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HANK Price Transparency. (n.d.).
THERM DSTR IOS BVN 1ST 2 LUM/SAC (OTHER 64628S) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 30, 2026 , from http://ppman.hank.ai/transparency/procedure/64628S/by-state?code_type=OTHER
“THERM DSTR IOS BVN 1ST 2 LUM/SAC (OTHER 64628S) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/64628S/by-state?code_type=OTHER. Accessed
June 30, 2026 .
“THERM DSTR IOS BVN 1ST 2 LUM/SAC (OTHER 64628S) by State,” HANK Price Transparency ,
accessed June 30, 2026 ,
http://ppman.hank.ai/transparency/procedure/64628S/by-state?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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OTHER · across United States
64628S — Therm Dstr Ios Bvn 1st 2 Lum/sac
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$31,418
National median
$27,831 – $37,108
IQR (p25 – p75)
1
hospitals filing
1
states
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 64628S (OTHER), with interquartile range
State Median p25 p75
TX $31,418 $27,831 $37,108