Permanent ingrown nail removal cost in Pennsylvania
In Pennsylvania, 97 hospitals publish a cash price for permanent removal of a nail and nail root (partial or complete): from $94.80 to $6,778.84, with a median of $834.00. The lowest price is at UPMC Cole (Coudersport). The highest price is 71.5× the lowest.
- The median here, $834.00, is 45% above the US median of $576.00.
- That is 2.0× Medicare's 2026 national rate for the same service ($415.32).
- Pennsylvania ranks 39th of 49 states by median, cheapest first.
- 8 of 97 hospitals list a cash price equal to their full list price, with no self-pay discount.
Outpatient cash prices, one line per hospital — its lowest listed price for code 11750. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 11, 2026. See them on a map
Lowest$94.80UPMC Cole
Median$834.00half of hospitals charge less
Highest$6,778.84in Pennsylvania
Lowest saves$739.20vs the median
Hospitals in Pennsylvania, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| UPMC Cole lowest Coudersport · Coudersport, PA EXC NAIL/NAIL MATRIX-PERMANENT | $94.80 | $158.00 | Mar 6, 2026 source file |
| Penn Highlands Brookville Brookville · Brookville, PA Q-CARE NAIL EXCISION PERM REMOVL | $189.00 | $189.00 | Apr 1, 2026 source file |
| Penn Highlands Clearfield Clearfield · DuBois, PA Q-CARE NAIL EXCISION PERM REMOVL | $189.00 | $189.00 | Apr 1, 2026 source file |
| Penn Highlands Dubois DuBois · DuBois, PA Q-CARE NAIL EXCISION PERM REMOVL | $189.00 | $189.00 | Apr 1, 2026 source file |
| Penn Highlands Elk Saint Marys · St. Marys, PA Q-CARE NAIL EXCISION PERM REMOVL | $189.00 | $189.00 | Apr 1, 2026 source file |
| Penn Highlands Huntingdon Huntingdon · Huntingdon, PA Q-CARE NAIL EXCISION PERM REMOVL | $189.00 | $189.00 | Apr 1, 2026 source file |
| Penn Highlands Tyrone Tyrone · Altoona, PA Q-CARE NAIL EXCISION PERM REMOVL | $189.00 | $189.00 | Apr 1, 2026 source file |
| Robert Packer Hospital Sayre · Sayre, PA Exc Nail Part/Compl Perm | $351.04 | $438.80 | Mar 31, 2026 source file |
| Robert Packer Hospital, Towanda Campus Towanda · Sayre, PA Exc Nail Part/Compl Perm | $351.04 | $438.80 | Mar 31, 2026 source file |
| Troy Community Hospital Troy · Sayre, PA Exc Nail Part/Compl Perm | $351.04 | $438.80 | Mar 31, 2026 source file |
| Lower Bucks Hospital Bristol · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Hc Removal Of Nail Bed | $399.00 | $1,602.81 | Sep 1, 2026 source file |
| Roxborough Memorial Hospital Philadelphia · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Hc Removal Of Nail Bed | $415.00 | $1,148.00 | Sep 1, 2026 source file |
| Lankenau Medical Center Wynnewood · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Hc Excision Of Nail And Matrix | $479.60 | $1,199.00 | Apr 1, 2026 source file |
| Paoli Hospital Paoli · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Hc Excision Of Nail And Matrix | $479.60 | $1,199.00 | Apr 1, 2026 source file |
| Riddle Memorial Hospital Media · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Hc Excision Of Nail And Matrix | $479.60 | $1,199.00 | Apr 1, 2026 source file |
| The Bryn Mawr Hospital Bryn Mawr · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Hc Excision Of Nail And Matrix | $479.60 | $1,199.00 | Apr 1, 2026 source file |
| UPMC Carlisle Carlisle · Harrisburg-Carlisle, PA HC EXC NAIL&MATRX PT/CMP PERM REM | $484.80 | $808.00 | Mar 6, 2026 source file |
| UPMC Hanover Hanover · York-Hanover, PA HC EXC NAIL&MATRX PT/CMP PERM REM | $484.80 | $808.00 | Mar 6, 2026 source file |
| UPMC Lititz Lititz · Lancaster, PA HC EXC NAIL&MATRX PT/CMP PERM REM | $484.80 | $808.00 | Mar 6, 2026 source file |
| UPMC Memorial York · York-Hanover, PA HC EXC NAIL&MATRX PT/CMP PERM REM | $484.80 | $808.00 | Oct 28, 2026 source file |
| UPMC Pinnacle Hospitals Harrisburg · Harrisburg-Carlisle, PA HC EXC NAIL&MATRX PT/CMP PERM REM | $484.80 | $808.00 | Mar 6, 2026 source file |
| UPMC Somerset Somerset · Somerset, PA HC EXC NAIL&MATRX PT/CMP PERM REM | $484.80 | $808.00 | Mar 6, 2026 source file |
| Clarion Hospital Clarion · Clarion, PA Excision Nail Permanent T3 | $486.08 | $868.00 | Jan 1, 2026 source file |
| Conemaugh Memorial Medical Center Johnstown · Johnstown, PA Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal | $496.80 | $1,242.00 | Apr 15, 2026 source file |
| Excela Health - Frick Hospital Mt Plesant · Pittsburgh, PA 11750/EXCISION OF NAIL | $501.60 | $836.00 | Dec 17, 2025 source file |
| Excela Health Latrobe Hospital Latrobe · Pittsburgh, PA 11750/EXCISION OF NAIL | $501.60 | $836.00 | Dec 17, 2025 source file |
| Excela Health Westmoreland Regional Hospital Greeensburg · Pittsburgh, PA WC-EXCISION OF NAIL/NAIL MATRIX | $501.60 | $836.00 | Dec 17, 2025 source file |
| Wayne Memorial Hospital Honesdale · Honesdale, PA EXC NAIL MATRIX PERM REMOVAL | $505.40 | $722.00 | Sep 16, 2026 source file |
| Indiana Regional Medical Center Indiana · Indiana, PA Excision of Nail and Matrix | $507.24 | $1,409.00 | Feb 24, 2026 source file |
| Uniontown Hospital Uniontown · Pittsburgh, PA REMOVAL OF NAIL BED | $546.50 | $1,093.00 | Jul 9, 2026 source file |
| Titusville Area Hospital Titusville · Oil City, PA REMOVAL OF NAIL BED | $562.80 | $938.00 | Sep 11, 2026 source file |
| Armstrong County Memorial Hospital Kittanning · Pittsburgh, PA EXCISION OF NAIL/NAIL MATRIX | $568.50 | $1,895.00 | Mar 2, 2026 source file |
| Millcreek Medical Center Erie · Erie, PA EXCISION OF NAIL;FOR PERM REM | $577.00 | $1,154.00 | May 8, 2026 source file |
| Butler Memorial Hospital Butler · Pittsburgh, PA Excision Nail Permanent T4 | $607.60 | $868.00 | Jan 1, 2026 source file |
| Penn State Health Holy Spirit Medical Center Camp Hill · Harrisburg-Carlisle, PA 11750 Excision Nail Matrix Tech | $620.42 | $2,597.00 | Mar 27, 2026 source file |
| UPMC Kane Kane · Bradford, PA EXCISION-NAIL | $658.80 | $1,098.00 | Mar 6, 2026 source file |
| St Joseph Regional Health Network Reading · Reading, PA 11750 Excision Nail Matrix | $675.48 | $2,597.00 | Mar 27, 2026 source file |
| UPMC Jameson New Castle · Pittsburgh, PA EXCISION NAIL COMP/PART | $685.80 | $1,143.00 | Mar 6, 2026 source file |
| Punxsutawney Area Hospital Punxsutawney · Punxsutawney, PA EXCISION OF NAIL AND NAIL MATR | $709.20 | $1,970.00 | Mar 2, 2026 source file |
| Penn State Health Lancaster Medical Center Lancaster · Lancaster, PA 11750 REMOVAL OF NAIL BED Tech | $752.87 | $2,597.00 | Mar 27, 2026 source file |
| UPMC Altoona Altoona · Altoona, PA EXCISION NAIL COMP/PART | $788.40 | $1,314.00 | Mar 6, 2026 source file |
| Chambersburg Hospital Chambersburg · Chambersburg, PA Permanent Removal Fingernail or Toenail | $796.00 | $995.00 | Jan 1, 2026 source file |
| Ephrata Community Hospital Ephrata · Lancaster, PA Permanent Removal Fingernail or Toenail | $796.00 | $995.00 | Jan 1, 2026 source file |
| Gettysburg Hospital Gettysburg · Gettysburg, PA Permanent Removal Fingernail or Toenail | $796.00 | $995.00 | Jan 1, 2026 source file |
| Good Samaritan Hospital Lebanon · Lebanon, PA Permanent Removal Fingernail or Toenail | $796.00 | $995.00 | Jan 1, 2026 source file |
| Waynesboro Hospital Waynesboro · Chambersburg, PA Permanent Removal Fingernail or Toenail | $796.00 | $995.00 | Jan 1, 2026 source file |
| York Hospital York · York-Hanover, PA Permanent Removal Fingernail or Toenail | $796.00 | $995.00 | Jan 1, 2026 source file |
| Penn State Health Hampden Medical Center Enola · Harrisburg-Carlisle, PA 11750 REMOVAL OF NAIL BED Tech | $817.28 | $2,597.00 | Mar 27, 2026 source file |
| UPMC Bedford Everett · Everett, PA EXCISION NAIL COMP/PART | $834.00 | $1,390.00 | — source file |
| Mount Nittany Health State College · State College, PA REMOVAL OF NAIL BED | $856.80 | $1,904.00 | Jan 1, 2026 source file |
| Penn State Health Milton S. Hershey Medical Center Hershey · Harrisburg-Carlisle, PA NAIL EXCISION | $860.39 | $2,597.00 | Mar 27, 2026 source file |
| UPMC Mercy Pittsburgh · Pittsburgh, PA EXCISION NAIL COMP/PART | $945.60 | $1,576.00 | Mar 6, 2026 source file |
| Sharon Regional Medical Center Sharon · Hermitage, PA REMOVAL OF NAIL BED | $958.79 | $958.79 | Jul 4, 2024 source file |
| UPMC Passavant - McCandless Pittsburgh · Pittsburgh, PA HC EXCISION NAIL COMP/PART | $1,008.00 | $1,680.00 | Mar 7, 2026 source file |
| Geisinger St Luke's Hospital - Orwigsburg Campus Orwigsburg · Pottsville, PA HB REMOVAL OF NAIL BED | $1,069.20 | $1,188.00 | Feb 26, 2026 source file |
| St Luke's Hospital - Miners Campus Coaldale · Pottsville, PA HB REMOVAL OF NAIL BED | $1,069.20 | $1,188.00 | Feb 27, 2026 source file |
| Allegheny Valley Hospital Natrona Heights · Pittsburgh, PA HC EXCISN NAIL BED PARTL/COMPLT | $1,107.26 | $1,438.00 | Oct 28, 2026 source file |
| Canonsburg General Hospital Canonsburg · Pittsburgh, PA HC EXCISN NAIL BED PARTL/COMPLT | $1,121.64 | $1,438.00 | Oct 28, 2026 source file |
| Forbes Hospital Monroeville · Pittsburgh, PA HC EXCISN NAIL BED PARTL/COMPLT | $1,121.64 | $1,438.00 | Oct 28, 2026 source file |
| AHN Wexford Hospital Wexford · Pittsburgh, PA HC EXCISN NAIL BED PARTL/COMPLT | $1,123.32 | $1,518.00 | Oct 28, 2026 source file |
| UPMC Horizon - Greenville Greenville · Hermitage, PA EXCISION NAIL COMP/PART | $1,133.40 | $1,889.00 | Mar 6, 2026 source file |
| Warren General Hospital Warren · Warren, PA EXCISION NAIL PART OR COMP-MCR | $1,137.00 | $1,137.00 | Sep 24, 2026 source file |
| West Penn Hospital Pittsburgh · Pittsburgh, PA HC EXCISN NAIL BED PARTL/COMPLT | $1,166.54 | $1,598.00 | Oct 28, 2026 source file |
| Grove City Medical Center Grove City · Hermitage, PA HC EXCISN NAIL BED PARTL/COMPLT | $1,168.86 | $1,518.00 | Oct 28, 2026 source file |
| Allegheny General Hospital Pittsburgh · Pittsburgh, PA HC EXCISN NAIL BED PARTL/COMPLT | $1,214.48 | $1,598.00 | Oct 28, 2026 source file |
| Jefferson Regional Medical Center Jefferson Hills · Pittsburgh, PA HC EXCISN NAIL BED PARTL/COMPLT | $1,229.58 | $1,518.00 | Oct 28, 2026 source file |
| UPMC St Margaret Pittsburgh · Pittsburgh, PA EXCISION NAIL COMP/PART | $1,233.00 | $2,055.00 | Mar 6, 2026 source file |
| St Luke's Hospital - Allentown Campus Allentown · Allentown-Bethlehem-Easton, PA-NJ HB REMOVAL OF NAIL BED | $1,289.82 | $1,554.00 | Feb 26, 2026 source file |
| St Luke's Hospital - Anderson Campus Easton · Allentown-Bethlehem-Easton, PA-NJ HB REMOVAL OF NAIL BED | $1,289.82 | $1,554.00 | Feb 26, 2026 source file |
| St Luke's Hospital - Bethlehem Campus Bethlehem · Allentown-Bethlehem-Easton, PA-NJ HB REMOVAL OF NAIL BED | $1,289.82 | $1,554.00 | Feb 26, 2026 source file |
| St Luke's Hospital - Carbon Campus Lehighton · Allentown-Bethlehem-Easton, PA-NJ HB REMOVAL OF NAIL BED | $1,289.82 | $1,554.00 | Feb 27, 2026 source file |
| St Luke's Hospital - Easton Campus Easton · Allentown-Bethlehem-Easton, PA-NJ HB REMOVAL OF NAIL BED | $1,289.82 | $1,554.00 | Feb 26, 2026 source file |
| St Luke's Hospital - Lehighton Campus Lehighton · Allentown-Bethlehem-Easton, PA-NJ HB REMOVAL OF NAIL BED | $1,289.82 | $1,554.00 | Feb 27, 2026 source file |
| St Luke's Hospital - Monroe Campus Stroudsburg · East Stroudsburg, PA HB REMOVAL OF NAIL BED | $1,289.82 | $1,554.00 | Feb 27, 2026 source file |
| St Luke's Hospital - Sacred Heart Campus Allentown · Allentown-Bethlehem-Easton, PA-NJ HB REMOVAL OF NAIL BED | $1,289.82 | $1,554.00 | Feb 26, 2026 source file |
| UPMC Childrens Hospital of Pittsburgh Pittsburgh · Pittsburgh, PA EXCISION NAIL COMP/PART | $1,303.20 | $2,172.00 | Mar 6, 2026 source file |
| Holy Redeemer Hospital and Medical Center Meadowbrook · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Removal Nail Bed - ER | $1,399.99 | $2,333.31 | Sep 21, 2026 source file |
| UPMC East Monroeville · Pittsburgh, PA EXCISION NAIL COMP/PART | $1,401.60 | $2,336.00 | Mar 6, 2026 source file |
| UPMC Hamot Erie · Erie, PA EXCISION NAIL COMP/PART | $1,413.60 | $2,356.00 | Mar 6, 2026 source file |
| UPMC McKeesport McKeesport · Pittsburgh, PA EXCISION NAIL COMP/PART | $1,440.60 | $2,401.00 | Mar 6, 2026 source file |
| St Luke's Hospital - Grand View Campus Sellersville · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HB REMOVAL OF NAIL BED | $1,440.90 | $1,601.00 | Feb 26, 2026 source file |
| St Luke's Hospital - Upper Bucks Campus Quakertown · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HB REMOVAL OF NAIL BED | $1,440.90 | $1,601.00 | Feb 26, 2026 source file |
| Geisinger Community Medical Center Scranton · Scranton--Wilkes-Barre, PA HC EXC NAIL/MATRIX PERMANENT (ED) | $1,447.50 | $2,895.00 | Jul 1, 2026 source file |
| UPMC Muncy Muncy · Williamsport, PA EXCISION NAIL COMP/PART | $1,470.60 | $2,451.00 | Mar 6, 2026 source file |
| UPMC Wellsboro Wellsboro · Wellsboro, PA EXCISION NAIL COMP/PART | $1,470.60 | $2,451.00 | Mar 6, 2026 source file |
| UPMC Williamsport Williamsport · Williamsport, PA EXCISION NAIL COMP/PART | $1,470.60 | $2,451.00 | Mar 6, 2026 source file |
| UPMC Greene Waynesburg · Waynesburg, PA EXCISE NAIL/PARTIAL/COMPLETE | $1,484.00 | $2,120.00 | Mar 6, 2026 source file |
| UPMC Washington Washington · Pittsburgh, PA EXCISE NAIL/PARTIAL/COMPLETE | $1,484.00 | $2,120.00 | Mar 6, 2026 source file |
| Saint Vincent Health Center Erie · Erie, PA HC EXCISN NAIL BED PARTL/COMPLT | $1,572.76 | $1,918.00 | Oct 28, 2026 source file |
| UPMC Northwest Seneca · Oil City, PA EXCISION NAIL COMP/PART | $1,802.40 | $3,004.00 | Mar 6, 2026 source file |
| UPMC Magee-Womens Hospital Pittsburgh · Pittsburgh, PA HC EXCISION NAIL COMP/PART | $1,914.60 | $3,191.00 | Mar 6, 2026 source file |
| UPMC Presbyterian Pittsburgh · Pittsburgh, PA EXCISION NAIL COMP/PART | $2,184.00 | $3,640.00 | Mar 6, 2026 source file |
| Highlands Hospital Connellsville · Pittsburgh, PA REMOVAL OF NAIL BED-PERMANENT | $2,902.20 | $4,837.00 | Feb 2, 2026 source file |
| Wilkes-Barre General Hospital Wilkes-Barre · Scranton--Wilkes-Barre, PA REMOVAL OF NAIL BED | $6,151.44 | $25,631.00 | Dec 1, 2024 source file |
| Moses Taylor Hospital Scranton · Scranton--Wilkes-Barre, PA REMOVAL OF NAIL BED | $6,200.55 | $22,965.00 | Dec 2, 2024 source file |
| Regional Hospital of Scranton Scranton · Scranton--Wilkes-Barre, PA REMOVAL OF NAIL BED | $6,200.55 | $22,965.00 | Dec 2, 2024 source file |
| St Mary Medical Center Langhorne · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HC Excision Nail/Nail Matrix Partial/Complete Permanent Removal | $6,778.84 | — | Mar 31, 2026 source file |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Pittsburgh, PA | 24 | $501.60 | $1,122.48 |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 10 | $399.00 | $479.60 |
| Allentown-Bethlehem-Easton, PA-NJ | 7 | $1,289.82 | $1,289.82 |
| Harrisburg-Carlisle, PA | 5 | $484.80 | $620.42 |
| Scranton--Wilkes-Barre, PA | 4 | $1,447.50 | $6,176.00 |
| Erie, PA | 3 | $577.00 | $1,413.60 |
| Hermitage, PA | 3 | $958.79 | $1,133.40 |
| Lancaster, PA | 3 | $484.80 | $752.87 |
| Sayre, PA | 3 | $351.04 | $351.04 |
| York-Hanover, PA | 3 | $484.80 | $484.80 |
| Altoona, PA | 2 | $189.00 | $488.70 |
| Chambersburg, PA | 2 | $796.00 | $796.00 |
| DuBois, PA | 2 | $189.00 | $189.00 |
| Oil City, PA | 2 | $562.80 | $1,182.60 |
| Pottsville, PA | 2 | $1,069.20 | $1,069.20 |
| Williamsport, PA | 2 | $1,470.60 | $1,470.60 |
| Brookville, PA | 1 | $189.00 | $189.00 |
| Bradford, PA | 1 | $658.80 | $658.80 |
| Clarion, PA | 1 | $486.08 | $486.08 |
| Coudersport, PA | 1 | $94.80 | $94.80 |
| Everett, PA | 1 | $834.00 | $834.00 |
| East Stroudsburg, PA | 1 | $1,289.82 | $1,289.82 |
| Gettysburg, PA | 1 | $796.00 | $796.00 |
| Honesdale, PA | 1 | $505.40 | $505.40 |
| Huntingdon, PA | 1 | $189.00 | $189.00 |
| Indiana, PA | 1 | $507.24 | $507.24 |
| Johnstown, PA | 1 | $496.80 | $496.80 |
| Lebanon, PA | 1 | $796.00 | $796.00 |
| Punxsutawney, PA | 1 | $709.20 | $709.20 |
| Reading, PA | 1 | $675.48 | $675.48 |
| Somerset, PA | 1 | $484.80 | $484.80 |
| St. Marys, PA | 1 | $189.00 | $189.00 |
| State College, PA | 1 | $856.80 | $856.80 |
| Waynesburg, PA | 1 | $1,484.00 | $1,484.00 |
| Wellsboro, PA | 1 | $1,470.60 | $1,470.60 |
| Warren, PA | 1 | $1,137.00 | $1,137.00 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What permanent ingrown nail removal is, what the price covers and why prices differ: Permanent ingrown nail removal explained.
Permanent removal of a nail and nail root (partial or complete) in other states
- Alabama$561.93
- Alaska$861.58
- Arizona$579.15
- Arkansas$573.65
- California$1,295.70
- Colorado$713.11
- Connecticut$826.08
- Delaware$1,622.04
- District of Columbia$578.98, 3 hospitals
- Florida$1,168.56
- Georgia$931.88
- Hawaii$959.70
- Idaho$510.98
- Illinois$627.90
- Indiana$695.65
- Iowa$427.81
- Kansas$421.50
- Kentucky$461.84
- Louisiana$414.54
- Maine$313.56
- Maryland$666.62
- Massachusetts$1,005.90
- Michigan$518.80
- Minnesota$491.69
- Mississippi$381.00
- Missouri$587.79
- Montana$373.53
- Nebraska$344.70
- Nevada$508.52
- New Hampshire$414.54
- New Jersey$572.41
- New Mexico$457.80
- New York$733.51
- North Carolina$576.80
- North Dakota$562.50
- Ohio$777.02
- Oklahoma$432.20
- Oregon$601.48
- Puerto Rico$201.15, 3 hospitals
- Rhode Island$1,525.00
- South Carolina$680.00
- South Dakota$849.60
- Tennessee$389.84
- Texas$510.25
- Utah$548.79, 4 hospitals
- Vermont$914.00
- Virginia$602.50
- Washington$677.27
- West Virginia$466.50
- Wisconsin$326.30
- Wyoming$424.15
Median cash price across the state's hospitals.