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HANK Price Transparency. (n.d.).
Allowrap ds or dry 1 sq cm (OTHER Q4150) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 27, 2026 , from http://ppman.hank.ai/transparency/procedure/Q4150/by-state?code_type=OTHER
“Allowrap ds or dry 1 sq cm (OTHER Q4150) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/Q4150/by-state?code_type=OTHER. Accessed
June 27, 2026 .
“Allowrap ds or dry 1 sq cm (OTHER Q4150) by State,” HANK Price Transparency ,
accessed June 27, 2026 ,
http://ppman.hank.ai/transparency/procedure/Q4150/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
Q4150 — Allowrap Ds Or Dry 1 Sq Cm
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$87
National median
$74 – $135
IQR (p25 – p75)
85
hospitals filing
27
states
Walking in without insurance?
Cash / self-pay price
Cash median
$11,078
vs. negotiated
+12676.8%
Hospitals reporting
21
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 Q4150 (OTHER), with interquartile range
State Median p25 p75
OK $11,183 $9,798 $19,198
DC $10,454 $6,280 $16,699
FL $8,449 $3,659 $12,134
NC $3,618 $2,788 $5,500
TX $2,484 $1,767 $7,836
NY $1,084 $127 $9,839
OH $679 $79 $699
VA $178 $169 $181
WV $133 $90 $158
NE $128 $128 $128
ID $127 $74 $238
MI $123 $123 $123
AR $109 $83 $148
CO $94 $50 $157
NH $89 $81 $162
PA $87 $85 $211
AL $87 $87 $87
KY $87 $49 $87
NJ $85 $85 $85
MN $83 $80 $87
SC $79 $79 $79
IL $78 $78 $78
GA $78 $78 $87
MT $78 $78 $86
UT $74 $74 $100
TN $74 $74 $3,116
IN $48 $48 $48