11622 (HCPCS) by state — Price Transparency

HCPCS · across United States

11622 — Exc S/n/h/f/g Mal+mrg 1.1-2

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

$772 National median

$436 – $1,386 IQR (p25 – p75)

2,749 hospitals filing

54 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $663.

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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 11622 (HCPCS), with interquartile range
State	Median	p25	p75
UT	$195	$169	$677
NH	$366	$167	$832
VT	$420	$252	$704
IN	$440	$161	$895
MI	$511	$263	$724
WY	$593	$251	$705
MT	$597	$284	$933
IA	$599	$282	$725
PR	$623	$467	$725
KS	$624	$254	$859
WV	$632	$290	$733
MO	$643	$341	$890
AR	$653	$297	$844
KY	$660	$345	$1,080
TN	$675	$514	$1,260
NE	$683	$434	$1,274
MS	$693	$536	$1,158
ME	$694	$331	$1,133
CO	$707	$254	$1,366
SC	$712	$472	$1,521
TX	$716	$221	$1,508
AL	$728	$624	$1,619
ND	$729	$508	$1,231
IL	$733	$389	$1,149
PA	$738	$432	$1,455
NM	$739	$670	$1,996
AZ	$750	$515	$1,133
ID	$751	$276	$1,426
VA	$767	$688	$2,265
WA	$791	$718	$1,220
SD	$792	$539	$1,945
OR	$813	$489	$866
NY	$814	$352	$1,255
DE	$816	$765	$1,195
DC	$827	$742	$1,196
MA	$877	$579	$1,174
HI	$885	$727	$1,332
CA	$911	$478	$1,652
OK	$919	$669	$1,961
NV	$927	$727	$1,522
CT	$932	$445	$1,599
AS	$936	$220	$1,653
MD	$954	$682	$1,242
OH	$959	$650	$1,633
NC	$1,032	$708	$1,625
LA	$1,061	$644	$1,653
RI	$1,108	$771	$1,518
MN	$1,172	$656	$1,197
VI	$1,200	$1,153	$1,304
AK	$1,281	$786	$4,001
NJ	$1,338	$816	$2,522
FL	$1,384	$728	$2,462
WI	$1,409	$840	$1,431
GA	$1,738	$732	$3,137

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

UT	$195	$169	$677	$33	$4,460	36	110	1,408
NH	$366	$167	$832	$46	$16,444	14	96	920
VT	$420	$252	$704	<$1	$1,345	11	51	463
IN	$440	$161	$895	$27	$37,211	58	338	3,384
MI	$511	$263	$724	<$1	$6,793	87	594	5,479
WY	$593	$251	$705	$14	$3,318	16	79	194
MT	$597	$284	$933	$65	$4,114	30	287	938
IA	$599	$282	$725	$1	$4,938	75	275	2,518
PR	$623	$467	$725	$117	$791	4	25	35
KS	$624	$254	$859	$5	$63,428	87	345	2,250
WV	$632	$290	$733	$35	$5,464	19	84	794
MO	$643	$341	$890	$13	$116,381	54	260	3,656
AR	$653	$297	$844	$31	$32,873	34	311	1,649
KY	$660	$345	$1,080	$50	$6,807	56	126	1,930
TN	$675	$514	$1,260	<$1	$107,436	61	159	3,439
NE	$683	$434	$1,274	$3	$11,679	58	159	2,049
MS	$693	$536	$1,158	$2	$40,940	39	233	1,344
ME	$694	$331	$1,133	$99	$4,208	29	33	478
CO	$707	$254	$1,366	$25	$8,652	64	234	2,406
SC	$712	$472	$1,521	$1	$10,110	42	139	1,735
TX	$716	$221	$1,508	<$1	$22,109	257	507	9,885
AL	$728	$624	$1,619	$1	$74,894	48	258	1,260
ND	$729	$508	$1,231	$79	$2,756	22	49	371
IL	$733	$389	$1,149	$10	$26,165	92	388	3,611
PA	$738	$432	$1,455	$1	$32,529	85	288	4,513
NM	$739	$670	$1,996	$144	$43,831	15	71	345
AZ	$750	$515	$1,133	$89	$4,839	38	413	1,470
ID	$751	$276	$1,426	$31	$4,495	30	164	1,183
VA	$767	$688	$2,265	$23	$5,074	42	74	1,055
WA	$791	$718	$1,220	$38	$13,212	61	189	4,111
SD	$792	$539	$1,945	$7	$9,237	26	121	663
OR	$813	$489	$866	$7	$9,178	36	399	1,695
NY	$814	$352	$1,255	$14	$35,000	101	448	8,232
DE	$816	$765	$1,195	$244	$3,694	4	8	32
DC	$827	$742	$1,196	$282	$4,902	5	16	65
MA	$877	$579	$1,174	$1	$13,614	37	286	1,272
HI	$885	$727	$1,332	$106	$6,268	13	27	186
CA	$911	$478	$1,652	<$1	$27,148	204	702	7,074
OK	$919	$669	$1,961	$41	$6,630	48	117	961
NV	$927	$727	$1,522	$160	$6,461	16	222	704
CT	$932	$445	$1,599	$87	$9,943	21	45	412
AS	$936	$220	$1,653	$220	$1,653	1 ⚠ thin data	1	6
MD	$954	$682	$1,242	$282	$3,629	6	18	42
OH	$959	$650	$1,633	<$1	$26,094	100	392	4,599
NC	$1,032	$708	$1,625	$80	$10,074	58	160	2,638
LA	$1,061	$644	$1,653	$33	$17,881	50	262	2,055
RI	$1,108	$771	$1,518	$396	$5,441	8	27	171
MN	$1,172	$656	$1,197	$51	$50,000	87	407	6,205
VI	$1,200	$1,153	$1,304	$1,091	$1,402	1 ⚠ thin data	6	6
AK	$1,281	$786	$4,001	$72	$6,642	9	31	122
NJ	$1,338	$816	$2,522	$5	$20,152	46	262	3,558
FL	$1,384	$728	$2,462	<$1	$168,520	145	782	7,288
WI	$1,409	$840	$1,431	$2	$16,897	91	435	4,481
GA	$1,738	$732	$3,137	$70	$50,000	66	115	1,889