114488 (OTHER) by state — Price Transparency

OTHER · across United States

114488 — Guidewire Amplatz S.s. 035x145 640-104

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

$47 National median

$32 – $76 IQR (p25 – p75)

5 hospitals filing

4 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: $48.

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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 114488 (OTHER), with interquartile range
State	Median	p25	p75
WI	$1,533	$1,518	$1,773
MN	$1,258	$1,244	$1,328
NH	$63	$47	$76
NY	$23	$21	$32

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

WI	$1,533	$1,518	$1,773	$1,518	$3,210	1 ⚠ thin data	6	8
MN	$1,258	$1,244	$1,328	$1,223	$1,515	1 ⚠ thin data	4	4
NH	$63	$47	$76	$43	$101	1 ⚠ thin data	12	32
NY	$23	$21	$32	$18	$32	2 ⚠ thin data	13	32