64629 (HCPCS) by state — Price Transparency

HCPCS · 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).

$3,340 National median

$587 – $8,283 IQR (p25 – p75)

1,437 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 (HCPCS), with interquartile range
State	Median	p25	p75
SD	$18,777	$1,209	$22,000
NJ	$14,242	$2,953	$17,042
MO	$10,969	$2,022	$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	$5,437	$463	$12,530
VA	$5,091	$2,024	$13,905
AK	$4,590	$4,473	$5,085
NY	$4,463	$345	$6,282
GA	$4,453	$1,473	$7,460
OK	$4,407	$2,204	$12,171
KY	$3,895	$327	$8,393
MA	$3,511	$433	$3,511
MS	$3,328	$217	$5,092
AZ	$2,640	$848	$4,248
TX	$2,557	$1,348	$4,758
LA	$2,397	$2,205	$2,469
NE	$2,270	$705	$4,591
WI	$2,138	$1,492	$11,688
NC	$2,034	$225	$4,766
NV	$1,752	$725	$2,262
IA	$1,689	$579	$11,515
MD	$1,391	$1,292	$1,655
AL	$1,285	$296	$1,320
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
NM	$890	$890	$890
CA	$884	$192	$3,118
CO	$846	$208	$3,189
TN	$708	$384	$2,281
NH	$618	$203	$2,760
MN	$551	$154	$1,002
RI	$518	$191	$1,417
WY	$502	$191	$2,705
WA	$446	$269	$7,704
ND	$365	$187	$4,298
MT	$341	$203	$372
AR	$333	$160	$1,733
DE	$318	$188	$318
PA	$232	$194	$1,069
IN	$220	$220	$415
ME	$210	$210	$5,598
HI	$207	$201	$207
UT	$206	$206	$531
WV	$206	$176	$540
VT	$161	$159	$191

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	$2,022	$18,693	$34	$51,084	23	148	876
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	50
FL	$5,961	$2,250	$8,593	<$1	$50,000	116	610	4,306
IL	$5,437	$463	$12,530	$146	$68,844	67	158	1,033
VA	$5,091	$2,024	$13,905	$184	$38,467	33	41	458
AK	$4,590	$4,473	$5,085	$2,539	$6,642	2 ⚠ thin data	2	13
NY	$4,463	$345	$6,282	$104	$134,073	80	269	4,529
GA	$4,453	$1,473	$7,460	$161	$50,000	38	48	621
OK	$4,407	$2,204	$12,171	$37	$28,202	33	67	475
KY	$3,895	$327	$8,393	$122	$21,817	23	51	250
MA	$3,511	$433	$3,511	$1	$16,060	19	191	676
MS	$3,328	$217	$5,092	<$1	$8,320	16	77	303
AZ	$2,640	$848	$4,248	$164	$86,748	18	41	234
TX	$2,557	$1,348	$4,758	<$1	$131,641	159	179	3,776
LA	$2,397	$2,205	$2,469	$210	$17,386	20	40	262
NE	$2,270	$705	$4,591	$79	$24,940	14	44	220
WI	$2,138	$1,492	$11,688	$25	$29,629	66	109	986
NC	$2,034	$225	$4,766	$40	$15,601	27	69	296
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	$296	$1,320	$158	$18,579	16	63	288
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	45	298	1,623
SC	$917	$262	$3,119	$1	$16,223	23	19	141
NM	$890	$890	$890	$890	$890	1 ⚠ thin data	1	1
CA	$884	$192	$3,118	$1	$21,274	108	322	1,639
CO	$846	$208	$3,189	$60	$14,195	48	69	864
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	$1,002	$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	$269	$7,704	$171	$14,303	17	52	258
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	$1,069	$40	$7,187	37	34	601
IN	$220	$220	$415	$110	$31,952	29	70	616
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	$540	$110	$20,356	11	53	213
VT	$161	$159	$191	$119	$306	2 ⚠ thin data	14	28