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HANK Price Transparency. (n.d.).
RBC deglycerolized (OTHER 9504) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved October 17, 2026 , from http://ppman.hank.ai/transparency/procedure/9504/by-state?code_type=OTHER
“RBC deglycerolized (OTHER 9504) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/9504/by-state?code_type=OTHER. Accessed
October 17, 2026 .
“RBC deglycerolized (OTHER 9504) by State,” HANK Price Transparency ,
accessed October 17, 2026 ,
http://ppman.hank.ai/transparency/procedure/9504/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
9504 — Rbc Deglycerolized
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$329
National median
$313 – $405
IQR (p25 – p75)
292
hospitals filing
38
states
Walking in without insurance?
Cash / self-pay price
Cash median
$523
vs. negotiated
+59.1%
Hospitals reporting
11
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 9504 (OTHER), with interquartile range
State Median p25 p75
OK $6 $4 $9
AR $303 $303 $303
UT $311 $308 $313
AK $313 $313 $319
MO $313 $313 $319
LA $313 $313 $329
KY $313 $313 $505
KS $313 $311 $317
ID $313 $313 $317
CO $313 $313 $313
GA $316 $313 $327
VA $319 $313 $327
NH $319 $313 $382
TN $322 $313 $329
MS $324 $271 $769
FL $327 $313 $339
TX $329 $313 $423
NC $332 $319 $373
SC $338 $317 $664
PA $343 $320 $686
IN $362 $311 $141,032
CA $546 $313 $894
MI $621 $311 $664
NE $632 $627 $637
NV $654 $313 $654
WI $654 $654 $654
DC $667 $664 $758
NY $673 $335 $80,317
NJ $714 $641 $786
WA $886 $780 $936
HI $891 $763 $46,644
ND $1,015 $916 $1,086
WV $12,764 $12,151 $12,791
IL $21,013 $21,013 $21,013
OH $24,871 $24,385 $25,356
MN $81,386 $58,067 $104,704
MA $122,656 $122,656 $122,656
SD $143,502 $118,941 $144,239