13721 (OTHER) by state — Price Transparency

OTHER · across United States

13721 — Impl Brst Natr 350cc (20-350 L03842)

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

$1,070 National median

$67 – $2,146 IQR (p25 – p75)

3 hospitals filing

3 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: $1,885.

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 13721 (OTHER), with interquartile range
State	Median	p25	p75
KY	$2,166	$2,015	$2,317
SC	$1,740	$1,015	$2,320
PA	$42	$35	$53

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

KY	$2,166	$2,015	$2,317	$2,015	$2,317	1 ⚠ thin data	3	4
SC	$1,740	$1,015	$2,320	$745	$3,169	1 ⚠ thin data	18	33
PA	$42	$35	$53	$22	$67	1 ⚠ thin data	8	14