64629 (CPT) by state — Price Transparency

CPT · across United States

64629 — Trml Dstrj Ios Bvn Ea Addl

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

$3,390 National median

$643 – $8,392 IQR (p25 – p75)

1,415 hospitals filing

51 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $5,224.

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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 64629 (CPT), with interquartile range
State	Median	p25	p75
SD	$18,777	$1,209	$22,000
NJ	$14,242	$2,953	$17,042
MO	$10,969	$2,131	$18,693
OH	$9,034	$4,449	$18,426
ID	$7,459	$5,128	$8,438
OR	$6,629	$3,395	$7,246
FL	$5,961	$2,250	$8,593
IL	$5,577	$463	$12,552
GA	$4,745	$1,473	$7,460
AK	$4,590	$4,473	$5,085
NY	$4,454	$449	$5,510
OK	$4,407	$2,228	$12,159
VA	$4,333	$1,995	$13,905
MS	$4,160	$217	$5,092
KY	$3,895	$307	$8,433
MA	$3,511	$441	$3,511
AZ	$2,640	$848	$4,248
TX	$2,557	$1,387	$4,758
NE	$2,554	$916	$3,851
LA	$2,397	$2,205	$2,473
NC	$2,325	$225	$5,234
WI	$2,138	$1,492	$11,703
NV	$1,752	$725	$2,262
IA	$1,689	$579	$11,515
MD	$1,391	$1,292	$1,655
AL	$1,285	$285	$1,310
DC	$1,194	$135	$1,371
KS	$1,087	$156	$11,987
CT	$1,030	$403	$4,009
MI	$924	$166	$7,791
SC	$917	$262	$3,119
CO	$903	$208	$3,656
NM	$890	$890	$890
CA	$854	$192	$3,116
TN	$708	$384	$2,281
NH	$618	$203	$2,760
MN	$551	$154	$1,024
RI	$518	$191	$1,417
WY	$502	$191	$2,705
WA	$446	$277	$10,044
ND	$365	$187	$4,298
MT	$341	$203	$372
AR	$333	$160	$1,733
DE	$318	$188	$318
PA	$232	$194	$1,057
IN	$220	$220	$285
ME	$210	$210	$5,598
HI	$207	$201	$207
UT	$206	$206	$531
WV	$206	$176	$513
VT	$161	$119	$299

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	$18,777	$1,209	$22,000	$156	$41,194	11	57	312
NJ	$14,242	$2,953	$17,042	$85	$24,709	37	203	2,794
MO	$10,969	$2,131	$18,693	$34	$51,084	22	148	871
OH	$9,034	$4,449	$18,426	$166	$48,192	66	229	3,421
ID	$7,459	$5,128	$8,438	$150	$16,678	14	150	722
OR	$6,629	$3,395	$7,246	$676	$12,355	6	12	46
FL	$5,961	$2,250	$8,593	<$1	$50,000	114	610	4,287
IL	$5,577	$463	$12,552	$146	$68,844	65	158	1,030
GA	$4,745	$1,473	$7,460	$161	$50,000	38	48	617
AK	$4,590	$4,473	$5,085	$2,539	$6,642	2 ⚠ thin data	2	13
NY	$4,454	$449	$5,510	$104	$134,073	77	264	4,014
OK	$4,407	$2,228	$12,159	$37	$28,202	32	67	474
VA	$4,333	$1,995	$13,905	$184	$38,467	32	41	408
MS	$4,160	$217	$5,092	<$1	$8,320	15	75	299
KY	$3,895	$307	$8,433	$122	$21,817	23	51	249
MA	$3,511	$441	$3,511	$1	$16,060	18	191	675
AZ	$2,640	$848	$4,248	$164	$86,748	18	41	234
TX	$2,557	$1,387	$4,758	<$1	$131,641	159	179	3,785
NE	$2,554	$916	$3,851	$79	$24,940	14	44	257
LA	$2,397	$2,205	$2,473	$320	$17,386	19	40	261
NC	$2,325	$225	$5,234	$40	$15,601	26	69	281
WI	$2,138	$1,492	$11,703	$25	$29,629	65	109	985
NV	$1,752	$725	$2,262	$216	$6,461	7	88	182
IA	$1,689	$579	$11,515	$156	$25,426	7	38	143
MD	$1,391	$1,292	$1,655	$943	$1,795	1 ⚠ thin data	3	9
AL	$1,285	$285	$1,310	$158	$18,579	16	63	287
DC	$1,194	$135	$1,371	$34	$19,062	3	17	41
KS	$1,087	$156	$11,987	$136	$35,960	23	54	201
CT	$1,030	$403	$4,009	$175	$10,999	17	27	200
MI	$924	$166	$7,791	<$1	$29,514	44	298	1,622
SC	$917	$262	$3,119	$1	$16,223	23	19	141
CO	$903	$208	$3,656	$60	$14,195	48	69	922
NM	$890	$890	$890	$890	$890	1 ⚠ thin data	1	1
CA	$854	$192	$3,116	$1	$21,274	107	315	1,610
TN	$708	$384	$2,281	$105	$27,049	34	50	1,067
NH	$618	$203	$2,760	$140	$8,965	4	15	63
MN	$551	$154	$1,024	$1	$50,000	34	89	568
RI	$518	$191	$1,417	$131	$1,665	5	3	23
WY	$502	$191	$2,705	$95	$11,466	7	24	36
WA	$446	$277	$10,044	$185	$14,303	16	49	208
ND	$365	$187	$4,298	$1	$5,335	5	15	67
MT	$341	$203	$372	$185	$477	6	25	82
AR	$333	$160	$1,733	$7	$5,494	6	74	125
DE	$318	$188	$318	$188	$318	3	2	5
PA	$232	$194	$1,057	$40	$7,187	37	34	595
IN	$220	$220	$285	$138	$31,952	28	51	452
ME	$210	$210	$5,598	$70	$8,886	8	8	41
HI	$207	$201	$207	$157	$602	4	4	13
UT	$206	$206	$531	$164	$9,343	35	59	653
WV	$206	$176	$513	$110	$20,356	10	53	212
VT	$161	$119	$299	$119	$306	1 ⚠ thin data	4	7