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National Hospital Price Report

What U.S. hospitals actually charge for shoppable care — drawn from 2,345 hospitals' machine-readable files. Figures are medians with robust 10th–90th-percentile ranges across hospitals.

The same procedure, wildly different prices

The biggest story in hospital pricing is the spread. For these procedures, the negotiated price at a pricier hospital is many times what a cheaper one charges — for the same service.

ProcedureTypical range (10th–90th pct)MedianHospitals
Allergy Skin Testing$6$1,535$8931,150
Anesthesia for Screening Colonoscopy$14$918$66254
Anesthesia for Upper Endoscopy$14$870$70256
IUD Insertion$86$3,648$3861,648
Skin Lesion Removal (Benign, up to 0.5 cm)$174$3,405$1,6591,931
Urinalysis with Microscopy$3$61$62,247
Newborn Circumcision$247$4,445$2,1181,749
Tonsillectomy and Adenoidectomy (Under Age 12)$516$9,011$5,8581,487
Sinus Surgery (Endoscopic, with Tissue Removal)$667$11,207$6,9761,396
Comprehensive Metabolic Panel$11$177$202,290

Cash can beat the list price

The “gross” charge is the hospital's list price; the cash price is what many will accept from a self-pay patient. For these procedures the cash price is a fraction of the list price.

ProcedureCash (median)Gross / list (median)
Emergency Room Visit (Level 3)$651$1,285
MRI Brain without Contrast$1,716$3,345
Group Therapy Session$144$280
Colonoscopy with Biopsy$1,674$3,227
Bone Marrow Biopsy$1,532$2,939
Pacemaker Insertion (Dual Chamber)$13,251$25,389
Cataract Surgery with Lens Implant$3,000$5,719
MRI Lower Back (Lumbar Spine) without Contrast$1,789$3,380

The most expensive shoppable procedures

ProcedureMedian negotiatedHospitals
Cardiac Ablation for Atrial Fibrillation$26,0481,492
Lumbar Spinal Fusion (Posterior)$17,2701,372
Total Hip Replacement$13,0241,638
Total Knee Replacement$13,0221,665
Cervical Spinal Fusion (Anterior)$12,8501,432
Coronary Angioplasty with Stent$12,3501,612
Pacemaker Insertion (Dual Chamber)$11,2091,734
ACL Reconstruction (Arthroscopic)$7,3741,595

Medians and percentiles are computed across each hospital's representative facility price, from its latest machine-readable file. See methodology for how prices are derived.

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Hospital price reports by state

Drill into any state for its own price swings, cash-vs-list savings, and priciest procedures.

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