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).

$774 National median

$437 – $1,390 IQR (p25 – p75)

2,765 hospitals filing

54 states

View hospital-by-hospital → Raw rate rows →

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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
GA	$1,738	$732	$3,137
WI	$1,409	$788	$1,431
FL	$1,384	$733	$2,490
NJ	$1,338	$816	$2,519
AK	$1,281	$786	$4,001
VI	$1,200	$1,153	$1,304
MN	$1,172	$656	$1,197
LA	$1,065	$644	$1,667
NC	$1,032	$708	$1,625
RI	$962	$776	$1,466
OH	$959	$650	$1,633
MD	$954	$682	$1,242
AS	$936	$220	$1,653
CT	$932	$445	$1,599
NV	$927	$727	$1,522
OK	$920	$669	$2,039
CA	$911	$500	$1,679
HI	$885	$727	$1,332
MA	$877	$579	$1,174
DC	$827	$742	$1,196
OR	$819	$491	$866
DE	$816	$765	$1,195
NY	$814	$351	$1,255
SD	$792	$539	$1,945
WA	$790	$716	$1,220
ID	$751	$276	$1,426
AZ	$750	$515	$1,133
PA	$742	$442	$1,498
VA	$741	$656	$2,162
NM	$739	$670	$1,996
IL	$734	$393	$1,163
ND	$729	$508	$1,231
AL	$728	$624	$1,619
TX	$716	$219	$1,504
SC	$712	$472	$1,521
CO	$704	$243	$1,366
ME	$694	$331	$1,133
MS	$685	$521	$1,158
NE	$683	$434	$1,274
TN	$675	$514	$1,260
KY	$660	$345	$1,080
AR	$653	$297	$844
WV	$644	$291	$733
MO	$643	$341	$890
KS	$624	$255	$874
PR	$623	$467	$725
IA	$600	$282	$726
MT	$598	$284	$933
WY	$593	$251	$705
MI	$511	$263	$724
IN	$440	$161	$895
VT	$420	$252	$704
NH	$367	$174	$868
UT	$195	$169	$677

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

GA	$1,738	$732	$3,137	$70	$50,000	66	115	1,889
WI	$1,409	$788	$1,431	$2	$16,897	92	445	4,675
FL	$1,384	$733	$2,490	<$1	$168,520	148	792	7,467
NJ	$1,338	$816	$2,519	$5	$20,152	47	263	3,585
AK	$1,281	$786	$4,001	$72	$6,642	9	31	122
VI	$1,200	$1,153	$1,304	$1,091	$1,402	1 ⚠ thin data	6	6
MN	$1,172	$656	$1,197	$51	$50,000	87	409	6,204
LA	$1,065	$644	$1,667	$33	$17,881	51	264	2,040
NC	$1,032	$708	$1,625	$80	$10,074	58	160	2,641
RI	$962	$776	$1,466	$396	$5,441	8	27	196
OH	$959	$650	$1,633	<$1	$26,094	100	392	4,599
MD	$954	$682	$1,242	$282	$3,629	6	18	42
AS	$936	$220	$1,653	$220	$1,653	1 ⚠ thin data	1	6
CT	$932	$445	$1,599	$87	$9,943	21	45	412
NV	$927	$727	$1,522	$160	$6,461	16	222	704
OK	$920	$669	$2,039	$41	$6,630	49	120	995
CA	$911	$500	$1,679	<$1	$27,148	205	710	7,162
HI	$885	$727	$1,332	$106	$6,268	13	27	186
MA	$877	$579	$1,174	$1	$13,614	37	286	1,272
DC	$827	$742	$1,196	$282	$4,902	5	16	65
OR	$819	$491	$866	$7	$9,178	36	399	1,713
DE	$816	$765	$1,195	$244	$3,694	4	8	32
NY	$814	$351	$1,255	$14	$35,000	102	448	8,226
SD	$792	$539	$1,945	$7	$9,237	26	121	663
WA	$790	$716	$1,220	$38	$13,212	62	192	4,120
ID	$751	$276	$1,426	$31	$4,495	30	164	1,183
AZ	$750	$515	$1,133	$89	$4,839	38	413	1,470
PA	$742	$442	$1,498	$1	$32,529	85	289	4,593
VA	$741	$656	$2,162	$23	$18,047	43	75	1,233
NM	$739	$670	$1,996	$144	$43,831	15	71	345
IL	$734	$393	$1,163	$10	$26,165	94	395	3,603
ND	$729	$508	$1,231	$79	$2,756	22	49	371
AL	$728	$624	$1,619	$1	$74,894	48	258	1,261
TX	$716	$219	$1,504	<$1	$22,109	257	507	9,887
SC	$712	$472	$1,521	$1	$10,110	42	139	1,735
CO	$704	$243	$1,366	$25	$8,652	64	234	2,382
ME	$694	$331	$1,133	$99	$4,208	29	33	478
MS	$685	$521	$1,158	$2	$40,940	40	234	1,417
NE	$683	$434	$1,274	$3	$11,679	58	159	2,049
TN	$675	$514	$1,260	<$1	$107,436	61	159	3,439
KY	$660	$345	$1,080	$50	$6,807	57	126	1,930
AR	$653	$297	$844	$31	$32,873	34	311	1,649
WV	$644	$291	$733	$35	$5,464	21	87	804
MO	$643	$341	$890	$13	$116,381	54	260	3,656
KS	$624	$255	$874	$5	$63,428	86	347	2,256
PR	$623	$467	$725	$117	$791	4	25	35
IA	$600	$282	$726	$1	$4,938	75	275	2,531
MT	$598	$284	$933	$65	$4,114	30	287	944
WY	$593	$251	$705	$14	$3,318	16	79	194
MI	$511	$263	$724	<$1	$6,793	87	594	5,479
IN	$440	$161	$895	$27	$37,211	58	338	3,384
VT	$420	$252	$704	<$1	$1,345	11	51	463
NH	$367	$174	$868	$46	$16,444	14	96	928
UT	$195	$169	$677	$33	$4,460	36	110	1,408