Abdominal MRI cost in Michigan
In Michigan, 90 hospitals publish a cash price for MRI of the abdomen without contrast: from $227.50 to $5,679.00, with a median of $1,720.60. The lowest price is at University of Michigan Health-Sparrow Ionia (Ionia). The highest price is 25.0× the lowest.
- The median here, $1,720.60, is 8% below the US median of $1,864.50.
- That is 7.1× Medicare's 2026 national rate for the same service ($243.77).
- Michigan ranks 22nd of 51 states by median, cheapest first.
- 24 of 90 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 74181. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 8, 2026. See them on a map
Lowest$227.50University of Michigan Health-Sparrow Ionia
Median$1,720.60half of hospitals charge less
Highest$5,679.00in Michigan
Lowest saves$1,493.10vs the median
Hospitals in Michigan, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| University of Michigan Health-Sparrow Ionia lowest Ionia · Grand Rapids-Wyoming-Kentwood, MI HB MRI, Abdomen (MRI) | $227.50 | $910.00 | Apr 1, 2026 source file |
| Henry Ford Rochester Hospital Rochester · Detroit-Warren-Dearborn, MI MRI ABDOMEN WO CONTRAST | $277.30 | $590.00 | Jan 1, 2026 source file |
| Henry Ford Health Hospital Detroit · Detroit-Warren-Dearborn, MI HB MRI ABDOMEN W/O CONTRST | $328.08 | $3,292.00 | Jun 28, 2026 source file |
| Henry Ford Health West Bloomfield Hospital West Bloomfield · Detroit-Warren-Dearborn, MI HB MRI ABDOMEN W/O CONTRST | $328.08 | $3,292.00 | Jun 28, 2026 source file |
| University of Michigan Health-Sparrow Carson Carson City · Grand Rapids-Wyoming-Kentwood, MI HB MRI, Abdomen (MRI) | $372.25 | $1,489.00 | Apr 1, 2026 source file |
| Eaton Rapids Medical Center Eaton Rapids · Lansing-East Lansing, MI MRI MRCP | $389.55 | $779.10 | Jul 1, 2026 source file |
| University of Michigan Health-Sparrow Clinton St. Johns · Lansing-East Lansing, MI HB MRI, Abdomen (MRI) | $571.00 | $2,284.00 | Apr 1, 2026 source file |
| Ascension River District Hospital East China Township · Detroit-Warren-Dearborn, MI MRI ABDOMEN W/O CONTRAST | $585.20 | $1,045.00 | Jan 1, 2026 source file |
| University of Michigan Health-Sparrow Eaton Charlotte · Lansing-East Lansing, MI HB MRI, Abdomen (MRI) | $606.00 | $2,424.00 | Apr 1, 2026 source file |
| McLaren Port Huron Port Huron · Detroit-Warren-Dearborn, MI MRI ABDOMEN W/O DYE | $907.70 | $1,815.40 | Dec 31, 2025 source file |
| McLaren Thumb Region Bad Axe · Bad Axe, MI MRI Abd/Pelvis w/o Cnt Urography | $916.00 | $1,832.00 | Dec 31, 2025 source file |
| McLaren Flint Flint · Flint, MI MRI MRCP Abdomen w/o Contrast | $935.70 | $1,871.40 | Dec 31, 2025 source file |
| Henry Ford Health St John Hospital Detroit · Detroit-Warren-Dearborn, MI MRI ABDOMEN W/O CONTRAST | $983.92 | $1,757.00 | Jan 1, 2026 source file |
| Sturgis Hospital Sturgis · Sturgis, MI MRI ABDOMEN W/O CONTRAST | $1,050.40 | $1,616.00 | Apr 6, 2026 source file |
| Corewell Health Blodgett Hospital Grand Rapids · Grand Rapids-Wyoming-Kentwood, MI HC MRI ABDOMEN WO CONTRAST | $1,068.00 | $1,068.00 | May 1, 2026 source file |
| Corewell Health Butterworth Hospital Grand Rapids · Grand Rapids-Wyoming-Kentwood, MI HC MRI ABDOMEN WO CONTRAST | $1,068.00 | $1,068.00 | May 1, 2026 source file |
| McLaren Bay Region Bay City · Bay City, MI MRI MRCP Abdomen w/o Contrast | $1,073.80 | $2,147.60 | Dec 31, 2025 source file |
| McLaren Lapeer Region Lapeer · Detroit-Warren-Dearborn, MI MRI MRCP Abdomen w/o Contrast | $1,075.45 | $2,150.90 | Dec 31, 2025 source file |
| Holland Community Hospital Holland · Holland, MI MRI scan of abdomen without contrast | $1,102.80 | $1,838.00 | Sep 21, 2026 source file |
| Beacon Allegan Allegan · Holland, MI MRI ABDOMEN W/O CONTRAST | $1,108.23 | $2,261.70 | Jan 1, 2026 source file |
| Henry Ford Providence Novi Hospital - Novi Campus Novi · Detroit-Warren-Dearborn, MI ABDOMEN W/O CONTRAST-MRI | $1,230.32 | $2,197.00 | Jan 1, 2026 source file |
| Henry Ford Providence Southfield Hospital Southfield · Detroit-Warren-Dearborn, MI ABDOMEN W/O CONTRAST-MRI | $1,230.32 | $2,197.00 | Jan 1, 2026 source file |
| Three Rivers Health Three Rivers · Sturgis, MI MR Abdomen W-O Contrast | $1,320.80 | $2,032.00 | Jan 1, 2026 source file |
| McLaren Central Michigan Mount Pleasant · Mount Pleasant, MI MRI Abd/Pelvis w/o Cont Enterography | $1,322.25 | $2,644.50 | Dec 31, 2025 source file |
| Mercy Health Lakeshore Campus Shelby · Shelby, MI HC MRI Abdomen W/O Contrast | $1,352.00 | $2,080.00 | Mar 31, 2026 source file |
| Mercy Health Partners, Mercy Campus Muskogen · Muskegon-Norton Shores, MI HC MRI Abdomen W/O Contrast | $1,352.00 | $2,080.00 | Mar 31, 2026 source file |
| Mercy Health Saint Marys Grand Rapids · Grand Rapids-Wyoming-Kentwood, MI HC MRI Abdomen W/O Contrast | $1,352.00 | $2,080.00 | Mar 31, 2026 source file |
| McLaren Macomb Mount Clemens · Detroit-Warren-Dearborn, MI MRI MRCP Abdomen w/o Contrast | $1,360.35 | $2,720.70 | Dec 31, 2025 source file |
| McLaren Northern Michigan Petoskey · Petoskey, MI MRI Abd/Pelvis w/o Cnt Urography | $1,381.60 | $2,763.20 | Dec 31, 2025 source file |
| Hillsdale Hospital Hillsdale · Hillsdale, MI MRI MRCP ABDOMEN W/OUT CONTRAST | $1,413.55 | $1,663.00 | Jan 23, 2026 source file |
| Deckerville Community Hospital Deckerville · Deckerville, MI MRI Abdomen W/O Contrast | $1,413.60 | $1,860.00 | Jan 1, 2026 source file |
| Corewell Health Big Rapids Hospital Big Rapids · Big Rapids, MI Hc Mri Abdomen Wo Contrast | $1,426.00 | $1,426.00 | Apr 1, 2026 source file |
| Corewell Health Gerber Hospital Fremont · Fremont, MI Hc Mri Abdomen Wo Contrast | $1,426.00 | $1,426.00 | Apr 1, 2026 source file |
| Corewell Health Greenville Hospital Greenville · Grand Rapids-Wyoming-Kentwood, MI Hc Mri Abdomen Wo Contrast | $1,426.00 | $1,426.00 | Apr 1, 2026 source file |
| Corewell Health Ludington Hospital Ludington · Ludington, MI Hc Mri Abdomen Wo Contrast | $1,426.00 | $1,426.00 | Apr 1, 2026 source file |
| Corewell Health Reed City Hospital Reed City · Reed City, MI Hc Mri Abdomen Wo Contrast | $1,426.00 | $1,426.00 | Apr 1, 2026 source file |
| Corewell Health Zeeland Community Hospital Zeeland · Grand Rapids-Wyoming-Kentwood, MI Hc Mri Abdomen Wo Contrast | $1,426.00 | $1,426.00 | Apr 1, 2026 source file |
| Hills and Dales General Hospital Cass City · Cass City, MI MRI Abdomen W/O Contrast | $1,450.80 | $1,860.00 | Jan 1, 2026 source file |
| Henry Ford Health Warren Hospital Warren · Detroit-Warren-Dearborn, MI MRI ABDOMEN W/O CONTRAST | $1,480.08 | $2,643.00 | Jan 1, 2026 source file |
| University of Michigan Health Ann Arbor · Ann Arbor, MI HC-MRI, Abdomen (MRI) | $1,500.80 | $3,752.00 | Mar 31, 2026 source file |
| Corewell Health Blodgett Hospital East Grand Rapids · Grand Rapids-Wyoming-Kentwood, MI Hc Mri Abdomen Wo Contrast | $1,526.00 | $1,526.00 | Apr 1, 2026 source file |
| McLaren Oakland Pontiac · Detroit-Warren-Dearborn, MI MRI Abd/Pelvis w/o Cont Enterography | $1,526.40 | $3,052.80 | Dec 31, 2025 source file |
| Sheridan Community Hospital Sheridan · Grand Rapids-Wyoming-Kentwood, MI MRI ABDOMEN WO CONTRAST | $1,683.20 | $2,104.00 | Apr 22, 2026 source file |
| Covenant Medical Center Cooper Saginaw · Saginaw, MI HCHG MRI ABDOMEN W/O CONTRAST | $1,688.40 | $2,412.00 | May 15, 2026 source file |
| Covenant Medical Center Saginaw · Saginaw, MI HCHG MRI ABDOMEN W/O CONTRAST | $1,688.40 | $2,412.00 | May 15, 2026 source file |
| Karmanos Cancer Center Detroit · Detroit-Warren-Dearborn, MI MRI ABD W/O CONTRAST | $1,752.80 | $3,505.60 | Dec 31, 2025 source file |
| Surgeons Choice Medical Center Southfield · Detroit-Warren-Dearborn, MI MRI ABDOMEN W/O CONTRAST | $1,818.00 | $1,818.00 | May 8, 2026 source file |
| Corewell Helen Devos Childrens Hospital Grand Rapids · Grand Rapids-Wyoming-Kentwood, MI HC MRI ABDOMEN WO CONTRAST | $1,830.00 | $1,830.00 | May 1, 2026 source file |
| Corewell Health Pennock Hospital Hastings · Grand Rapids-Wyoming-Kentwood, MI HC MRI ABDOMEN WO CONTRAST | $1,902.00 | $1,902.00 | May 1, 2026 source file |
| Kalkaska Memorial Health Center Kalkaska · Traverse City, MI MR Exams | $1,927.80 | $2,268.00 | Apr 17, 2026 source file |
| Bell Hospital Ishpeming · Marquette, MI Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) | $1,935.87 | $3,226.45 | Jul 10, 2026 source file |
| Mackinac Straits Hospital and Health Center Saint Ignace · Saint Ignace, MI MRI scan of abdomen without contrast | $1,963.80 | $3,273.00 | Oct 15, 2026 source file |
| McKenzie Memorial Hospital Sandusky · Sandusky, MI MRI ABDOMEN W/O CONTRAST | $1,992.00 | $2,490.00 | May 31, 2025 source file |
| Helen Newberry Joy Hospital Newberry · Newberry, MI MRI scan of abdomen without contrast | $2,014.11 | $3,197.00 | Sep 2, 2026 source file |
| Munson Healthcare Charlevoix Hospital Charlevoix · Charlevoix, MI MRI ABDOMEN W/O CONTRAST | $2,042.55 | $2,403.00 | Apr 17, 2026 source file |
| McLaren Greater Lansing Lansing · Lansing-East Lansing, MI MRI Abd/Pelvis w/o Cont Enterography | $2,044.55 | $4,089.10 | Dec 31, 2025 source file |
| St Joseph Mercy Ann Arbor Ypsilanti · Ypsilanti, MI HC MRI Abdomen W/O Contrast | $2,047.50 | $3,150.00 | Mar 31, 2026 source file |
| St Joseph Mercy Chelsea Chelsea · Ann Arbor, MI HC MRI Abdomen W/O Contrast | $2,047.50 | $3,150.00 | Mar 31, 2026 source file |
| St Joseph Mercy Livingston Hospital Brighton · Detroit-Warren-Dearborn, MI HC MRI Abdomen W/O Contrast | $2,047.50 | $3,150.00 | Mar 31, 2026 source file |
| St Joseph Mercy Oakland Pontiac · Detroit-Warren-Dearborn, MI HC MRI Abdomen W/O Contrast | $2,047.50 | $3,150.00 | Mar 31, 2026 source file |
| St Mary Mercy Livonia Livonia · Detroit-Warren-Dearborn, MI HC MRI Abdomen W/O Contrast | $2,047.50 | $3,150.00 | Mar 31, 2026 source file |
| Munson Healthcare Otsego Memorial Hospital Gaylord · Gaylord, MI MRI INCOMPLETE ABDOMEN | $2,085.05 | $2,453.00 | Apr 17, 2026 source file |
| Munson Healthcare Grayling Grayling · Grayling, MI MRI ENTEROGRAPHY ABD/PEL WO W/GLUCAGON | $2,224.45 | $2,617.00 | Apr 17, 2026 source file |
| Trinity Health Grand Haven Hospital Grand Haven · Grand Rapids-Wyoming-Kentwood, MI MRI ABDOMEN WITHOUT CONTRAST | $2,274.00 | $2,274.00 | Nov 21, 2025 source file |
| Paul Oliver Memorial Hospital Frankfort · Traverse City, MI MRI INCOMPLETE ABDOMEN | $2,289.05 | $2,693.00 | Apr 17, 2026 source file |
| Munson Healthcare Cadillac Cadillac · Cadillac, MI MRI ABDOMEN (MRCP) W/O CONTRAST | $2,455.65 | $2,889.00 | Apr 17, 2026 source file |
| Munson Medical Center Traverse City · Traverse City, MI MRI ENTEROGRAPHY ABD/PEL WO W/GLUCAGON | $2,461.60 | $2,896.00 | Apr 17, 2026 source file |
| Baraga County Memorial Hospital Lanse · Lanse, MI MR ABDOMEN W/O | $3,072.00 | $3,072.00 | Jun 23, 2026 source file |
| UP Health System - Portage Hancock · Houghton, MI Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) | $3,126.47 | $5,210.78 | Jul 14, 2026 source file |
| Aspirus Iron River Hospital Iron River · Iron River, MI Abdomen MRI Without Contrast | $3,163.55 | $4,867.00 | Apr 1, 2026 source file |
| Aspirus Ironwood Hospital Ironwood · Ironwood, MI Abdomen MRI Without Contrast | $3,163.55 | $4,867.00 | Apr 1, 2026 source file |
| Aspirus Keweenaw Hospital Laurium · Houghton, MI Abdomen MRI Without Contrast | $3,163.55 | $4,867.00 | Apr 1, 2026 source file |
| Corewell Health Watervliet Hospital Watervliet · Niles, MI HC MRI ABDOMEN WO CONTRAST | $3,207.00 | $3,207.00 | May 1, 2026 source file |
| Lakeland Hospital, St Joseph St Joseph · Niles, MI HC MRI ABDOMEN WO CONTRAST | $3,207.00 | $3,207.00 | May 1, 2026 source file |
| Munson Healthcare Manistee Hospital Manistee · Manistee, MI MR Exams | $3,207.90 | $3,774.00 | Apr 17, 2026 source file |
| Memorial Healthcare Owosso · Owosso, MI MRI ABD WO CONTR | $3,631.20 | $4,539.00 | Apr 1, 2026 source file |
| Beaumont Hospital - Dearborn Dearborn · Detroit-Warren-Dearborn, MI HC MRI ABDOMEN WO CONTRAST | $3,636.00 | $3,636.00 | May 1, 2026 source file |
| Beaumont Hospital - Grosse Pointe Grosse Pointe · Detroit-Warren-Dearborn, MI HC MRI ABDOMEN WO CONTRAST | $3,636.00 | $3,636.00 | May 1, 2026 source file |
| Beaumont Hospital - Taylor Taylor · Detroit-Warren-Dearborn, MI Hc Mri Abdomen Wo Contrast | $3,636.00 | $3,636.00 | Apr 1, 2026 source file |
| Beaumont Hospital Royal Oak Royal Oak · Detroit-Warren-Dearborn, MI HC MRI ABDOMEN WO CONTRAST | $3,636.00 | $3,636.00 | May 1, 2026 source file |
| Beaumont Hospital, Troy Troy · Detroit-Warren-Dearborn, MI Hc Mri Abdomen Wo Contrast | $3,636.00 | $3,636.00 | Apr 1, 2026 source file |
| Corewell Health Farmington Hills Hospital Farmington Hills · Detroit-Warren-Dearborn, MI HC MRI ABDOMEN WO CONTRAST | $3,636.00 | $3,636.00 | May 1, 2026 source file |
| Corewell Health Trenton Hospital Trenton · Detroit-Warren-Dearborn, MI HC MRI ABDOMEN WO CONTRAST | $3,636.00 | $3,636.00 | May 1, 2026 source file |
| Corewell Health Wayne Hospital Wayne · Detroit-Warren-Dearborn, MI Hc Mri Abdomen Wo Contrast | $3,636.00 | $3,636.00 | Apr 1, 2026 source file |
| VHS Detroit Receiving Hospital Detroit · Detroit-Warren-Dearborn, MI MRI ABDOMEN W/O CM | $3,649.50 | $4,866.00 | Apr 7, 2026 source file |
| VHS Huron Valley-Sinai Hospital Commerce Charter Twp · Detroit-Warren-Dearborn, MI MRI ABDOMEN W/O CM | $3,911.25 | $5,215.00 | May 20, 2026 source file |
| Harper University Hospital Detroit · Detroit-Warren-Dearborn, MI MRI ABDOMEN W/O CM | $4,088.25 | $5,451.00 | Aug 20, 2026 source file |
| Uphs Marquette Dlp Hospital Marquette · Marquette, MI Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) | $4,266.64 | $7,111.07 | Jul 14, 2026 source file |
| VHS Sinai Grace Hospital Detroit · Detroit-Warren-Dearborn, MI MRI ABDOMEN W/O CM | $4,660.50 | $6,214.00 | Apr 8, 2026 source file |
| VHS Childrens Hospital of Michigan Detroit · Detroit-Warren-Dearborn, MI MRI ABDOMEN W/O CM | $5,679.00 | $7,572.00 | Apr 6, 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 |
|---|---|---|---|
| Detroit-Warren-Dearborn, MI | 30 | $277.30 | $2,047.50 |
| Grand Rapids-Wyoming-Kentwood, MI | 12 | $227.50 | $1,426.00 |
| Lansing-East Lansing, MI | 4 | $389.55 | $588.50 |
| Traverse City, MI | 3 | $1,927.80 | $2,289.05 |
| Ann Arbor, MI | 2 | $1,500.80 | $1,774.15 |
| Holland, MI | 2 | $1,102.80 | $1,105.52 |
| Houghton, MI | 2 | $3,126.47 | $3,145.01 |
| Marquette, MI | 2 | $1,935.87 | $3,101.26 |
| Niles, MI | 2 | $3,207.00 | $3,207.00 |
| Saginaw, MI | 2 | $1,688.40 | $1,688.40 |
| Sturgis, MI | 2 | $1,050.40 | $1,185.60 |
| Bad Axe, MI | 1 | $916.00 | $916.00 |
| Bay City, MI | 1 | $1,073.80 | $1,073.80 |
| Big Rapids, MI | 1 | $1,426.00 | $1,426.00 |
| Cass City, MI | 1 | $1,450.80 | $1,450.80 |
| Charlevoix, MI | 1 | $2,042.55 | $2,042.55 |
| Cadillac, MI | 1 | $2,455.65 | $2,455.65 |
| Deckerville, MI | 1 | $1,413.60 | $1,413.60 |
| Fremont, MI | 1 | $1,426.00 | $1,426.00 |
| Flint, MI | 1 | $935.70 | $935.70 |
| Gaylord, MI | 1 | $2,085.05 | $2,085.05 |
| Grayling, MI | 1 | $2,224.45 | $2,224.45 |
| Hillsdale, MI | 1 | $1,413.55 | $1,413.55 |
| Iron River, MI | 1 | $3,163.55 | $3,163.55 |
| Ironwood, MI | 1 | $3,163.55 | $3,163.55 |
| Lanse, MI | 1 | $3,072.00 | $3,072.00 |
| Ludington, MI | 1 | $1,426.00 | $1,426.00 |
| Manistee, MI | 1 | $3,207.90 | $3,207.90 |
| Mount Pleasant, MI | 1 | $1,322.25 | $1,322.25 |
| Muskegon-Norton Shores, MI | 1 | $1,352.00 | $1,352.00 |
| Newberry, MI | 1 | $2,014.11 | $2,014.11 |
| Owosso, MI | 1 | $3,631.20 | $3,631.20 |
| Petoskey, MI | 1 | $1,381.60 | $1,381.60 |
| Reed City, MI | 1 | $1,426.00 | $1,426.00 |
| Saint Ignace, MI | 1 | $1,963.80 | $1,963.80 |
| Sandusky, MI | 1 | $1,992.00 | $1,992.00 |
| Shelby, MI | 1 | $1,352.00 | $1,352.00 |
| Ypsilanti, MI | 1 | $2,047.50 | $2,047.50 |
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 abdominal MRI is, what the price covers and why prices differ: Abdominal MRI explained.
MRI of the abdomen without contrast in other states
- Alabama$1,389.76
- Alaska$3,538.33
- Arizona$1,132.88
- Arkansas$913.60
- California$2,796.96
- Colorado$2,264.80
- Connecticut$1,406.18
- Delaware$2,515.80
- District of Columbia$2,032.50, 3 hospitals
- Florida$3,515.46
- Georgia$1,837.00
- Hawaii$2,107.50
- Idaho$1,640.92
- Illinois$2,753.14
- Indiana$1,068.21
- Iowa$2,081.00
- Kansas$1,253.85
- Kentucky$1,671.53
- Louisiana$912.87
- Maine$1,671.60
- Maryland$860.59
- Massachusetts$1,535.00
- Minnesota$2,140.03
- Mississippi$1,365.15
- Missouri$1,661.47
- Montana$1,787.21
- Nebraska$3,087.78
- Nevada$1,972.03
- New Hampshire$2,470.16
- New Jersey$642.52
- New Mexico$2,166.64
- New York$1,094.11
- North Carolina$2,089.50
- North Dakota$1,936.00
- Ohio$1,842.78
- Oklahoma$1,173.10
- Oregon$1,830.74
- Pennsylvania$1,976.00
- Puerto Rico$700.00
- Rhode Island$2,134.00
- South Carolina$1,913.40
- South Dakota$3,270.80
- Tennessee$943.89
- Texas$2,197.95
- Utah$4,297.41
- Vermont$2,868.00
- Virginia$1,625.50
- Washington$2,091.33
- West Virginia$1,260.90
- Wisconsin$2,210.00
- Wyoming$2,620.00
Median cash price across the state's hospitals.