12041 (HCPCS) by state — Price Transparency

HCPCS · across United States

12041 — Intmd Rpr N-hf/genit 2.5cm/<

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

$498 National median

$330 – $830 IQR (p25 – p75)

3,555 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: $499.

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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 12041 (HCPCS), with interquartile range
State	Median	p25	p75
PR	$252	$249	$293
AS	$314	$189	$440
NH	$322	$153	$630
MI	$325	$178	$414
KY	$358	$223	$475
IN	$359	$182	$587
MS	$367	$262	$653
IA	$376	$228	$574
KS	$385	$236	$594
AL	$386	$287	$570
AR	$387	$250	$652
CT	$391	$280	$615
TN	$399	$341	$703
TX	$404	$246	$674
WV	$407	$337	$485
VT	$408	$282	$521
PA	$419	$233	$703
MO	$421	$250	$791
LA	$423	$337	$900
AZ	$426	$347	$691
SC	$435	$368	$829
RI	$442	$362	$659
ID	$442	$251	$741
ME	$456	$335	$673
NE	$457	$322	$700
MA	$460	$314	$626
UT	$463	$203	$734
DE	$468	$439	$686
ND	$470	$365	$580
NV	$470	$359	$790
OH	$470	$348	$890
OR	$484	$398	$1,018
WA	$486	$414	$846
WY	$491	$308	$655
NC	$504	$375	$593
HI	$520	$452	$1,137
IL	$522	$385	$833
OK	$532	$349	$722
CA	$532	$397	$1,048
VA	$537	$397	$1,270
MD	$553	$387	$773
CO	$555	$282	$811
NM	$565	$402	$1,040
MT	$585	$330	$820
MN	$601	$463	$830
SD	$603	$363	$855
WI	$605	$544	$1,092
NY	$617	$347	$1,093
GA	$649	$389	$1,841
FL	$669	$405	$1,546
VI	$781	$576	$972
DC	$790	$426	$1,162
AK	$900	$452	$1,124
NJ	$1,035	$532	$1,880

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

PR	$252	$249	$293	$130	$322	4	10	17
AS	$314	$189	$440	$189	$440	1 ⚠ thin data	1	6
NH	$322	$153	$630	$40	$20,120	17	103	1,073
MI	$325	$178	$414	<$1	$17,946	95	652	6,612
KY	$358	$223	$475	$18	$10,784	66	165	2,710
IN	$359	$182	$587	$24	$41,825	73	409	4,487
MS	$367	$262	$653	$2	$24,531	66	594	4,156
IA	$376	$228	$574	<$1	$3,702	90	307	4,262
KS	$385	$236	$594	$4	$67,504	105	465	3,728
AL	$386	$287	$570	$1	$30,716	61	298	1,780
AR	$387	$250	$652	$1	$19,758	62	433	3,572
CT	$391	$280	$615	$31	$6,273	23	61	621
TN	$399	$341	$703	$45	$61,675	79	258	4,773
TX	$404	$246	$674	<$1	$29,165	353	1,038	16,695
WV	$407	$337	$485	$24	$3,136	28	136	1,488
VT	$408	$282	$521	<$1	$1,505	12	53	732
PA	$419	$233	$703	$1	$25,419	120	385	7,823
MO	$421	$250	$791	$12	$55,571	75	369	7,727
LA	$423	$337	$900	$6	$17,881	75	570	4,946
AZ	$426	$347	$691	$80	$14,091	51	472	2,283
SC	$435	$368	$829	$1	$14,554	52	177	2,628
RI	$442	$362	$659	$57	$4,423	9	50	278
ID	$442	$251	$741	$9	$10,350	35	193	1,743
ME	$456	$335	$673	$56	$2,390	30	36	921
NE	$457	$322	$700	$4	$6,796	69	173	2,595
MA	$460	$314	$626	$1	$13,614	50	417	2,908
UT	$463	$203	$734	$8	$14,679	40	185	2,863
DE	$468	$439	$686	$240	$2,121	4	8	32
ND	$470	$365	$580	$87	$2,000	28	71	762
NV	$470	$359	$790	$26	$7,328	27	266	1,270
OH	$470	$348	$890	<$1	$33,091	114	644	7,307
OR	$484	$398	$1,018	$6	$8,481	49	481	4,443
WA	$486	$414	$846	$36	$13,212	79	282	5,760
WY	$491	$308	$655	$12	$983	22	101	559
NC	$504	$375	$593	<$1	$10,074	70	183	3,788
HI	$520	$452	$1,137	<$1	$4,704	19	32	777
IL	$522	$385	$833	$3	$28,852	133	608	10,009
OK	$532	$349	$722	$75	$12,642	85	300	3,475
CA	$532	$397	$1,048	<$1	$50,000	259	1,395	15,047
VA	$537	$397	$1,270	$8	$14,810	57	99	2,114
MD	$553	$387	$773	$202	$2,701	5	20	86
CO	$555	$282	$811	$5	$8,568	76	288	4,103
NM	$565	$402	$1,040	$91	$27,819	22	130	483
MT	$585	$330	$820	$40	$13,091	40	314	1,838
MN	$601	$463	$830	$37	$50,000	99	414	11,599
SD	$603	$363	$855	$6	$5,411	41	138	1,744
WI	$605	$544	$1,092	$2	$16,897	107	553	11,068
NY	$617	$347	$1,093	$5	$35,000	145	616	13,836
GA	$649	$389	$1,841	$36	$50,000	88	177	2,672
FL	$669	$405	$1,546	<$1	$149,248	167	850	10,589
VI	$781	$576	$972	$514	$1,158	1 ⚠ thin data	6	12
DC	$790	$426	$1,162	$171	$7,727	5	33	117
AK	$900	$452	$1,124	$72	$6,642	10	31	197
NJ	$1,035	$532	$1,880	$18	$15,435	56	327	5,812