64011604 (OTHER) by state — Price Transparency

OTHER · across United States

64011604 — Plug 171-190 12mm Impded-fx

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

$52,626 National median

$45,447 – $75,005 IQR (p25 – p75)

8 hospitals filing

2 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: $51,574.

I am… Annual deductible (assumed — typical plan) Already spent this year

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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 64011604 (OTHER), with interquartile range
State	Median	p25	p75
MD	$52,626	$45,447	$75,005
DC	$46,125	$26,062	$51,562

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

MD	$52,626	$45,447	$75,005	$33,839	$78,052	7	17	297
DC	$46,125	$26,062	$51,562	$21,000	$67,500	1 ⚠ thin data	8	12