00904 (CPT) by state — Price Transparency

CPT · across United States

00904 — Anesthesia Radical Perineal Procedure

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

$171 National median

$35 – $1,659 IQR (p25 – p75)

249 hospitals filing

42 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $115.

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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 00904 (CPT), with interquartile range
State	Median	p25	p75
PA	$15,763	$13,260	$18,601
MN	$13,513	$13,261	$13,553
ME	$13,340	$13,078	$13,340
NC	$13,193	$13,063	$13,716
MO	$12,712	$12,712	$12,712
SC	$12,432	$8,045	$13,221
KY	$10,598	$7,570	$13,047
AL	$7,774	$32	$14,221
MT	$6,995	$455	$24,931
AR	$6,239	$19	$13,074
NJ	$1,244	$1,185	$3,233
MA	$1,139	$160	$1,816
ND	$444	$283	$13,513
OH	$256	$173	$291
SD	$226	$226	$233
ID	$142	$58	$247
IN	$141	$129	$166
CO	$139	$49	$174
AZ	$128	$51	$135
AK	$121	$119	$201
WY	$107	$104	$163
CA	$89	$14	$423
IA	$88	$71	$109
GA	$83	$51	$96
TX	$69	$38	$70
NE	$54	$47	$105
WI	$45	$40	$52
TN	$43	$21	$110
KS	$41	$35	$67
IL	$31	$1	$335
VA	$30	$30	$32
CT	$26	$26	$26
OR	$24	$21	$42
HI	$23	$23	$24
AS	$22	$22	$22
MI	$22	$18	$88
OK	$21	$19	$24
UT	$21	$21	$21
WA	$18	$16	$57
FL	$16	$15	$116
MS	$9	$9	$9
NY	$6	$2	$33

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

PA	$15,763	$13,260	$18,601	$40	$33,339	3	29	61
MN	$13,513	$13,261	$13,553	$7	$23,928	16	32	189
ME	$13,340	$13,078	$13,340	$7,000	$14,376	8	6	40
NC	$13,193	$13,063	$13,716	$58	$15,675	2 ⚠ thin data	8	14
MO	$12,712	$12,712	$12,712	$12,712	$14,579	1 ⚠ thin data	3	7
SC	$12,432	$8,045	$13,221	$29	$32,222	4	17	40
KY	$10,598	$7,570	$13,047	$57	$20,788	11	22	271
AL	$7,774	$32	$14,221	$17	$30,429	5	9	30
MT	$6,995	$455	$24,931	$52	$37,160	4	17	30
AR	$6,239	$19	$13,074	$19	$19,922	1 ⚠ thin data	8	16
NJ	$1,244	$1,185	$3,233	$393	$13,867	6	177	1,178
MA	$1,139	$160	$1,816	$141	$1,917	1 ⚠ thin data	38	92
ND	$444	$283	$13,513	$149	$23,928	3	21	79
OH	$256	$173	$291	$15	$4,513	12	29	160
SD	$226	$226	$233	$46	$996	2 ⚠ thin data	38	66
ID	$142	$58	$247	<$1	$514	2 ⚠ thin data	10	19
IN	$141	$129	$166	$72	$11,893	4	11	18
CO	$139	$49	$174	$29	$35,308	9	103	266
AZ	$128	$51	$135	$51	$138	1 ⚠ thin data	13	17
AK	$121	$119	$201	$34	$634	3	9	17
WY	$107	$104	$163	$48	$268	2 ⚠ thin data	32	85
CA	$89	$14	$423	$14	$19,401	22	97	314
IA	$88	$71	$109	$49	$136	5	9	25
GA	$83	$51	$96	$15	$8,154	6	42	617
TX	$69	$38	$70	$18	$106	2 ⚠ thin data	27	42
NE	$54	$47	$105	$33	$107	4	16	51
WI	$45	$40	$52	$31	$13,513	9	14	38
TN	$43	$21	$110	$15	$874	4	10	121
KS	$41	$35	$67	$33	$110	2 ⚠ thin data	4	6
IL	$31	<$1	$335	<$1	$1,316	8	30	49
VA	$30	$30	$32	$29	$34	7	8	53
CT	$26	$26	$26	$26	$26	3	1	4
OR	$24	$21	$42	$10	$58	2 ⚠ thin data	13	18
HI	$23	$23	$24	$23	$34	4	4	19
AS	$22	$22	$22	$22	$22	1 ⚠ thin data	1	3
MI	$22	$18	$88	$11	$143	6	43	151
OK	$21	$19	$24	$17	$26	1 ⚠ thin data	1	4
UT	$21	$21	$21	$21	$15,040	19	15	339
WA	$18	$16	$57	$3	$1,022	12	39	87
FL	$16	$15	$116	$14	$34,588	24	57	345
MS	$9	$9	$9	$9	$9	1 ⚠ thin data	1	1
NY	$6	$2	$33	$2	$13,041	7	21	97