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HANK Price Transparency. (n.d.).
Mra Lextrem WO Contr (OTHER 0616) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 28, 2026 , from http://ppman.hank.ai/transparency/procedure/0616/by-state?code_type=OTHER
“Mra Lextrem WO Contr (OTHER 0616) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/0616/by-state?code_type=OTHER. Accessed
June 28, 2026 .
“Mra Lextrem WO Contr (OTHER 0616) by State,” HANK Price Transparency ,
accessed June 28, 2026 ,
http://ppman.hank.ai/transparency/procedure/0616/by-state?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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OTHER · across United States
0616 — MRA Lextrem Wo Contr
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$1,208
National median
$450 – $2,281
IQR (p25 – p75)
42
hospitals filing
9
states
Walking in without insurance?
Cash / self-pay price
Cash median
$1,785
vs. negotiated
+47.8%
Hospitals reporting
21
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 0616 (OTHER), with interquartile range
State Median p25 p75
SC $4,103 $4,103 $4,103
PA $3,242 $1,664 $3,789
IN $2,141 $2,141 $2,141
FL $1,607 $1,607 $1,607
CO $1,462 $1,110 $1,646
NY $1,429 $619 $3,203
KY $1,195 $1,195 $1,195
NC $805 $344 $1,761
MN $74 $74 $74