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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 October 30, 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
October 30, 2026 .
“In111 pentetate (OTHER 771) by State,” HANK Price Transparency ,
accessed October 30, 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).
$102
National median
$28 – $746
IQR (p25 – p75)
378
hospitals filing
42
states
Walking in without insurance?
Cash / self-pay price
Cash median
$36
vs. negotiated
-65.3%
Hospitals reporting
63
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
OH $18 $17 $37
NM $22 $18 $37
MN $24 $8 $38
IL $26 $8 $65
IA $32 $18 $394
DC $33 $27 $55
VT $37 $30 $544
AR $39 $25 $227
WI $41 $25 $60
MS $41 $33 $62
NC $43 $19 $263
ND $44 $24 $65
GA $49 $16 $749
NE $51 $50 $79
VA $57 $43 $90
MI $58 $58 $58
SD $66 $45 $89
MO $82 $31 $746
CA $89 $54 $730
NY $93 $31 $614
WA $108 $108 $108
NV $134 $65 $478
OK $715 $715 $5,211
ID $746 $746 $759
CO $746 $746 $746
AK $746 $746 $761
KS $746 $374 $766
LA $746 $738 $783
UT $746 $746 $746
TX $751 $715 $790
KY $761 $123 $1,242
SC $761 $746 $805
NH $761 $746 $764
TN $768 $746 $791
PA $779 $746 $2,141
FL $783 $746 $813
NJ $805 $782 $1,368
AZ $1,376 $1,376 $4,980
AL $4,100 $1,146 $4,996
MA $4,249 $73 $9,139
IN $4,815 $4,656 $5,568
RI $6,998 $4,673 $9,398