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HANK Price Transparency. (n.d.).
Affinity1 square cm (OTHER Q4159) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 27, 2026 , from http://ppman.hank.ai/transparency/procedure/Q4159/by-state?code_type=OTHER
“Affinity1 square cm (OTHER Q4159) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/Q4159/by-state?code_type=OTHER. Accessed
June 27, 2026 .
“Affinity1 square cm (OTHER Q4159) by State,” HANK Price Transparency ,
accessed June 27, 2026 ,
http://ppman.hank.ai/transparency/procedure/Q4159/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
Q4159 — Affinity1 Square 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).
$342
National median
$190 – $564
IQR (p25 – p75)
113
hospitals filing
31
states
Walking in without insurance?
Cash / self-pay price
Cash median
$716
vs. negotiated
+109.5%
Hospitals reporting
43
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 Q4159 (OTHER), with interquartile range
State Median p25 p75
IA $3,321 $3,127 $3,455
DC $3,071 $1,539 $4,140
NV $2,425 $2,425 $2,425
FL $2,127 $1,139 $3,929
MO $2,070 $360 $2,070
WA $1,794 $661 $1,794
OK $1,788 $964 $1,824
TX $1,638 $774 $2,435
MI $870 $870 $870
NC $787 $777 $838
NY $589 $255 $2,714
NH $579 $263 $879
MT $511 $205 $611
UT $460 $308 $460
TN $460 $460 $1,231
ID $460 $460 $460
AR $349 $215 $957
CA $340 $305 $355
MN $338 $282 $375
SC $306 $295 $624
VA $271 $134 $825
AL $263 $263 $263
KY $263 $263 $793
PA $242 $235 $301
MS $240 $133 $331
IL $215 $205 $389
GA $205 $205 $254
WV $205 $133 $338
OH $159 $123 $188
CO $80 $50 $246
IN $48 $48 $516