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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 June 28, 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
June 28, 2026 .
“New Technology - Level 4 (OTHER 1504) by State,” HANK Price Transparency ,
accessed June 28, 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 – $357
IQR (p25 – p75)
249
hospitals filing
34
states
Walking in without insurance?
Cash / self-pay price
Cash median
$40,849
vs. negotiated
+15695.1%
Hospitals reporting
8
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
PA $50,246 $50,246 $51,503
CA $40,849 $376 $43,435
LA $36,085 $1,688 $36,990
KY $32,916 $30,790 $36,935
OH $2,146 $2,146 $2,146
WA $713 $628 $753
ND $361 $349 $411
SD $351 $335 $369
NY $347 $328 $646
NV $311 $268 $1,600
NJ $295 $274 $542
AK $275 $272 $293
NH $273 $267 $278
CO $259 $259 $259
DC $254 $254 $255
FL $254 $242 $266
TX $254 $246 $268
WI $252 $252 $252
NC $252 $241 $301
OK $250 $250 $250
VA $249 $239 $263
MI $247 $237 $250
MO $246 $246 $250
HI $245 $245 $258
ID $245 $242 $248
AR $242 $242 $1,688
NE $242 $240 $244
IN $239 $238 $257
UT $239 $239 $242
SC $237 $228 $244
TN $237 $230 $247
KS $233 $231 $238
GA $230 $226 $236
MS $229 $218 $387