5094 (OTHER) by state — Price Transparency

OTHER · across United States

5094 — Level 4 Breast/Lymphatic Surgery And Related Procedures

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

$16,222 National median

$14,536 – $20,706 IQR (p25 – p75)

526 hospitals filing

45 states

View hospital-by-hospital → Raw rate rows →

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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: $13,919.

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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 5094 (OTHER), with interquartile range
State	Median	p25	p75
LA	$13,037	$13,005	$14,631
MA	$13,450	$9,762	$30,194
AR	$13,616	$13,616	$13,616
ID	$13,924	$13,887	$16,116
MO	$14,234	$13,803	$24,972
NC	$14,489	$13,567	$16,943
CO	$14,537	$14,537	$14,537
TX	$14,674	$13,913	$17,107
PA	$14,962	$14,158	$17,984
NH	$15,146	$14,849	$19,114
KS	$15,365	$13,144	$15,835
TN	$15,429	$13,486	$16,200
AK	$15,447	$15,294	$18,743
KY	$15,472	$13,340	$17,025
VA	$15,613	$14,258	$17,729
UT	$16,043	$13,954	$16,043
FL	$16,222	$15,111	$17,357
SC	$16,538	$13,843	$24,400
IN	$16,601	$15,963	$21,550
NE	$16,820	$16,683	$16,956
NV	$17,398	$15,064	$17,746
MI	$17,398	$15,834	$33,314
RI	$17,865	$8,709	$32,978
NY	$18,684	$17,364	$34,213
MS	$18,699	$14,624	$25,940
NJ	$19,466	$19,014	$24,807
GA	$19,639	$15,137	$36,699
HI	$20,212	$18,653	$20,779
OK	$20,226	$16,380	$27,284
CT	$20,411	$17,933	$50,793
AZ	$22,196	$18,812	$27,762
OH	$23,633	$12,768	$48,845
CA	$23,708	$17,746	$44,894
NM	$24,061	$13,043	$32,069
ND	$24,261	$17,709	$28,542
DC	$26,122	$18,291	$35,079
MN	$28,744	$17,529	$39,959
IL	$28,868	$17,779	$47,615
WI	$28,943	$17,702	$53,252
AL	$30,115	$15,568	$83,861
OR	$36,355	$19,116	$62,414
MD	$37,695	$35,692	$37,695
MT	$42,655	$42,655	$67,301
WA	$42,929	$19,341	$58,481
DE	$55,021	$55,021	$67,907

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

LA	$13,037	$13,005	$14,631	$12,745	$53,779	2 ⚠ thin data	14	34
MA	$13,450	$9,762	$30,194	$149	$61,369	9	14	44
AR	$13,616	$13,616	$13,616	$12,713	$16,273	1 ⚠ thin data	18	26
ID	$13,924	$13,887	$16,116	$13,615	$1,462,020	3	11	29
MO	$14,234	$13,803	$24,972	$3,711	$65,692	15	17	126
NC	$14,489	$13,567	$16,943	$13,172	$81,173	10	21	138
CO	$14,537	$14,537	$14,537	$9	$30,623	8	16	131
TX	$14,674	$13,913	$17,107	$19	$1,337,840	71	79	2,182
PA	$14,962	$14,158	$17,984	$20	$71,785	20	53	383
NH	$15,146	$14,849	$19,114	$814	$89,069	8	15	84
KS	$15,365	$13,144	$15,835	$12,699	$22,933	4	11	39
TN	$15,429	$13,486	$16,200	$3,977	$54,333	12	24	451
AK	$15,447	$15,294	$18,743	$13,418	$116,555	2 ⚠ thin data	7	14
KY	$15,472	$13,340	$17,025	$275	$58,411	8	19	82
VA	$15,613	$14,258	$17,729	$750	$72,333	20	20	323
UT	$16,043	$13,954	$16,043	$11,859	$17,647	7	13	86
FL	$16,222	$15,111	$17,357	$300	$170,333	65	76	2,098
SC	$16,538	$13,843	$24,400	$258	$194,696	16	38	328
IN	$16,601	$15,963	$21,550	$5,877	$144,499	3	21	53
NE	$16,820	$16,683	$16,956	$16,683	$16,956	2 ⚠ thin data	2	4
NV	$17,398	$15,064	$17,746	$2,260	$37,188	9	14	117
MI	$17,398	$15,834	$33,314	$200	$77,849	14	34	262
RI	$17,865	$8,709	$32,978	$130	$45,317	3	10	37
NY	$18,684	$17,364	$34,213	$46	$94,175	21	39	278
MS	$18,699	$14,624	$25,940	$14,624	$44,150	7	21	59
NJ	$19,466	$19,014	$24,807	$14,729	$61,162	6	40	288
GA	$19,639	$15,137	$36,699	$213	$166,516	23	34	345
HI	$20,212	$18,653	$20,779	$18,653	$24,749	2 ⚠ thin data	7	12
OK	$20,226	$16,380	$27,284	$20	$169,093	7	14	56
CT	$20,411	$17,933	$50,793	$10,649	$92,877	3	5	28
AZ	$22,196	$18,812	$27,762	$6,431	$47,894	4	12	44
OH	$23,633	$12,768	$48,845	$482	$175,152	23	23	184
CA	$23,708	$17,746	$44,894	$150	$432,374	56	70	559
NM	$24,061	$13,043	$32,069	$7,286	$74,277	2 ⚠ thin data	5	9
ND	$24,261	$17,709	$28,542	$13,473	$56,385	3	6	17
DC	$26,122	$18,291	$35,079	$15,214	$45,104	2 ⚠ thin data	9	14
MN	$28,744	$17,529	$39,959	$17,529	$39,959	1 ⚠ thin data	2	4
IL	$28,868	$17,779	$47,615	$8,708	$200,791	12	7	98
WI	$28,943	$17,702	$53,252	$6,119	$79,291	5	11	21
AL	$30,115	$15,568	$83,861	$12,279	$170,333	3	9	19
OR	$36,355	$19,116	$62,414	$843	$135,605	12	17	122
MD	$37,695	$35,692	$37,695	$8,306	$46,896	4	12	84
MT	$42,655	$42,655	$67,301	$31,625	$72,734	2 ⚠ thin data	6	7
WA	$42,929	$19,341	$58,481	$16	$120,701	13	16	120
DE	$55,021	$55,021	$67,907	$20	$149,147	3	7	22