255 (OTHER) by state — Price Transparency

OTHER · across United States

255 — Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc

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

$15,584 National median

$31 – $27,966 IQR (p25 – p75)

402 hospitals filing

44 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $94.

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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 255 (OTHER), with interquartile range
State	Median	p25	p75
NM	$2	$2	$2
MO	$15	$12	$2,839
DC	$27	$2	$80
NC	$58	$29	$123
WA	$70	$70	$117
UT	$111	$105	$14,809
IA	$144	$8	$297
KY	$495	$162	$19,332
MN	$3,231	$2,727	$3,732
IL	$5,563	$122	$5,563
NH	$7,370	$4,366	$19,716
VT	$7,392	$1,556	$107,590
TN	$15,481	$5,775	$19,537
KS	$15,856	$12,761	$19,783
MI	$16,971	$2,106	$32,746
AL	$18,215	$17,178	$21,914
VA	$18,222	$2	$38,841
WV	$18,522	$14,979	$19,215
TX	$18,980	$6,387	$26,956
LA	$19,252	$16,123	$30,912
MS	$19,639	$17,413	$20,162
AZ	$20,174	$6,931	$41,049
FL	$20,504	$15,050	$32,610
IN	$20,657	$6,570	$31,733
OH	$20,817	$19,564	$20,817
NE	$21,119	$964	$21,119
NJ	$21,174	$20,237	$24,117
AR	$21,182	$4,272	$25,695
OR	$23,227	$23,227	$24,894
PA	$23,764	$18,022	$30,110
NY	$24,455	$22,846	$41,817
NV	$25,681	$348	$26,194
SD	$25,704	$20,045	$30,181
CO	$28,479	$28,479	$61,229
DE	$28,519	$18,650	$30,322
CA	$28,869	$27,038	$34,446
SC	$29,606	$19,595	$40,036
GA	$30,315	$20,387	$35,468
RI	$31,182	$31,182	$41,578
MT	$32,388	$32,388	$32,388
OK	$41,322	$4,946	$68,870
ID	$44,854	$29,248	$55,738
ND	$56,555	$56,555	$56,555
MA	$62,137	$62,137	$62,137

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

NM	$2	$2	$2	$2	$48,578	5	66	1,100
MO	$15	$12	$2,839	$10	$22,264	7	19	43
DC	$27	$2	$80	<$1	$113,933	1 ⚠ thin data	15	343
NC	$58	$29	$123	$6	$64,646	16	43	1,184
WA	$70	$70	$117	$70	$164	1 ⚠ thin data	1	3
UT	$111	$105	$14,809	$96	$16,724	6	6	15
IA	$144	$8	$297	$6	$349	1 ⚠ thin data	2	4
KY	$495	$162	$19,332	<$1	$55,034	9	39	155
MN	$3,231	$2,727	$3,732	$2,344	$45,249	3	8	18
IL	$5,563	$122	$5,563	$30	$53,553	4	18	56
NH	$7,370	$4,366	$19,716	$4,366	$23,401	6	17	39
VT	$7,392	$1,556	$107,590	$599	$107,590	2 ⚠ thin data	10	22
TN	$15,481	$5,775	$19,537	$30	$83,034	23	16	66
KS	$15,856	$12,761	$19,783	$12,761	$349,416	3	8	11
MI	$16,971	$2,106	$32,746	$23	$382,467	7	74	234
AL	$18,215	$17,178	$21,914	$2,392	$40,541	7	24	73
VA	$18,222	$2	$38,841	<$1	$112,348	18	36	671
WV	$18,522	$14,979	$19,215	$11,152	$56,043	3	27	50
TX	$18,980	$6,387	$26,956	<$1	$74,116	72	82	663
LA	$19,252	$16,123	$30,912	$11	$67,890	13	38	143
MS	$19,639	$17,413	$20,162	<$1	$141,809	9	35	145
AZ	$20,174	$6,931	$41,049	$808	$77,433	7	24	76
FL	$20,504	$15,050	$32,610	$1,512	$141,809	58	91	414
IN	$20,657	$6,570	$31,733	$23	$63,236	9	28	87
OH	$20,817	$19,564	$20,817	$5,688	$41,123	4	39	118
NE	$21,119	$964	$21,119	$103	$39,837	5	23	42
NJ	$21,174	$20,237	$24,117	$17,108	$40,866	1 ⚠ thin data	8	38
AR	$21,182	$4,272	$25,695	$33	$51,390	8	53	127
OR	$23,227	$23,227	$24,894	$19,058	$27,396	1 ⚠ thin data	14	31
PA	$23,764	$18,022	$30,110	<$1	$77,144	15	43	284
NY	$24,455	$22,846	$41,817	$121	$106,614	8	31	158
NV	$25,681	$348	$26,194	$119	$49,672	6	12	87
SD	$25,704	$20,045	$30,181	$9,092	$33,111	4	6	14
CO	$28,479	$28,479	$61,229	$11,807	$61,229	3	29	53
DE	$28,519	$18,650	$30,322	$3,507	$37,157	1 ⚠ thin data	8	17
CA	$28,869	$27,038	$34,446	$69	$100,457	24	125	717
SC	$29,606	$19,595	$40,036	$5,053	$62,404	8	32	111
GA	$30,315	$20,387	$35,468	$3,116	$141,809	12	46	144
RI	$31,182	$31,182	$41,578	$5,897	$46,773	2 ⚠ thin data	13	17
MT	$32,388	$32,388	$32,388	$19,931	$44,846	1 ⚠ thin data	11	30
OK	$41,322	$4,946	$68,870	$890	$161,351	3	22	32
ID	$44,854	$29,248	$55,738	$16,302	$73,406	2 ⚠ thin data	23	161
ND	$56,555	$56,555	$56,555	$56,555	$56,555	1 ⚠ thin data	15	26
MA	$62,137	$62,137	$62,137	$62,137	$112,118	3	14	16