9204 (OTHER) by state — Price Transparency

OTHER · across United States

9204 — Inj Tisotu Vedotin-tftv,

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

$196 National median

$190 – $206 IQR (p25 – p75)

245 hospitals filing

33 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: $151.

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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 9204 (OTHER), with interquartile range
State	Median	p25	p75
AZ	$137,475	$137,475	$137,475
DE	$63,058	$63,058	$63,058
OK	$11,978	$276	$18,639
ND	$272	$263	$309
MS	$256	$184	$279
WA	$244	$192	$258
NJ	$204	$198	$347
NC	$202	$196	$216
TX	$202	$196	$208
NH	$200	$196	$200
SC	$198	$192	$205
PA	$197	$191	$207
AK	$196	$196	$200
LA	$196	$196	$206
FL	$196	$185	$207
MO	$196	$196	$200
KY	$196	$182	$196
TN	$196	$183	$206
GA	$196	$185	$198
VA	$196	$189	$201
CO	$196	$196	$196
ID	$196	$185	$197
CA	$194	$182	$200
NV	$189	$182	$196
WI	$189	$189	$189
NY	$189	$189	$302
DC	$186	$185	$211
KS	$185	$182	$196
IN	$183	$182	$196
UT	$182	$182	$192
MI	$182	$175	$189
HI	$180	$178	$191
NE	$177	$177	$177

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

AZ	$137,475	$137,475	$137,475	$137,475	$137,475	1 ⚠ thin data	1	2
DE	$63,058	$63,058	$63,058	$63,058	$63,058	1 ⚠ thin data	4	4
OK	$11,978	$276	$18,639	$159	$25,263	2 ⚠ thin data	18	28
ND	$272	$263	$309	$235	$315	2 ⚠ thin data	1	8
MS	$256	$184	$279	$175	$280	5	6	14
WA	$244	$192	$258	$175	$262	1 ⚠ thin data	1	6
NJ	$204	$198	$347	$182	$595	5	21	225
NC	$202	$196	$216	$182	$26,673	8	17	118
TX	$202	$196	$208	$167	$15,436	53	70	1,992
NH	$200	$196	$200	$157	$350	4	12	75
SC	$198	$192	$205	$182	$22,130	10	32	222
PA	$197	$191	$207	$160	$962	6	29	107
AK	$196	$196	$200	$188	$245	1 ⚠ thin data	5	10
LA	$196	$196	$206	$192	$516	1 ⚠ thin data	12	30
FL	$196	$185	$207	$145	$784	50	66	1,903
MO	$196	$196	$200	$189	$210	4	10	54
KY	$196	$182	$196	$169	$259	3	12	46
TN	$196	$183	$206	$122	$288	11	23	440
GA	$196	$185	$198	$118	$21,289	5	21	73
VA	$196	$189	$201	$182	$265	10	18	222
CO	$196	$196	$196	$167	$206	6	15	128
ID	$196	$185	$197	$182	$49,978	3	10	28
CA	$194	$182	$200	$145	$18,719	14	57	227
NV	$189	$182	$196	$29	$359	9	14	116
WI	$189	$189	$189	$189	$189	1 ⚠ thin data	1	1
NY	$189	$189	$302	$155	$25,643	10	28	165
DC	$186	$185	$211	$184	$236	1 ⚠ thin data	3	3
KS	$185	$182	$196	$180	$294	3	11	38
IN	$183	$182	$196	$182	$251	1 ⚠ thin data	13	34
UT	$182	$182	$192	$136	$200	7	13	86
MI	$182	$175	$189	$99	$38,296	4	32	85
HI	$180	$178	$191	$178	$218	1 ⚠ thin data	5	8
NE	$177	$177	$177	$177	$177	1 ⚠ thin data	2	2