00407-1413-63 (OTHER) by state — Price Transparency

OTHER · across United States

00407-1413-63 — Omnipaque 300

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$59 National median

$0 – $4,366 IQR (p25 – p75)

5 hospitals filing

4 states

View hospital-by-hospital → Raw rate rows →

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Plug in your deductible, what you've already spent against it, your OOP-max, and your coinsurance %. We'll math the rest. Math reference: methodology.

This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

Uninsured estimates use the cash / self-pay median for this code: $48.

I am… Annual deductible (assumed — typical plan) Already spent this year

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Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 00407-1413-63 (OTHER), with interquartile range
State	Median	p25	p75
OH	$5,669	$5,669	$5,669
MO	$2,839	$2,839	$2,839
NH	$78	$53	$4,366
MS	$0	$0	$0

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

OH	$5,669	$5,669	$5,669	$5,669	$5,669	1 ⚠ thin data	13	14
MO	$2,839	$2,839	$2,839	$2,839	$2,839	1 ⚠ thin data	13	14
NH	$78	$53	$4,366	$40	$4,366	2 ⚠ thin data	19	56
MS	<$1	<$1	<$1	<$1	<$1	1 ⚠ thin data	18	52