0409-1775-40 (NDC) by state — Price Transparency

NDC · across United States

0409-1775-40 — Dextrose 25 % In Water (d25w) Intravenous Syringe

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

$6 National median

$5 – $725 IQR (p25 – p75)

24 hospitals filing

8 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $6.

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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 0409-1775-40 (NDC), with interquartile range
State	Median	p25	p75
AK	$5,861	$5,861	$5,861
OR	$5,223	$4,374	$5,223
WA	$4,306	$660	$6,620
IL	$152	$126	$161
NJ	$82	$82	$82
NC	$78	$65	$87
MD	$72	$63	$89
CA	$5	$3	$6

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

AK	$5,861	$5,861	$5,861	$5,861	$5,861	1 ⚠ thin data	6	10
OR	$5,223	$4,374	$5,223	$4,374	$5,223	2 ⚠ thin data	10	39
WA	$4,306	$660	$6,620	$660	$6,620	3	19	74
IL	$152	$126	$161	$61	$170	1 ⚠ thin data	14	19
NJ	$82	$82	$82	$82	$82	1 ⚠ thin data	1	1
NC	$78	$65	$87	$53	$146	1 ⚠ thin data	4	5
MD	$72	$63	$89	$22	$149	10	1	12
CA	$5	$3	$6	<$1	$725	5	21	284