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HANK Price Transparency. (n.d.).
INST/SUPP STE11090X-12199 (CDM 3624582) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved October 21, 2026 , from http://ppman.hank.ai/transparency/procedure/3624582/by-state?code_type=CDM
“INST/SUPP STE11090X-12199 (CDM 3624582) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/3624582/by-state?code_type=CDM. Accessed
October 21, 2026 .
“INST/SUPP STE11090X-12199 (CDM 3624582) by State,” HANK Price Transparency ,
accessed October 21, 2026 ,
http://ppman.hank.ai/transparency/procedure/3624582/by-state?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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CDM · across United States
3624582 — Inst/supp Ste11090x-12199
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$30,159
National median
$11,905 – $40,677
IQR (p25 – p75)
5
hospitals filing
2
states
Walking in without insurance?
Cash / self-pay price
Cash median
$23,802
vs. negotiated
-21.1%
Hospitals reporting
5
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 3624582 (CDM), with interquartile range
State Median p25 p75
CA $37,292 $28,529 $41,232
IL $3,515 $3,257 $4,165