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HANK Price Transparency. (n.d.).
ICD INS/REPL LD/GEN (CDM 66661) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved October 22, 2026 , from http://ppman.hank.ai/transparency/procedure/66661/by-state?code_type=CDM
“ICD INS/REPL LD/GEN (CDM 66661) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/66661/by-state?code_type=CDM. Accessed
October 22, 2026 .
“ICD INS/REPL LD/GEN (CDM 66661) by State,” HANK Price Transparency ,
accessed October 22, 2026 ,
http://ppman.hank.ai/transparency/procedure/66661/by-state?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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CDM · across United States
66661 — Icd Ins/repl Ld/gen
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$81,962
National median
$29,964 – $129,970
IQR (p25 – p75)
10
hospitals filing
3
states
Walking in without insurance?
Cash / self-pay price
Cash median
$192,928
vs. negotiated
+135.4%
Hospitals reporting
16
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 66661 (CDM), with interquartile range
State Median p25 p75
NH $122,123 $72,541 $183,282
VA $89,921 $51,827 $127,794
MT $472 $416 $532