A healthy newborn's hospital stay (MS-DRG 795) and the pediatrician's first-day (99460) and later-day (99462) visits. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
61 hospitals in 24 markets. National Medicare rate $136.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Austin TX | 2 | — | — | — | $260–$555 |
| Boston MA | 7 | $189 | $220 | $239 | $177–$278 |
| Chicago IL | 5 | $176 | $240 | $240 | $164–$398 |
| Cleveland OH | 3 | — | — | — | $239–$309 |
| Dallas-Fort Worth TX | 2 | — | — | — | $565–$565 |
| Denver CO | 3 | — | — | — | $162–$671 |
| Detroit MI | 7 | $111 | $275 | $464 | $98–$505 |
| Houston TX | 1 | — | — | — | $362–$362 |
| Illinois (statewide) | 1 | — | — | — | $102–$102 |
| Indianapolis IN | 3 | — | — | — | $95–$113 |
| Kansas (statewide) | 1 | — | — | — | $110–$110 |
| Las Vegas NV | 1 | — | — | — | $142–$142 |
| Los Angeles CA | 1 | — | — | — | $488–$488 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $206–$206 |
| Nashville TN | 4 | — | — | — | $72–$173 |
| New York City | 1 | — | — | — | $279–$279 |
| Ohio (statewide) | 1 | — | — | — | $200–$200 |
| Pennsylvania (statewide) | 1 | — | — | — | $451–$451 |
| Philadelphia PA | 2 | — | — | — | $171–$172 |
| Phoenix AZ | 2 | — | — | — | $305–$305 |
| Portland OR | 6 | $376 | $376 | $461 | $376–$489 |
| San Antonio TX | 1 | — | — | — | $336–$336 |
| Seattle-Tacoma WA | 4 | — | — | — | $361–$580 |
| Tampa FL | 1 | — | — | — | $134–$134 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| TriStar StoneCrest Medical Center | Nashville TN | $72 | 0.6× | 1 | 2026-09-01 |
| Hendricks Regional Health | Indianapolis IN | $95 | 0.7× | 6 | 2026-05-20 |
| Henry Ford Health Rochester Hospital | Detroit MI | $98 | 0.7× | 2 | 2026-01-01 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $102 | 0.7× | 4 | 2026-06-03 |
| Mclaren Port Huron | Detroit MI | $103 | 0.8× | 3 | 2025-12-31 |
| Menorah Medical Center | Kansas (statewide) | $110 | 0.9× | 1 | 2026-09-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $113 | 0.8× | 2 | 2026-01-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $113 | 0.8× | 2 | 2026-01-01 |
| Harper University Hospital | Detroit MI | $119 | 0.9× | 2 | 2026-09-02 |
| Morton Plant Hospital | Tampa FL | $134 | 1.0× | 1 | 2026-01-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $142 | 1.0× | 2 | 2026-07-01 |
| Vanderbilt University Medical Center | Nashville TN | $161 | 1.3× | 6 | 2025-10-01 |
| Adventhealth Porter | Denver CO | $162 | 1.2× | 1 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $162 | 1.2× | 1 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $164 | 1.1× | 1 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $171 | 1.3× | 1 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $172 | 1.3× | 1 | 2026-04-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $173 | 1.4× | 1 | 2026-01-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $173 | 1.4× | 1 | 2026-01-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $176 | 1.2× | 1 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $177 | 1.1× | 2 | 2026-04-01 |
| Winchester Hospital | Boston MA | $186 | 1.2× | 1 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $192 | 1.2× | 1 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $200 | 1.5× | 3 | 2026-04-01 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $206 | 1.5× | 3 | 2026-03-31 |
| Anna Jaques Hospital | Boston MA | $220 | 1.4× | 2 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $222 | 1.4× | 1 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $239 | 1.9× | 1 | 2026-06-15 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $240 | 1.7× | 1 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $240 | 1.7× | 1 | 2026-04-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $256 | 1.6× | 1 | 2026-04-01 |
| Ascension Seton Medical Center Austin | Austin TX | $260 | 1.9× | 2 | 2026-01-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $273 | 2.2× | 1 | 2026-06-15 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $275 | 2.1× | 1 | 2026-05-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $278 | 1.7× | 1 | 2026-04-01 |
| Montefiore Medical Center | New York City | $279 | 1.7× | 8 | 2026-04-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $305 | 2.1× | 1 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $305 | 2.1× | 1 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $309 | 2.5× | 1 | 2026-06-15 |
| Methodist Hospital | San Antonio TX | $336 | 2.5× | 1 | 2026-09-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $361 | 2.3× | 4 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $362 | 2.7× | 1 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $376 | 2.5× | 2 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $376 | 2.5× | 2 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $376 | 2.5× | 2 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $376 | 2.5× | 2 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $398 | 2.8× | 1 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $451 | 3.3× | 5 | 2026-07-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $464 | 3.5× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $464 | 3.5× | 1 | 2026-05-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $478 | 3.1× | 4 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $488 | 2.9× | 1 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $489 | 3.3× | 1 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $489 | 3.3× | 1 | 2026-04-01 |
| Corewell Health Dearborn Hospital | Detroit MI | $505 | 3.8× | 1 | 2026-05-01 |
| St David's Medical Center | Austin TX | $555 | 4.1× | 1 | 2026-09-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $560 | 3.6× | 5 | 2026-08-27 |
| Medical City Plano | Dallas-Fort Worth TX | $565 | 4.2× | 1 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $565 | 4.2× | 1 | 2026-09-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $580 | 3.8× | 4 | 2026-08-27 |
| UCHealth University of Colorado Hospital | Denver CO | $671 | 4.8× | 1 | 2025-11-01 |
113 hospitals in 35 markets. National Medicare rate $1,454.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 2 | — | — | — | $2,348–$3,506 |
| Austin TX | 2 | — | — | — | $1,183–$2,679 |
| Boston MA | 7 | $1,776 | $1,848 | $2,060 | $1,501–$2,912 |
| California (statewide) | 1 | — | — | — | $2,500–$2,500 |
| Chicago IL | 7 | $2,310 | $2,576 | $2,924 | $1,898–$3,716 |
| Cleveland OH | 5 | $2,568 | $3,190 | $3,266 | $2,500–$3,938 |
| Columbus OH | 1 | — | — | — | $3,694–$3,694 |
| Dallas-Fort Worth TX | 4 | — | — | — | $3,286–$5,172 |
| Denver CO | 7 | $2,551 | $4,064 | $4,366 | $2,235–$4,525 |
| Detroit MI | 8 | $2,716 | $2,737 | $2,769 | $2,392–$3,266 |
| Florida (statewide) | 1 | — | — | — | $5,796–$5,796 |
| Georgia (statewide) | 1 | — | — | — | $3,932–$3,932 |
| Houston TX | 1 | — | — | — | $3,641–$3,641 |
| Illinois (statewide) | 1 | — | — | — | $1,592–$1,592 |
| Indianapolis IN | 3 | — | — | — | $2,902–$11,436 |
| Kansas (statewide) | 1 | — | — | — | $1,534–$1,534 |
| Las Vegas NV | 1 | — | — | — | $2,211–$2,211 |
| Los Angeles CA | 2 | — | — | — | $3,747–$6,116 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $2,440–$3,399 |
| Minneapolis-St. Paul MN | 6 | $2,774 | $2,948 | $3,058 | $2,226–$3,834 |
| Nashville TN | 4 | — | — | — | $3,333–$5,967 |
| New York City | 2 | — | — | — | $1,964–$11,146 |
| Ohio (statewide) | 1 | — | — | — | $3,495–$3,495 |
| Pennsylvania (statewide) | 1 | — | — | — | $4,109–$4,109 |
| Philadelphia PA | 5 | $3,452 | $3,747 | $4,545 | $3,323–$5,758 |
| Phoenix AZ | 3 | — | — | — | $3,043–$3,267 |
| Pittsburgh PA | 1 | — | — | — | $3,079–$3,079 |
| Portland OR | 6 | $4,986 | $4,986 | $5,054 | $4,904–$5,077 |
| Research Triangle NC | 3 | — | — | — | $1,360–$2,730 |
| Richmond VA | 4 | — | — | — | $1,277–$3,104 |
| Salt Lake City UT | 3 | — | — | — | $3,604–$3,790 |
| San Antonio TX | 1 | — | — | — | $2,602–$2,602 |
| Seattle-Tacoma WA | 6 | $4,609 | $4,609 | $4,609 | $3,936–$5,590 |
| Tampa FL | 4 | — | — | — | $4,038–$4,749 |
| Washington DC | 6 | $3,007 | $3,920 | $4,315 | $2,378–$4,472 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension Seton Medical Center Austin | Austin TX | $1,183 | 0.8× | 2 | 2026-01-01 |
| Bon Secours St. Mary's Hospital | Richmond VA | $1,277 | 0.9× | 5 | 2026-04-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $1,360 | 1.0× | 1 | 2026-02-25 |
| Anna Jaques Hospital | Boston MA | $1,501 | 0.9× | 1 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $1,534 | 1.1× | 3 | 2026-09-01 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $1,592 | 1.0× | 1 | 2026-06-03 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $1,703 | 1.0× | 1 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $1,848 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital | Boston MA | $1,848 | 1.1× | 1 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $1,898 | 1.2× | 3 | 2026-04-01 |
| Montefiore Medical Center | New York City | $1,964 | 1.1× | 1 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $1,990 | 1.1× | 2 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $2,007 | 1.4× | 3 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $2,044 | 1.5× | 3 | 2026-09-01 |
| Duke Regional Hospital | Research Triangle NC | $2,113 | 1.5× | 1 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $2,130 | 1.2× | 3 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $2,190 | 1.4× | 3 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $2,211 | 1.5× | 2 | 2026-07-01 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $2,226 | 1.5× | 2 | 2026-03-31 |
| HCA HealthONE Sky Ridge | Denver CO | $2,235 | 1.5× | 3 | 2026-09-01 |
| Piedmont Atlanta Hospital | Atlanta GA | $2,348 | 1.6× | 2 | 2026-07-01 |
| Reston Hospital Center | Washington DC | $2,378 | 1.6× | 3 | 2026-09-01 |
| Mclaren Port Huron | Detroit MI | $2,392 | 1.7× | 1 | 2025-12-31 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $2,429 | 1.6× | 3 | 2026-04-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $2,440 | 1.6× | 4 | 2026-06-15 |
| Hca Healthone Rose | Denver CO | $2,489 | 1.6× | 3 | 2026-09-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $2,500 | 1.3× | 2 | 2026-09-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $2,500 | 1.9× | 2 | 2026-06-15 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $2,568 | 1.9× | 3 | 2026-07-14 |
| Loyola University Medical Center | Chicago IL | $2,576 | 1.7× | 3 | 2026-03-31 |
| Methodist Hospital | San Antonio TX | $2,602 | 1.8× | 2 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $2,613 | 1.7× | 3 | 2026-09-01 |
| St David's Medical Center | Austin TX | $2,679 | 1.9× | 3 | 2026-09-01 |
| Corewell Health Dearborn Hospital | Detroit MI | $2,687 | 1.9× | 2 | 2026-05-01 |
| Trinity Health Oakland Hospital | Detroit MI | $2,726 | 1.9× | 17 | 2026-03-31 |
| Duke University Hospital | Research Triangle NC | $2,730 | 1.9× | 1 | 2026-04-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $2,737 | 1.9× | 3 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $2,737 | 1.9× | 3 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $2,737 | 1.9× | 3 | 2026-05-01 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $2,752 | 1.8× | 3 | 2026-06-16 |
| Endeavor Health Evanston Hospital | Chicago IL | $2,789 | 1.8× | 3 | 2026-04-01 |
| Stonesprings Hospital Center | Washington DC | $2,798 | 1.9× | 3 | 2026-09-01 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $2,838 | 1.9× | 5 | 2026-06-16 |
| Henry Ford Health Rochester Hospital | Detroit MI | $2,864 | 2.0× | 1 | 2026-01-01 |
| Hendricks Regional Health | Indianapolis IN | $2,902 | 1.9× | 3 | 2026-05-20 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $2,912 | 1.7× | 4 | 2026-04-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $3,043 | 2.0× | 4 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $3,043 | 2.0× | 4 | 2026-04-01 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $3,058 | 2.0× | 4 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $3,058 | 2.0× | 4 | 2026-06-16 |
| Rush University Medical Center | Chicago IL | $3,060 | 2.0× | 4 | 2026-09-25 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $3,079 | 2.2× | 1 | 2026-03-06 |
| VCU Medical Center | Richmond VA | $3,104 | 2.2× | 1 | 2026-01-02 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $3,190 | 2.4× | 4 | 2026-06-15 |
| Harper University Hospital | Detroit MI | $3,266 | 2.3× | 1 | 2026-09-02 |
| Medina Hospital | Cleveland OH | $3,266 | 2.4× | 3 | 2026-06-15 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $3,267 | 2.1× | 3 | 2026-04-01 |
| Medical City Plano | Dallas-Fort Worth TX | $3,286 | 2.3× | 3 | 2026-09-01 |
| Riddle Memorial Hospital | Philadelphia PA | $3,323 | 2.3× | 4 | 2026-04-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $3,328 | 2.3× | 3 | 2026-09-01 |
| Vanderbilt University Medical Center | Nashville TN | $3,333 | 2.5× | 5 | 2025-10-01 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $3,399 | 2.3× | 3 | 2026-03-13 |
| Bryn Mawr Hospital | Philadelphia PA | $3,452 | 2.4× | 4 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $3,495 | 2.5× | 5 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $3,506 | 2.5× | 4 | 2026-04-01 |
| Lds Hospital | Salt Lake City UT | $3,604 | 2.5× | 2 | 2026-08-05 |
| George Washington Univ Hospital | Washington DC | $3,633 | 2.1× | 3 | 2026-09-01 |
| Houston Methodist Hospital | Houston TX | $3,641 | 2.5× | 1 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $3,671 | 2.7× | 4 | 2026-09-01 |
| Ohio State University Hospitals | Columbus OH | $3,694 | 2.7× | 2 | 2026-07-01 |
| University of Chicago Medical Center | Chicago IL | $3,716 | 2.4× | 5 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $3,747 | 2.0× | 1 | 2025-11-26 |
| Jefferson Stratford Hospital | Philadelphia PA | $3,747 | 2.3× | 5 | 2026-09-15 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $3,790 | 2.6× | 2 | 2026-08-05 |
| Mckay-Dee Hospital | Salt Lake City UT | $3,790 | 2.6× | 2 | 2026-08-05 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $3,834 | 2.6× | 1 | 2026-03-31 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $3,932 | 3.2× | 3 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $3,936 | 2.4× | 6 | 2026-04-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $3,938 | 2.9× | 2 | 2026-06-16 |
| Tampa General Hospital | Tampa FL | $4,038 | 2.7× | 4 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $4,064 | 2.7× | 2 | 2026-09-01 |
| Morton Plant Hospital | Tampa FL | $4,088 | 2.8× | 3 | 2026-01-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $4,109 | 2.8× | 6 | 2026-07-01 |
| UCHealth University of Colorado Hospital | Denver CO | $4,206 | 2.8× | 6 | 2025-11-01 |
| Medstar Washington Hospital Center | Washington DC | $4,207 | 2.5× | 5 | 2026-04-01 |
| Adventhealth Tampa | Tampa FL | $4,318 | 2.9× | 4 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $4,351 | 3.0× | 2 | 2026-04-01 |
| Medstar Georgetown University Hospital | Washington DC | $4,472 | 2.6× | 4 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $4,525 | 3.0× | 1 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $4,525 | 3.0× | 1 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $4,545 | 3.1× | 5 | 2026-09-15 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $4,588 | 3.2× | 2 | 2026-06-29 |
| St Clare Hospital | Seattle-Tacoma WA | $4,609 | 2.7× | 5 | 2026-02-28 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $4,609 | 2.7× | 5 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $4,609 | 2.7× | 5 | 2026-08-27 |
| St Anthony Hospital | Seattle-Tacoma WA | $4,609 | 2.7× | 5 | 2026-02-28 |
| Adventhealth Carrollwood | Tampa FL | $4,749 | 3.2× | 4 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $4,904 | 3.1× | 4 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $4,986 | 3.1× | 4 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $4,986 | 3.1× | 4 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $4,986 | 3.1× | 4 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $5,077 | 3.2× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $5,077 | 3.2× | 3 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $5,172 | 3.6× | 1 | 2026-04-21 |
| Swedish Medical Center | Seattle-Tacoma WA | $5,590 | 3.3× | 5 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $5,758 | 3.6× | 2 | 2026-03-24 |
| Orlando Health Orlando Regional Medical Center | Florida (statewide) | $5,796 | 3.9× | 4 | 2026-04-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $5,967 | 4.4× | 3 | 2026-01-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $5,967 | 4.4× | 3 | 2026-01-01 |
| Keck Hospital Of Usc | Los Angeles CA | $6,116 | 3.3× | 7 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $11,146 | 6.2× | 7 | 2026-01-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $11,436 | 7.6× | 2 | 2026-01-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $11,436 | 7.6× | 2 | 2026-01-01 |
Across 61 hospitals in 24 metro areas that post a usable dollar rate, the median commercial rate for CPT 99460, hospital outpatient is $256, 1.7× the same hospital's local Medicare base rate. The middle half of hospitals runs $171 to $376. Figures are each hospital's median across insurers, from its federal price-transparency file.
Medicare's national hospital outpatient rate for CPT 99460 is $136, before local wage adjustment.
Lowest medians: TriStar StoneCrest Medical Center ($72), Hendricks Regional Health ($95), Henry Ford Health Rochester Hospital ($98). Highest: UCHealth University of Colorado Hospital ($671), Multicare Good Samaritan Hospital ($580), Medical City Mckinney ($565). Coverage is limited to the markets listed on this page.