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HANK Price Transparency. (n.d.).
In111 pentetate (OTHER 771) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 28, 2026 , from http://ppman.hank.ai/transparency/procedure/771/by-state?code_type=OTHER
“In111 pentetate (OTHER 771) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/771/by-state?code_type=OTHER. Accessed
June 28, 2026 .
“In111 pentetate (OTHER 771) by State,” HANK Price Transparency ,
accessed June 28, 2026 ,
http://ppman.hank.ai/transparency/procedure/771/by-state?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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OTHER · across United States
771 — In111 Pentetate
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$83
National median
$36 – $746
IQR (p25 – p75)
334
hospitals filing
42
states
Walking in without insurance?
Cash / self-pay price
Cash median
$41
vs. negotiated
-50.7%
Hospitals reporting
74
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 771 (OTHER), with interquartile range
State Median p25 p75
MA $8,409 $206 $9,139
AZ $5,285 $4,980 $5,592
IN $5,007 $4,643 $5,505
RI $4,857 $4,489 $9,562
AR $4,836 $4,345 $4,841
ND $1,085 $997 $1,173
AK $846 $749 $4,310
NJ $805 $782 $1,368
TN $783 $746 $1,125
SC $761 $733 $783
NY $746 $746 $1,228
UT $746 $746 $746
CO $746 $742 $746
TX $746 $94 $783
ID $746 $746 $759
KS $746 $374 $766
KY $746 $666 $746
NH $744 $715 $761
MI $715 $19 $715
AL $350 $143 $4,100
MN $322 $178 $369
FL $269 $66 $783
OK $164 $60 $715
GA $133 $41 $753
OH $122 $107 $125
MD $117 $74 $662
NC $113 $81 $768
VT $110 $110 $187
DC $91 $53 $197
NV $88 $33 $235
MO $82 $31 $746
LA $67 $25 $746
CA $64 $39 $250
VA $53 $42 $83
AS $51 $25 $120
WI $51 $51 $484
IL $47 $32 $70
PA $45 $9 $67
NE $41 $26 $48
MS $39 $26 $61
IA $33 $23 $51
NM $22 $18 $37