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HANK Price Transparency. (n.d.).
Alys smpl cn npgt prgrmg (OTHER 95976) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved November 5, 2026 , from http://ppman.hank.ai/transparency/procedure/95976/by-state?code_type=OTHER
“Alys smpl cn npgt prgrmg (OTHER 95976) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/95976/by-state?code_type=OTHER. Accessed
November 5, 2026 .
“Alys smpl cn npgt prgrmg (OTHER 95976) by State,” HANK Price Transparency ,
accessed November 5, 2026 ,
http://ppman.hank.ai/transparency/procedure/95976/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
95976 — Alys Smpl Cn Npgt Prgrmg
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$38
National median
$35 – $68
IQR (p25 – p75)
35
hospitals filing
17
states
Walking in without insurance?
Cash / self-pay price
Cash median
$43
vs. negotiated
+11.2%
Hospitals reporting
24
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 95976 (OTHER), with interquartile range
State Median p25 p75
WI $178 $143 $180
IN $145 $40 $145
UT $111 $100 $118
TX $72 $38 $93
MS $52 $34 $88
OH $48 $37 $48
NE $43 $43 $43
NH $43 $37 $53
KS $42 $39 $57
AL $40 $34 $61
IL $38 $36 $71
PA $37 $36 $78
MI $37 $21 $37
TN $37 $35 $52
KY $35 $35 $41
AR $33 $32 $43
MO $31 $31 $31