1203 (OTHER) by state — Price Transparency

OTHER · across United States

1203 — Verteporfin Injection

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

$12 National median

$12 – $22 IQR (p25 – p75)

312 hospitals filing

39 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: $19,200.

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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 1203 (OTHER), with interquartile range
State	Median	p25	p75
NE	$11	$11	$11
OK	$12	$12	$12
UT	$12	$11	$12
MI	$12	$12	$17,425
WI	$12	$12	$12
ID	$12	$12	$12
AK	$12	$11	$12
CO	$12	$12	$12
KS	$12	$12	$12
NV	$12	$12	$22
GA	$12	$12	$12
DC	$12	$12	$13
NH	$12	$12	$12
SC	$12	$12	$12
VA	$12	$12	$12
TN	$12	$12	$12
NC	$12	$12	$13
FL	$12	$12	$13
TX	$12	$12	$14
MO	$12	$12	$2,154
HI	$13	$11	$31,963
NJ	$14	$13	$2,886
KY	$15	$12	$28,143
CA	$16	$12	$31,929
WA	$16	$13	$17
MS	$16	$12	$18
ND	$18	$16	$19
NY	$26	$12	$34,620
WV	$36	$34	$36
PA	$68	$12	$24,474
IN	$1,500	$12	$1,500
AR	$1,688	$1,688	$1,688
AZ	$1,950	$1,950	$3,015
OH	$2,146	$2,146	$2,146
IL	$11,875	$11,875	$17,726
MN	$30,339	$21,646	$39,031
LA	$32,118	$1,758	$33,868
MA	$50,855	$50,855	$50,855
SD	$67,867	$44,580	$68,040

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

NE	$11	$11	$11	$11	$11	2 ⚠ thin data	2	4
OK	$12	$12	$12	$12	$12	1 ⚠ thin data	5	5
UT	$12	$11	$12	$9	$13	7	13	86
MI	$12	$12	$17,425	$6	$24,556	7	34	116
WI	$12	$12	$12	$12	$12	1 ⚠ thin data	1	1
ID	$12	$12	$12	$12	$1,213	2 ⚠ thin data	10	27
AK	$12	$11	$12	$11	$14	1 ⚠ thin data	5	10
CO	$12	$12	$12	$10	$12	6	15	128
KS	$12	$12	$12	$11	$17	3	11	38
NV	$12	$12	$22	$2	$1,600	10	22	145
GA	$12	$12	$12	$8	$19	4	21	72
DC	$12	$12	$13	$12	$15	1 ⚠ thin data	3	3
NH	$12	$12	$12	$9	$21	4	12	75
SC	$12	$12	$12	$12	$24	9	32	220
VA	$12	$12	$12	$12	$2,665	11	23	239
TN	$12	$12	$12	$8	$17	11	23	442
NC	$12	$12	$13	$11	$21	7	16	117
FL	$12	$12	$13	$9	$2,134	50	96	2,019
TX	$12	$12	$14	$11	$87,157	73	89	2,242
MO	$12	$12	$2,154	$11	$2,154	5	37	104
HI	$13	$11	$31,963	$11	$36,758	1 ⚠ thin data	6	14
NJ	$14	$13	$2,886	$12	$37,634	7	29	308
KY	$15	$12	$28,143	$10	$33,290	7	23	88
CA	$16	$12	$31,929	$9	$48,997	18	74	364
WA	$16	$13	$17	$12	$17	1 ⚠ thin data	1	6
MS	$16	$12	$18	$11	$18	4	6	12
ND	$18	$16	$19	$14	$77,874	4	2	10
NY	$26	$12	$34,620	$10	$136,136	14	42	219
WV	$36	$34	$36	$29	$36	1 ⚠ thin data	9	10
PA	$68	$12	$24,474	$10	$47,438	14	42	209
IN	$1,500	$12	$1,500	$12	$54,973	3	32	92
AR	$1,688	$1,688	$1,688	$1,688	$1,688	1 ⚠ thin data	14	40
AZ	$1,950	$1,950	$3,015	$1,950	$3,015	2 ⚠ thin data	42	106
OH	$2,146	$2,146	$2,146	$1,526	$17,146	5	49	309
IL	$11,875	$11,875	$17,726	$11,875	$17,726	1 ⚠ thin data	11	28
MN	$30,339	$21,646	$39,031	$12,954	$47,724	1 ⚠ thin data	1	2
LA	$32,118	$1,758	$33,868	$11	$93,136	9	40	313
MA	$50,855	$50,855	$50,855	$50,855	$50,855	1 ⚠ thin data	1	1
SD	$67,867	$44,580	$68,040	$33,201	$85,674	3	2	12