31104 (OTHER) by state — Price Transparency

OTHER · across United States

31104 — Gdewr V-18-03 8x300 (m001468540 A38482)

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

$851 National median

$343 – $4,949 IQR (p25 – p75)

3 hospitals filing

3 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: $302.

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)

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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 31104 (OTHER), with interquartile range
State	Median	p25	p75
CA	$39,192	$21,300	$51,482
PA	$4,158	$3,253	$5,128
SC	$371	$278	$777

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

CA	$39,192	$21,300	$51,482	$6,530	$76,680	1 ⚠ thin data	8	10
PA	$4,158	$3,253	$5,128	$1,910	$5,946	1 ⚠ thin data	7	12
SC	$371	$278	$777	$162	$3,169	1 ⚠ thin data	18	33