868804 (CDM) by state — Price Transparency

CDM · across United States

868804 — Plug Ocl 12x5.3x3mm

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

$19,516 National median

$6,505 – $178,111 IQR (p25 – p75)

14 hospitals filing

5 states

View hospital-by-hospital → Raw rate rows →

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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.

Uninsured estimates use the cash / self-pay median for this code: $29,081.

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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 868804 (CDM), with interquartile range
State	Median	p25	p75
TX	$200,371	$122,068	$313,124
CO	$13,878	$8,820	$17,282
KS	$3,187	$1,711	$4,908
WA	$2,550	$2,423	$2,550
MO	$1,960	$1,540	$2,970

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

TX	$200,371	$122,068	$313,124	$49,205	$595,455	4	27	182
CO	$13,878	$8,820	$17,282	$2,634	$26,173	6	19	138
KS	$3,187	$1,711	$4,908	$1,069	$6,374	2 ⚠ thin data	8	29
WA	$2,550	$2,423	$2,550	$1,425	$2,550	1 ⚠ thin data	11	13
MO	$1,960	$1,540	$2,970	$520	$4,000	1 ⚠ thin data	15	36