67104 (HCPCS) by state — Price Transparency

HCPCS · across United States

67104 — Descriptor Not Available

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

$7,460 National median

$5,786 – $21,615 IQR (p25 – p75)

16 hospitals filing

5 states

View hospital-by-hospital → Raw rate rows →

Estimate your cost

What would you pay?

Plug in your deductible, what you've already spent against it, your OOP-max, and your coinsurance %. We'll math the rest. Math reference: methodology.

This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

Loading estimate…

Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 67104 (HCPCS), with interquartile range
State	Median	p25	p75
NE	$14,250	$7,800	$14,400
GA	$8,133	$6,025	$27,652
MD	$5,154	$4,603	$5,279
CO	$4,344	$4,344	$4,344
FL	$2,336	$1,512	$2,749

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

NE	$14,250	$7,800	$14,400	$7,800	$14,400	1 ⚠ thin data	9	18
GA	$8,133	$6,025	$27,652	$5,305	$50,000	5	30	398
MD	$5,154	$4,603	$5,279	$4,052	$5,404	1 ⚠ thin data	1	3
CO	$4,344	$4,344	$4,344	$4,344	$4,344	1 ⚠ thin data	1	1
FL	$2,336	$1,512	$2,749	$130	$7,012	8	38	81