716105291 (OTHER) by state — Price Transparency

OTHER · across United States

716105291 — Icd Subcutaneous Emblem MRI

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

$21,086 National median

$6,896 – $23,128 IQR (p25 – p75)

2 hospitals filing

1 states

View hospital-by-hospital → Raw rate rows →

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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.

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Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

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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 716105291 (OTHER), with interquartile range
State	Median	p25	p75
GA	$21,086	$6,896	$23,128

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

GA	$21,086	$6,896	$23,128	$4,380	$26,436	2 ⚠ thin data	16	34