0304T (OTHER) by state — Price Transparency

OTHER · across United States

0304T — Icar Ischm Mntrng Sys Device

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

$5,842 National median

$5,063 – $11,643 IQR (p25 – p75)

109 hospitals filing

17 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: $7,869.

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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 0304T (OTHER), with interquartile range
State	Median	p25	p75
WA	$30,312	$30,312	$30,312
OK	$29,216	$26,226	$32,439
VA	$18,641	$15,848	$21,433
TX	$16,494	$9,343	$23,432
LA	$15,605	$12,322	$15,605
MN	$12,449	$10,023	$14,876
NE	$11,447	$11,447	$14,386
IA	$10,807	$3,407	$18,653
CA	$9,031	$7,745	$10,837
WI	$8,522	$3,407	$17,789
GA	$7,823	$7,823	$7,823
OH	$5,751	$4,493	$5,951
NY	$5,635	$4,762	$6,545
FL	$5,587	$5,333	$7,873
CT	$5,111	$4,344	$5,420
MI	$4,890	$4,890	$4,890
TN	$3,273	$3,273	$3,273

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

WA	$30,312	$30,312	$30,312	$30,312	$30,312	1 ⚠ thin data	1	1
OK	$29,216	$26,226	$32,439	$25,109	$34,255	5	5	40
VA	$18,641	$15,848	$21,433	$13,056	$24,225	2 ⚠ thin data	2	2
TX	$16,494	$9,343	$23,432	$1,013	$36,130	15	3	53
LA	$15,605	$12,322	$15,605	$9,038	$15,605	1 ⚠ thin data	2	3
MN	$12,449	$10,023	$14,876	$7,596	$17,302	1 ⚠ thin data	1	2
NE	$11,447	$11,447	$14,386	$11,447	$15,961	2 ⚠ thin data	6	13
IA	$10,807	$3,407	$18,653	$3,407	$19,992	1 ⚠ thin data	3	4
CA	$9,031	$7,745	$10,837	$1,340	$18,394	13	3	29
WI	$8,522	$3,407	$17,789	$3,407	$24,422	6	13	46
GA	$7,823	$7,823	$7,823	$5,063	$7,823	11	2	16
OH	$5,751	$4,493	$5,951	$687	$6,405	5	10	81
NY	$5,635	$4,762	$6,545	$4,451	$19,275	15	11	95
FL	$5,587	$5,333	$7,873	$4,954	$23,317	13	34	197
CT	$5,111	$4,344	$5,420	$2,969	$5,420	5	2	8
MI	$4,890	$4,890	$4,890	$3,523	$4,890	9	13	68
TN	$3,273	$3,273	$3,273	$3,273	$3,273	4	1	4