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).

$3,359 National median

$587 – $8,308 IQR (p25 – p75)

1,441 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
VT	$161	$159	$191
WV	$206	$176	$540
UT	$206	$206	$531
HI	$207	$201	$207
ME	$210	$210	$5,598
IN	$220	$220	$415
PA	$232	$194	$1,069
DE	$318	$188	$318
AR	$333	$160	$1,733
MT	$341	$203	$372
ND	$365	$187	$4,298
WA	$446	$269	$7,704
WY	$502	$191	$2,705
RI	$518	$191	$1,417
MN	$551	$154	$1,002
NH	$618	$203	$2,760
TN	$708	$384	$2,281
CO	$846	$208	$3,189
CA	$884	$192	$3,118
NM	$890	$890	$890
SC	$917	$262	$3,119
MI	$924	$166	$7,791
CT	$1,030	$403	$4,009
KS	$1,087	$156	$11,987
DC	$1,194	$135	$1,371
AL	$1,285	$296	$1,320
MD	$1,391	$1,292	$1,655
IA	$1,689	$579	$11,515
NV	$1,752	$725	$2,262
NC	$2,034	$225	$4,766
WI	$2,226	$1,492	$10,963
NE	$2,270	$705	$4,591
LA	$2,397	$2,205	$2,438
TX	$2,557	$1,348	$4,758
AZ	$2,640	$848	$4,248
MS	$3,162	$217	$5,092
MA	$3,511	$433	$3,511
KY	$3,895	$327	$8,393
OK	$4,407	$2,204	$12,171
GA	$4,453	$1,473	$7,460
NY	$4,463	$345	$6,282
AK	$4,590	$4,473	$5,085
VA	$5,091	$2,024	$13,905
IL	$5,921	$532	$12,798
FL	$5,961	$2,250	$8,593
OR	$6,629	$3,395	$7,246
ID	$7,459	$5,128	$8,438
OH	$9,034	$4,449	$18,426
MO	$10,969	$2,022	$18,693
NJ	$14,242	$2,953	$17,042
SD	$18,777	$1,209	$22,000

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

VT	$161	$159	$191	$119	$306	2 ⚠ thin data	14	28
WV	$206	$176	$540	$110	$20,356	11	53	213
UT	$206	$206	$531	$164	$9,343	35	59	653
HI	$207	$201	$207	$157	$602	4	4	13
ME	$210	$210	$5,598	$70	$8,886	8	8	41
IN	$220	$220	$415	$110	$31,952	29	70	616
PA	$232	$194	$1,069	$40	$7,187	37	34	601
DE	$318	$188	$318	$188	$318	3	2	5
AR	$333	$160	$1,733	$7	$5,494	6	74	125
MT	$341	$203	$372	$185	$477	6	25	82
ND	$365	$187	$4,298	$1	$5,335	5	15	67
WA	$446	$269	$7,704	$171	$14,303	17	52	258
WY	$502	$191	$2,705	$95	$11,466	7	24	36
RI	$518	$191	$1,417	$131	$1,665	5	3	23
MN	$551	$154	$1,002	$1	$50,000	34	89	568
NH	$618	$203	$2,760	$140	$8,965	4	15	63
TN	$708	$384	$2,281	$105	$27,049	34	50	1,067
CO	$846	$208	$3,189	$60	$14,195	48	69	864
CA	$884	$192	$3,118	$1	$21,274	108	322	1,639
NM	$890	$890	$890	$890	$890	1 ⚠ thin data	1	1
SC	$917	$262	$3,119	$1	$16,223	23	19	141
MI	$924	$166	$7,791	<$1	$29,514	45	298	1,623
CT	$1,030	$403	$4,009	$175	$10,999	17	27	200
KS	$1,087	$156	$11,987	$136	$35,960	23	54	201
DC	$1,194	$135	$1,371	$34	$19,062	3	17	41
AL	$1,285	$296	$1,320	$158	$18,579	16	63	288
MD	$1,391	$1,292	$1,655	$943	$1,795	1 ⚠ thin data	3	9
IA	$1,689	$579	$11,515	$156	$25,426	7	38	143
NV	$1,752	$725	$2,262	$216	$6,461	7	88	182
NC	$2,034	$225	$4,766	$40	$15,601	27	69	296
WI	$2,226	$1,492	$10,963	$25	$29,629	66	113	1,024
NE	$2,270	$705	$4,591	$79	$24,940	14	44	220
LA	$2,397	$2,205	$2,438	$210	$17,386	21	48	275
TX	$2,557	$1,348	$4,758	<$1	$131,641	159	179	3,776
AZ	$2,640	$848	$4,248	$164	$86,748	18	41	234
MS	$3,162	$217	$5,092	<$1	$8,320	16	77	310
MA	$3,511	$433	$3,511	$1	$16,060	19	191	676
KY	$3,895	$327	$8,393	$122	$21,817	23	51	250
OK	$4,407	$2,204	$12,171	$37	$28,202	33	67	475
GA	$4,453	$1,473	$7,460	$161	$50,000	38	48	621
NY	$4,463	$345	$6,282	$104	$134,073	80	269	4,529
AK	$4,590	$4,473	$5,085	$2,539	$6,642	2 ⚠ thin data	2	13
VA	$5,091	$2,024	$13,905	$184	$38,467	33	41	458
IL	$5,921	$532	$12,798	$146	$68,844	68	164	1,063
FL	$5,961	$2,250	$8,593	<$1	$50,000	118	612	4,335
OR	$6,629	$3,395	$7,246	$676	$12,355	6	12	50
ID	$7,459	$5,128	$8,438	$150	$16,678	14	150	722
OH	$9,034	$4,449	$18,426	$166	$48,192	66	229	3,421
MO	$10,969	$2,022	$18,693	$34	$51,084	23	148	876
NJ	$14,242	$2,953	$17,042	$85	$24,709	37	203	2,794
SD	$18,777	$1,209	$22,000	$156	$41,194	11	57	312