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HANK Price Transparency. (n.d.).
1st hosp ip/obs sf/low 40 (OTHER 99221) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 27, 2026 , from http://ppman.hank.ai/transparency/procedure/99221/by-state?code_type=OTHER
“1st hosp ip/obs sf/low 40 (OTHER 99221) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/99221/by-state?code_type=OTHER. Accessed
June 27, 2026 .
“1st hosp ip/obs sf/low 40 (OTHER 99221) by State,” HANK Price Transparency ,
accessed June 27, 2026 ,
http://ppman.hank.ai/transparency/procedure/99221/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
99221 — 1st Hosp Ip/obs Sf/low 40
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$92
National median
$80 – $165
IQR (p25 – p75)
186
hospitals filing
43
states
Walking in without insurance?
Cash / self-pay price
Cash median
$164
vs. negotiated
+77.5%
Hospitals reporting
132
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 99221 (OTHER), with interquartile range
State Median p25 p75
SC $648 $89 $648
NH $242 $102 $333
WI $232 $113 $235
ND $232 $151 $232
IL $165 $83 $264
FL $165 $159 $165
MT $160 $156 $175
WA $154 $88 $221
IA $152 $136 $172
HI $149 $80 $725
MN $148 $104 $187
SD $143 $140 $172
WY $117 $117 $117
CT $117 $70 $145
ME $107 $86 $186
MS $106 $77 $120
VT $105 $75 $1,004
NV $104 $74 $139
MO $103 $77 $113
VA $101 $90 $114
NY $100 $79 $145
OR $94 $88 $232
CA $94 $69 $151
IN $92 $92 $92
MI $90 $81 $97
KS $90 $70 $90
OK $89 $75 $140
GA $84 $80 $101
NC $83 $79 $86
TN $81 $77 $107
UT $81 $81 $81
ID $81 $81 $81
CO $80 $73 $81
LA $79 $63 $104
WV $79 $60 $91
PA $79 $74 $96
OH $78 $44 $84
AR $78 $66 $86
AL $74 $70 $75
MA $74 $74 $114
TX $73 $30 $267
KY $72 $72 $72
NE $72 $71 $76