100T (OTHER) by state — Price Transparency

OTHER · across United States

100T — Prosth Retina Receive&gen

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

$6,463 National median

$3,870 – $15,953 IQR (p25 – p75)

118 hospitals filing

24 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: $8,125.

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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 100T (OTHER), with interquartile range
State	Median	p25	p75
LA	$141,284	$6,568	$214,661
AR	$95,721	$95,721	$95,721
TN	$21,489	$4,429	$21,489
NC	$16,803	$16,803	$16,803
OK	$15,077	$11,894	$18,265
MA	$13,555	$12,128	$15,479
PA	$11,751	$11,751	$11,751
AL	$10,287	$10,287	$10,287
NJ	$9,614	$9,184	$13,126
TX	$8,932	$5,499	$47,322
NM	$8,803	$4,423	$8,803
CA	$7,869	$4,170	$12,208
SC	$7,368	$6,636	$8,100
NY	$4,416	$2,306	$5,303
NV	$4,256	$3,434	$4,256
SD	$3,980	$3,980	$3,980
CO	$3,675	$3,675	$3,675
FL	$3,633	$1,807	$5,046
AZ	$3,606	$3,235	$4,203
MT	$3,200	$3,123	$3,200
ID	$2,520	$2,520	$3,184
WA	$2,097	$1,957	$2,680
KS	$1,088	$1,088	$1,088
MI	$10	$6	$13

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

LA	$141,284	$6,568	$214,661	$2,887	$411,516	11	45	205
AR	$95,721	$95,721	$95,721	$10,000	$181,443	1 ⚠ thin data	11	13
TN	$21,489	$4,429	$21,489	$1,569	$40,734	10	19	310
NC	$16,803	$16,803	$16,803	$10,404	$23,201	1 ⚠ thin data	19	45
OK	$15,077	$11,894	$18,265	$450	$34,839	10	26	195
MA	$13,555	$12,128	$15,479	$1	$18,811	2 ⚠ thin data	3	12
PA	$11,751	$11,751	$11,751	$11,751	$11,751	1 ⚠ thin data	1	2
AL	$10,287	$10,287	$10,287	$10,287	$10,287	1 ⚠ thin data	5	5
NJ	$9,614	$9,184	$13,126	$2,891	$29,493	12	9	278
TX	$8,932	$5,499	$47,322	<$1	$632,877	37	39	830
NM	$8,803	$4,423	$8,803	$2,694	$152,500	2 ⚠ thin data	18	38
CA	$7,869	$4,170	$12,208	$1	$20,929	4	6	55
SC	$7,368	$6,636	$8,100	$1	$46,786	4	15	101
NY	$4,416	$2,306	$5,303	$2,306	$8,299	6	61	748
NV	$4,256	$3,434	$4,256	$530	$35,572	1 ⚠ thin data	81	121
SD	$3,980	$3,980	$3,980	$3,980	$3,980	1 ⚠ thin data	1	1
CO	$3,675	$3,675	$3,675	$2,872	$4,478	1 ⚠ thin data	14	15
FL	$3,633	$1,807	$5,046	$1	$6,920	2 ⚠ thin data	5	52
AZ	$3,606	$3,235	$4,203	$2,797	$7,013	1 ⚠ thin data	3	16
MT	$3,200	$3,123	$3,200	$3,014	$3,385	2 ⚠ thin data	16	25
ID	$2,520	$2,520	$3,184	$1,856	$3,184	1 ⚠ thin data	14	28
WA	$2,097	$1,957	$2,680	$1,516	$24,068	4	23	65
KS	$1,088	$1,088	$1,088	$1,088	$1,088	1 ⚠ thin data	10	13
MI	$10	$6	$13	<$1	$8,165	2 ⚠ thin data	3	204