114490 (OTHER) by state — Price Transparency

OTHER · across United States

114490 — Hchg Endo Level 4 (+setup)

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

$1,896 National median

$1,883 – $2,029 IQR (p25 – p75)

2 hospitals filing

2 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.

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

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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 114490 (OTHER), with interquartile range
State	Median	p25	p75
WI	$1,916	$1,896	$2,216
MN	$1,832	$1,812	$1,934

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	$1,916	$1,896	$2,216	$1,896	$4,012	1 ⚠ thin data	6	8
MN	$1,832	$1,812	$1,934	$1,781	$2,206	1 ⚠ thin data	4	4