58542 (HCPCS) by state — Price Transparency

HCPCS · across United States

58542 — Lsh W/t/o Ut 250 G Or Less

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

$9,921 National median

$3,196 – $13,228 IQR (p25 – p75)

2,125 hospitals filing

52 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $1,799.

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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 58542 (HCPCS), with interquartile range
State	Median	p25	p75
UT	$602	$504	$6,932
PR	$1,094	$850	$1,361
VT	$1,156	$720	$9,330
MT	$1,335	$908	$10,504
NH	$3,024	$1,841	$11,153
WY	$3,378	$2,352	$6,400
MI	$3,620	$727	$10,380
IN	$4,445	$1,127	$16,870
CO	$5,412	$1,469	$10,744
NY	$5,517	$2,469	$12,320
AK	$5,597	$1,836	$7,463
NV	$6,688	$3,794	$11,506
TN	$7,122	$2,662	$9,971
CT	$7,300	$3,170	$12,446
KS	$8,794	$1,076	$13,795
MD	$8,900	$6,326	$10,092
GA	$9,032	$1,649	$11,013
IA	$9,157	$1,104	$10,860
WV	$9,347	$636	$11,335
TX	$9,446	$3,421	$11,731
AZ	$9,539	$4,839	$11,343
AL	$9,681	$8,136	$13,267
AR	$9,733	$8,875	$11,238
DC	$9,872	$7,891	$11,136
LA	$9,942	$8,411	$13,277
KY	$10,068	$9,041	$12,397
OH	$10,134	$8,591	$15,896
HI	$10,177	$867	$12,959
ME	$10,278	$5,345	$37,514
SC	$10,284	$8,409	$19,350
MO	$10,330	$2,550	$13,192
MN	$10,363	$7,036	$10,985
OK	$10,428	$4,093	$15,685
MS	$10,473	$8,078	$15,650
PA	$10,514	$1,607	$13,273
NM	$10,588	$5,963	$12,209
RI	$10,642	$8,116	$15,793
NE	$10,654	$9,391	$12,082
VA	$10,665	$8,722	$18,342
ND	$10,789	$10,411	$18,865
CA	$11,019	$1,684	$13,934
WI	$11,037	$6,591	$15,393
SD	$11,150	$9,818	$11,513
IL	$11,307	$5,140	$14,850
MA	$11,391	$7,043	$13,990
NJ	$11,524	$9,295	$12,080
FL	$11,656	$4,575	$17,299
DE	$12,406	$11,487	$18,379
WA	$13,030	$4,291	$24,726
NC	$15,464	$10,588	$15,494
ID	$16,652	$10,502	$22,358
OR	$16,964	$12,392	$24,864

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

UT	$602	$504	$6,932	$130	$27,277	33	41	1,621
PR	$1,094	$850	$1,361	$500	$8,318	2 ⚠ thin data	20	33
VT	$1,156	$720	$9,330	<$1	$15,739	7	42	264
MT	$1,335	$908	$10,504	$212	$30,408	13	46	203
NH	$3,024	$1,841	$11,153	$92	$73,952	14	96	553
WY	$3,378	$2,352	$6,400	$97	$20,196	10	49	92
MI	$3,620	$727	$10,380	<$1	$67,017	74	379	2,329
IN	$4,445	$1,127	$16,870	$30	$107,121	53	294	2,330
CO	$5,412	$1,469	$10,744	$49	$42,400	53	167	1,499
NY	$5,517	$2,469	$12,320	$27	$124,655	107	433	7,321
AK	$5,597	$1,836	$7,463	$941	$33,682	5	25	52
NV	$6,688	$3,794	$11,506	$928	$49,896	20	128	531
TN	$7,122	$2,662	$9,971	<$1	$86,110	49	167	2,508
CT	$7,300	$3,170	$12,446	$1,265	$31,470	15	21	228
KS	$8,794	$1,076	$13,795	$419	$73,063	24	82	419
MD	$8,900	$6,326	$10,092	$2,551	$14,201	2 ⚠ thin data	12	20
GA	$9,032	$1,649	$11,013	$122	$42,101	52	114	1,971
IA	$9,157	$1,104	$10,860	$77	$28,372	35	161	892
WV	$9,347	$636	$11,335	$130	$72,745	11	71	339
TX	$9,446	$3,421	$11,731	<$1	$76,424	233	310	9,000
AZ	$9,539	$4,839	$11,343	$707	$144,843	34	115	997
AL	$9,681	$8,136	$13,267	$1	$162,664	32	193	914
AR	$9,733	$8,875	$11,238	$38	$67,055	24	184	915
DC	$9,872	$7,891	$11,136	$4,586	$41,665	2 ⚠ thin data	6	12
LA	$9,942	$8,411	$13,277	$111	$53,952	33	95	804
KY	$10,068	$9,041	$12,397	$2,400	$26,031	29	60	762
OH	$10,134	$8,591	$15,896	$126	$65,771	84	146	1,434
HI	$10,177	$867	$12,959	<$1	$27,168	13	24	210
ME	$10,278	$5,345	$37,514	$839	$64,413	21	16	199
SC	$10,284	$8,409	$19,350	$1	$73,807	46	55	967
MO	$10,330	$2,550	$13,192	$40	$40,528	36	172	1,252
MN	$10,363	$7,036	$10,985	<$1	$61,518	58	73	967
OK	$10,428	$4,093	$15,685	$203	$30,098	40	61	547
MS	$10,473	$8,078	$15,650	$297	$193,468	22	161	592
PA	$10,514	$1,607	$13,273	$40	$66,167	61	157	2,645
NM	$10,588	$5,963	$12,209	$693	$113,220	14	66	275
RI	$10,642	$8,116	$15,793	$1,184	$67,122	6	15	92
NE	$10,654	$9,391	$12,082	$79	$25,184	25	94	966
VA	$10,665	$8,722	$18,342	$3	$68,431	44	59	907
ND	$10,789	$10,411	$18,865	$480	$38,593	9	38	153
CA	$11,019	$1,684	$13,934	<$1	$194,118	180	520	5,090
WI	$11,037	$6,591	$15,393	$589	$77,785	75	146	1,435
SD	$11,150	$9,818	$11,513	$46	$19,636	7	91	238
IL	$11,307	$5,140	$14,850	$357	$116,919	75	277	1,759
MA	$11,391	$7,043	$13,990	$1	$37,610	24	130	482
NJ	$11,524	$9,295	$12,080	$32	$120,253	44	240	3,973
FL	$11,656	$4,575	$17,299	<$1	$986,568	133	220	4,277
DE	$12,406	$11,487	$18,379	$801	$55,449	5	9	33
WA	$13,030	$4,291	$24,726	$40	$89,942	47	122	1,673
NC	$15,464	$10,588	$15,494	$763	$31,286	43	65	1,021
ID	$16,652	$10,502	$22,358	$261	$41,648	20	104	796
OR	$16,964	$12,392	$24,864	$643	$64,571	24	73	586