GREENEVILLE COMMUNITY HOSPITAL
TN
Cash
$102
Gross
$677
JOHNSON CITY MEDICAL CENTER
TN
Cash
$102
Gross
$677
INDIAN PATH COMMUNITY HOSPITAL
TN
Cash
$102
Gross
$677
FRANKLIN WOODS COMMUNITY HOSPITAL
TN
Cash
$102
Gross
$677
HANCOCK COUNTY HOSPITAL
TN
Cash
$102
Gross
$677
RUSSELL COUNTY HOSPITAL
VA
Cash
$102
Gross
$677
SMYTH COUNTY COMMUNITY HOSPITAL
VA
Cash
$102
Gross
$677
JOHNSTON MEMORIAL HOSPITAL
VA
Cash
$102
Gross
$677
LONESOME PINE HOSPITAL
VA
Cash
$102
Gross
$677
OCHSNER WATKINS HOSPITAL
MS
Cash
$99.83
Gross
$149
HANCOCK COUNTY HEALTH SYSTEM
IA
Cash
$99.82
Gross
$434
DICKENSON COMMUNITY HOSPITAL
VA
Cash
$99.82
Gross
$434
LEE COUNTY COMMUNITY HOSPITAL
VA
Cash
$99.82
Gross
$434
SPRINGHILL MEDICAL CENTER
LA
Cash
$99.6
Gross
$293
SAINT JOHN HOSPITAL
KS
Cash
$98
Gross
$1,161
PROVIDENCE MEDICAL CENTER
KS
Cash
$98
Gross
$1,161
EAST LIVERPOOL CITY HOSPITAL
OH
Cash
$98
Gross
$887
COSHOCTON REGIONAL MEDICAL CENTER
OH
Cash
$98
Gross
$1,318
BRAXTON COUNTY MEMORIAL HOSPITAL, INC
WV
Cash
$97
Gross
$194
MAINEHEALTH MAINE MEDICAL CENTER
ME
Cash
$96
Gross
$96
MAINEHEALTH PEN BAY HOSPITAL
ME
Cash
$96
Gross
$96
LINCOLNHEALTH
ME
Cash
$96
Gross
$96
MAINEHEALTH WALDO HOSPITAL
ME
Cash
$96
Gross
$96
MAINEHEALTH STEPHENS HOSPITAL
ME
Cash
$96
Gross
$96
MAINEHEALTH FRANKLIN HOSPITAL
ME
Cash
$96
Gross
$96
MEMORIAL HOSPITAL, THE
NH
Cash
$96
Gross
$96
OCHSNER SCOTT REGIONAL
MS
Cash
$93.87
Gross
$149
UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON
MI
Cash
$91.5
Gross
$183
EATON RAPIDS MEDICAL CENTER
MI
Cash
$91.5
Gross
$183
UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON
MI
Cash
$91.5
Gross
$183
OCHSNER LAIRD HOSPITAL
MS
Cash
$90.89
Gross
$149
WHITESBURG ARH HOSPITAL
KY
Cash
$90
Gross
$150
ST JOSEPHS AREA HEALTH SERVICES
MN
Cash
$89.9
Gross
$145
LIFECARE MEDICAL CENTER
MN
Cash
$89.76
Gross
$102
COFFEY COUNTY HOSPITAL
KS
Cash
$89.1
Gross
$297
COFFEY COUNTY HOSPITAL
KS
Cash
$89.1
Gross
$297
DEACONESS HOSPITAL INC
IN
Cash
$87.2
Gross
$109
KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN
MS
Cash
$86.4
Gross
$288
HIGH POINT REGIONAL HEALTH SYSTEM
NC
Cash
$85
Gross
$170
NORTH CAROLINA BAPTIST HOSPITAL
NC
Cash
$85
Gross
$170
UNITYPOINT HEALTH - MARSHALLTOWN
IA
Cash
$83.2
Gross
$104
GRINNELL REGIONAL MEDICAL CENTER
IA
Cash
$83.2
Gross
$104
COX MEDICAL CENTERS
MO
Cash
$81.73
Gross
$324
COX MEDICAL CENTER BRANSON
MO
Cash
$81.73
Gross
$324
FAIRVIEW LAKES HEALTH SERVICES
MN
Cash
$81.51
Gross
$130
FAIRVIEW NORTHLAND REGIONAL HOSPITAL
MN
Cash
$81.51
Gross
$130
IZARD REGIONAL HOSPITAL LLC
AR
Cash
$81.5
Gross
$81.5
CHESHIRE MEDICAL CENTER
NH
Cash
$80.87
Gross
$293
BELLA VISTA HOSPITAL
PR
Cash
$78
Gross
$78
MENA REGIONAL HEALTH SYSTEM
AR
Cash
$72.6
Gross
$121
RANGE REGIONAL HEALTH SERVICES
MN
Cash
$68.85
Gross
$162
LIBERTY REGIONAL MEDICAL CENTER
GA
Cash
$67.4
Gross
$89.87
ST CROIX REGIONAL MEDICAL CENTER
WI
Cash
$66.85
Gross
$122
REDINGTON FAIRVIEW GENERAL HOSPITAL
ME
Cash
$66
Gross
$88
REDINGTON FAIRVIEW GENERAL HOSPITAL
ME
Cash
$66
Gross
$88
SOUTHWESTERN VERMONT MEDICAL CENTER
VT
Cash
$62.3
Gross
$89
DEACONESS ILLINOIS CROSSROADS
IL
Cash
$59.5
Gross
$170
M HEALTH FAIRVIEW RIDGES HOSPITAL
MN
Cash
$55.1
Gross
$130
RUSSELL MEDICAL CENTER
AL
Cash
$54
Gross
$150

Data straight from each hospital's federally-mandated machine-readable file (45 CFR § 180). Prices reflect what the hospital published; what you actually pay depends on your specific plan, deductible, and other factors. "Cash price" is the discounted self-pay rate hospitals are required to publish for uninsured patients.