9057 (OTHER) by state — Price Transparency

OTHER · across United States

9057 — Inj Nivol Relatlimab 3mg/

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

$204 National median

$198 – $214 IQR (p25 – p75)

253 hospitals filing

36 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $158.

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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 9057 (OTHER), with interquartile range
State	Median	p25	p75
OK	$18	$12	$28
NE	$187	$186	$189
MI	$188	$186	$198
UT	$190	$190	$198
HI	$192	$190	$203
IN	$192	$190	$243
KS	$194	$190	$202
DC	$198	$197	$225
NY	$198	$198	$309
NV	$200	$194	$202
CA	$201	$194	$210
GA	$201	$194	$204
ID	$202	$193	$202
CO	$202	$202	$202
VA	$202	$198	$207
LA	$202	$202	$212
MO	$202	$202	$206
TN	$202	$192	$212
KY	$202	$190	$205
FL	$204	$194	$214
PA	$205	$201	$216
AK	$206	$203	$209
SC	$206	$201	$212
NH	$206	$202	$210
TX	$208	$202	$214
NC	$212	$206	$222
NJ	$214	$208	$364
WA	$266	$209	$281
MS	$273	$171	$291
ND	$285	$276	$324
RI	$29,332	$23,380	$32,996
IL	$30,756	$30,756	$30,756
WI	$38,167	$30,176	$40,461
OH	$47,019	$47,019	$47,019
DE	$64,638	$64,638	$64,638
AZ	$67,231	$67,231	$67,231

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

OK	$18	$12	$28	$3	$187	2 ⚠ thin data	15	23
NE	$187	$186	$189	$186	$189	2 ⚠ thin data	2	4
MI	$188	$186	$198	$103	$495	3	32	84
UT	$190	$190	$198	$143	$210	7	13	86
HI	$192	$190	$203	$190	$233	1 ⚠ thin data	5	8
IN	$192	$190	$243	$134	$347	2 ⚠ thin data	19	44
KS	$194	$190	$202	$189	$302	3	11	38
DC	$198	$197	$225	$196	$252	1 ⚠ thin data	3	3
NY	$198	$198	$309	$34	$31,653	10	27	164
NV	$200	$194	$202	$30	$376	9	14	116
CA	$201	$194	$210	$152	$58,812	15	58	229
GA	$201	$194	$204	$124	$320	4	21	72
ID	$202	$193	$202	$190	$21,174	2 ⚠ thin data	10	27
CO	$202	$202	$202	$171	$212	6	15	128
VA	$202	$198	$207	$190	$272	10	18	222
LA	$202	$202	$212	$198	$530	1 ⚠ thin data	12	30
MO	$202	$202	$206	$198	$216	4	10	54
TN	$202	$192	$212	$128	$296	11	23	440
KY	$202	$190	$205	$177	$31,373	5	13	50
FL	$204	$194	$214	$152	$30,251	50	68	1,926
PA	$205	$201	$216	$33	$30,192	8	29	109
AK	$206	$203	$209	$197	$257	1 ⚠ thin data	5	10
SC	$206	$201	$212	$190	$423	9	32	220
NH	$206	$202	$210	$161	$366	4	12	83
TX	$208	$202	$214	$175	$15,176	53	71	1,995
NC	$212	$206	$222	$190	$7,884	8	17	118
NJ	$214	$208	$364	$194	$624	5	21	225
WA	$266	$209	$281	$190	$286	1 ⚠ thin data	1	6
MS	$273	$171	$291	$163	$297	5	6	14
ND	$285	$276	$324	$246	$330	2 ⚠ thin data	1	8
RI	$29,332	$23,380	$32,996	$17,427	$36,660	1 ⚠ thin data	2	3
IL	$30,756	$30,756	$30,756	$30,756	$30,756	1 ⚠ thin data	1	1
WI	$38,167	$30,176	$40,461	$198	$42,914	4	3	5
OH	$47,019	$47,019	$47,019	$47,019	$47,019	1 ⚠ thin data	1	1
DE	$64,638	$64,638	$64,638	$64,638	$64,638	1 ⚠ thin data	6	6
AZ	$67,231	$67,231	$67,231	$67,231	$67,231	1 ⚠ thin data	1	2