58571 (HCPCS) by state — Price Transparency

HCPCS · across United States

58571 — Tlh W/t/o 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).

$9,866 National median

$3,630 – $13,365 IQR (p25 – p75)

2,567 hospitals filing

54 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $1,977.

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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 58571 (HCPCS), with interquartile range
State	Median	p25	p75
ID	$15,857	$10,450	$21,394
NC	$15,464	$10,237	$15,494
CA	$12,699	$3,218	$14,755
DE	$12,406	$11,487	$17,782
OR	$12,279	$10,604	$19,898
WA	$12,105	$2,239	$21,381
SD	$11,876	$10,505	$29,855
ND	$11,796	$10,411	$22,253
FL	$11,767	$6,941	$19,556
MA	$11,558	$7,043	$13,734
NJ	$11,376	$9,373	$12,080
RI	$11,270	$9,163	$12,220
IL	$11,071	$4,764	$15,827
VA	$10,998	$9,941	$23,926
HI	$10,932	$2,965	$13,218
DC	$10,924	$7,209	$12,493
NM	$10,863	$4,015	$15,982
NE	$10,852	$8,575	$12,955
AZ	$10,742	$5,203	$11,452
WV	$10,654	$7,304	$11,411
OK	$10,606	$8,589	$16,804
PA	$10,514	$3,878	$13,112
MO	$10,469	$7,978	$14,634
ME	$10,278	$1,953	$30,675
KY	$10,229	$9,013	$14,925
CO	$10,155	$2,439	$11,951
IA	$10,033	$1,611	$10,860
MS	$10,010	$8,092	$17,049
LA	$10,000	$7,429	$12,764
OH	$9,923	$3,770	$11,932
TX	$9,922	$3,435	$11,815
AR	$9,921	$9,242	$14,362
SC	$9,887	$6,214	$14,716
KS	$9,593	$2,303	$14,160
AL	$9,587	$8,136	$12,885
GA	$9,192	$2,408	$11,248
AK	$8,906	$3,149	$12,635
WI	$8,902	$8,718	$11,894
MD	$8,900	$6,326	$10,092
NV	$8,128	$4,281	$13,415
TN	$7,720	$3,145	$10,126
IN	$7,248	$1,327	$24,365
MI	$7,238	$991	$10,592
CT	$6,607	$3,853	$12,808
MN	$5,744	$5,562	$5,865
NY	$4,055	$1,144	$11,787
WY	$3,988	$2,432	$7,334
GU	$3,185	$3,185	$3,185
UT	$2,521	$549	$13,273
NH	$2,231	$916	$10,487
AS	$1,978	$1,156	$2,800
MT	$1,827	$1,827	$4,451
VT	$1,337	$852	$9,987
PR	$1,094	$788	$1,344

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

ID	$15,857	$10,450	$21,394	$95	$39,551	24	119	1,124
NC	$15,464	$10,237	$15,494	$707	$59,948	52	117	1,385
CA	$12,699	$3,218	$14,755	$26	$159,286	217	769	7,683
DE	$12,406	$11,487	$17,782	$878	$55,449	5	10	37
OR	$12,279	$10,604	$19,898	$38	$64,571	28	297	1,091
WA	$12,105	$2,239	$21,381	$19	$104,313	56	181	2,132
SD	$11,876	$10,505	$29,855	$748	$44,058	10	111	547
ND	$11,796	$10,411	$22,253	$527	$41,269	12	43	218
FL	$11,767	$6,941	$19,556	$209	$986,568	146	249	6,377
MA	$11,558	$7,043	$13,734	$392	$50,000	26	129	547
NJ	$11,376	$9,373	$12,080	$27	$81,772	49	251	4,067
RI	$11,270	$9,163	$12,220	$816	$67,122	7	44	215
IL	$11,071	$4,764	$15,827	$52	$115,352	89	331	2,738
VA	$10,998	$9,941	$23,926	$903	$50,854	52	75	1,360
HI	$10,932	$2,965	$13,218	$29	$37,473	14	25	265
DC	$10,924	$7,209	$12,493	$988	$41,665	3	7	21
NM	$10,863	$4,015	$15,982	$773	$89,769	18	101	412
NE	$10,852	$8,575	$12,955	$79	$43,087	29	101	1,034
AZ	$10,742	$5,203	$11,452	$770	$146,239	49	160	1,556
WV	$10,654	$7,304	$11,411	$209	$72,745	17	88	557
OK	$10,606	$8,589	$16,804	$448	$142,666	48	150	894
PA	$10,514	$3,878	$13,112	$40	$90,667	87	188	3,449
MO	$10,469	$7,978	$14,634	$170	$137,522	46	235	1,973
ME	$10,278	$1,953	$30,675	$908	$64,413	23	17	230
KY	$10,229	$9,013	$14,925	$621	$55,108	42	81	1,007
CO	$10,155	$2,439	$11,951	$614	$43,338	59	108	1,262
IA	$10,033	$1,611	$10,860	$20	$44,409	45	180	1,214
MS	$10,010	$8,092	$17,049	$160	$135,318	34	218	1,177
LA	$10,000	$7,429	$12,764	$122	$53,952	46	161	1,995
OH	$9,923	$3,770	$11,932	$85	$99,984	100	277	2,620
TX	$9,922	$3,435	$11,815	$50	$141,885	261	499	11,595
AR	$9,921	$9,242	$14,362	$208	$64,446	33	256	1,318
SC	$9,887	$6,214	$14,716	$29	$73,807	48	73	1,124
KS	$9,593	$2,303	$14,160	$252	$73,063	40	200	1,073
AL	$9,587	$8,136	$12,885	$266	$150,744	42	224	1,263
GA	$9,192	$2,408	$11,248	$210	$91,202	58	132	2,184
AK	$8,906	$3,149	$12,635	$72	$59,291	8	46	115
WI	$8,902	$8,718	$11,894	$72	$77,785	93	391	4,074
MD	$8,900	$6,326	$10,092	$2,750	$14,201	2 ⚠ thin data	12	20
NV	$8,128	$4,281	$13,415	$363	$49,896	23	139	631
TN	$7,720	$3,145	$10,126	$217	$73,310	60	208	3,046
IN	$7,248	$1,327	$24,365	$30	$117,488	62	327	4,222
MI	$7,238	$991	$10,592	$292	$44,893	81	397	2,707
CT	$6,607	$3,853	$12,808	$389	$40,782	20	22	339
MN	$5,744	$5,562	$5,865	$221	$61,518	69	334	4,547
NY	$4,055	$1,144	$11,787	<$1	$113,399	126	447	10,903
WY	$3,988	$2,432	$7,334	$100	$31,000	15	72	188
GU	$3,185	$3,185	$3,185	$3,185	$3,185	1 ⚠ thin data	4	4
UT	$2,521	$549	$13,273	$46	$36,804	38	164	2,694
NH	$2,231	$916	$10,487	$219	$73,952	16	100	723
AS	$1,978	$1,156	$2,800	$1,156	$2,800	1 ⚠ thin data	1	6
MT	$1,827	$1,827	$4,451	$232	$30,408	21	203	578
VT	$1,337	$852	$9,987	$373	$19,603	9	44	292
PR	$1,094	$788	$1,344	$500	$8,318	4	20	35