00104 (CPT) by state — Price Transparency

CPT · across United States

00104 — Anesthesia Electroconvulsive Therapy

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

$480 National median

$30 – $616 IQR (p25 – p75)

171 hospitals filing

37 states

View hospital-by-hospital → Raw rate rows →

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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: $416.

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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 00104 (CPT), with interquartile range
State	Median	p25	p75
NJ	$616	$481	$637
OH	$580	$230	$1,363
MA	$499	$92	$1,194
MT	$260	$260	$266
NC	$259	$259	$402
WY	$255	$163	$260
ND	$216	$162	$278
AK	$201	$120	$211
IA	$185	$54	$617
ID	$147	$64	$255
IN	$132	$86	$140
CO	$101	$55	$115
SD	$94	$94	$174
PA	$67	$53	$67
OR	$58	$58	$58
NE	$46	$33	$46
WI	$45	$40	$51
TN	$43	$21	$110
KY	$36	$15	$150
SC	$35	$33	$50
NY	$33	$27	$38
MI	$31	$21	$93
TX	$31	$21	$86
VA	$30	$30	$32
AL	$27	$21	$35
CT	$26	$26	$26
MN	$25	$18	$34
HI	$23	$23	$24
IL	$23	$21	$265
AS	$22	$22	$22
GA	$21	$21	$24
OK	$21	$19	$24
UT	$21	$21	$21
AR	$19	$19	$20
WA	$18	$8	$18
FL	$16	$15	$18
CA	$10	$10	$51

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

NJ	$616	$481	$637	$18	$29,728	6	176	2,007
OH	$580	$230	$1,363	<$1	$4,513	15	40	266
MA	$499	$92	$1,194	$81	$1,260	2 ⚠ thin data	39	97
MT	$260	$260	$266	$65	$273	3	8	11
NC	$259	$259	$402	$42	$568	3	19	30
WY	$255	$163	$260	$145	$268	1 ⚠ thin data	20	29
ND	$216	$162	$278	$1	$328	2 ⚠ thin data	8	38
AK	$201	$120	$211	$72	$634	1 ⚠ thin data	8	9
IA	$185	$54	$617	$49	$853	3	7	14
ID	$147	$64	$255	$47	$514	1 ⚠ thin data	9	18
IN	$132	$86	$140	$70	$144	1 ⚠ thin data	6	12
CO	$101	$55	$115	$54	$219	3	20	64
SD	$94	$94	$174	$46	$415	2 ⚠ thin data	38	66
PA	$67	$53	$67	$40	$67	1 ⚠ thin data	2	3
OR	$58	$58	$58	$58	$58	1 ⚠ thin data	1	2
NE	$46	$33	$46	$33	$55	3	7	17
WI	$45	$40	$51	$31	$67	7	12	35
TN	$43	$21	$110	$15	$500	4	10	121
KY	$36	$15	$150	$4	$365	2 ⚠ thin data	13	28
SC	$35	$33	$50	$29	$50	3	1	9
NY	$33	$27	$38	$20	$84	1 ⚠ thin data	8	25
MI	$31	$21	$93	$11	$143	6	43	128
TX	$31	$21	$86	$18	$106	1 ⚠ thin data	14	19
VA	$30	$30	$32	$29	$34	7	8	53
AL	$27	$21	$35	$17	$43	5	7	14
CT	$26	$26	$26	$26	$26	3	1	4
MN	$25	$18	$34	$1	$92	5	15	36
HI	$23	$23	$24	$23	$34	4	4	19
IL	$23	$21	$265	<$1	$579	9	48	123
AS	$22	$22	$22	$22	$22	1 ⚠ thin data	1	3
GA	$21	$21	$24	$21	$24	1 ⚠ thin data	3	6
OK	$21	$19	$24	$17	$26	1 ⚠ thin data	1	4
UT	$21	$21	$21	$21	$21	19	14	288
AR	$19	$19	$20	$19	$26	1 ⚠ thin data	8	8
WA	$18	$8	$18	$3	$60	10	23	66
FL	$16	$15	$18	$14	$507	21	51	273
CA	$10	$10	$51	$10	$202	12	47	184