11004 (HCPCS) by state — Price Transparency

HCPCS · across United States

11004 — Dbrdmt Skin Xtrnl Gent&per

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

$1,629 National median

$638 – $3,750 IQR (p25 – p75)

1,485 hospitals filing

52 states

View hospital-by-hospital → Raw rate rows →

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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 11004 (HCPCS), with interquartile range
State	Median	p25	p75
WI	$17,086	$2,437	$19,003
AK	$3,911	$3,429	$5,526
TX	$3,829	$986	$5,721
LA	$3,352	$2,148	$4,824
SD	$3,301	$1,956	$3,867
GA	$3,051	$2,057	$6,296
MD	$2,948	$1,395	$4,632
DC	$2,820	$2,032	$3,033
NH	$2,624	$1,359	$6,986
VA	$2,550	$1,498	$5,220
RI	$2,521	$994	$8,722
AR	$2,477	$2,280	$2,768
NV	$2,469	$725	$3,030
OR	$2,445	$919	$14,755
NJ	$2,406	$1,908	$2,915
AZ	$2,403	$887	$3,691
FL	$2,250	$1,214	$7,311
TN	$2,078	$987	$2,678
MN	$1,774	$860	$13,261
WY	$1,696	$1,696	$1,696
NY	$1,664	$675	$3,395
AL	$1,636	$750	$2,739
MA	$1,632	$1,312	$2,264
IL	$1,566	$822	$2,826
OK	$1,555	$656	$4,053
ME	$1,472	$608	$13,197
MO	$1,417	$773	$2,979
NE	$1,243	$551	$2,819
ND	$1,215	$530	$13,513
WA	$1,205	$655	$1,626
CO	$1,199	$553	$2,293
CT	$1,192	$799	$2,484
IA	$1,171	$682	$2,352
VT	$1,152	$811	$1,324
PA	$1,065	$590	$3,077
MT	$952	$659	$1,249
CA	$924	$428	$3,322
DE	$922	$539	$922
NM	$858	$585	$1,036
MS	$848	$512	$1,575
NC	$829	$525	$1,184
OH	$729	$569	$1,720
IN	$698	$462	$16,082
PR	$689	$582	$757
HI	$566	$566	$583
UT	$554	$553	$2,461
SC	$547	$488	$1,276
ID	$531	$452	$929
KY	$525	$492	$1,435
MI	$507	$357	$730
KS	$503	$416	$1,202
WV	$439	$439	$550

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

WI	$17,086	$2,437	$19,003	$207	$25,737	59	85	863
AK	$3,911	$3,429	$5,526	$654	$18,153	4	18	32
TX	$3,829	$986	$5,721	$70	$28,286	194	174	4,408
LA	$3,352	$2,148	$4,824	$7	$17,386	24	106	833
SD	$3,301	$1,956	$3,867	$244	$5,366	7	64	230
GA	$3,051	$2,057	$6,296	$424	$50,000	39	50	582
MD	$2,948	$1,395	$4,632	$1,017	$5,000	2 ⚠ thin data	4	10
DC	$2,820	$2,032	$3,033	$1,244	$3,246	1 ⚠ thin data	2	3
NH	$2,624	$1,359	$6,986	$951	$22,781	6	6	39
VA	$2,550	$1,498	$5,220	$488	$15,165	29	9	190
RI	$2,521	$994	$8,722	$480	$10,895	6	7	62
AR	$2,477	$2,280	$2,768	$320	$6,955	7	14	73
NV	$2,469	$725	$3,030	$543	$7,328	17	122	384
OR	$2,445	$919	$14,755	$483	$19,127	14	41	134
NJ	$2,406	$1,908	$2,915	$5	$16,802	35	48	828
AZ	$2,403	$887	$3,691	$358	$13,741	24	59	456
FL	$2,250	$1,214	$7,311	$171	$27,625	87	112	1,745
TN	$2,078	$987	$2,678	<$1	$8,700	36	36	1,145
MN	$1,774	$860	$13,261	$60	$23,928	40	90	556
WY	$1,696	$1,696	$1,696	$507	$1,785	5	17	29
NY	$1,664	$675	$3,395	$117	$21,179	75	224	4,248
AL	$1,636	$750	$2,739	$236	$19,013	16	33	160
MA	$1,632	$1,312	$2,264	$377	$13,066	19	37	143
IL	$1,566	$822	$2,826	$306	$10,008	60	137	661
OK	$1,555	$656	$4,053	$70	$25,121	37	46	481
ME	$1,472	$608	$13,197	$462	$34,606	15	30	165
MO	$1,417	$773	$2,979	$137	$16,144	24	63	465
NE	$1,243	$551	$2,819	$11	$13,842	26	77	352
ND	$1,215	$530	$13,513	$191	$23,928	7	51	88
WA	$1,205	$655	$1,626	$51	$33,603	38	68	423
CO	$1,199	$553	$2,293	$49	$11,099	44	178	1,197
CT	$1,192	$799	$2,484	$533	$13,255	15	11	72
IA	$1,171	$682	$2,352	$235	$12,765	26	85	397
VT	$1,152	$811	$1,324	$469	$2,556	3	15	164
PA	$1,065	$590	$3,077	$238	$31,398	36	117	845
MT	$952	$659	$1,249	$241	$2,242	11	99	195
CA	$924	$428	$3,322	$6	$20,742	116	258	2,205
DE	$922	$539	$922	$539	$922	3	2	5
NM	$858	$585	$1,036	$305	$1,255	4	53	105
MS	$848	$512	$1,575	$1	$41,534	12	63	223
NC	$829	$525	$1,184	$474	$10,074	25	38	265
OH	$729	$569	$1,720	$196	$26,889	58	82	774
IN	$698	$462	$16,082	$92	$16,082	34	115	802
PR	$689	$582	$757	$500	$791	1 ⚠ thin data	23	27
HI	$566	$566	$583	$415	$583	6	6	21
UT	$554	$553	$2,461	$553	$13,847	16	28	128
SC	$547	$488	$1,276	$29	$16,223	19	102	967
ID	$531	$452	$929	$172	$15,485	8	40	123
KY	$525	$492	$1,435	$232	$23,319	17	47	221
MI	$507	$357	$730	$93	$8,385	51	277	1,203
KS	$503	$416	$1,202	$135	$11,068	22	82	335
WV	$439	$439	$550	$418	$14,999	4	10	40