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HANK Price Transparency. (n.d.).
ACETAZOLAMIDE 250 MG TABLET (CDM 113) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved July 1, 2026 , from http://ppman.hank.ai/transparency/procedure/113/by-state?code_type=CDM
“ACETAZOLAMIDE 250 MG TABLET (CDM 113) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/113/by-state?code_type=CDM. Accessed
July 1, 2026 .
“ACETAZOLAMIDE 250 MG TABLET (CDM 113) by State,” HANK Price Transparency ,
accessed July 1, 2026 ,
http://ppman.hank.ai/transparency/procedure/113/by-state?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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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)
67
hospitals filing
17
states
Walking in without insurance?
Cash / self-pay price
Cash median
$1
vs. negotiated
-28.5%
Hospitals reporting
113
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
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
AZ $2,337 $2,110 $2,483
CO $2,264 $2,037 $2,446
KS $2,264 $2,037 $2,446
WA $2,264 $2,037 $2,446
OH $2,191 $1,986 $2,483
TX $166 $36 $221
MI $124 $8 $274
NM $69 $58 $81
LA $10 $10 $17
WI $4 $3 $5
ND $3 $3 $3
OK $3 $1 $2,140
NJ $2 $1 $2
AR $1 $0 $2
MS $1 $0 $2
TN $1 $0 $1
PA $0 $0 $1