58740 (HCPCS) by state — Price Transparency

HCPCS · across United States

58740 — Adhesiolysis Tube Ovary

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

$2,720 National median

$1,052 – $5,650 IQR (p25 – p75)

1,664 hospitals filing

53 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $1,455.

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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 58740 (HCPCS), with interquartile range
State	Median	p25	p75
ID	$9,183	$1,579	$13,138
AK	$8,760	$1,871	$10,361
KY	$7,570	$1,538	$12,667
OK	$7,062	$1,897	$10,861
RI	$6,757	$1,280	$9,613
WI	$6,687	$3,171	$17,038
VA	$6,172	$4,363	$8,619
NM	$5,960	$623	$5,960
FL	$5,416	$2,250	$14,224
DC	$5,346	$3,603	$9,969
MD	$4,498	$4,036	$5,075
LA	$4,266	$2,661	$4,952
TX	$4,140	$1,850	$5,073
NE	$4,082	$795	$8,593
NJ	$4,011	$2,834	$4,759
SC	$3,981	$1,631	$18,675
GA	$3,763	$2,232	$6,761
ME	$3,677	$967	$13,340
CT	$3,675	$2,094	$6,249
MN	$3,484	$2,302	$13,261
NV	$3,453	$2,516	$4,102
AL	$3,060	$825	$12,229
AZ	$2,988	$1,156	$4,839
TN	$2,569	$1,473	$3,066
NC	$2,550	$871	$6,255
CO	$2,515	$937	$6,719
MS	$2,498	$1,303	$3,723
ND	$2,422	$905	$13,513
AR	$2,420	$838	$2,821
OR	$2,402	$1,288	$11,184
MA	$2,400	$1,044	$3,215
IL	$2,368	$956	$5,020
CA	$2,259	$1,018	$6,610
NY	$2,229	$1,588	$4,393
OH	$2,167	$118	$6,350
WA	$1,997	$1,172	$2,618
NH	$1,976	$1,245	$5,346
WY	$1,971	$889	$2,242
MO	$1,941	$1,046	$3,298
SD	$1,854	$850	$4,530
PA	$1,653	$855	$8,109
DE	$1,488	$870	$1,488
AS	$1,472	$1,141	$1,803
IA	$1,455	$766	$2,185
MT	$1,192	$869	$2,731
IN	$986	$757	$1,118
VT	$943	$806	$1,551
HI	$936	$639	$947
MI	$784	$521	$1,075
KS	$784	$723	$3,212
PR	$754	$672	$791
WV	$693	$652	$1,448
UT	$652	$141	$6,265

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	$9,183	$1,579	$13,138	$348	$14,127	11	78	536
AK	$8,760	$1,871	$10,361	$1,559	$27,408	4	23	41
KY	$7,570	$1,538	$12,667	$382	$20,788	24	31	437
OK	$7,062	$1,897	$10,861	$450	$19,667	36	40	355
RI	$6,757	$1,280	$9,613	$829	$10,895	5	5	44
WI	$6,687	$3,171	$17,038	$639	$25,737	64	97	793
VA	$6,172	$4,363	$8,619	$526	$19,538	33	26	342
NM	$5,960	$623	$5,960	$623	$6,400	3	28	57
FL	$5,416	$2,250	$14,224	<$1	$1,518,970	105	89	2,482
DC	$5,346	$3,603	$9,969	$2,210	$19,258	2 ⚠ thin data	4	10
MD	$4,498	$4,036	$5,075	$2,552	$5,404	2 ⚠ thin data	4	10
LA	$4,266	$2,661	$4,952	$120	$17,881	30	87	512
TX	$4,140	$1,850	$5,073	<$1	$143,689	200	218	5,271
NE	$4,082	$795	$8,593	$79	$25,184	23	79	491
NJ	$4,011	$2,834	$4,759	$9	$20,972	37	51	1,064
SC	$3,981	$1,631	$18,675	<$1	$46,600	32	45	544
GA	$3,763	$2,232	$6,761	$58	$37,500	52	67	1,004
ME	$3,677	$967	$13,340	$121	$34,606	12	14	120
CT	$3,675	$2,094	$6,249	$295	$16,816	17	36	274
MN	$3,484	$2,302	$13,261	$205	$50,000	41	57	561
NV	$3,453	$2,516	$4,102	$841	$7,362	17	94	321
AL	$3,060	$825	$12,229	$1	$40,090	15	52	220
AZ	$2,988	$1,156	$4,839	$555	$19,364	25	62	488
TN	$2,569	$1,473	$3,066	<$1	$21,485	46	60	1,474
NC	$2,550	$871	$6,255	$364	$15,675	25	42	190
CO	$2,515	$937	$6,719	$49	$35,308	52	161	1,338
MS	$2,498	$1,303	$3,723	$10	$8,806	18	51	241
ND	$2,422	$905	$13,513	$521	$23,928	8	24	82
AR	$2,420	$838	$2,821	$19	$28,332	13	40	212
OR	$2,402	$1,288	$11,184	$294	$19,127	15	61	311
MA	$2,400	$1,044	$3,215	$1	$15,394	18	31	148
IL	$2,368	$956	$5,020	$394	$176,809	65	132	679
CA	$2,259	$1,018	$6,610	<$1	$31,277	119	350	2,893
NY	$2,229	$1,588	$4,393	$11	$48,504	72	163	3,507
OH	$2,167	$118	$6,350	$22	$20,001	56	80	618
WA	$1,997	$1,172	$2,618	$40	$24,498	45	85	743
NH	$1,976	$1,245	$5,346	$288	$37,298	10	89	397
WY	$1,971	$889	$2,242	<$1	$9,842	10	46	95
MO	$1,941	$1,046	$3,298	$150	$17,716	25	50	407
SD	$1,854	$850	$4,530	$46	$10,882	7	40	81
PA	$1,653	$855	$8,109	$40	$64,908	40	115	1,275
DE	$1,488	$870	$1,488	$870	$1,488	3	2	5
AS	$1,472	$1,141	$1,803	$1,141	$1,803	1 ⚠ thin data	1	6
IA	$1,455	$766	$2,185	$20	$12,082	33	83	400
MT	$1,192	$869	$2,731	$151	$37,160	12	42	159
IN	$986	$757	$1,118	$30	$43,944	44	150	1,220
VT	$943	$806	$1,551	<$1	$16,098	5	28	199
HI	$936	$639	$947	$391	$967	5	6	16
MI	$784	$521	$1,075	<$1	$20,028	60	220	1,256
KS	$784	$723	$3,212	$400	$13,407	22	59	258
PR	$754	$672	$791	$500	$834	1 ⚠ thin data	21	27
WV	$693	$652	$1,448	$141	$14,999	7	26	117
UT	$652	$141	$6,265	$141	$16,613	34	54	1,238