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HANK Price Transparency. (n.d.).
1st nf care sf/low mdm 25 (OTHER 99304) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved August 18, 2026 , from http://ppman.hank.ai/transparency/procedure/99304/by-state?code_type=OTHER
“1st nf care sf/low mdm 25 (OTHER 99304) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/99304/by-state?code_type=OTHER. Accessed
August 18, 2026 .
“1st nf care sf/low mdm 25 (OTHER 99304) by State,” HANK Price Transparency ,
accessed August 18, 2026 ,
http://ppman.hank.ai/transparency/procedure/99304/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
99304 — 1st Nf Care Sf/low Mdm 25
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$97
National median
$75 – $144
IQR (p25 – p75)
35
hospitals filing
20
states
Walking in without insurance?
Cash / self-pay price
Cash median
$134
vs. negotiated
+37.7%
Hospitals reporting
30
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 99304 (OTHER), with interquartile range
State Median p25 p75
ND $224 $161 $225
NE $218 $212 $224
ID $194 $194 $194
IL $188 $77 $221
WI $185 $184 $192
CA $144 $144 $144
NH $129 $92 $183
AZ $108 $106 $112
TN $103 $90 $120
MN $98 $98 $100
MI $97 $51 $127
OK $96 $82 $109
KS $92 $85 $103
AL $91 $75 $145
MS $90 $75 $133
VA $90 $87 $99
PA $76 $69 $82
SC $73 $73 $1,439
WV $67 $67 $73
OH $40 $40 $67