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).

$497 National median

$330 – $830 IQR (p25 – p75)

3,604 hospitals filing

55 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
NJ	$1,035	$532	$1,880
AK	$900	$452	$1,124
DC	$790	$426	$1,162
VI	$781	$576	$972
FL	$669	$405	$1,540
NY	$630	$358	$1,109
WI	$605	$544	$1,092
MN	$601	$457	$830
SD	$601	$357	$855
MT	$585	$330	$820
GU	$578	$578	$578
NM	$575	$387	$1,116
GA	$570	$380	$1,764
CO	$555	$299	$811
MD	$553	$387	$773
VA	$537	$397	$1,270
OK	$532	$349	$722
CA	$528	$391	$1,048
IL	$522	$378	$833
HI	$520	$452	$1,137
WY	$506	$327	$671
NC	$495	$367	$593
UT	$491	$203	$728
WA	$485	$414	$848
OR	$484	$398	$1,018
NV	$477	$359	$790
ND	$474	$365	$590
DE	$468	$439	$686
OH	$466	$347	$890
ME	$459	$337	$673
ID	$453	$250	$740
MA	$450	$311	$626
NE	$445	$308	$682
RI	$442	$362	$659
AZ	$434	$347	$697
PA	$419	$243	$699
MO	$418	$249	$781
LA	$416	$334	$865
SC	$415	$342	$822
WV	$411	$344	$520
VT	$408	$282	$521
TX	$407	$249	$670
TN	$402	$339	$711
CT	$391	$280	$615
AL	$387	$287	$570
KS	$387	$242	$593
AR	$384	$248	$611
IA	$376	$230	$576
MS	$366	$256	$652
KY	$360	$223	$486
IN	$359	$182	$568
MI	$328	$180	$417
NH	$322	$153	$630
AS	$314	$189	$440
PR	$252	$249	$293

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

NJ	$1,035	$532	$1,880	$18	$15,435	57	328	5,799
AK	$900	$452	$1,124	$72	$6,642	10	31	197
DC	$790	$426	$1,162	$171	$7,727	5	33	117
VI	$781	$576	$972	$514	$1,158	1 ⚠ thin data	6	12
FL	$669	$405	$1,540	<$1	$149,248	167	852	10,627
NY	$630	$358	$1,109	$5	$35,000	152	631	14,289
WI	$605	$544	$1,092	$2	$16,897	108	555	11,319
MN	$601	$457	$830	$37	$50,000	99	418	11,638
SD	$601	$357	$855	$6	$5,411	43	144	1,797
MT	$585	$330	$820	$40	$13,091	40	314	1,838
GU	$578	$578	$578	$578	$578	1 ⚠ thin data	4	4
NM	$575	$387	$1,116	$91	$12,891	22	129	495
GA	$570	$380	$1,764	$36	$50,000	91	202	2,787
CO	$555	$299	$811	$5	$8,568	76	300	4,113
MD	$553	$387	$773	$202	$2,701	5	20	86
VA	$537	$397	$1,270	$8	$14,810	57	99	2,114
OK	$532	$349	$722	$75	$12,642	86	300	3,504
CA	$528	$391	$1,048	<$1	$50,000	262	1,451	15,179
IL	$522	$378	$833	$3	$28,852	135	633	10,266
HI	$520	$452	$1,137	<$1	$4,704	19	32	777
WY	$506	$327	$671	$12	$983	22	102	584
NC	$495	$367	$593	<$1	$10,074	70	187	3,984
UT	$491	$203	$728	$8	$14,679	40	187	3,160
WA	$485	$414	$848	$36	$13,212	80	284	5,800
OR	$484	$398	$1,018	$6	$8,481	48	482	4,423
NV	$477	$359	$790	$26	$7,328	26	263	1,241
ND	$474	$365	$590	$87	$2,000	28	74	805
DE	$468	$439	$686	$240	$2,121	4	8	32
OH	$466	$347	$890	<$1	$33,091	117	670	7,353
ME	$459	$337	$673	$56	$2,390	30	36	922
ID	$453	$250	$740	$9	$10,350	36	216	1,786
MA	$450	$311	$626	$1	$50,000	52	424	3,055
NE	$445	$308	$682	$4	$6,796	70	179	2,697
RI	$442	$362	$659	$57	$4,423	9	50	278
AZ	$434	$347	$697	$80	$14,091	52	472	2,342
PA	$419	$243	$699	$1	$25,419	121	381	7,892
MO	$418	$249	$781	$12	$55,571	75	367	7,728
LA	$416	$334	$865	$6	$17,881	78	578	5,036
SC	$415	$342	$822	<$1	$14,554	54	191	2,791
WV	$411	$344	$520	$24	$3,136	30	136	1,479
VT	$408	$282	$521	<$1	$1,505	12	53	732
TX	$407	$249	$670	<$1	$29,165	356	1,146	17,021
TN	$402	$339	$711	$45	$61,675	82	263	4,837
CT	$391	$280	$615	$31	$6,273	23	61	621
AL	$387	$287	$570	$1	$30,716	64	303	1,828
KS	$387	$242	$593	$4	$67,504	105	466	3,770
AR	$384	$248	$611	$19	$19,758	64	429	3,537
IA	$376	$230	$576	<$1	$3,702	91	309	4,289
MS	$366	$256	$652	$2	$24,531	64	578	4,070
KY	$360	$223	$486	$18	$10,784	67	166	2,632
IN	$359	$182	$568	$24	$41,825	75	417	4,724
MI	$328	$180	$417	<$1	$17,946	94	654	6,483
NH	$322	$153	$630	$40	$20,120	18	103	1,074
AS	$314	$189	$440	$189	$440	1 ⚠ thin data	1	6
PR	$252	$249	$293	$130	$322	4	10	17