1103 (OTHER) by state — Price Transparency

OTHER · across United States

1103 — Amputation Non-lower Extremity With Motor Score < 52.50, 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).

$2,886 National median

$2,146 – $19,316 IQR (p25 – p75)

83 hospitals filing

22 states

View hospital-by-hospital → Raw rate rows →

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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: $19,316.

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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 1103 (OTHER), with interquartile range
State	Median	p25	p75
KY	$1,077	$1,077	$1,077
IN	$1,500	$1,500	$19,220
NV	$1,600	$1,600	$1,600
AR	$1,688	$1,688	$1,688
AZ	$1,950	$1,950	$3,015
FL	$2,134	$1,059	$2,134
OH	$2,146	$2,146	$2,146
MO	$2,154	$2,154	$2,154
VA	$2,665	$2,665	$2,665
NJ	$2,886	$2,886	$2,886
IL	$4,517	$4,517	$6,743
TX	$5,134	$3,044	$9,051
MI	$9,614	$8,948	$9,660
CA	$9,763	$9,763	$37,934
PA	$10,703	$1,591	$11,573
MN	$16,796	$11,983	$21,608
NY	$19,316	$19,316	$43,460
ND	$23,076	$21,182	$24,969
SD	$25,998	$24,680	$26,131
MA	$26,808	$26,808	$26,808
LA	$29,798	$27,084	$33,511
OK	$33,100	$33,100	$33,100

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

KY	$1,077	$1,077	$1,077	$1,077	$5,885	3	8	17
IN	$1,500	$1,500	$19,220	$1,500	$20,801	2 ⚠ thin data	22	58
NV	$1,600	$1,600	$1,600	$1,600	$1,600	1 ⚠ thin data	15	29
AR	$1,688	$1,688	$1,688	$1,688	$1,688	1 ⚠ thin data	14	40
AZ	$1,950	$1,950	$3,015	$1,950	$3,015	2 ⚠ thin data	42	106
FL	$2,134	$1,059	$2,134	$1,059	$65,910	2 ⚠ thin data	42	90
OH	$2,146	$2,146	$2,146	$1	$6,020	5	51	325
MO	$2,154	$2,154	$2,154	$2,154	$2,154	1 ⚠ thin data	31	50
VA	$2,665	$2,665	$2,665	$2,665	$2,665	1 ⚠ thin data	11	17
NJ	$2,886	$2,886	$2,886	$2,886	$14,016	3	14	83
IL	$4,517	$4,517	$6,743	$4,517	$6,743	1 ⚠ thin data	11	28
TX	$5,134	$3,044	$9,051	$1,448	$32,307	21	32	200
MI	$9,614	$8,948	$9,660	$8,328	$11,207	5	11	32
CA	$9,763	$9,763	$37,934	$4,049	$47,190	6	38	122
PA	$10,703	$1,591	$11,573	$1,591	$48,391	7	21	77
MN	$16,796	$11,983	$21,608	$7,171	$26,420	1 ⚠ thin data	1	2
NY	$19,316	$19,316	$43,460	$19,316	$71,765	6	17	68
ND	$23,076	$21,182	$24,969	$19,289	$26,863	2 ⚠ thin data	1	2
SD	$25,998	$24,680	$26,131	$18,380	$32,904	3	2	11
MA	$26,808	$26,808	$26,808	$26,808	$26,808	1 ⚠ thin data	1	1
LA	$29,798	$27,084	$33,511	$853	$89,702	8	34	283
OK	$33,100	$33,100	$33,100	$33,100	$33,100	1 ⚠ thin data	1	1