25302555 (OTHER) by state — Price Transparency

OTHER · across United States

25302555 — Sys Tmplt Regn Drml 250 Sqcm

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

$61,972 National median

$54,884 – $64,032 IQR (p25 – p75)

7 hospitals filing

2 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: $60,732.

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 25302555 (OTHER), with interquartile range
State	Median	p25	p75
MD	$61,972	$54,884	$64,032
DC	$34,620	$10,822	$69,519

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

MD	$61,972	$54,884	$64,032	$36,784	$91,250	6	17	462
DC	$34,620	$10,822	$69,519	$513	$100,509	1 ⚠ thin data	11	22