HCPCS A9557 · 717 hospitals reporting

Nm-neurolite(bicisate)up to 25

The same procedure costs $85.5 at one hospital and $15,281 at another — a 179× spread for what's billed under the same code. Median: $1,621.

Cheapest published

$85.5

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

Median across 717 hospitals

$1,621

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

Most expensive

$15,281

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

Price distribution

300 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
SAINT PETER'S UNIVERSITY HOSPITAL	NJ	$5,400	$1,620	—	—	5 insurers
UNITED HOSPITAL CENTER, INC	WV	$3,244	$1,622	—	—	5 insurers
SISTERSVILLE GENERAL HOSPITAL	WV	$3,244	$1,622	—	—	5 insurers
SUMMERSVILLE REGIONAL MEDICAL CENTER	WV	$3,244	$1,622	—	—	5 insurers
WETZEL COUNTY HOSPITAL	WV	$3,345	$1,673	—	—	5 insurers
FORT DUNCAN MEDICAL CENTER	TX	$3,897	$1,559	—	—	5 insurers
BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS	NY	$1,692	$1,692	—	—	5 insurers
OKLAHOMA STATE UNIVERSITY MEDICAL CENTER	OK	$15,399	$1,540	—	—	5 insurers
SINAI-GRACE HOSPITAL	MI	$2,286	$1,715	—	—	0 insurers
PARKVIEW DEKALB HOSPITAL	IN	$3,436	$1,718	—	—	0 insurers
PARKVIEW HUNTINGTON HOSPITAL	IN	$3,436	$1,718	—	—	0 insurers
PARKVIEW WHITLEY HOSPITAL	IN	$3,436	$1,718	—	—	0 insurers
PARKVIEW NOBLE HOSPITAL	IN	$3,436	$1,718	—	—	0 insurers
PARKVIEW WABASH HOSPITAL, INC	IN	$3,436	$1,718	—	—	0 insurers
PARKVIEW LAGRANGE HOSPITAL	IN	$3,436	$1,718	—	—	0 insurers
UNITYPOINT HEALTH - MARSHALLTOWN	IA	$2,177	$1,741	—	—	2 insurers
ALLEN HOSPITAL	IA	$2,177	$1,741	—	—	5 insurers
GRUNDY COUNTY MEMORIAL HOSPITAL	IA	$2,177	$1,741	—	—	5 insurers
NORTHWEST TEXAS HOSPITAL	TX	$4,428	$1,771	—	—	5 insurers
MERCY HOSPITAL OF FOLSOM	CA	$3,780	$1,470	$416	$3,100	5 insurers
MERCY HOSPITAL OF FOLSOM	CA	$3,780	$1,470	$339	$11,600	5 insurers
Baylor St Lukes Medical Center	TX	$5,188	$1,816	$300	$4,410	5 insurers
CHI ST LUKES LAKESIDE HOSPITAL	TX	$5,188	$1,816	$393	$4,410	5 insurers
VIRTUA OUR LADY OF LOURDES HOSPITAL	NJ	$18,380	$1,838	—	—	5 insurers
VIRTUA MOUNT HOLLY HOSPITAL	NJ	$18,380	$1,838	—	—	5 insurers
HENDERSON COMMUNITY HOSPITAL	NE	$3,483	$1,393	—	—	5 insurers
VALLEY HOSPITAL MEDICAL CENTER	NV	$3,483	$1,393	—	—	5 insurers
SUMMERLIN HOSPITAL MEDICAL CENTER	NV	$3,483	$1,393	—	—	5 insurers
SPRING VALLEY HOSPITAL MEDICAL CENTER	NV	$3,483	$1,393	—	—	5 insurers
CENTENNIAL HILLS HOSPITAL MEDICAL CENTER	NV	$3,483	$1,393	—	—	5 insurers
HENDERSON HOSPITAL	NV	$3,483	$1,393	—	—	5 insurers
WEST HENDERSON HOSPITAL	NV	$3,483	$1,393	—	—	5 insurers
TRINITY ROCK ISLAND	IL	$2,322	$1,858	—	—	5 insurers
TRINITY - BETTENDORF	IA	$2,322	$1,858	—	—	4 insurers
MEMORIAL HOSPITAL	IL	$3,058	$1,376	—	—	5 insurers
UNM HOSPITAL	NM	$2,501	$1,376	—	—	5 insurers
COMMUNITY HOSPITAL OF HUNTINGTON PARK	CA	$1,871	$1,871	—	—	3 insurers
MEMORIAL HOSPITAL OF GARDENA	CA	$1,871	$1,871	—	—	4 insurers
COAST PLAZA HOSPITAL	CA	$1,871	$1,871	—	—	4 insurers
JENNIE STUART MEDICAL CENTER	KY	$4,400	$1,364	—	—	5 insurers