17276 (HCPCS) by state — Price Transparency

HCPCS · across United States

17276 — Dstr Mal Les S/n/h/f/g >4.0

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

$485 National median

$356 – $1,045 IQR (p25 – p75)

1,953 hospitals filing

53 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $548.

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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 17276 (HCPCS), with interquartile range
State	Median	p25	p75
GA	$1,693	$434	$3,487
AK	$946	$394	$4,285
FL	$859	$425	$1,950
NV	$818	$393	$2,449
CO	$754	$402	$1,896
RI	$728	$452	$1,009
CT	$713	$478	$2,670
OK	$674	$398	$971
WI	$657	$396	$1,670
NH	$599	$358	$1,080
ID	$598	$317	$956
NC	$591	$463	$593
DC	$561	$473	$679
MO	$547	$390	$1,236
MD	$538	$387	$549
NE	$536	$386	$2,254
MS	$534	$367	$684
NJ	$531	$442	$2,015
SC	$525	$379	$1,020
CA	$523	$331	$1,128
NY	$507	$410	$1,092
WA	$490	$490	$839
HI	$479	$403	$531
OR	$470	$470	$665
DE	$468	$439	$686
MA	$468	$324	$715
ND	$452	$400	$865
IL	$448	$386	$674
KY	$436	$375	$610
ME	$428	$394	$1,435
AZ	$426	$347	$749
NM	$422	$387	$556
VA	$421	$380	$1,360
PA	$418	$263	$900
IA	$415	$379	$632
AS	$413	$260	$566
SD	$412	$333	$596
TX	$409	$167	$1,079
MN	$407	$373	$611
TN	$402	$353	$1,078
OH	$401	$370	$702
AL	$394	$346	$777
WV	$381	$220	$443
KS	$380	$300	$688
AR	$379	$185	$532
VT	$373	$225	$413
LA	$364	$120	$1,155
MT	$363	$300	$428
PR	$293	$293	$293
MI	$287	$152	$411
WY	$284	$200	$399
IN	$251	$194	$525
UT	$220	$194	$453

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

GA	$1,693	$434	$3,487	$159	$37,500	51	85	1,416
AK	$946	$394	$4,285	$219	$8,303	4	16	30
FL	$859	$425	$1,950	<$1	$149,248	137	676	6,433
NV	$818	$393	$2,449	$124	$7,328	19	106	414
CO	$754	$402	$1,896	$42	$13,923	56	80	1,168
RI	$728	$452	$1,009	$131	$2,567	5	7	68
CT	$713	$478	$2,670	$190	$7,714	13	19	202
OK	$674	$398	$971	$134	$5,617	40	65	729
WI	$657	$396	$1,670	$3	$16,897	71	94	1,168
NH	$599	$358	$1,080	$72	$9,464	14	89	558
ID	$598	$317	$956	$74	$1,762	18	90	868
NC	$591	$463	$593	$201	$10,074	41	58	898
DC	$561	$473	$679	$315	$4,902	4	17	71
MO	$547	$390	$1,236	$84	$22,679	32	121	800
MD	$538	$387	$549	$230	$743	2 ⚠ thin data	16	33
NE	$536	$386	$2,254	$3	$7,273	23	70	791
MS	$534	$367	$684	$144	$3,593	19	46	349
NJ	$531	$442	$2,015	$100	$9,057	38	63	919
SC	$525	$379	$1,020	$1	$10,110	34	50	741
CA	$523	$331	$1,128	<$1	$23,352	179	500	4,844
NY	$507	$410	$1,092	$15	$18,107	78	201	5,684
WA	$490	$490	$839	$111	$16,508	45	83	2,408
HI	$479	$403	$531	$142	$5,830	8	11	81
OR	$470	$470	$665	$9	$9,178	24	295	796
DE	$468	$439	$686	$273	$2,121	4	8	32
MA	$468	$324	$715	$1	$50,000	21	153	383
ND	$452	$400	$865	$120	$3,461	10	44	166
IL	$448	$386	$674	$12	$22,666	67	202	1,334
KY	$436	$375	$610	$141	$10,784	29	73	769
ME	$428	$394	$1,435	$227	$2,983	21	20	187
AZ	$426	$347	$749	$84	$6,448	28	344	1,022
NM	$422	$387	$556	$148	$1,785	12	44	214
VA	$421	$380	$1,360	$142	$7,166	42	61	1,053
PA	$418	$263	$900	$1	$14,604	46	189	2,269
IA	$415	$379	$632	$47	$4,236	30	152	731
AS	$413	$260	$566	$260	$566	1 ⚠ thin data	1	6
SD	$412	$333	$596	$46	$3,073	11	66	268
TX	$409	$167	$1,079	<$1	$17,365	211	276	7,899
MN	$407	$373	$611	$69	$50,000	58	102	1,048
TN	$402	$353	$1,078	<$1	$4,936	48	89	2,606
OH	$401	$370	$702	$80	$8,387	80	119	1,252
AL	$394	$346	$777	$1	$6,607	28	119	505
WV	$381	$220	$443	$129	$2,792	11	49	219
KS	$380	$300	$688	$65	$64,550	34	172	776
AR	$379	$185	$532	$57	$6,955	16	121	789
VT	$373	$225	$413	<$1	$1,541	3	33	141
LA	$364	$120	$1,155	$38	$17,881	33	117	1,600
MT	$363	$300	$428	$34	$1,217	14	50	180
PR	$293	$293	$293	$293	$322	1 ⚠ thin data	5	5
MI	$287	$152	$411	<$1	$2,740	52	287	1,718
WY	$284	$200	$399	$95	$946	7	33	47
IN	$251	$194	$525	$31	$5,253	44	157	1,853
UT	$220	$194	$453	$156	$6,405	34	96	1,424