126092 (CDM) by state — Price Transparency

CDM · across United States

126092 — Revsc Low Ext Ivl St/ath

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

$27,589 National median

$94 – $40,603 IQR (p25 – p75)

12 hospitals filing

4 states

View hospital-by-hospital → Raw rate rows →

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What would you pay?

Plug in your deductible, what you've already spent against it, your OOP-max, and your coinsurance %. We'll math the rest. Math reference: methodology.

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: $63,863.

I am… Annual deductible (assumed — typical plan) Already spent this year

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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 126092 (CDM), with interquartile range
State	Median	p25	p75
VA	$37,023	$25,599	$62,137
NH	$36,530	$24,012	$49,813
TX	$94	$40	$94
LA	$64	$64	$68

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

VA	$37,023	$25,599	$62,137	$6,171	$177,533	4	30	85
NH	$36,530	$24,012	$49,813	$2,631	$63,863	1 ⚠ thin data	15	54
TX	$94	$40	$94	$17	$94	6	7	47
LA	$64	$64	$68	$26	$75	1 ⚠ thin data	6	6