Copy link
Export CSV
Cite this view
HANK Price Transparency. (n.d.).
EZDIALATE BALLOON 1112-13 (CDM 4000124) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved October 28, 2026 , from http://ppman.hank.ai/transparency/procedure/4000124/by-state?code_type=CDM
“EZDIALATE BALLOON 1112-13 (CDM 4000124) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/4000124/by-state?code_type=CDM. Accessed
October 28, 2026 .
“EZDIALATE BALLOON 1112-13 (CDM 4000124) by State,” HANK Price Transparency ,
accessed October 28, 2026 ,
http://ppman.hank.ai/transparency/procedure/4000124/by-state?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
Print / Save PDF
CDM · across United States
4000124 — Ezdialate Balloon 1112-13
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$310
National median
$149 – $1,166
IQR (p25 – p75)
8
hospitals filing
6
states
Walking in without insurance?
Cash / self-pay price
Cash median
$361
vs. negotiated
+16.7%
Hospitals reporting
10
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 4000124 (CDM), with interquartile range
State Median p25 p75
NY $6,636 $5,770 $10,603
FL $1,288 $844 $1,620
LA $1,178 $279 $1,972
TX $238 $144 $464
MT $50 $49 $50
OR $0 $0 $0