113 (CDM) by state — Price Transparency

CDM · across United States

113 — Acetazolamide 250 Mg Tablet

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 National median

$0 – $2 IQR (p25 – p75)

77 hospitals filing

19 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: $1.

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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 113 (CDM), with interquartile range
State	Median	p25	p75
PA	$0	$0	$1
TN	$1	$0	$1
MS	$1	$0	$2
AR	$1	$0	$2
NJ	$2	$1	$2
OK	$3	$1	$2,140
ND	$3	$3	$3
CT	$4	$1	$6
WI	$4	$3	$5
LA	$10	$10	$10
FL	$17	$12	$25
NM	$69	$58	$81
MI	$124	$8	$274
TX	$161	$36	$221
OH	$2,191	$1,986	$2,483
KS	$2,264	$2,037	$2,446
CO	$2,264	$1,986	$2,483
WA	$2,264	$2,037	$2,446
AZ	$2,337	$2,110	$2,483

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

PA	<$1	<$1	<$1	<$1	$1	10	9	145
TN	<$1	<$1	$1	<$1	$4	6	23	1,503
MS	<$1	<$1	$2	<$1	$8	12	88	5,137
AR	$1	<$1	$2	<$1	$8	2 ⚠ thin data	22	478
NJ	$2	$1	$2	<$1	$3	1 ⚠ thin data	9	17
OK	$3	<$1	$2,140	<$1	$2,921	2 ⚠ thin data	12	14
ND	$3	$3	$3	$3	$3	1 ⚠ thin data	1	1
CT	$4	$1	$6	$1	$11	2 ⚠ thin data	24	62
WI	$4	$3	$5	$2	$8,159	10	53	336
LA	$10	$10	$10	$7	$20	2 ⚠ thin data	16	21
FL	$17	$12	$25	$6	$33	4	29	176
NM	$69	$58	$81	$46	$92	1 ⚠ thin data	1	2
MI	$124	$8	$274	$2	$467	4	25	408
TX	$161	$36	$221	$2	$2,483	12	78	232
OH	$2,191	$1,986	$2,483	$1,869	$2,483	3	8	36
KS	$2,264	$2,037	$2,446	$1,869	$2,483	1 ⚠ thin data	6	6
CO	$2,264	$1,986	$2,483	$1,869	$2,483	1 ⚠ thin data	6	12
WA	$2,264	$2,037	$2,446	$1,869	$2,483	1 ⚠ thin data	6	6
AZ	$2,337	$2,110	$2,483	$1,869	$2,483	2 ⚠ thin data	4	12