2614 (OTHER) by state — Price Transparency

OTHER · across United States

2614 — Doxepin 10 Mg/ml Oral Concentrate

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

$14,778 National median

$1 – $45,296 IQR (p25 – p75)

49 hospitals filing

14 states

View hospital-by-hospital → Raw rate rows →

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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: $0.

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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 2614 (OTHER), with interquartile range
State	Median	p25	p75
IN	$1	$1	$2
IL	$1	$0	$1
KY	$17,541	$17,541	$17,541
OH	$18,713	$18,532	$19,077
MI	$28,807	$27,585	$30,126
PA	$40,189	$39,801	$42,587
CA	$42,307	$41,832	$42,307
TX	$45,881	$24,794	$67,887
NJ	$59,404	$59,404	$59,404
NY	$61,329	$61,329	$137,991
MN	$77,119	$55,023	$99,214
MA	$92,821	$92,821	$92,821
ND	$97,984	$88,516	$107,452
SD	$105,739	$105,199	$109,529

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

IN	<$1	<$1	$2	<$1	$62,709	4	73	255
IL	<$1	<$1	<$1	<$1	$29,219	2 ⚠ thin data	51	116
KY	$17,541	$17,541	$17,541	$17,541	$17,541	2 ⚠ thin data	1	4
OH	$18,713	$18,532	$19,077	$18,168	$19,077	1 ⚠ thin data	5	5
MI	$28,807	$27,585	$30,126	$27,178	$36,008	2 ⚠ thin data	10	14
PA	$40,189	$39,801	$42,587	$6,330	$51,028	5	17	60
CA	$42,307	$41,832	$42,307	$41,832	$42,307	3	14	20
TX	$45,881	$24,794	$67,887	$23,275	$103,396	16	13	101
NJ	$59,404	$59,404	$59,404	$59,404	$59,404	1 ⚠ thin data	1	4
NY	$61,329	$61,329	$137,991	$61,329	$248,479	6	17	68
MN	$77,119	$55,023	$99,214	$32,927	$121,310	1 ⚠ thin data	1	2
MA	$92,821	$92,821	$92,821	$92,821	$92,821	1 ⚠ thin data	1	1
ND	$97,984	$88,516	$107,452	$79,048	$116,920	2 ⚠ thin data	1	2
SD	$105,739	$105,199	$109,529	$84,393	$133,143	3	2	11