99245 (OTHER) by state — Price Transparency

OTHER · across United States

99245 — Off/op Consltj New/est Hi 55

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

$257 National median

$162 – $394 IQR (p25 – p75)

31 hospitals filing

19 states

View hospital-by-hospital → Raw rate rows →

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What would you pay?

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: $289.

I am… Annual deductible (assumed — typical plan) Already spent this year

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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 99245 (OTHER), with interquartile range
State	Median	p25	p75
OH	$130	$24	$134
WV	$136	$136	$136
NY	$162	$162	$162
TN	$213	$194	$259
NH	$235	$186	$268
IA	$238	$212	$319
CA	$249	$223	$262
AZ	$268	$264	$281
PA	$269	$151	$297
MI	$269	$129	$298
IL	$270	$188	$575
MN	$282	$177	$407
TX	$313	$99	$394
NE	$517	$503	$530
KY	$540	$540	$540
WI	$770	$464	$777
ND	$775	$430	$777
MS	$820	$583	$9,277
OK	$1,974	$1,535	$2,580

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

OH	$130	$24	$134	$23	$291	1 ⚠ thin data	11	31
WV	$136	$136	$136	$135	$137	1 ⚠ thin data	28	40
NY	$162	$162	$162	$162	$162	1 ⚠ thin data	8	19
TN	$213	$194	$259	$65	$352	4	20	147
NH	$235	$186	$268	$5	$455	1 ⚠ thin data	7	16
IA	$238	$212	$319	$196	$361	1 ⚠ thin data	8	9
CA	$249	$223	$262	$140	$296	1 ⚠ thin data	7	9
AZ	$268	$264	$281	$250	$287	1 ⚠ thin data	6	8
PA	$269	$151	$297	$18	$462	2 ⚠ thin data	9	52
MI	$269	$129	$298	$114	$334	2 ⚠ thin data	3	12
IL	$270	$188	$575	$75	$686	4	8	34
MN	$282	$177	$407	$82	$963	2 ⚠ thin data	5	38
TX	$313	$99	$394	$90	$481	2 ⚠ thin data	18	82
NE	$517	$503	$530	$490	$544	1 ⚠ thin data	2	2
KY	$540	$540	$540	$540	$540	1 ⚠ thin data	22	24
WI	$770	$464	$777	$109	$822	1 ⚠ thin data	10	12
ND	$775	$430	$777	$85	$780	1 ⚠ thin data	3	3
MS	$820	$583	$9,277	$173	$9,277	3	25	68
OK	$1,974	$1,535	$2,580	$439	$3,597	1 ⚠ thin data	12	18