CPT 86695 · 1,648 hospitals reporting

Analysis for antibody to herpes simplex virus; type 1

The same procedure costs $50 at one hospital and $1,093 at another — a 22× spread for what's billed under the same code. Median: $91.28.

Cheapest published
$50
524 entries below $50 already filtered. Remaining low values usually reflect partial-cost line items (professional fee only), not full bills.
Median across 1,648 hospitals
$91.28
The realistic middle of the cash-price distribution. Use this as your benchmark.
Most expensive
$1,093
Highest published price. Often a gross-charge "list price" rarely actually paid.

Price distribution

500 hospitals · log-scale x-axis
Cash price distributionmedian $91.28$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
CRISP REGIONAL HOSPITAL
GA
Cash
$91.35
Gross
$96.16
SANFORD WESTBROOK MEDICAL CENTER
MN
Cash
$91.2
Gross
$114
SANFORD TRACY MEDICAL CENTER
MN
Cash
$91.2
Gross
$114
HELEN KELLER HOSPITAL
AL
Cash
$91
Gross
$91
HUNTSVILLE HOSPITAL
AL
Cash
$91
Gross
$91
ATHENS LIMESTONE HOSPITAL
AL
Cash
$91
Gross
$91
DECATUR MORGAN HOSPITAL - DECATUR CAMPUS
AL
Cash
$91
Gross
$91
SURGEONS CHOICE MEDICAL CENTER
MI
Cash
$91
Gross
$91
WINDOM AREA HEALTH
MN
Cash
$91.8
Gross
$135
SINAI-GRACE HOSPITAL
MI
Cash
$90.75
Gross
$121
SPRING VIEW HOSPITAL
KY
Cash
$91.89
Gross
$230
CLINTON REGIONAL HOSPITAL
OK
Cash
$92
Gross
$115
UCH-MEMORIAL HEALTH SYSTEM
CO
Cash
$92.05
Gross
$263
UCHEALTH BROOMFIELD HOSPITAL
CO
Cash
$92.05
Gross
$263
UCHEALTH GRANDVIEW HOSPITAL
CO
Cash
$92.05
Gross
$263
SIOUX CENTER HEALTH
IA
Cash
$90.21
Gross
$93
SIOUX CENTER HEALTH
IA
Cash
$90.21
Gross
$93
ATHOL MEMORIAL HOSPITAL
MA
Cash
$90
Gross
$90
IVINSON MEMORIAL HOSPITAL
WY
Cash
$90
Gross
$90
SANFORD LUVERNE MEDICAL CENTER
MN
Cash
$92.8
Gross
$116
KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN
MS
Cash
$93
Gross
$310
HIGH POINT REGIONAL HEALTH SYSTEM
NC
Cash
$93
Gross
$186
NORTH CAROLINA BAPTIST HOSPITAL
NC
Cash
$93
Gross
$186
CHI ST ALEXIUS HEALTH DEVILS LAKE
ND
Cash
$89.46
Gross
$213
CHI ST ALEXIUS HEALTH DEVILS LAKE
ND
Cash
$89.46
Gross
$213
RUTHERFORD REGIONAL MEDICAL CENTER
NC
Cash
$89.33
Gross
$223
UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER
OH
Cash
$89.25
Gross
$119
HAWARDEN REGIONAL HEALTHCARE
IA
Cash
$93.5
Gross
$110
HAWARDEN REGIONAL HEALTHCARE
IA
Cash
$93.5
Gross
$110
GOSHEN HOSPITAL
IN
Cash
$88.9
Gross
$127
CARSON TAHOE REGIONAL MEDICAL CENTER
NV
Cash
$88.9
Gross
$127
CARY MEDICAL CENTER
ME
Cash
$93.75
Gross
$125
CRITTENDEN COMMUNITY HOSPITAL
KY
Cash
$88.74
Gross
$153
MEMORIAL MEDICAL CENTER
NM
Cash
$88.7
Gross
$148
BARAGA COUNTY MEMORIAL HOSPITAL
MI
Cash
$94
Gross
$94
ST ANTHONY HOSPITAL
OR
Cash
$94.02
Gross
$138
ST ANTHONY HOSPITAL
OR
Cash
$94.02
Gross
$138
ST ANTHONY HOSPITAL
WA
Cash
$94.02
Gross
$138
ST ANTHONY HOSPITAL
WA
Cash
$94.02
Gross
$138
ST JOHN'S RIVERSIDE HOSPITAL
NY
Cash
$94.35
Gross
$111
PHILLIPS COUNTY HOSPITAL
KS
Cash
$88.2
Gross
$98
PHILLIPS COUNTY HOSPITAL - CAH
MT
Cash
$88.2
Gross
$98
CHI ST ALEXIUS HEALTH WILLISTON
ND
Cash
$88.16
Gross
$152
CHI ST ALEXIUS HEALTH WILLISTON
ND
Cash
$88.16
Gross
$152
THOMAS HOSPITAL
AL
Cash
$94.5
Gross
$189
WAYNE COUNTY HOSPITAL
IA
Cash
$88.04
Gross
$135
SANFORD CANBY MEDICAL CENTER
MN
Cash
$88
Gross
$110
SANFORD CHAMBERLAIN MEDICAL CENTER
SD
Cash
$88
Gross
$110
SANFORD CANTON-INWOOD MEDICAL CENTER - CAH
SD
Cash
$88
Gross
$110
BARNES-KASSON COUNTY HOSPITAL
PA
Cash
$87.96
Gross
$126
HEYWOOD HOSPITAL -
MA
Cash
$95
Gross
$95
GLENDALE MEM HOSPITAL & HLTH CENTER
CA
Cash
$87.5
Gross
$125
WESTCHESTER MEDICAL CENTER
NY
Cash
$95.4
Gross
$159
TEXAS HEALTH HOSPITAL FRISCO
TX
Cash
$87
Gross
$145
MERCY GENERAL HOSPITAL
CA
Cash
$86.8
Gross
$124
ALLEGHANY MEMORIAL HOSPITAL
NC
Cash
$96
Gross
$192
WHIDBEYHEALTH MEDICAL CENTER
WA
Cash
$96
Gross
$96
SACRED HEART MEDICAL CENTER - RIVERBEND
OR
Cash
$96.2
Gross
$148
FRANKLIN HOSPITAL
IL
Cash
$86.25
Gross
$115
FRANKLIN COUNTY MEMORIAL HOSPITAL
NE
Cash
$86
Gross
$86
AIKEN REGIONAL MEDICAL CENTER
SC
Cash
$86
Gross
$215
SWEETWATER HOSPITAL ASSOCIATION
TN
Cash
$86
Gross
$215
WALKER BAPTIST MEDICAL CENTER
AL
Cash
$96.6
Gross
$161
CITIZENS BAPTIST MEDICAL CENTER
AL
Cash
$96.6
Gross
$161
JOHN F KENNEDY MEMORIAL HOSPITAL
CA
Cash
$96.6
Gross
$161
SIBLEY MEMORIAL HOSPITAL
DC
Cash
$96.6
Gross
$161
ARCHBOLD MEMORIAL HOSPITAL
GA
Cash
$96.6
Gross
$161
ALTON MEMORIAL HOSPITAL
IL
Cash
$96.6
Gross
$161
MEMORIAL HOSPITAL
IL
Cash
$96.6
Gross
$161
ADAMS MEMORIAL HOSPITAL
IN
Cash
$96.6
Gross
$161
MISSOURI BAPTIST MEDICAL CENTER
MO
Cash
$96.6
Gross
$161
BARNES-JEWISH WEST COUNTY HOSPITAL
MO
Cash
$96.6
Gross
$161
CHRISTIAN HOSPITAL NORTHEAST
MO
Cash
$96.6
Gross
$161
BARNES-JEWISH ST PETERS HOSPITAL
MO
Cash
$96.6
Gross
$161
PROGRESS WEST HOSPITAL
MO
Cash
$96.6
Gross
$161
UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER
OH
Cash
$96.75
Gross
$129
LAKE HEALTH
OH
Cash
$96.75
Gross
$129
RAINBOW BABIES AND CHILDRENS HOSPITAL
OH
Cash
$96.75
Gross
$129
ST NICHOLAS HOSPITAL
WI
Cash
$85.8
Gross
$130
CASTLEVIEW HOSPITAL
UT
Cash
$97.34
Gross
$177
KAHUKU MEDICAL CENTER
HI
Cash
$97.5
Gross
$150
CALDWELL MEDICAL CENTER
KY
Cash
$85.01
Gross
$113
ST MARYS HOSPITAL MEDICAL CTR
WI
Cash
$97.64
Gross
$217
EAST VALLEY ER & HOSPITAL
AZ
Cash
$97.65
Gross
$217
ALEXANDRIA EMERGENCY HOSPITAL
LA
Cash
$97.65
Gross
$217
AHN EMERUS WESTMORELAND, LLC
PA
Cash
$84.83
Gross
$113
HOULTON REGIONAL HOSPITAL
ME
Cash
$97.85
Gross
$103
YAVAPAI REGIONAL MEDICAL CENTER
AZ
Cash
$97.95
Gross
$132
YAVAPAI REGIONAL MEDICAL CENTER
AZ
Cash
$97.95
Gross
$132
WILSON MEDICAL CENTER
KS
Cash
$98
Gross
$245
WILSON MEDICAL CENTER
NC
Cash
$98
Gross
$245
SANFORD HOSPITAL WEBSTER - CAH
SD
Cash
$98.4
Gross
$123
CHILDREN'S HOSPITAL OF MICHIGAN
MI
Cash
$84
Gross
$112
SANFORD THIEF RIVER FALLS MEDICAL CENTER
MN
Cash
$84
Gross
$105
MARIA PARHAM MEDICAL CENTER
NC
Cash
$84
Gross
$210
FAUQUIER HOSPITAL
VA
Cash
$84
Gross
$210
UNION GENERAL HOSPITAL
GA
Cash
$98.9
Gross
$198
CARILION MEDICAL CENTER
VA
Cash
$83.65
Gross
$239
CARILION NEW RIVER VALLEY MEDICAL CENTER
VA
Cash
$83.65
Gross
$239
CARILION FRANKLIN MEMORIAL HOSPITAL
VA
Cash
$83.65
Gross
$239
CARILION TAZEWELL COMMUNITY HOSPITAL
VA
Cash
$83.65
Gross
$239
CARILION GILES COMMUNITY HOSPITAL
VA
Cash
$83.65
Gross
$239
UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER
OH
Cash
$99
Gross
$132
MERCY MEDICAL CENTER
OR
Cash
$99.19
Gross
$186
MERCY MEDICAL CENTER
OR
Cash
$99.19
Gross
$186
HOLY FAMILY MEMORIAL
WI
Cash
$83.33
Gross
—
DESOTO REGIONAL HEALTH SYSTEM
LA
Cash
$83.3
Gross
$119
DALLAS COUNTY MEDICAL CENTER
AR
Cash
$83
Gross
$127
SIDNEY HEALTH CENTER
MT
Cash
$82.98
Gross
$134
PEACEHEALTH SOUTHWEST MEDICAL CENTER
WA
Cash
$82.55
Gross
$127
KONA COMMUNITY HOSPITAL
HI
Cash
$101
Gross
$155
CAPITAL HEALTH REGIONAL MEDICAL CENTER
NJ
Cash
$101
Gross
$252
DARDANELLE REGIONAL MEDICAL CENTER
AR
Cash
$80.6
Gross
$207
RUSSELL REGIONAL HOSPITAL
KS
Cash
$102
Gross
$120
BUNKIE GENERAL HOSPITAL
LA
Cash
$102
Gross
$102
BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE
TX
Cash
$80.4
Gross
$134
YALE-NEW HAVEN HOSPITAL
CT
Cash
$80.24
Gross
$136
ATRIUM HEALTH FLOYD POLK MEDICAL CENTER
GA
Cash
$80
Gross
$160
LONGMONT UNITED HOSPITAL
CO
Cash
$103
Gross
$257
CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS
CO
Cash
$103
Gross
$257
ORTHOCOLORADO HOSP AT ST ANTHONY MED CAMPUS
CO
Cash
$103
Gross
$257
ST FRANCIS HOSPITAL - INTERQUEST
CO
Cash
$103
Gross
$257
SAINT ANTHONY HOSPITAL
IL
Cash
$103
Gross
$257
UPHS MARQUETTE DLP HOSPITAL
MI
Cash
$79.71
Gross
$133
SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCE
TN
Cash
$103
Gross
$414
UCHEALTH HIGHLANDS RANCH HOSPITAL
CO
Cash
$79.04
Gross
$263
MAUI MEMORIAL MEDICAL CENTER
HI
Cash
$79
Gross
$203
COLUMBUS REGIONAL HEALTHCARE SYSTEM
NC
Cash
$78.69
Gross
$112
PEACEHEALTH UNITED GENERAL MEDICAL CENTER
WA
Cash
$78.65
Gross
$121
CHEYENNE REGIONAL MEDICAL CENTER
WY
Cash
$78.57
Gross
$112
BRIDGTON HOSPITAL
ME
Cash
$78
Gross
$254
MERCY HOSPITAL
CA
Cash
$77.84
Gross
$195
CENTURA HEALTH-ST ANTHONY HOSPITAL
CO
Cash
$77.84
Gross
$195
GRANVILLE HEALTH SYSTEMS
NC
Cash
$77.6
Gross
$97
INTEGRIS HEALTH PONCA CITY
OK
Cash
$105
Gross
$133
COMMUNITY HOSPITAL, LLC
OK
Cash
$105
Gross
$133
INTEGRIS COMMUNITY HOSPITAL - COUNCIL CROSSING
OK
Cash
$105
Gross
$133
PARKLAND HEALTH CENTER
MO
Cash
$106
Gross
$176
PARKLAND HEALTH CENTER - BONNE TERRE
MO
Cash
$106
Gross
$176
MISSOURI BAPTIST SULLIVAN HOSPITAL
MO
Cash
$106
Gross
$176
LANAI COMMUNITY HOSPITAL
HI
Cash
$106
Gross
$271
KULA HOSPITAL
HI
Cash
$106
Gross
$271
DETROIT RECEIVING HOSPITAL
MI
Cash
$76.5
Gross
$102
CHICOT MEMORIAL MEDICAL CENTER
AR
Cash
$76.05
Gross
$76.05
CARLE HEALTH PROCTOR HOSPITAL
IL
Cash
$76
Gross
$76
CARLE HEALTH PEKIN HOSPITAL
IL
Cash
$76
Gross
$76
CARLE HEALTH METHODIST HOSPITAL
IL
Cash
$76
Gross
$76
GIBSON COMMUNITY HOSPITAL
IL
Cash
$76
Gross
$76
GIBSON GENERAL HOSPITAL
IN
Cash
$76
Gross
$76
ASCENSION WISCONSIN HOSP MENOMONEE FALLS CAMPUS
WI
Cash
$75.86
Gross
$181
SHARE MEDICAL CENTER
OK
Cash
$75.79
Gross
$117
NORTHFIELD HOSPITAL
MN
Cash
$107
Gross
$254
CRENSHAW COMMUNITY HOSPITAL
AL
Cash
$75
Gross
$150
CRENSHAW COMMUNITY HOSPITAL
AL
Cash
$75
Gross
$150
CENTURA ST. CATHERINE-DODGE CITY
KS
Cash
$74.95
Gross
$187
ST JOHNS REGIONAL MEDICAL CENTER
CA
Cash
$74.9
Gross
$107
RINGGOLD COUNTY HOSPITAL
IA
Cash
$74.7
Gross
$83
HOLY CROSS HOSPITAL - SALT LAKE
UT
Cash
$74.68
Gross
$187
HOLY CROSS HOSPITAL-DAVIS
UT
Cash
$74.68
Gross
$187
CLINCH VALLEY MEDICAL CENTER
VA
Cash
$74.67
Gross
$187
DEACONESS ILLINOIS CROSSROADS
IL
Cash
$108
Gross
$569
BAYLOR MEDICAL CENTER AT TROPHY CLUB
TX
Cash
$109
Gross
$181
ADVENTHEALTH CENTRAL TEXAS
TX
Cash
$109
Gross
$217
ADVENTHEALTH ROLLINS BROOK
TX
Cash
$109
Gross
$217
DAHL MEMORIAL HEALTHCARE ASSOCIATION INC
MT
Cash
$109
Gross
$109
PENDER COMMUNITY HOSPITAL
NE
Cash
$109
Gross
$242
OCH REGIONAL MEDICAL CENTER
MS
Cash
$73.6
Gross
$115
RUMFORD HOSPITAL
ME
Cash
$73
Gross
$254
GEORGE E WEEMS MEMORIAL HOSPITAL
FL
Cash
$72.8
Gross
$104
OPTIM MEDICAL CENTER - SCREVEN
GA
Cash
$72.52
Gross
$72.52
STARR REGIONAL MEDICAL CENTER ATHENS
TN
Cash
$72.22
Gross
$368
CHI OAKES HOSPITAL
ND
Cash
$71.76
Gross
$138
CHI OAKES HOSPITAL
ND
Cash
$71.76
Gross
$138
STEPHENS MEMORIAL HOSPITAL
TX
Cash
$71.5
Gross
$71.5
SANFORD CLEAR LAKE MEDICAL CENTER
SD
Cash
$111
Gross
$139
SANFORD MAYVILLE
ND
Cash
$71.2
Gross
$89
SANFORD HILLSBORO
ND
Cash
$71.2
Gross
$89
GREENWICH HOSPITAL ASSOCIATION -
CT
Cash
$70.72
Gross
$136
LUCAS COUNTY HEALTH CENTER
IA
Cash
$112
Gross
$112
FIELD HEALTH SYSTEM
MS
Cash
$70.5
Gross
$94
ST ANTHONY SUMMIT MEDICAL CENTER
CO
Cash
$70.38
Gross
$176
CHI SAINT JOSEPH BEREA NF
KY
Cash
$70.38
Gross
$146
CHI SAINT JOSEPH BEREA NF
KY
Cash
$70.38
Gross
$146
SUSAN B ALLEN MEMORIAL HOSPITAL
KS
Cash
$70.2
Gross
$108
COLUMBIA BASIN HOSPITAL
WA
Cash
$113
Gross
$125
ADVOCATE TRINITY HOSPITAL
IL
Cash
$70
Gross
$140
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
IL
Cash
$70
Gross
$140
ADVOCATE LUTHERAN GENERAL HOSPITAL
IL
Cash
$70
Gross
$140
ADVOCATE GOOD SAMARITAN HOSPITAL
IL
Cash
$70
Gross
$140
MONUMENT HEALTH RAPID CITY HOSPITAL
SD
Cash
$70
Gross
$70
ESSENTIA HEALTH DULUTH
MN
Cash
$69.47
Gross
$94
ESSENTIA HEALTH SANDSTONE
MN
Cash
$69.47
Gross
$94
ESSENTIA HEALTH ADA
MN
Cash
$69.47
Gross
$94
ESSENTIA HEALTH HOLY TRINITY HOSPITAL
MN
Cash
$69.47
Gross
$94
ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER
MN
Cash
$69.47
Gross
$94
ESSENTIA HEALTH MOOSE LAKE
MN
Cash
$69.47
Gross
$94
ESSENTIA HEALTH FOSSTON
MN
Cash
$69.47
Gross
$94
ESSENTIA HEALTH DEER RIVER
MN
Cash
$69.47
Gross
$94
ESSENTIA HEALTH
ND
Cash
$69.47
Gross
$94
BRIDGEPORT HOSPITAL
CT
Cash
$69.36
Gross
$136
PRINCETON BAPTIST MEDICAL CENTER
AL
Cash
$69
Gross
$138
SANFORD SHELDON MEDICAL CENTER
IA
Cash
$114
Gross
$142
SANFORD VERMILLION MEDICAL CENTER
SD
Cash
$114
Gross
$142
WAYNE MEMORIAL HOSPITAL
GA
Cash
$68.6
Gross
$98
MILFORD REGIONAL MEDICAL CENTER
MA
Cash
$114
Gross
$114
UCHEALTH GREELEY HOSPITAL
CO
Cash
$68.4
Gross
$114
MOSAIC LIFE CARE AT ST JOSEPH
MO
Cash
$68
Gross
$80
MOSAIC MEDICAL CENTER - MARYVILLE
MO
Cash
$68
Gross
$80
CIMARRON MEMORIAL HOSPITAL
OK
Cash
$68
Gross
$97
SNOQUALMIE VALLEY HOSPITAL
WA
Cash
$67.55
Gross
$116
GROSSMONT HOSPITAL
CA
Cash
$67.5
Gross
$90
SHARP MEMORIAL HOSPITAL
CA
Cash
$67.5
Gross
$90
SHARP CHULA VISTA MEDICAL CENTER
CA
Cash
$67.5
Gross
$90
SHARP CORONADO HOSPITAL AND HLTHCR CTR
CA
Cash
$67.5
Gross
$90
WETZEL COUNTY HOSPITAL
WV
Cash
$67.5
Gross
$135
AMBERWELL ATCHISON ASSOCIATION
KS
Cash
$116
Gross
$165
MIDDLESBORO ARH HOSPITAL
KY
Cash
$116
Gross
$193
NORTHERN COCHISE COMMUNITY HOSPITAL, INC.
AZ
Cash
$66.6
Gross
$111
JENKINS COUNTY MEDICAL CENTER
GA
Cash
$116
Gross
$116
PEACEHEALTH ST JOHN MEDICAL CENTER
WA
Cash
$116
Gross
$179
ST LUKE COMMUNITY HOSPITAL
MT
Cash
$66.16
Gross
$82.7
HARRISON MEMORIAL HOSPITAL
KY
Cash
$65.8
Gross
$94
WELLSPAN WAYNESBORO HOSPITAL
PA
Cash
$65.6
Gross
$82
WELLSPAN CHAMBERSBURG HOSPITAL
PA
Cash
$65.6
Gross
$82
COOPER UNIVERSITY HOSPITAL
NJ
Cash
$117
Gross
$117
HIGHPOINT HEALTH-SUMNER WITH ASCENSION SAINT THOMA
TN
Cash
$65.36
Gross
$200
CONEMAUGH MINERS MEDICAL CENTER
PA
Cash
$65.2
Gross
$163
BURKE MEDICAL CENTER
GA
Cash
$117
Gross
$165
ST FRANCIS HOSPITAL & MEDICAL CENTER
CT
Cash
$65
Gross
$130
BROWARD HEALTH MEDICAL CENTER
FL
Cash
$65
Gross
$130
WEST BOCA MEDICAL CENTER
FL
Cash
$65
Gross
$130
WEST BOCA MEDICAL CENTER
FL
Cash
$65
Gross
$130
ADVOCATE SHERMAN HOSPITAL
IL
Cash
$65
Gross
$130
ADVOCATE CONDELL MEDICAL CENTER
IL
Cash
$65
Gross
$130
ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER
IL
Cash
$65
Gross
$130
ADVOCATE GOOD SHEPHERD HOSPITAL
IL
Cash
$65
Gross
$130
FLOYD COUNTY MEDICAL CENTER
IA
Cash
$65
Gross
$130
UNIVERSITY OF MISSOURI HEALTH CARE
MO
Cash
$65
Gross
$130
MOUNT PLEASANT HOSPITAL
SC
Cash
$65
Gross
$130
AURORA MEDICAL CTR MANITOWOC COUNTY
WI
Cash
$65
Gross
$130
AURORA MEDICAL CENTER SHEBOYGAN COUNTY
WI
Cash
$65
Gross
$130
AURORA MEDICAL CTR WASHINGTON COUNTY
WI
Cash
$65
Gross
$130
AURORA MEMORIAL HOSPITAL BURLINGTON
WI
Cash
$65
Gross
$130
AURORA LAKELAND MEDICAL CENTER
WI
Cash
$65
Gross
$130
AURORA MEDICAL CENTER BAY AREA
WI
Cash
$65
Gross
$130
AURORA ST LUKES MEDICAL CENTER
WI
Cash
$65
Gross
$130
WEST ALLIS MEMORIAL HOSPITAL
WI
Cash
$65
Gross
$130
WEST ALLIS MEMORIAL HOSPITAL
WI
Cash
$65
Gross
$130
AURORA MEDICAL CENTER KENOSHA
WI
Cash
$65
Gross
$130
AURORA BAYCARE MEDICAL CTR
WI
Cash
$65
Gross
$130
AURORA MEDICAL CTR OSHKOSH
WI
Cash
$65
Gross
$130
AURORA MEDICAL CENTER - SUMMIT
WI
Cash
$65
Gross
$130
AURORA MEDICAL CENTER
WI
Cash
$65
Gross
$130
SAUK PRAIRIE HOSPITAL
WI
Cash
$64.82
Gross
$119
SURGICAL SPECIALTY CENTER OF BATON ROUGE
LA
Cash
$118
Gross
$157
REGIONAL MEDICAL CENTER
IA
Cash
$64.8
Gross
$81
ELKVIEW GENERAL HOSPITAL
OK
Cash
$64.8
Gross
$108
PIONEER MEDICAL CENTER
MT
Cash
$118
Gross
$118
SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN
NY
Cash
$118
Gross
$118
COPPER QUEEN COMMUNITY HOSPITAL
AZ
Cash
$118
Gross
$169
NORTH HAWAII COMMUNITY HOSPITAL, INC
HI
Cash
$118
Gross
$169
CLEVELAND AREA HOSPITAL
OK
Cash
$64
Gross
$64
WEIRTON MEDICAL CENTER, INC
WV
Cash
$64
Gross
$128
NATIONAL PARK MEDICAL CENTER
AR
Cash
$63.9
Gross
$213
NORTON SCOTT HOSPITAL
IN
Cash
$63.8
Gross
$319
NORTON HOSPITALS, INC
KY
Cash
$63.8
Gross
$319
CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH
TX
Cash
$63.69
Gross
$193
ROME MEMORIAL HOSPITAL, INC
NY
Cash
$120
Gross
$296
HUNT REGIONAL MEDICAL CENTER
TX
Cash
$63.05
Gross
$97
ST TAMMANY PARISH HOSPITAL
LA
Cash
$63
Gross
$105
WILKES REGIONAL MEDICAL CENTER
NC
Cash
$62.5
Gross
$125
BOZEMAN HEALTH DEACONESS HOSPITAL
MT
Cash
$62.4
Gross
$78
BOZEMAN HEALTH BIG SKY MEDICAL CENTER
MT
Cash
$62.4
Gross
$78
CARILION STONEWALL JACKSON HOSPITAL
VA
Cash
$62.4
Gross
$104
BROADLAWNS MEDICAL CENTER
IA
Cash
$62
Gross
$62
JACKSON GENERAL HOSPITAL
WV
Cash
$62
Gross
$124
POINTE COUPEE GENERAL HOSPITAL
LA
Cash
$61.97
Gross
$68.85
HIAWATHA COMMUNITY HOSPITAL
KS
Cash
$61.75
Gross
$95
ST MARY-CORWIN HOSPITAL
CO
Cash
$61.66
Gross
$154
ST. CATHERINE HOSPITAL - GARDEN CITY
KS
Cash
$61.66
Gross
$154
BOB WILSON MEMORIAL HOSPITAL
KS
Cash
$61.66
Gross
$154
HOLY FAMILY HOSPITAL
MA
Cash
$61.6
Gross
$112
LEGENT SURGICAL HOSPITAL PLANO
TX
Cash
$61.5
Gross
$123
ATRIUM HEALTH FLOYD MEDICAL CENTER
GA
Cash
$121
Gross
$243
WILLS MEMORIAL HOSPITAL
GA
Cash
$61
Gross
$82
PARK NICOLLET METHODIST HOSPITAL
MN
Cash
$60.87
Gross
—
WAYNE HOSPITAL
OH
Cash
$60.75
Gross
$81
PEACEHEALTH PEACE ISLAND MEDICAL CENTER
WA
Cash
$60.45
Gross
$93
FRIEND COMMUNITY HEALTHCARE SYSTEM
NE
Cash
$60.41
Gross
$101
MARSHALL MEDICAL CENTERS
AL
Cash
$60.28
Gross
$60.28
MARSHALL MEDICAL CENTER
CA
Cash
$60.28
Gross
$60.28
MARSHALL MEDICAL CENTER
TN
Cash
$60.28
Gross
$60.28
MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM
AL
Cash
$60.25
Gross
$241
JACKSON MEDICAL CENTER
AL
Cash
$60
Gross
$60
THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY
NY
Cash
$60
Gross
$60
KELL WEST REGIONAL HOSPITAL
TX
Cash
$60
Gross
$101
WAYNE MEMORIAL HOSPITAL
PA
Cash
$59.92
Gross
$74.9
NEOSHO MEMORIAL REGIONAL MEDICAL CENTER
KS
Cash
$59.9
Gross
$79.86
METHODIST HOSPITAL UNION COUNTY
KY
Cash
$59.8
Gross
$92
HSHS ST CLARE MEMORIAL HOSPITAL
WI
Cash
$123
Gross
$186
ADVENTHEALTH SHAWNEE MISSION
KS
Cash
$123
Gross
$246
MOSAIC MEDICAL CENTER ALBANY
MO
Cash
$59.5
Gross
$70
ACADIA ST LANDRY
LA
Cash
$59.36
Gross
$79.14
MEMORIAL HOSPITAL
IL
Cash
$123
Gross
$154
STILLWATER MEDICAL CENTER
OK
Cash
$123
Gross
$154
STILLWATER MEDICAL - PERRY
OK
Cash
$123
Gross
$154
STILLWATER MEDICAL-BLACKWELL
OK
Cash
$123
Gross
$154
WARD MEMORIAL HOSPITAL
TX
Cash
$123
Gross
$176
DEACONESS HOSPITAL INC
IN
Cash
$59.2
Gross
$74
MULTICARE VALLEY HOSPITAL
WA
Cash
$59.2
Gross
$148
RED BAY HOSPITAL
AL
Cash
$58.8
Gross
$105
SANTA CLARA VALLEY MEDICAL CENTER
CA
Cash
$58.8
Gross
$105
KAISER FOUNDATION HOSPITAL - WALNUT CREEK
CA
Cash
$58.8
Gross
$105
SUTTER MEDICAL CENTER, SACRAMENTO
CA
Cash
$58.8
Gross
$105
UCSF HEALTH SAINT FRANCIS HOSPITAL
CA
Cash
$58.8
Gross
$84
SUTTER ROSEVILLE MEDICAL CENTER
CA
Cash
$58.8
Gross
$105
KAISER FOUNDATION HOSPITAL - REDWOOD CITY
CA
Cash
$58.8
Gross
$105
FRESNO SURGICAL HOSPITAL
CA
Cash
$58.8
Gross
$105
KAISER FOUNDATION HOSPITAL MANTECA
CA
Cash
$58.8
Gross
$105
KAISER FOUNDATION HOSPITAL - SAN LEANDRO
CA
Cash
$58.8
Gross
$105
MT SAN RAFAEL HOSPITAL
CO
Cash
$58.8
Gross
$105
SANTA ROSA MEDICAL CENTER
FL
Cash
$58.8
Gross
$105
COMMUNITY HOSPITAL SOUTH, INC.
IN
Cash
$58.8
Gross
$105
UNION HOSPITAL CLINTON
IN
Cash
$58.8
Gross
$98
KAISER FOUNDATION HOSPITAL WESTSIDE
OR
Cash
$58.8
Gross
$105
SANFORD WHEATON MEDICAL CENTER
MN
Cash
$58.4
Gross
$73
DODGE COUNTY HOSPITAL
GA
Cash
$58
Gross
$58
SPRINGHILL MEDICAL CENTER
AL
Cash
$57.65
Gross
$67.82
WHEELING HOSPITAL, INC
WV
Cash
$125
Gross
$250
CHI ST JOSEPH HEALTH REGIONAL HOSPITAL
TX
Cash
$57.4
Gross
$164
COMMUNITY MEMORIAL HOSPITAL
MN
Cash
$125
Gross
$157
SYRACUSE AREA HEALTH
NE
Cash
$125
Gross
$157
COMMUNITY MEMORIAL HOSPITAL, INC
NY
Cash
$125
Gross
$157
MUNSON HEALTHCARE CADILLAC HOSPITAL
MI
Cash
$56.95
Gross
$67
UNITY HOSPITAL
NY
Cash
$56.8
Gross
$71
UNITY MEDICAL CENTER
TN
Cash
$56.8
Gross
$71
NORTHSIDE HOSPITAL FORSYTH
GA
Cash
$56.75
Gross
—
TWIN CITY MEDICAL CENTER
OH
Cash
$56.7
Gross
$81
CLARKE COUNTY HOSPITAL
IA
Cash
$56.52
Gross
$56.52
HIGHPOINT HEALTH-TROUSDALE WITH ASCENSION SAINT
TN
Cash
$56.07
Gross
$241
HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH
TN
Cash
$56.07
Gross
$241
CARLE HOOPESTON REGIONAL HEALTH CENTER
IL
Cash
$56
Gross
$56
DAVIS MEDICAL CENTER
WV
Cash
$56
Gross
$80
BROADDUS HOSPITAL ASSOCIATION, INC
WV
Cash
$56
Gross
$80
WEBSTER MEMORIAL HOSPITAL
WV
Cash
$56
Gross
$80
HIGHLANDS ARH REGIONAL MEDICAL CENTER
KY
Cash
$127
Gross
$211
HARLAN ARH HOSPITAL
KY
Cash
$127
Gross
$211
PAINTSVILLE ARH HOSPITAL
KY
Cash
$127
Gross
$211
WEISER MEMORIAL HOSPITAL
ID
Cash
$55.91
Gross
$74.55
PEACEHEALTH KETCHIKAN MEDICAL CENTER
AK
Cash
$55.9
Gross
$86
MIZELL MEMORIAL HOSPITAL
AL
Cash
$55.8
Gross
$62
KEEFE MEMORIAL HOSPITAL
CO
Cash
$127
Gross
$127
ADVENTHEALTH WATERMAN
FL
Cash
$55.51
Gross
$101
LINCOLN HEALTH HOSPITAL
CO
Cash
$55.46
Gross
$117
WELLSPAN YORK HOSPITAL
PA
Cash
$55.2
Gross
$69
GETTYSBURG HOSPITAL
PA
Cash
$55.2
Gross
$69
WELLSPAN GOOD SAMARITAN HOSPITAL
PA
Cash
$55.2
Gross
$69
WELLSPAN EPHRATA COMMUNITY HOSPITAL
PA
Cash
$55.2
Gross
$69
SOVAH HEALTH DANVILLE
VA
Cash
$55.2
Gross
$138
CITIZENS MEDICAL CENTER
TX
Cash
$55
Gross
$110
FROEDTERT SOUTH INC.
WI
Cash
$55
Gross
$100
UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER
MO
Cash
$54.45
Gross
$99
TRIOS HEALTH
WA
Cash
$54.24
Gross
$136
MAINEHEALTH MAINE MEDICAL CENTER
ME
Cash
$128
Gross
$128
MAINEHEALTH PEN BAY HOSPITAL
ME
Cash
$128
Gross
$128
LINCOLNHEALTH
ME
Cash
$128
Gross
$128
MAINEHEALTH WALDO HOSPITAL
ME
Cash
$128
Gross
$128
MAINEHEALTH STEPHENS HOSPITAL
ME
Cash
$128
Gross
$128
MAINEHEALTH FRANKLIN HOSPITAL
ME
Cash
$128
Gross
$128
MEMORIAL HOSPITAL, THE
NH
Cash
$128
Gross
$128
LASALLE GENERAL HOSPITAL
LA
Cash
$54
Gross
$90
WALLOWA MEMORIAL HOSPITAL
OR
Cash
$54
Gross
$60
ST JOSEPHS HOSPITAL AND MEDICAL CENTER
AZ
Cash
$53.9
Gross
$77
WESTSIDE REGIONAL MEDICAL CENTER
FL
Cash
$53.55
Gross
$63
KAISER SUNNYSIDE MEDICAL CENTER
OR
Cash
$53.55
Gross
$63
TRISTAR ASHLAND CITY MEDICAL CENTER
TN
Cash
$129
Gross
$129
ST JOSEPHS COMMUNITY HOSPITAL WEST BEND
WI
Cash
$53.35
Gross
$97
ST MARY'S REGIONAL MEDICAL CENTER
OK
Cash
$53.2
Gross
$133
BUCKTAIL MEDICAL CENTER
PA
Cash
$53.2
Gross
$95
NAVICENT HEALTH BALDWIN
GA
Cash
$53
Gross
$106
ATRIUM HEALTH NAVICENT PEACH
GA
Cash
$53
Gross
$106
CARLE EUREKA HOSPITAL
IL
Cash
$53
Gross
$53
HURON VALLEY-SINAI HOSPITAL
MI
Cash
$52.5
Gross
$70
MARY BRIDGE CHILDREN'S HOSPITAL
WA
Cash
$52.4
Gross
$131
POCAHONTAS COMMUNITY HOSPITAL
IA
Cash
$131
Gross
$145
BOCA RATON REGIONAL HOSPITAL
FL
Cash
$52
Gross
$80
DESERT VIEW HOSPITAL
NV
Cash
$52
Gross
$129
CHOCTAW HEALTH CENTER
MS
Cash
$51.5
Gross
$103
CHOCTAW MEMORIAL HOSPITAL
OK
Cash
$51.5
Gross
$103
TRIGG COUNTY HOSPITAL
KY
Cash
$51
Gross
$128
DELTA MEMORIAL HOSPITAL
AR
Cash
$50.91
Gross
$63.64
CHI HEALTH - MERCY CORNING
IA
Cash
$132
Gross
$275
CHI HEALTH - MERCY CORNING
IA
Cash
$132
Gross
$275
RANDOLPH HOSPITAL
NC
Cash
$132
Gross
$660
METRO NASHVILLE GENERAL HOSPITAL
TN
Cash
$50.4
Gross
$84
ANAHEIM COMMUNITY HOSPITAL, LLC
CA
Cash
$50.2
Gross
$126
ELLIS HOSPITAL
NY
Cash
$50
Gross
$100
BENNETT COUNTY HOSPITAL AND NURSING HOME - CAH
SD
Cash
$133
Gross
$133
MID-COLUMBIA MEDICAL CENTER
OR
Cash
$133
Gross
$333
WILLAMETTE VALLEY MEDICAL CENTER
OR
Cash
$133
Gross
$333
LAKEWOOD HEALTH CENTER
MN
Cash
$133
Gross
$178
HAZARD ARH REGIONAL MEDICAL CENTER
KY
Cash
$134
Gross
$223
BECKLEY ARH HOSPITAL
WV
Cash
$134
Gross
$223
CHI HEALTH MISSOURI VALLEY
IA
Cash
$135
Gross
$275
CHI HEALTH MISSOURI VALLEY
IA
Cash
$135
Gross
$275
NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER
NC
Cash
$135
Gross
$270
NOVANT HEALTH MATTHEWS MEDICAL CENTER
NC
Cash
$135
Gross
$270
NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER
NC
Cash
$135
Gross
$270
NOVANT HEALTH MINT HILL MEDICAL CENTER
NC
Cash
$135
Gross
$270
NOVANT HEALTH BALLANTYNE MEDICAL CENTER
NC
Cash
$135
Gross
$270
NOVANT PRINCE WILLIAM MEDICAL CENTER
VA
Cash
$135
Gross
$270
VALLEY VIEW MEDICAL CENTER
AZ
Cash
$136
Gross
$226
SUMMERS COUNTY ARH HOSPITAL
WV
Cash
$136
Gross
$226
FLOYD CHEROKEE MEDICAL CENTER
AL
Cash
$138
Gross
$276
WARNER HOSPITAL AND HEALTH SERVICES
IL
Cash
$139
Gross
—
COFFEE REGIONAL MEDICAL CENTER, INC
GA
Cash
$140
Gross
$206
CHI HEALTH MERCY COUNCIL BLUFFS
IA
Cash
$140
Gross
$334
CHI HEALTH MERCY COUNCIL BLUFFS
IA
Cash
$140
Gross
$334
CHI HEALTH BERGAN MERCY
NE
Cash
$140
Gross
$334
CHI HEALTH BERGAN MERCY
NE
Cash
$140
Gross
$334
CHI HEALTH IMMANUEL
NE
Cash
$140
Gross
$334
CHI HEALTH IMMANUEL
NE
Cash
$140
Gross
$334
CHI HEALTH MIDLANDS
NE
Cash
$140
Gross
$334
CHI HEALTH MIDLANDS
NE
Cash
$140
Gross
$334
CHI HEALTH LAKESIDE
NE
Cash
$140
Gross
$334
CHI HEALTH LAKESIDE
NE
Cash
$140
Gross
$334
JACKSON COUNTY REGIONAL HEALTH CENTER
IA
Cash
$141
Gross
$141
NORTHEASTERN NEVADA REGIONAL HOSPITAL
NV
Cash
$142
Gross
$203
JOHNSON COUNTY HEALTHCARE CENTER
WY
Cash
$142
Gross
$142
LAKE CUMBERLAND REGIONAL HOSPITAL
KY
Cash
$145
Gross
$362
OPTIM MEDICAL CENTER - TATTNALL
GA
Cash
$145
Gross
$145
TWIN COUNTY REGIONAL HOSPITAL
VA
Cash
$147
Gross
$367
SHERIDAN COUNTY HOSPITAL
KS
Cash
$147
Gross
$147
UNITYPOINT HEALTH - MERITER
WI
Cash
$147
Gross
$184
CHI ST ALEXIUS HEALTH DICKINSON
ND
Cash
$147
Gross
$234
CHI ST ALEXIUS HEALTH DICKINSON
ND
Cash
$147
Gross
$234
BLESSING HOSPITAL
IL
Cash
$148
Gross
$246
ILLINI COMMUNITY HOSPITAL
IL
Cash
$148
Gross
$246
RIVER'S EDGE HOSPITAL & CLINIC
MN
Cash
$149
Gross
$186
MARY BRECKINRIDGE ARH HOSPITAL
KY
Cash
$149
Gross
$249
FORT DUNCAN MEDICAL CENTER
TX
Cash
$150
Gross
$375
ST THOMAS MORE HOSPITAL
CO
Cash
$151
Gross
$378
ABRAHAM LINCOLN MEMORIAL HOSPITAL
IL
Cash
$152
Gross
$152
PHYSICIANS CENTRE,THE
TX
Cash
$153
Gross
$153
UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER
MD
Cash
$154
Gross
$154
GLENCOE REGIONAL HEALTH
MN
Cash
$156
Gross
$156
MANATEE MEMORIAL HOSPITAL
FL
Cash
$158
Gross
$394
NORTHWEST TEXAS HOSPITAL
TX
Cash
$158
Gross
$395
KITTSON HEALTHCARE
MN
Cash
$159
Gross
$159
HENDERSON COMMUNITY HOSPITAL
NE
Cash
$160
Gross
$399
VALLEY HOSPITAL MEDICAL CENTER
NV
Cash
$160
Gross
$399
SUMMERLIN HOSPITAL MEDICAL CENTER
NV
Cash
$160
Gross
$399
SPRING VALLEY HOSPITAL MEDICAL CENTER
NV
Cash
$160
Gross
$399
CENTENNIAL HILLS HOSPITAL MEDICAL CENTER
NV
Cash
$160
Gross
$399
HENDERSON HOSPITAL
NV
Cash
$160
Gross
$399
WEST HENDERSON HOSPITAL
NV
Cash
$160
Gross
$399
NOVANT HEALTH FORSYTH MEDICAL CENTER
NC
Cash
$160
Gross
$267
NOVANT HEALTH MEDICAL PARK HOSPITAL
NC
Cash
$160
Gross
$267
THE QUEENS MEDICAL CENTER
HI
Cash
$160
Gross
$229
CHI HEALTH ST. ELIZABETH
NE
Cash
$161
Gross
$322
CHI HEALTH ST. ELIZABETH
NE
Cash
$161
Gross
$322
NOVANT HEALTH THOMASVILLE MEDICAL CENTER
NC
Cash
$162
Gross
$270
SAINT FRANCIS BARTLETT MEDICAL CENTER
TN
Cash
$162
Gross
$216
UNITYPOINT HEALTH - MERITER
WI
Cash
$163
Gross
$204
ST JOHNS HOSPITAL
IL
Cash
$164
Gross
$228
HSHS HOLY FAMILY HOSPITAL INC
IL
Cash
$164
Gross
$228
ST JOSEPH'S HOSPITAL
IL
Cash
$164
Gross
$228
ST VINCENT HOSPITAL
WI
Cash
$164
Gross
$228
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS
TX
Cash
$165
Gross
$206
THE HOSPITALS OF PROVIDENCE HORIZON CITY CAMPUS
TX
Cash
$165
Gross
$206
CALDWELL MEMORIAL HOSPITAL, INC
LA
Cash
$165
Gross
$165
CALDWELL MEMORIAL HOSPITAL
NC
Cash
$165
Gross
$165
ST FRANCIS HOSPITAL
IL
Cash
$166
Gross
$231
HSHS GOOD SHEPHERD HOSPITAL INC
IL
Cash
$166
Gross
$231
GEORGE WASHINGTON UNIV HOSPITAL
DC
Cash
$167
Gross
$418
SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI
TN
Cash
$169
Gross
$578
HUGGINS HOSPITAL
NH
Cash
$172
Gross
$343
MEMORIAL HOSPITAL
TX
Cash
$176
Gross
$352
TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH
TX
Cash
$176
Gross
$352
MEMORIAL HOSPITAL
TX
Cash
$176
Gross
$352
MEMORIAL HOSPITAL
TX
Cash
$176
Gross
$352
GARFIELD COUNTY PUBLIC HOSPITAL DISTRICT #1
WA
Cash
$177
Gross
$221
CASCADE MEDICAL CENTER
WA
Cash
$177
Gross
$221
TRISTAR SUMMIT MEDICAL CENTER
TN
Cash
$179
Gross
$179
HASKELL REGIONAL HOSPITAL, INC
OK
Cash
$179
Gross
$179
LUBBOCK HEART HOSPITAL LP
TX
Cash
$181
Gross
$181
NOVANT HEALTH BRUNSWICK MEDICAL CENTER
NC
Cash
$185
Gross
$369
MARGARETVILLE MEMORIAL HOSPITAL
NY
Cash
$190
Gross
$288
MONROE HOSPITAL
IN
Cash
$194
Gross
$194
PETERSON REGIONAL MEDICAL CENTER
TX
Cash
$196
Gross
$280
METHODIST HOSPITALS INC
IN
Cash
$200
Gross
$285
ST LUKE'S PATIENTS MEDICAL CENTER
TX
Cash
$204
Gross
$584
ST LUKE'S PATIENTS MEDICAL CENTER
TX
Cash
$204
Gross
$584
HIRAM W DAVIS MEDICAL CENTER
VA
Cash
$210
Gross
$210
STONESPRINGS HOSPITAL CENTER
VA
Cash
$210
Gross
$210
GATEWAY REGIONAL MEDICAL CENTER
IL
Cash
$211
Gross
—
COLQUITT REGIONAL MEDICAL CENTER
GA
Cash
$212
Gross
$212
JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY
OK
Cash
$212
Gross
$212
BEEBE MEDICAL CENTER
DE
Cash
$218
Gross
$257
SAN JUAN HOSPITAL
UT
Cash
$220
Gross
$315

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.