11642 (HCPCS) by state — Price Transparency

HCPCS · across United States

11642 — Exc F/e/e/n/l 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).

$777 National median

$462 – $1,414 IQR (p25 – p75)

2,814 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: $692.

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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 11642 (HCPCS), with interquartile range
State	Median	p25	p75
UT	$206	$181	$694
VT	$350	$262	$697
NH	$416	$212	$1,284
MT	$434	$287	$754
IN	$479	$175	$759
PR	$517	$517	$517
MI	$519	$286	$762
IA	$637	$324	$826
KY	$641	$356	$1,019
KS	$651	$301	$1,045
AR	$661	$318	$1,011
WV	$676	$507	$760
WY	$677	$264	$849
ME	$695	$442	$1,190
TN	$695	$613	$1,312
OH	$696	$423	$1,543
NE	$696	$459	$1,355
MO	$706	$402	$1,125
CO	$707	$287	$1,285
TX	$711	$238	$1,579
ND	$718	$456	$1,118
AL	$728	$611	$1,502
PA	$748	$420	$1,552
IL	$750	$419	$1,152
AZ	$750	$513	$1,379
NM	$758	$670	$4,873
VA	$758	$656	$1,968
ID	$786	$336	$1,447
SD	$792	$541	$1,301
MS	$792	$536	$1,180
WA	$803	$757	$1,456
RI	$814	$734	$1,592
NY	$822	$363	$1,394
DC	$827	$742	$1,196
MA	$830	$663	$1,053
DE	$834	$769	$2,028
HI	$837	$487	$1,050
CT	$841	$535	$1,318
OR	$850	$572	$905
CA	$911	$492	$1,685
AS	$944	$236	$1,653
WI	$956	$631	$2,279
LA	$1,021	$640	$1,617
NC	$1,032	$790	$2,058
NV	$1,036	$725	$1,452
OK	$1,044	$669	$2,024
SC	$1,079	$680	$1,751
MD	$1,100	$691	$1,296
VI	$1,200	$1,153	$1,304
FL	$1,273	$728	$2,284
MN	$1,352	$690	$1,396
AK	$1,719	$884	$2,890
GA	$1,770	$719	$3,493
NJ	$1,980	$816	$3,229

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	$206	$181	$694	$140	$6,405	36	110	1,436
VT	$350	$262	$697	<$1	$1,204	11	51	470
NH	$416	$212	$1,284	$61	$20,886	14	93	922
MT	$434	$287	$754	$53	$2,118	32	161	613
IN	$479	$175	$759	$29	$32,235	58	335	3,183
PR	$517	$517	$517	$434	$569	3	8	10
MI	$519	$286	$762	<$1	$12,773	82	606	5,147
IA	$637	$324	$826	$1	$4,938	73	282	2,609
KY	$641	$356	$1,019	$50	$10,784	55	129	1,966
KS	$651	$301	$1,045	$5	$72,795	84	285	2,094
AR	$661	$318	$1,011	$41	$13,865	35	283	1,515
WV	$676	$507	$760	$128	$4,916	25	99	1,048
WY	$677	$264	$849	$15	$3,318	17	81	210
ME	$695	$442	$1,190	$105	$4,208	29	31	501
TN	$695	$613	$1,312	<$1	$107,436	67	217	3,826
OH	$696	$423	$1,543	<$1	$19,074	105	497	3,568
NE	$696	$459	$1,355	$3	$11,679	63	166	2,089
MO	$706	$402	$1,125	$14	$61,650	60	333	3,810
CO	$707	$287	$1,285	$29	$13,923	69	264	2,395
TX	$711	$238	$1,579	<$1	$74,342	275	548	10,290
ND	$718	$456	$1,118	$84	$3,461	23	52	413
AL	$728	$611	$1,502	$1	$133,281	50	242	1,261
PA	$748	$420	$1,552	$1	$45,834	90	273	4,546
IL	$750	$419	$1,152	$10	$19,720	94	363	3,349
AZ	$750	$513	$1,379	$80	$89,945	39	452	1,626
NM	$758	$670	$4,873	$154	$27,015	16	76	360
VA	$758	$656	$1,968	$24	$36,929	47	75	1,639
ID	$786	$336	$1,447	$44	$4,495	29	169	1,230
SD	$792	$541	$1,301	$8	$5,815	29	116	695
MS	$792	$536	$1,180	$3	$32,540	43	231	1,666
WA	$803	$757	$1,456	$28	$16,508	64	223	4,080
RI	$814	$734	$1,592	$195	$5,250	6	21	101
NY	$822	$363	$1,394	$15	$35,000	109	483	8,775
DC	$827	$742	$1,196	$199	$4,902	5	16	65
MA	$830	$663	$1,053	$1	$13,614	37	341	1,161
DE	$834	$769	$2,028	$258	$7,149	5	9	34
HI	$837	$487	$1,050	$29	$20,775	13	25	196
CT	$841	$535	$1,318	$63	$9,022	21	46	405
OR	$850	$572	$905	$8	$9,178	37	364	1,535
CA	$911	$492	$1,685	<$1	$111,718	194	810	7,437
AS	$944	$236	$1,653	$236	$1,653	1 ⚠ thin data	1	6
WI	$956	$631	$2,279	$2	$16,897	97	247	2,678
LA	$1,021	$640	$1,617	$47	$17,881	45	240	1,928
NC	$1,032	$790	$2,058	$129	$10,074	55	160	2,669
NV	$1,036	$725	$1,452	$174	$6,461	16	219	606
OK	$1,044	$669	$2,024	$16	$6,630	49	108	1,064
SC	$1,079	$680	$1,751	$1	$10,110	35	71	842
MD	$1,100	$691	$1,296	$303	$1,781	4	17	40
VI	$1,200	$1,153	$1,304	$1,091	$1,402	1 ⚠ thin data	6	6
FL	$1,273	$728	$2,284	<$1	$168,520	148	762	7,391
MN	$1,352	$690	$1,396	$56	$50,000	88	409	6,373
AK	$1,719	$884	$2,890	$72	$8,303	9	28	111
GA	$1,770	$719	$3,493	$76	$50,000	65	110	1,710
NJ	$1,980	$816	$3,229	$5	$16,802	51	258	4,087