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HANK Price Transparency. (n.d.).
RAIL EXFIX 420MM ADULT (CDM 50479) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 28, 2026 , from http://ppman.hank.ai/transparency/procedure/50479/by-state?code_type=CDM
“RAIL EXFIX 420MM ADULT (CDM 50479) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/50479/by-state?code_type=CDM. Accessed
June 28, 2026 .
“RAIL EXFIX 420MM ADULT (CDM 50479) by State,” HANK Price Transparency ,
accessed June 28, 2026 ,
http://ppman.hank.ai/transparency/procedure/50479/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
50479 — Rail Exfix 420mm Adult
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$856
National median
$830 – $1,063
IQR (p25 – p75)
14
hospitals filing
4
states
Walking in without insurance?
Cash / self-pay price
Cash median
$2,529
vs. negotiated
+195.3%
Hospitals reporting
21
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 50479 (CDM), with interquartile range
State Median p25 p75
ME $14,842 $8,225 $16,076
MO $9,608 $9,608 $9,608
NJ $857 $825 $1,091
PA $856 $791 $1,048