13120 (HCPCS) by state — Price Transparency

HCPCS · across United States

13120 — Cmplx Rpr S/a/l 1.1-2.5 Cm

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

$689 National median

$420 – $1,157 IQR (p25 – p75)

3,056 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: $765.

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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 13120 (HCPCS), with interquartile range
State	Median	p25	p75
PR	$365	$271	$461
MI	$407	$212	$671
WV	$415	$353	$617
AS	$440	$301	$1,296
AZ	$441	$406	$962
IN	$443	$291	$733
VT	$470	$316	$625
KS	$483	$310	$721
CT	$491	$323	$869
RI	$509	$455	$681
IA	$514	$305	$781
MS	$537	$389	$754
AL	$538	$362	$896
UT	$541	$274	$808
KY	$550	$349	$714
MO	$566	$301	$860
AR	$578	$323	$847
DC	$582	$462	$792
OH	$583	$429	$842
TN	$589	$432	$1,222
NC	$591	$322	$734
NM	$595	$425	$1,341
NE	$597	$422	$957
ME	$602	$373	$1,032
ID	$610	$355	$1,096
TX	$613	$417	$1,167
NV	$621	$335	$904
SC	$636	$391	$1,096
SD	$638	$498	$900
NH	$642	$386	$1,238
MT	$643	$478	$1,289
PA	$672	$422	$1,507
VA	$673	$415	$1,673
WY	$681	$421	$960
OR	$694	$413	$971
IL	$697	$440	$1,017
CA	$706	$502	$1,320
WA	$723	$485	$1,226
MA	$726	$374	$1,198
ND	$737	$611	$969
GU	$752	$752	$752
NY	$755	$429	$1,200
MD	$825	$654	$1,010
OK	$843	$504	$1,114
CO	$869	$513	$1,204
WI	$881	$598	$1,300
LA	$888	$468	$1,377
VI	$905	$549	$1,032
MN	$1,003	$960	$1,048
GA	$1,071	$462	$2,232
HI	$1,137	$726	$1,851
FL	$1,201	$614	$2,050
AK	$1,205	$730	$1,943
NJ	$1,319	$852	$2,131
DE	$1,520	$453	$1,907

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	$365	$271	$461	$177	$507	4	10	17
MI	$407	$212	$671	<$1	$26,917	81	516	4,275
WV	$415	$353	$617	$25	$4,277	23	97	787
AS	$440	$301	$1,296	$301	$1,296	1 ⚠ thin data	1	9
AZ	$441	$406	$962	$80	$20,234	37	459	1,880
IN	$443	$291	$733	$30	$24,942	67	313	3,489
VT	$470	$316	$625	<$1	$2,446	10	51	552
KS	$483	$310	$721	$7	$18,598	76	355	2,309
CT	$491	$323	$869	$28	$11,934	21	61	588
RI	$509	$455	$681	$78	$2,567	9	34	240
IA	$514	$305	$781	$24	$4,247	61	272	2,383
MS	$537	$389	$754	$100	$4,350	44	478	1,875
AL	$538	$362	$896	$1	$100,116	54	278	1,632
UT	$541	$274	$808	$7	$6,405	37	155	2,943
KY	$550	$349	$714	$26	$5,703	55	136	1,680
MO	$566	$301	$860	$18	$12,387	58	269	4,637
AR	$578	$323	$847	$15	$3,487	39	268	1,332
DC	$582	$462	$792	$143	$6,265	6	19	77
OH	$583	$429	$842	<$1	$11,143	101	522	3,535
TN	$589	$432	$1,222	<$1	$4,936	60	137	3,459
NC	$591	$322	$734	$50	$4,951	55	165	2,798
NM	$595	$425	$1,341	$165	$29,562	19	101	371
NE	$597	$422	$957	$6	$11,679	53	156	2,262
ME	$602	$373	$1,032	$74	$3,998	26	26	587
ID	$610	$355	$1,096	$54	$3,002	34	175	1,373
TX	$613	$417	$1,167	<$1	$22,109	325	1,055	15,156
NV	$621	$335	$904	$74	$6,461	28	275	1,380
SC	$636	$391	$1,096	$1	$15,483	48	175	2,254
SD	$638	$498	$900	$10	$5,412	25	123	692
NH	$642	$386	$1,238	$62	$7,243	16	100	671
MT	$643	$478	$1,289	$65	$2,027	30	224	907
PA	$672	$422	$1,507	$1	$23,230	106	349	6,007
VA	$673	$415	$1,673	$3	$11,096	49	88	1,799
WY	$681	$421	$960	$19	$1,754	21	101	477
OR	$694	$413	$971	$10	$13,592	38	417	2,700
IL	$697	$440	$1,017	$5	$25,112	108	480	4,288
CA	$706	$502	$1,320	<$1	$30,209	240	1,312	12,434
WA	$723	$485	$1,226	$51	$16,508	72	249	3,272
MA	$726	$374	$1,198	$1	$50,000	42	371	2,629
ND	$737	$611	$969	$137	$3,461	23	72	532
GU	$752	$752	$752	$752	$752	1 ⚠ thin data	4	4
NY	$755	$429	$1,200	$4	$35,000	123	533	10,659
MD	$825	$654	$1,010	$292	$3,013	3	19	70
OK	$843	$504	$1,114	$115	$5,617	65	227	2,024
CO	$869	$513	$1,204	$49	$9,888	74	299	3,487
WI	$881	$598	$1,300	$3	$16,897	95	284	3,422
LA	$888	$468	$1,377	$5	$17,881	62	485	4,228
VI	$905	$549	$1,032	$445	$1,255	1 ⚠ thin data	6	18
MN	$1,003	$960	$1,048	$65	$50,000	81	368	9,343
GA	$1,071	$462	$2,232	$2	$50,000	98	193	2,970
HI	$1,137	$726	$1,851	$140	$4,720	16	31	395
FL	$1,201	$614	$2,050	<$1	$149,248	160	865	9,194
AK	$1,205	$730	$1,943	$72	$15,448	9	30	132
NJ	$1,319	$852	$2,131	$46	$12,000	54	328	4,957
DE	$1,520	$453	$1,907	$341	$2,121	4	19	52