1004 (OTHER) by state — Price Transparency

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).

$2,665 National median

$1,950 – $33,836 IQR (p25 – p75)

40 hospitals filing

16 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: $20,400.

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 1004 (OTHER), with interquartile range
State	Median	p25	p75
IN	$316	$175	$1,500
NV	$1,600	$1,600	$1,600
AR	$1,688	$1,688	$1,688
PA	$1,696	$1,591	$5,246
WV	$1,756	$1,671	$1,759
FL	$2,134	$1,059	$2,134
OH	$2,146	$2,146	$2,374
MO	$2,154	$2,154	$2,154
VA	$2,665	$2,665	$11,140
NJ	$2,886	$2,886	$2,886
AZ	$3,015	$1,950	$3,015
TX	$3,044	$3,044	$3,044
OK	$16,830	$16,830	$16,830
KY	$29,529	$29,529	$32,959
LA	$36,407	$32,481	$38,448
CA	$40,903	$36,647	$49,666

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

IN	$316	$175	$1,500	$49	$36,036	2 ⚠ thin data	31	101
NV	$1,600	$1,600	$1,600	$1,600	$16,918	1 ⚠ thin data	15	31
AR	$1,688	$1,688	$1,688	$1,688	$1,688	1 ⚠ thin data	14	40
PA	$1,696	$1,591	$5,246	$1,591	$104,761	4	16	43
WV	$1,756	$1,671	$1,759	$1,389	$1,759	1 ⚠ thin data	9	10
FL	$2,134	$1,059	$2,134	$1,059	$48,586	2 ⚠ thin data	42	101
OH	$2,146	$2,146	$2,374	$11	$61,418	5	50	373
MO	$2,154	$2,154	$2,154	$2,154	$42,973	1 ⚠ thin data	31	55
VA	$2,665	$2,665	$11,140	$2,665	$42,289	1 ⚠ thin data	11	24
NJ	$2,886	$2,886	$2,886	$2,886	$50,979	2 ⚠ thin data	14	89
AZ	$3,015	$1,950	$3,015	$1,021	$47,727	2 ⚠ thin data	42	118
TX	$3,044	$3,044	$3,044	$1,448	$32,716	5	22	102
OK	$16,830	$16,830	$16,830	$16,830	$16,830	1 ⚠ thin data	1	1
KY	$29,529	$29,529	$32,959	$1,077	$76,845	2 ⚠ thin data	18	63
LA	$36,407	$32,481	$38,448	$853	$102,918	8	34	288
CA	$40,903	$36,647	$49,666	$4,049	$67,778	2 ⚠ thin data	29	179