30580 (CPT) by state — Price Transparency

CPT · across United States

30580 — Repair Upper Jaw Fistula

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

$5,916 National median

$2,516 – $8,283 IQR (p25 – p75)

1,901 hospitals filing

54 states

View hospital-by-hospital → Raw rate rows →

Estimate your cost

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: $4,597.

I am… Annual deductible (assumed — typical plan) Already spent this year

Checked your insurer’s portal? Enter your remaining deductible and out-of-pocket max above/below and leave “already spent” at 0.

Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

Loading estimate…

Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 30580 (CPT), with interquartile range
State	Median	p25	p75
UT	$448	$340	$5,994
VT	$622	$458	$973
MI	$640	$356	$3,307
WV	$913	$441	$5,722
WY	$1,598	$823	$5,670
MT	$1,802	$744	$5,976
GU	$1,871	$1,871	$1,871
IN	$2,703	$592	$4,781
NV	$3,899	$2,383	$6,471
NH	$4,028	$1,346	$6,699
AS	$4,029	$601	$7,457
AK	$4,134	$954	$9,155
TN	$4,202	$1,572	$5,639
PR	$4,302	$4,302	$4,302
MO	$4,490	$1,897	$6,017
AL	$4,652	$3,802	$6,083
MS	$4,688	$885	$8,370
KS	$4,786	$462	$8,064
NY	$5,183	$2,833	$7,350
LA	$5,413	$3,403	$6,013
AR	$5,547	$4,306	$5,973
TX	$5,554	$2,189	$7,396
CT	$5,580	$1,871	$7,284
AZ	$5,642	$3,327	$6,317
KY	$5,665	$5,127	$7,351
MD	$5,734	$5,517	$6,448
OH	$5,769	$4,739	$9,418
SC	$5,781	$3,740	$11,035
IA	$5,797	$5,203	$8,464
ME	$5,840	$1,241	$21,244
MN	$5,888	$4,505	$6,354
PA	$5,919	$892	$8,240
CO	$5,945	$2,810	$9,530
HI	$5,980	$2,837	$7,510
VA	$6,050	$5,164	$10,270
FL	$6,235	$3,950	$10,647
DC	$6,303	$4,968	$6,725
NE	$6,332	$5,473	$8,578
IL	$6,344	$1,536	$8,993
NM	$6,367	$6,016	$9,952
GA	$6,374	$5,480	$8,736
ND	$6,580	$5,916	$13,270
RI	$6,806	$6,121	$12,067
DE	$6,821	$6,397	$9,986
NJ	$6,864	$6,464	$9,659
MA	$7,083	$3,220	$9,570
OK	$7,186	$5,266	$10,974
CA	$7,278	$2,167	$8,503
WA	$7,588	$6,211	$16,091
SD	$7,866	$5,753	$8,867
WI	$8,214	$4,864	$12,444
NC	$8,612	$5,741	$8,629
OR	$10,400	$6,975	$16,328
ID	$10,413	$6,392	$13,265

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

UT	$448	$340	$5,994	$340	$15,499	33	42	1,353
VT	$622	$458	$973	<$1	$7,945	3	27	122
MI	$640	$356	$3,307	<$1	$18,149	63	318	1,604
WV	$913	$441	$5,722	$206	$41,334	10	47	160
WY	$1,598	$823	$5,670	$412	$11,550	8	34	82
MT	$1,802	$744	$5,976	$378	$17,423	12	45	167
GU	$1,871	$1,871	$1,871	$1,871	$1,871	1 ⚠ thin data	4	4
IN	$2,703	$592	$4,781	$116	$28,641	39	91	1,383
NV	$3,899	$2,383	$6,471	$482	$26,822	19	101	442
NH	$4,028	$1,346	$6,699	$133	$44,504	13	31	429
AS	$4,029	$601	$7,457	$601	$7,457	1 ⚠ thin data	1	6
AK	$4,134	$954	$9,155	$954	$24,380	3	14	27
TN	$4,202	$1,572	$5,639	$167	$24,506	49	161	2,962
PR	$4,302	$4,302	$4,302	$4,302	$4,732	1 ⚠ thin data	5	5
MO	$4,490	$1,897	$6,017	$234	$17,979	31	128	782
AL	$4,652	$3,802	$6,083	$1	$24,035	26	71	495
MS	$4,688	$885	$8,370	$297	$23,448	17	114	461
KS	$4,786	$462	$8,064	$225	$40,689	21	56	318
NY	$5,183	$2,833	$7,350	$8	$46,702	84	246	4,911
LA	$5,413	$3,403	$6,013	$88	$30,046	31	102	818
AR	$5,547	$4,306	$5,973	$79	$29,070	15	59	368
TX	$5,554	$2,189	$7,396	<$1	$40,531	224	469	9,323
CT	$5,580	$1,871	$7,284	$749	$16,907	14	19	203
AZ	$5,642	$3,327	$6,317	$148	$17,455	30	88	907
KY	$5,665	$5,127	$7,351	$381	$14,497	31	62	781
MD	$5,734	$5,517	$6,448	$4,052	$8,069	1 ⚠ thin data	11	19
OH	$5,769	$4,739	$9,418	$332	$25,989	73	156	1,240
SC	$5,781	$3,740	$11,035	<$1	$46,600	43	62	1,072
IA	$5,797	$5,203	$8,464	$350	$19,406	21	53	424
ME	$5,840	$1,241	$21,244	$392	$35,382	20	13	156
MN	$5,888	$4,505	$6,354	$320	$50,000	53	69	934
PA	$5,919	$892	$8,240	$38	$36,849	46	182	2,476
CO	$5,945	$2,810	$9,530	$269	$26,888	49	58	985
HI	$5,980	$2,837	$7,510	$186	$15,437	11	23	151
VA	$6,050	$5,164	$10,270	$3	$29,279	34	55	656
FL	$6,235	$3,950	$10,647	$1	$986,568	125	204	4,284
DC	$6,303	$4,968	$6,725	$2,820	$34,086	3	14	39
NE	$6,332	$5,473	$8,578	$79	$22,021	19	74	808
IL	$6,344	$1,536	$8,993	$27	$51,542	62	212	1,234
NM	$6,367	$6,016	$9,952	$2,897	$26,001	10	32	133
GA	$6,374	$5,480	$8,736	$308	$50,000	51	83	1,411
ND	$6,580	$5,916	$13,270	$279	$23,449	9	41	179
RI	$6,806	$6,121	$12,067	$912	$37,381	5	7	70
DE	$6,821	$6,397	$9,986	$585	$30,880	4	8	32
NJ	$6,864	$6,464	$9,659	$22	$31,303	42	233	4,175
MA	$7,083	$3,220	$9,570	$1	$50,000	21	59	318
OK	$7,186	$5,266	$10,974	$105	$23,080	40	50	532
CA	$7,278	$2,167	$8,503	<$1	$118,556	174	541	5,222
WA	$7,588	$6,211	$16,091	$306	$40,469	41	55	1,366
SD	$7,866	$5,753	$8,867	$522	$29,792	12	88	421
WI	$8,214	$4,864	$12,444	$6	$43,319	72	122	1,397
NC	$8,612	$5,741	$8,629	$398	$26,031	43	95	1,252
OR	$10,400	$6,975	$16,328	$411	$51,070	18	35	363
ID	$10,413	$6,392	$13,265	$239	$27,531	17	92	759