81316 (HCPCS) by state — Price Transparency

HCPCS · across United States

81316 — Pml/raralpha 1 Breakpoint

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

$218 National median

$207 – $373 IQR (p25 – p75)

1,592 hospitals filing

53 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $228.

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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 81316 (HCPCS), with interquartile range
State	Median	p25	p75
WY	$1,064	$207	$1,632
AK	$767	$209	$1,507
MA	$508	$96	$862
MD	$507	$342	$994
DC	$489	$409	$526
MS	$373	$266	$441
RI	$369	$212	$847
NH	$357	$211	$793
WI	$325	$207	$605
AZ	$315	$212	$674
LA	$293	$207	$746
NC	$293	$211	$311
AR	$290	$214	$373
OK	$290	$207	$591
PA	$287	$216	$552
MO	$280	$207	$696
OR	$275	$222	$540
NE	$271	$207	$311
CT	$269	$207	$432
KS	$259	$207	$367
WA	$257	$211	$404
AS	$255	$255	$255
NV	$249	$207	$427
MT	$241	$207	$484
DE	$230	$211	$321
HI	$228	$203	$672
AL	$228	$207	$236
NM	$228	$216	$1,119
NY	$220	$207	$431
SC	$218	$207	$302
TN	$218	$207	$373
TX	$218	$207	$434
CA	$218	$207	$393
VA	$216	$207	$549
GA	$214	$207	$311
SD	$214	$209	$214
OH	$214	$207	$311
FL	$214	$207	$233
IL	$214	$207	$321
IA	$211	$207	$218
ME	$211	$207	$232
MN	$207	$207	$261
ND	$207	$207	$230
KY	$207	$207	$259
NJ	$207	$207	$426
IN	$207	$207	$311
ID	$207	$186	$218
PR	$207	$207	$367
UT	$207	$207	$228
VT	$207	$207	$218
CO	$207	$207	$364
WV	$207	$207	$216
MI	$207	$201	$247

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

WY	$1,064	$207	$1,632	$153	$1,946	5	74	109
AK	$767	$209	$1,507	$199	$4,459	2 ⚠ thin data	8	23
MA	$508	$96	$862	$1	$2,178	25	192	614
MD	$507	$342	$994	$280	$1,390	1 ⚠ thin data	7	13
DC	$489	$409	$526	$207	$788	1 ⚠ thin data	10	31
MS	$373	$266	$441	$166	$1,186	25	110	1,082
RI	$369	$212	$847	$149	$1,953	5	7	76
NH	$357	$211	$793	$35	$6,139	10	22	316
WI	$325	$207	$605	$55	$4,255	64	88	1,125
AZ	$315	$212	$674	$87	$2,527	19	38	339
LA	$293	$207	$746	$104	$3,796	17	70	583
NC	$293	$211	$311	$1	$890	46	74	1,386
AR	$290	$214	$373	$7	$1,186	10	98	301
OK	$290	$207	$591	$64	$5,454	37	51	607
PA	$287	$216	$552	$40	$4,409	44	149	2,022
MO	$280	$207	$696	$105	$2,477	22	36	399
OR	$275	$222	$540	$166	$1,412	22	25	347
NE	$271	$207	$311	$189	$829	5	17	52
CT	$269	$207	$432	$85	$1,742	13	19	164
KS	$259	$207	$367	$87	$1,505	21	52	407
WA	$257	$211	$404	$81	$1,475	36	76	790
AS	$255	$255	$255	$255	$255	1 ⚠ thin data	1	3
NV	$249	$207	$427	$24	$1,353	7	102	263
MT	$241	$207	$484	$172	$47,323	15	49	197
DE	$230	$211	$321	$135	$970	2 ⚠ thin data	8	31
HI	$228	$203	$672	$70	$5,818	9	20	173
AL	$228	$207	$236	$98	$1,289	25	60	439
NM	$228	$216	$1,119	$187	$2,709	10	33	134
NY	$220	$207	$431	$11	$2,533	61	134	3,150
SC	$218	$207	$302	<$1	$1,671	26	50	558
TN	$218	$207	$373	$73	$3,074	43	172	2,815
TX	$218	$207	$434	<$1	$8,450	177	230	8,218
CA	$218	$207	$393	$1	$6,458	134	278	2,154
VA	$216	$207	$549	$126	$2,672	34	38	953
GA	$214	$207	$311	$13	$988	43	46	749
SD	$214	$209	$214	$96	$218	3	8	11
OH	$214	$207	$311	$37	$2,733	73	72	1,173
FL	$214	$207	$233	<$1	$1,549	124	184	4,495
IL	$214	$207	$321	$36	$2,089	64	65	671
IA	$211	$207	$218	$57	$3,317	15	14	136
ME	$211	$207	$232	$171	$1,518	19	9	151
MN	$207	$207	$261	$74	$3,317	34	45	731
ND	$207	$207	$230	$70	$703	7	26	75
KY	$207	$207	$259	$50	$518	21	76	701
NJ	$207	$207	$426	$45	$4,333	35	63	1,079
IN	$207	$207	$311	$41	$1,674	38	130	1,259
ID	$207	$186	$218	$79	$21,768	7	35	121
PR	$207	$207	$367	$207	$700	2 ⚠ thin data	6	7
UT	$207	$207	$228	$155	$1,640	32	29	829
VT	$207	$207	$218	$155	$1,389	2 ⚠ thin data	15	29
CO	$207	$207	$364	$78	$1,451	47	52	980
WV	$207	$207	$216	$137	$1,449	3	13	54
MI	$207	$201	$247	$1	$1,362	48	110	888