11403 (HCPCS) by state — Price Transparency

HCPCS · across United States

11403 — Exc Tr-ext B9+marg 2.1-3cm

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

$774 National median

$422 – $1,505 IQR (p25 – p75)

3,347 hospitals filing

54 states

View hospital-by-hospital → Raw rate rows →

Estimate your cost

What would you pay?

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: $702.

I am… Annual deductible (assumed — typical plan) Already spent this year

Checked your insurer’s portal? Enter your remaining deductible and out-of-pocket max above/below and leave “already spent” at 0.

Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

Loading estimate…

Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 11403 (HCPCS), with interquartile range
State	Median	p25	p75
NH	$264	$148	$756
UT	$345	$150	$717
VT	$389	$196	$701
AS	$469	$188	$968
WY	$480	$308	$657
MT	$498	$253	$933
ND	$548	$301	$986
IA	$553	$271	$870
IN	$612	$140	$1,204
PR	$623	$467	$725
MI	$628	$260	$800
CO	$647	$326	$1,144
KY	$664	$360	$1,103
NE	$666	$382	$1,302
AR	$669	$393	$1,125
KS	$673	$258	$1,191
MO	$673	$396	$1,445
AL	$682	$624	$1,721
TN	$692	$581	$1,312
ME	$695	$309	$1,062
OK	$695	$274	$1,360
ID	$700	$251	$1,306
WV	$709	$443	$831
MS	$712	$521	$1,150
TX	$722	$254	$1,453
PA	$728	$405	$1,423
NM	$742	$581	$2,017
AZ	$756	$478	$1,457
NV	$766	$590	$1,588
IL	$772	$491	$2,111
MN	$774	$498	$774
SD	$792	$528	$1,769
DE	$816	$765	$1,195
OR	$822	$384	$1,986
NY	$833	$265	$1,561
HI	$834	$270	$1,318
MA	$849	$467	$1,454
VA	$879	$677	$1,971
WA	$893	$716	$1,456
DC	$939	$756	$1,467
CA	$952	$578	$2,432
CT	$961	$442	$2,138
NC	$965	$688	$1,111
RI	$965	$768	$1,533
LA	$1,012	$542	$1,580
AK	$1,021	$765	$1,297
SC	$1,026	$681	$1,854
OH	$1,047	$652	$1,562
VI	$1,200	$1,153	$1,304
MD	$1,324	$743	$1,592
FL	$1,357	$727	$2,500
WI	$1,427	$723	$1,494
GA	$1,843	$711	$3,517
NJ	$1,979	$816	$3,168

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

NH	$264	$148	$756	$30	$11,045	15	97	991
UT	$345	$150	$717	$115	$19,973	37	110	1,599
VT	$389	$196	$701	<$1	$1,649	11	51	464
AS	$469	$188	$968	$159	$1,653	1 ⚠ thin data	1	12
WY	$480	$308	$657	$13	$3,318	19	87	261
MT	$498	$253	$933	$50	$2,118	36	301	1,122
ND	$548	$301	$986	$50	$2,756	24	54	600
IA	$553	$271	$870	$1	$4,938	85	297	3,406
IN	$612	$140	$1,204	$23	$30,777	78	395	4,202
PR	$623	$467	$725	$86	$791	4	25	35
MI	$628	$260	$800	<$1	$12,964	95	642	6,344
CO	$647	$326	$1,144	$10	$8,652	73	253	2,874
KY	$664	$360	$1,103	$34	$14,167	60	160	2,211
NE	$666	$382	$1,302	$5	$11,679	67	163	2,213
AR	$669	$393	$1,125	$17	$16,539	49	351	2,507
KS	$673	$258	$1,191	$4	$11,847	102	406	3,282
MO	$673	$396	$1,445	$12	$56,438	80	394	7,152
AL	$682	$624	$1,721	$1	$72,359	59	295	1,652
TN	$692	$581	$1,312	<$1	$27,449	72	263	4,591
ME	$695	$309	$1,062	$74	$4,291	30	37	757
OK	$695	$274	$1,360	$1	$49,373	63	228	1,595
ID	$700	$251	$1,306	$25	$4,572	34	192	1,632
WV	$709	$443	$831	$30	$36,333	26	125	1,268
MS	$712	$521	$1,150	$2	$46,766	57	359	2,899
TX	$722	$254	$1,453	<$1	$55,006	326	836	14,880
PA	$728	$405	$1,423	$1	$38,895	111	346	5,993
NM	$742	$581	$2,017	$125	$39,280	22	107	532
AZ	$756	$478	$1,457	$51	$64,663	55	460	2,207
NV	$766	$590	$1,588	$82	$19,682	25	255	1,150
IL	$772	$491	$2,111	$8	$20,342	126	505	6,122
MN	$774	$498	$774	$18	$50,000	92	412	7,768
SD	$792	$528	$1,769	$6	$7,679	27	132	801
DE	$816	$765	$1,195	$191	$3,694	4	8	32
OR	$822	$384	$1,986	$6	$9,178	42	437	3,269
NY	$833	$265	$1,561	<$1	$35,000	128	492	11,268
HI	$834	$270	$1,318	<$1	$8,198	15	41	352
MA	$849	$467	$1,454	$1	$18,842	47	416	2,572
VA	$879	$677	$1,971	$13	$43,016	59	89	1,951
WA	$893	$716	$1,456	$24	$13,212	75	281	5,304
DC	$939	$756	$1,467	$222	$7,727	4	18	81
CA	$952	$578	$2,432	<$1	$50,000	240	1,309	13,164
CT	$961	$442	$2,138	$86	$10,430	25	61	490
NC	$965	$688	$1,111	<$1	$12,777	78	190	3,583
RI	$965	$768	$1,533	$54	$9,499	8	46	278
LA	$1,012	$542	$1,580	$35	$17,881	64	341	3,023
AK	$1,021	$765	$1,297	$72	$6,642	10	31	158
SC	$1,026	$681	$1,854	$1	$10,110	51	139	2,191
OH	$1,047	$652	$1,562	<$1	$38,751	116	477	5,916
VI	$1,200	$1,153	$1,304	$1,091	$1,402	1 ⚠ thin data	6	6
MD	$1,324	$743	$1,592	$250	$3,707	6	21	60
FL	$1,357	$727	$2,500	<$1	$168,520	161	783	7,994
WI	$1,427	$723	$1,494	$2	$16,897	103	507	5,416
GA	$1,843	$711	$3,517	$18	$50,000	91	142	2,456
NJ	$1,979	$816	$3,168	$5	$16,802	52	272	4,961