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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 November 9, 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
November 9, 2026 .
“1st hosp ip/obs sf/low 40 (OTHER 99221) by State,” HANK Price Transparency ,
accessed November 9, 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).
$135
National median
$80 – $191
IQR (p25 – p75)
39
hospitals filing
20
states
Walking in without insurance?
Cash / self-pay price
Cash median
$174
vs. negotiated
+29.0%
Hospitals reporting
28
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
OH $56 $56 $94
KY $72 $72 $72
MO $76 $76 $76
NY $77 $74 $100
KS $77 $77 $77
PA $79 $78 $131
MI $87 $78 $96
MS $91 $71 $148
IA $94 $56 $140
TN $95 $77 $113
NH $141 $94 $204
MN $155 $109 $254
AZ $159 $157 $166
UT $165 $144 $195
AR $207 $183 $207
IL $223 $80 $265
NE $236 $230 $242
ID $240 $145 $245
WI $273 $209 $275
ND $377 $243 $378