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HANK Price Transparency. (n.d.).
New Technology - Level 4 (OTHER 1504) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved October 10, 2026 , from http://ppman.hank.ai/transparency/procedure/1504/by-state?code_type=OTHER
“New Technology - Level 4 (OTHER 1504) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/1504/by-state?code_type=OTHER. Accessed
October 10, 2026 .
“New Technology - Level 4 (OTHER 1504) by State,” HANK Price Transparency ,
accessed October 10, 2026 ,
http://ppman.hank.ai/transparency/procedure/1504/by-state?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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OTHER · across United States
1504 — New Technology - Level 4
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$259
National median
$246 – $369
IQR (p25 – p75)
265
hospitals filing
34
states
Walking in without insurance?
Cash / self-pay price
Cash median
$38,212
vs. negotiated
+14655.8%
Hospitals reporting
5
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 1504 (OTHER), with interquartile range
State Median p25 p75
LA $36,085 $1,758 $36,990
KY $30,790 $237 $34,999
OH $2,146 $2,146 $2,146
AZ $1,950 $1,950 $3,015
AR $1,688 $242 $1,688
IN $1,500 $241 $1,500
WA $713 $628 $753
CA $383 $315 $38,212
ND $361 $349 $411
NY $354 $328 $649
NJ $301 $279 $2,886
AK $272 $272 $278
NH $269 $264 $275
NV $268 $250 $468
PA $264 $251 $1,277
MO $263 $246 $2,154
FL $259 $249 $274
CO $259 $259 $259
TX $256 $246 $268
DC $256 $254 $291
WI $252 $252 $252
VA $251 $239 $263
OK $250 $250 $250
NC $248 $239 $267
HI $248 $245 $262
MI $247 $237 $250
ID $245 $242 $248
NE $242 $240 $244
UT $239 $239 $243
TN $238 $232 $247
SC $235 $230 $249
KS $231 $228 $237
GA $230 $226 $236
MS $229 $218 $387