64628 (CPT) by state — Price Transparency

CPT · across United States

64628 — Trml Dstrj Ios Bvn 1st 2 L/s

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

$12,715 National median

$6,724 – $17,332 IQR (p25 – p75)

1,902 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: $13,875.

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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 64628 (CPT), with interquartile range
State	Median	p25	p75
SD	$26,603	$12,553	$30,006
NC	$18,678	$12,885	$18,714
WA	$16,400	$12,585	$28,599
WI	$16,045	$12,745	$22,475
OR	$15,979	$14,699	$27,710
ID	$14,918	$13,009	$18,311
DE	$14,794	$13,874	$21,657
MA	$14,628	$10,722	$19,598
HI	$14,613	$11,659	$16,175
RI	$14,435	$11,928	$25,761
NM	$14,257	$13,345	$35,614
NJ	$14,242	$12,826	$15,027
IL	$13,758	$5,613	$24,765
VA	$13,124	$12,286	$20,335
CA	$13,117	$4,474	$17,300
OK	$13,108	$11,085	$16,831
PA	$13,051	$970	$15,499
FL	$12,867	$6,544	$17,948
WV	$12,867	$1,103	$25,987
DC	$12,802	$2,162	$18,192
OH	$12,735	$10,184	$27,922
ME	$12,702	$12,453	$46,453
MN	$12,628	$1,392	$13,576
MI	$12,607	$662	$16,479
SC	$12,538	$11,153	$18,033
ND	$12,456	$9,563	$13,253
AL	$12,426	$11,065	$14,078
TX	$12,398	$7,534	$16,717
AR	$12,364	$10,539	$16,962
IA	$12,316	$1,584	$18,028
MD	$12,234	$6,832	$12,472
MS	$12,157	$10,239	$19,090
MO	$12,104	$5,752	$16,074
KY	$12,062	$10,808	$14,980
GA	$12,052	$6,760	$13,650
KS	$11,987	$5,588	$19,151
LA	$11,707	$4,020	$12,533
NH	$11,688	$7,614	$17,822
CO	$11,659	$3,299	$14,101
NE	$11,515	$3,112	$14,990
AZ	$9,896	$3,585	$14,673
PR	$9,668	$9,668	$9,668
IN	$9,201	$470	$12,925
AK	$8,760	$8,579	$10,058
WY	$8,649	$1,073	$12,725
TN	$8,330	$3,130	$12,336
NY	$8,266	$4,609	$15,867
CT	$7,448	$2,223	$15,382
NV	$6,450	$3,141	$16,353
UT	$5,158	$354	$13,922
GU	$1,456	$1,456	$1,456
MT	$781	$591	$13,450
VT	$662	$281	$12,404

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

SD	$26,603	$12,553	$30,006	$342	$42,679	12	81	460
NC	$18,678	$12,885	$18,714	$537	$35,284	43	91	1,092
WA	$16,400	$12,585	$28,599	$364	$115,229	33	72	799
WI	$16,045	$12,745	$22,475	$310	$93,949	72	186	1,457
OR	$15,979	$14,699	$27,710	$461	$77,988	18	31	345
ID	$14,918	$13,009	$18,311	$158	$50,303	20	177	1,042
DE	$14,794	$13,874	$21,657	$396	$66,971	4	8	32
MA	$14,628	$10,722	$19,598	$1	$62,715	29	197	1,193
HI	$14,613	$11,659	$16,175	$420	$33,576	7	9	63
RI	$14,435	$11,928	$25,761	$1,211	$62,849	5	7	64
NM	$14,257	$13,345	$35,614	$8,766	$79,086	11	33	140
NJ	$14,242	$12,826	$15,027	$75	$114,599	45	228	2,873
IL	$13,758	$5,613	$24,765	$219	$61,207	74	170	1,322
VA	$13,124	$12,286	$20,335	$8	$50,927	35	44	833
CA	$13,117	$4,474	$17,300	<$1	$123,785	139	414	2,822
OK	$13,108	$11,085	$16,831	$36	$60,257	40	83	654
PA	$13,051	$970	$15,499	$34	$79,916	46	72	1,236
FL	$12,867	$6,544	$17,948	<$1	$986,568	135	684	6,066
WV	$12,867	$1,103	$25,987	$206	$85,473	15	67	279
DC	$12,802	$2,162	$18,192	$417	$42,777	3	27	63
OH	$12,735	$10,184	$27,922	$18	$96,382	86	312	4,555
ME	$12,702	$12,453	$46,453	$443	$76,956	18	9	143
MN	$12,628	$1,392	$13,576	$7	$88,332	62	118	1,379
MI	$12,607	$662	$16,479	<$1	$60,955	62	335	2,082
SC	$12,538	$11,153	$18,033	<$1	$43,559	30	50	490
ND	$12,456	$9,563	$13,253	$242	$30,070	6	36	140
AL	$12,426	$11,065	$14,078	$1	$42,903	28	76	441
TX	$12,398	$7,534	$16,717	<$1	$198,345	215	273	8,359
AR	$12,364	$10,539	$16,962	$20	$32,990	11	144	280
IA	$12,316	$1,584	$18,028	$339	$35,064	19	43	307
MD	$12,234	$6,832	$12,472	$1,017	$17,550	1 ⚠ thin data	11	19
MS	$12,157	$10,239	$19,090	$204	$57,143	26	150	795
MO	$12,104	$5,752	$16,074	$34	$45,323	34	210	1,245
KY	$12,062	$10,808	$14,980	$376	$43,632	30	83	630
GA	$12,052	$6,760	$13,650	$305	$50,850	51	74	1,217
KS	$11,987	$5,588	$19,151	$34	$88,246	26	120	394
LA	$11,707	$4,020	$12,533	$350	$65,163	29	82	663
NH	$11,688	$7,614	$17,822	$297	$78,404	11	19	213
CO	$11,659	$3,299	$14,101	$369	$48,859	52	85	1,466
NE	$11,515	$3,112	$14,990	$79	$48,251	14	57	279
AZ	$9,896	$3,585	$14,673	$392	$90,430	23	72	434
PR	$9,668	$9,668	$9,668	$9,668	$10,635	1 ⚠ thin data	5	5
IN	$9,201	$470	$12,925	$238	$50,875	44	133	1,341
AK	$8,760	$8,579	$10,058	$2,236	$17,617	2 ⚠ thin data	2	13
WY	$8,649	$1,073	$12,725	$407	$24,393	8	27	58
TN	$8,330	$3,130	$12,336	$283	$50,952	42	146	2,130
NY	$8,266	$4,609	$15,867	$34	$125,522	104	353	7,836
CT	$7,448	$2,223	$15,382	$627	$33,575	18	38	279
NV	$6,450	$3,141	$16,353	$458	$36,930	9	93	259
UT	$5,158	$354	$13,922	$354	$52,845	36	81	1,119
GU	$1,456	$1,456	$1,456	$1,456	$1,456	1 ⚠ thin data	4	4
MT	$781	$591	$13,450	$353	$42,576	11	37	108
VT	$662	$281	$12,404	<$1	$17,280	3	18	56