Hospital price data · October 2026 files

Hospital prices swing about 7x from state to state. See where yours falls.

For the typical common procedure, the state with the highest median hospital cash price is about 7x the state with the lowest (states with 10+ hospitals publishing the code). Pick a procedure to see the map, then click your state.

Procedure

Exact service (CPT code)

Price type

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Source: CostKits Hospital Price Atlas, hospital price files, October 2026. Published prices, not what you will pay.

Want the hospital-by-hospital spread? Open the Hospital Price Variability Explorer or the Cash vs. Insurance Explorer. Does your hospital publish usable prices? Look it up. Have a question? Ask the data.

Get the Hospital Price Spread Report (free PDF)

The price gaps behind these pages for 20 common procedures, the states at both ends, and the questions to ask before you book.

The biggest gaps between hospitals, with real numbers
How cash and insured prices compare
A short script for asking for a price in advance

States in this view

State		Versus U.S. median	Hospitals

Click a row to select that state on the map. A state's price is the median of its hospitals' published prices, one price per hospital. States with 3 to 9 hospitals are marked as small samples. See a wrong or missing price? Email hello@costkits.com with the hospital and code and we will check it against the source file.

The highest and lowest-priced states for 64 common procedures

For each procedure, the states with the highest and lowest median hospital cash price, and the gap between them. Only states with at least 10 hospitals publishing the code are ranked. Select a name to open it on the map.

Highest and lowest-priced states by procedure
Procedure	Gap, highest ÷ lowest state	Highest-priced state (median cash)	Lowest-priced state (median cash)	U.S. median cash price	States ranked
Sinus surgery CPT 31256: Sinus surgery, maxillary opening	41x	Ohio $13,774	Oregon $338	$2,624	25	By state
Spinal fusion CPT 22551: Neck spinal fusion, front approach, with disc removal	31x	Virginia $43,146	Pennsylvania $1,380	$8,533	24	By state
Knee replacement CPT 27447: Total knee replacement	20x	Ohio $37,685	Maine $1,892	$8,511	37	By state
Ear tubes CPT 69436: Ear tube insertion under anesthesia	20x	Ohio $6,536	Oklahoma $334	$2,028	32	By state
ACL surgery CPT 29888: ACL knee ligament reconstruction, arthroscopic	19x	Ohio $31,594	New Hampshire $1,666	$7,411	36	By state
Eye injection CPT 67028: Injection into the eye	19x	New Jersey $2,264	Indiana $120	$560	27	By state
CT scan, head CPT 70470: CT scan of the head, without then with contrast	19x	Florida $4,408	Maryland $236	$1,724	48	By state
Hysterectomy CPT 58552: Laparoscopic-assisted vaginal hysterectomy, with ovary and tube removal	18x	Florida $28,151	Indiana $1,533	$6,702	30	By state
Tonsillectomy CPT 42826: Tonsil removal only, age 12 and up	18x	Georgia $9,791	Oklahoma $538	$3,277	29	By state
Bunion surgery CPT 28296: Bunion surgery with bone cut near the toe end	18x	Virginia $17,964	Maine $999	$3,550	36	By state
Hip replacement CPT 27130: Total hip replacement	18x	Ohio $40,992	New Hampshire $2,308	$8,422	35	By state
CT scan (all) CPT 71260: CT scan of the chest, with contrast	17x	Florida $4,240	Maryland $244	$1,573	48	By state
CT scan, chest CPT 71260: CT scan of the chest, with contrast	17x	Florida $4,240	Maryland $244	$1,573	48	By state
CT scan, abdomen CPT 74160: CT scan of the abdomen, with contrast	16x	Florida $3,984	Maryland $248	$1,626	48	By state
Hernia repair CPT 49505: Inguinal hernia repair, open (age 5 and up)	15x	Virginia $14,182	Oregon $969	$4,059	41	By state
D&C CPT 58120: Dilation and curettage (D&C)	15x	Idaho $6,603	New Hampshire $455	$3,132	40	By state
Appendectomy CPT 44970: Appendix removal, laparoscopic	15x	Virginia $15,207	New Hampshire $1,048	$4,395	39	By state
Rotator cuff surgery CPT 29827: Rotator cuff repair, arthroscopic	14x	Ohio $25,876	New Hampshire $1,807	$5,624	36	By state
Cholecystectomy CPT 47562: Gallbladder removal, laparoscopic	13x	Ohio $15,232	Oklahoma $1,152	$5,695	40	By state
Deviated septum surgery CPT 30520: Deviated septum repair (septoplasty)	13x	Ohio $17,160	Oregon $1,298	$3,544	32	By state
Knee arthroscopy CPT 29881: Knee arthroscopy, meniscus removal (one side)	13x	Ohio $12,514	Maine $961	$3,821	39	By state
Ovarian cyst removal CPT 58661: Laparoscopic removal of ovaries, tubes or ovarian mass	12x	Virginia $15,074	Oregon $1,227	$5,682	36	By state
Prostate biopsy CPT 55700: Prostate biopsy, needle	12x	Florida $5,220	Oregon $438	$2,267	37	By state
Hysteroscopy CPT 58558: Hysteroscopy with biopsy or polyp removal	11x	Georgia $8,661	Maine $757	$3,762	37	By state
Carpal tunnel surgery CPT 64721: Carpal tunnel release, open	10x	Virginia $7,292	Maine $712	$2,573	40	By state
Childbirth CPT 59409: Vaginal delivery only	10.0x	Idaho $8,592	Tennessee $861	$2,760	45	By state
Treadmill stress test CPT 93017: Treadmill stress test, tracing only	9.3x	Florida $1,794	Maryland $192	$820	47	By state
Vasectomy CPT 55250: Vasectomy	8.8x	Florida $4,616	Indiana $525	$1,880	38	By state
Cystoscopy CPT 52000: Cystoscopy (bladder scope)	8.7x	Nevada $3,011	New Hampshire $347	$1,177	45	By state
Knee MRI CPT 73721: MRI of a leg joint (knee, hip or ankle), no contrast	8.1x	South Dakota $3,734	New Jersey $460	$1,902	47	By state
Metabolic panel CPT 80053: Comprehensive metabolic panel (blood test)	8.0x	California $255	New Jersey $32	$125	48	By state
Echocardiogram CPT 93306: Echocardiogram, complete with Doppler	7.2x	California $2,688	Maryland $372	$1,624	47	By state
Brain MRI CPT 70551: MRI of the brain, no contrast	6.7x	South Dakota $3,648	Maryland $546	$1,869	47	By state
MRI (all body parts) CPT 70551: MRI of the brain, no contrast	6.7x	South Dakota $3,648	Maryland $546	$1,869	47	By state
Hearing test CPT 92552: Hearing test, pure-tone	6.6x	Maryland $236	Kentucky $36	$108	39	By state
Ultrasound CPT 76705: Abdominal ultrasound, limited	6.1x	Florida $1,072	New Jersey $177	$522	48	By state
Facet injection CPT 64493: Facet joint injection, lower back (imaging guided)	6.1x	Utah $2,753	Vermont $455	$1,579	46	By state
PET scan CPT 78815: PET/CT scan, skull base to mid-thigh	5.8x	South Dakota $10,514	Arkansas $1,800	$4,711	42	By state
YAG laser surgery CPT 66821: YAG laser after cataract surgery	5.8x	California $2,452	Georgia $424	$984	27	By state
Pacemaker surgery CPT 33208: Pacemaker insertion, both chambers	5.7x	South Carolina $30,650	West Virginia $5,408	$14,320	38	By state
Mammogram CPT 77067: Screening mammogram, both breasts	5.6x	Maryland $762	Mississippi $137	$281	47	By state
Emergency room visit CPT 99285: ER visit, level 5 (most serious)	5.5x	California $3,614	Maine $658	$1,501	47	By state
Colonoscopy CPT 45378: Colonoscopy, exam only	5.4x	Connecticut $3,100	Michigan $569	$1,616	45	By state
Epidural injection CPT 62323: Lower-back epidural steroid injection (imaging guided)	5.3x	Connecticut $3,005	Montana $562	$1,370	46	By state
Physical therapy CPT 97161: Physical therapy evaluation, low complexity	5.3x	Maryland $615	Tennessee $116	$209	48	By state
Blood count (CBC) CPT 85027: Complete blood count (CBC), automated	5.3x	South Dakota $108	New Jersey $20	$54	48	By state
IV infusion CPT 96365: IV infusion for therapy, first hour	5.2x	Maryland $868	Tennessee $166	$406	47	By state
Home sleep test CPT 95806: Home sleep apnea test	5.0x	Connecticut $829	Oregon $165	$513	42	By state
Sleep study CPT 95810: Overnight sleep study in a lab (age 6 and up)	5.0x	Florida $5,732	Oregon $1,143	$3,016	45	By state
Cortisone shot CPT 20610: Joint injection or draw, large joint like knee or shoulder (no ultrasound)	4.9x	California $956	New Hampshire $194	$482	47	By state
Glaucoma laser CPT 65855: Laser treatment for glaucoma	4.7x	New Jersey $1,704	Oklahoma $366	$940	21	By state
X-ray (all) CPT 71046: Chest X-ray, 2 views	4.5x	Florida $531	New Jersey $117	$257	48	By state
Endoscopy CPT 43235: Upper endoscopy (EGD), exam only	4.4x	Ohio $2,599	Michigan $585	$1,491	44	By state
Chemo infusion CPT 96413: Chemotherapy infusion, first hour	4.2x	California $1,103	Tennessee $260	$630	47	By state
Cholesterol test CPT 80061: Cholesterol panel (lipid blood test)	4.1x	South Dakota $185	New Jersey $45	$92	48	By state
Cataract surgery CPT 66984: Standard cataract surgery with lens implant	4.1x	Georgia $6,948	Michigan $1,709	$3,000	31	By state
Thyroid test CPT 84443: Thyroid (TSH) blood test	4.0x	Texas $162	Maryland $40	$97	48	By state
Breast biopsy CPT 19083: Breast biopsy, ultrasound guided (first lesion)	4.0x	Connecticut $4,127	Arkansas $1,030	$2,389	47	By state
Nuclear stress test CPT 78452: Nuclear heart stress test, multiple studies	4.0x	Florida $6,139	New Jersey $1,542	$3,263	47	By state
Bone density test CPT 77080: Bone density scan (DXA)	3.8x	Florida $681	Tennessee $178	$364	47	By state
Doppler ultrasound CPT 93970: Leg vein ultrasound, both legs	3.8x	California $1,627	New Jersey $430	$960	48	By state
A1C blood test CPT 83036: Hemoglobin A1c (blood sugar) test	3.8x	Alaska $124	New Jersey $33	$64	48	By state
Heart catheterization CPT 93458: Heart artery imaging with left heart catheterization	3.6x	Texas $14,654	Minnesota $4,066	$9,178	39	By state
Lung function test CPT 94010: Spirometry (breathing test)	2.9x	Massachusetts $391	Mississippi $137	$242	47	By state

How to read this

Each tile is a state. Its color shows how that state's median hospital price compares with the median for all hospitals in the data: amber is higher, blue is lower. Hospitals in the state are counted once each, so a state with a few large systems and a state with many small hospitals are treated alike. Click a state to see its numbers and open the matching state cost page.

What this does and does not tell you

A state's median says little about any one hospital in it. Prices inside a state often vary more than the gap between states. Use the Variability Explorer to see the spread.
Gray tiles mean fewer than 3 hospitals publish the code, which is missing data, not a low price. Dashed tiles have 3 to 9 hospitals and are a small sample.
These are published prices, not what you will pay. The insurer rate is the total a plan and you share, and a listed rate is not necessarily your plan's rate.
A facility price may leave out separate bills, such as a radiologist's reading.

Common questions

Which state has the most expensive hospital prices?

It depends on the procedure. Among 64 common procedures, the state with the highest median hospital cash price is most often Florida (13), Ohio (10), California (7), and the state with the lowest is most often Maryland (9), New Jersey (9), New Hampshire (7) (the number of procedures is in brackets). No state is highest or lowest for every procedure, and a state's median says little about any one hospital in it.

How much do hospital prices differ from state to state?

For the typical common procedure, the state with the highest median cash price is about 7.0x the lowest, across states with at least 10 hospitals publishing that code. The range runs from 2.9x for the most even procedure to 41x for the most uneven.

Does a high-priced state mean every hospital there charges more?

No. Prices inside a state often vary more than the gap between states. A state median is the middle hospital, so a high-median state still has lower-priced hospitals. Use the Hospital Price Variability Explorer to see the spread among a state's hospitals.

Why are some states gray on the map?

Gray means fewer than 3 hospitals in that state publish a price for the selected code, so no price is shown. That is missing data, not a low price. States with 3 to 9 hospitals are drawn with a dashed outline as a small sample and are left out of the highest and lowest rankings.

What do the colors on the map show?

Each state is shaded by its median hospital price compared with the median across all hospitals in the data for that code. Amber is higher, blue is lower. The price is the median of each hospital's own published price for that exact CPT code.

Where do these hospital prices come from?

Federal rules require hospitals to post a machine-readable file listing cash prices and the rates negotiated with each insurer. CostKits reads those files every month and matches each price to a standard procedure (CPT) code. This page uses the October 2026 files. See the methodology page for how prices are cleaned. These are published prices, not what you will pay.

Data: hospital price transparency files, October 2026, processed by CostKits. Full methodology. Questions: hello@costkits.com. See also the procedure cost pages for state-by-state prices.