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 – $1,158 IQR (p25 – p75)

3,054 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: $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
DE	$1,520	$453	$1,907
NJ	$1,319	$852	$2,131
AK	$1,205	$730	$1,943
FL	$1,204	$614	$2,050
HI	$1,137	$726	$1,851
GA	$1,071	$462	$2,232
MN	$1,003	$960	$1,048
VI	$905	$549	$1,032
LA	$892	$468	$1,400
CO	$878	$508	$1,209
WI	$870	$596	$1,324
OK	$840	$504	$1,093
MD	$825	$654	$1,010
NY	$755	$429	$1,200
ND	$739	$608	$969
MA	$726	$374	$1,198
WA	$723	$485	$1,226
CA	$704	$499	$1,301
IL	$697	$436	$1,017
OR	$694	$413	$971
WY	$681	$421	$960
VA	$673	$415	$1,673
PA	$672	$422	$1,507
SD	$661	$599	$900
MT	$643	$478	$1,289
NH	$642	$386	$1,238
SC	$636	$391	$1,096
NV	$621	$330	$904
TX	$613	$416	$1,163
ID	$610	$355	$1,096
ME	$602	$373	$1,032
NE	$597	$422	$957
NM	$595	$425	$1,341
NC	$591	$322	$734
TN	$589	$432	$1,222
OH	$583	$429	$842
AR	$582	$323	$851
DC	$582	$462	$792
MO	$566	$301	$860
KY	$550	$349	$714
AL	$544	$362	$896
MS	$537	$389	$754
UT	$526	$274	$719
IA	$514	$305	$781
RI	$509	$455	$681
CT	$491	$323	$869
KS	$483	$310	$721
VT	$470	$316	$625
IN	$453	$296	$819
AZ	$441	$406	$962
AS	$440	$301	$1,296
WV	$415	$353	$617
MI	$407	$212	$671
PR	$365	$271	$461

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

DE	$1,520	$453	$1,907	$341	$2,121	4	19	52
NJ	$1,319	$852	$2,131	$46	$12,000	54	328	4,957
AK	$1,205	$730	$1,943	$72	$15,448	9	30	132
FL	$1,204	$614	$2,050	<$1	$149,248	160	865	9,185
HI	$1,137	$726	$1,851	$140	$4,720	16	31	395
GA	$1,071	$462	$2,232	$2	$50,000	98	193	2,970
MN	$1,003	$960	$1,048	$65	$50,000	81	368	9,340
VI	$905	$549	$1,032	$445	$1,255	1 ⚠ thin data	6	18
LA	$892	$468	$1,400	$5	$17,881	61	481	4,206
CO	$878	$508	$1,209	$49	$9,888	74	299	3,446
WI	$870	$596	$1,324	$3	$16,897	95	285	3,243
OK	$840	$504	$1,093	$115	$5,617	64	227	2,013
MD	$825	$654	$1,010	$292	$3,013	3	19	70
NY	$755	$429	$1,200	$4	$35,000	123	533	10,658
ND	$739	$608	$969	$137	$3,461	23	72	537
MA	$726	$374	$1,198	$1	$50,000	42	371	2,629
WA	$723	$485	$1,226	$51	$16,508	72	249	3,272
CA	$704	$499	$1,301	<$1	$30,209	241	1,307	12,415
IL	$697	$436	$1,017	$5	$25,112	109	485	4,335
OR	$694	$413	$971	$10	$13,592	38	417	2,700
WY	$681	$421	$960	$19	$1,754	21	101	477
VA	$673	$415	$1,673	$3	$11,096	49	88	1,799
PA	$672	$422	$1,507	$1	$23,230	106	349	6,007
SD	$661	$599	$900	$10	$5,412	25	123	692
MT	$643	$478	$1,289	$65	$2,027	30	224	907
NH	$642	$386	$1,238	$62	$7,243	16	100	671
SC	$636	$391	$1,096	$1	$15,483	48	175	2,254
NV	$621	$330	$904	$74	$6,461	28	274	1,375
TX	$613	$416	$1,163	<$1	$22,109	324	1,004	15,257
ID	$610	$355	$1,096	$54	$3,002	34	175	1,373
ME	$602	$373	$1,032	$74	$3,998	26	26	587
NE	$597	$422	$957	$6	$11,679	53	156	2,262
NM	$595	$425	$1,341	$165	$29,562	19	101	371
NC	$591	$322	$734	$50	$4,951	55	165	2,798
TN	$589	$432	$1,222	<$1	$4,936	61	137	3,472
OH	$583	$429	$842	<$1	$11,143	101	522	3,535
AR	$582	$323	$851	$15	$3,487	39	268	1,331
DC	$582	$462	$792	$143	$6,265	6	19	77
MO	$566	$301	$860	$18	$12,387	58	269	4,637
KY	$550	$349	$714	$26	$5,703	55	136	1,680
AL	$544	$362	$896	$1	$100,116	54	279	1,694
MS	$537	$389	$754	$100	$4,350	44	478	1,875
UT	$526	$274	$719	$7	$6,405	37	155	2,869
IA	$514	$305	$781	$24	$4,247	61	272	2,383
RI	$509	$455	$681	$78	$2,567	9	34	240
CT	$491	$323	$869	$28	$11,934	21	61	588
KS	$483	$310	$721	$7	$18,598	76	355	2,309
VT	$470	$316	$625	<$1	$2,446	10	51	552
IN	$453	$296	$819	$30	$24,942	66	313	3,576
AZ	$441	$406	$962	$80	$20,234	37	459	1,880
AS	$440	$301	$1,296	$301	$1,296	1 ⚠ thin data	1	9
WV	$415	$353	$617	$25	$4,277	23	97	787
MI	$407	$212	$671	<$1	$26,917	81	516	4,275
PR	$365	$271	$461	$177	$507	4	10	17