33904 (CPT) by state — Price Transparency

CPT · across United States

33904 — Perq P-art Revsc Each Addl

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

$3,258 National median

$943 – $8,026 IQR (p25 – p75)

1,389 hospitals filing

51 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: $5,010.

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 33904 (CPT), with interquartile range
State	Median	p25	p75
ID	$229	$153	$281
VT	$235	$235	$255
KS	$261	$184	$6,650
SD	$264	$264	$264
IN	$266	$266	$6,318
ND	$269	$264	$284
WY	$281	$276	$15,103
WV	$281	$230	$292
HI	$287	$286	$295
ME	$307	$241	$307
SC	$319	$294	$1,168
AR	$333	$231	$7,748
AL	$347	$257	$1,323
DC	$422	$249	$29,001
NH	$500	$279	$994
MT	$501	$384	$715
MN	$625	$320	$1,015
PA	$638	$324	$4,748
UT	$793	$281	$7,278
NM	$890	$890	$890
CA	$1,093	$320	$2,441
TN	$1,152	$450	$3,044
RI	$1,656	$456	$5,577
MD	$1,667	$1,450	$4,052
NV	$1,710	$520	$2,299
CO	$1,781	$288	$9,226
NE	$1,945	$461	$11,930
LA	$2,384	$1,503	$2,679
MS	$2,500	$217	$6,200
AK	$2,539	$594	$5,000
AZ	$2,640	$1,115	$4,020
TX	$2,761	$1,315	$8,290
NY	$3,181	$1,353	$4,196
MO	$3,416	$850	$4,956
MI	$3,606	$904	$4,371
KY	$4,952	$1,980	$6,190
CT	$5,193	$1,200	$8,826
FL	$5,251	$1,950	$8,971
GA	$5,518	$2,369	$10,305
IL	$5,601	$1,123	$8,069
OK	$5,933	$1,700	$30,197
WI	$6,012	$1,764	$7,264
OR	$6,216	$3,422	$6,629
NJ	$6,415	$2,856	$15,668
MA	$6,493	$3,905	$7,504
NC	$8,831	$2,800	$12,323
VA	$9,355	$1,822	$12,950
OH	$11,741	$4,642	$16,957
IA	$12,271	$7,611	$13,887
DE	$12,413	$474	$17,587
WA	$18,844	$829	$22,370

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

ID	$229	$153	$281	$110	$5,719	6	26	55
VT	$235	$235	$255	$186	$412	1 ⚠ thin data	10	18
KS	$261	$184	$6,650	$184	$21,726	17	71	234
SD	$264	$264	$264	$243	$269	2 ⚠ thin data	7	9
IN	$266	$266	$6,318	$217	$14,499	30	49	555
ND	$269	$264	$284	$1	$2,000	5	13	41
WY	$281	$276	$15,103	$95	$24,788	5	17	29
WV	$281	$230	$292	$176	$774	7	33	88
HI	$287	$286	$295	$213	$602	4	4	13
ME	$307	$241	$307	$70	$426	12	9	50
SC	$319	$294	$1,168	$1	$16,223	28	30	229
AR	$333	$231	$7,748	$61	$12,535	7	45	113
AL	$347	$257	$1,323	$1	$17,530	14	21	105
DC	$422	$249	$29,001	$208	$45,137	4	14	56
NH	$500	$279	$994	$167	$8,965	3	14	49
MT	$501	$384	$715	$269	$2,706	6	24	79
MN	$625	$320	$1,015	$1	$50,000	22	25	153
PA	$638	$324	$4,748	$211	$39,808	41	59	626
UT	$793	$281	$7,278	$121	$12,130	32	64	902
NM	$890	$890	$890	$890	$890	1 ⚠ thin data	1	1
CA	$1,093	$320	$2,441	<$1	$20,742	104	212	1,093
TN	$1,152	$450	$3,044	$105	$13,947	36	74	1,200
RI	$1,656	$456	$5,577	$131	$16,363	6	16	43
MD	$1,667	$1,450	$4,052	$943	$5,404	1 ⚠ thin data	3	9
NV	$1,710	$520	$2,299	$250	$7,328	14	92	244
CO	$1,781	$288	$9,226	$60	$19,301	46	67	906
NE	$1,945	$461	$11,930	$79	$32,105	8	54	199
LA	$2,384	$1,503	$2,679	<$1	$17,386	22	68	386
MS	$2,500	$217	$6,200	<$1	$13,947	17	63	272
AK	$2,539	$594	$5,000	$594	$10,548	3	12	24
AZ	$2,640	$1,115	$4,020	$252	$7,931	17	32	218
TX	$2,761	$1,315	$8,290	<$1	$60,197	185	357	5,452
NY	$3,181	$1,353	$4,196	$169	$18,107	70	124	2,696
MO	$3,416	$850	$4,956	$193	$96,229	24	80	595
MI	$3,606	$904	$4,371	<$1	$6,835	35	297	2,026
KY	$4,952	$1,980	$6,190	$187	$12,095	20	24	353
CT	$5,193	$1,200	$8,826	$272	$19,713	17	36	269
FL	$5,251	$1,950	$8,971	<$1	$50,000	109	117	2,833
GA	$5,518	$2,369	$10,305	$212	$50,000	38	65	842
IL	$5,601	$1,123	$8,069	$146	$96,229	64	134	1,232
OK	$5,933	$1,700	$30,197	$244	$56,656	28	56	347
WI	$6,012	$1,764	$7,264	$226	$24,458	59	79	1,130
OR	$6,216	$3,422	$6,629	$676	$22,769	7	13	51
NJ	$6,415	$2,856	$15,668	$43	$26,350	32	40	863
MA	$6,493	$3,905	$7,504	$1	$50,000	17	169	410
NC	$8,831	$2,800	$12,323	$47	$19,079	28	68	1,031
VA	$9,355	$1,822	$12,950	$25	$109,406	32	51	535
OH	$11,741	$4,642	$16,957	<$1	$25,170	63	175	2,699
IA	$12,271	$7,611	$13,887	$439	$21,586	10	29	171
DE	$12,413	$474	$17,587	$223	$18,143	4	12	16
WA	$18,844	$829	$22,370	$163	$49,289	25	101	719