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HANK Price Transparency. (n.d.).
Inj. avsola 10 mg (OTHER Q5121) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved July 1, 2026 , from http://ppman.hank.ai/transparency/procedure/Q5121/by-state?code_type=OTHER
“Inj. avsola 10 mg (OTHER Q5121) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/Q5121/by-state?code_type=OTHER. Accessed
July 1, 2026 .
“Inj. avsola 10 mg (OTHER Q5121) by State,” HANK Price Transparency ,
accessed July 1, 2026 ,
http://ppman.hank.ai/transparency/procedure/Q5121/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
Q5121 — Inj. Avsola 10 Mg
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$33
National median
$22 – $52
IQR (p25 – p75)
156
hospitals filing
33
states
Walking in without insurance?
Cash / self-pay price
Cash median
$279
vs. negotiated
+734.0%
Hospitals reporting
39
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 Q5121 (OTHER), with interquartile range
State Median p25 p75
SD $2,064 $1,655 $4,303
NY $1,824 $22 $9,028
WI $1,400 $680 $1,415
IA $1,078 $627 $1,969
TX $150 $150 $150
IN $91 $52 $91
VA $69 $27 $664
MT $55 $40 $68
OR $54 $51 $77
AZ $50 $50 $67
HI $50 $50 $67
CA $50 $40 $50
FL $45 $22 $302
NH $42 $20 $91
CO $40 $24 $50
MS $36 $36 $36
ID $34 $34 $34
AR $28 $24 $34
UT $26 $24 $34
WV $26 $24 $26
AL $24 $21 $26
NE $24 $21 $24
MN $23 $20 $26
TN $23 $21 $34
PA $22 $20 $38
NC $21 $20 $64
KY $21 $20 $27
GA $21 $20 $33
WA $21 $20 $46
OH $21 $20 $67
SC $21 $20 $22
IL $20 $20 $570
MI $20 $11 $21