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HANK Price Transparency. (n.d.).
Amputation lower extremity with Motor Score < 47.50, No Comorbidity Tier (OTHER 1004) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 28, 2026 , from http://ppman.hank.ai/transparency/procedure/1004/by-state?code_type=OTHER
“Amputation lower extremity with Motor Score < 47.50, No Comorbidity Tier (OTHER 1004) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/1004/by-state?code_type=OTHER. Accessed
June 28, 2026 .
“Amputation lower extremity with Motor Score < 47.50, No Comorbidity Tier (OTHER 1004) by State,” HANK Price Transparency ,
accessed June 28, 2026 ,
http://ppman.hank.ai/transparency/procedure/1004/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
1004 — Amputation Lower Extremity With Motor Score < 47.50, No Comorbidity Tier
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$35,360
National median
$2,146 – $43,205
IQR (p25 – p75)
30
hospitals filing
12
states
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 1004 (OTHER), with interquartile range
State Median p25 p75
CA $43,205 $38,709 $54,143
LA $36,407 $33,836 $38,448
KY $32,959 $29,529 $36,082
PA $28,052 $3,826 $50,826
TX $3,044 $3,044 $3,044
VA $2,665 $2,665 $11,140
OH $2,146 $2,146 $2,146
AR $1,688 $1,688 $1,688
NV $1,600 $1,600 $1,600
IN $178 $159 $197
CO $71 $59 $707
NY $46 $46 $54