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).

$1,626 National median

$620 – $3,958 IQR (p25 – p75)

1,773 hospitals filing

53 states

View hospital-by-hospital → Raw rate rows →

Estimate your cost

What would you pay?

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: $1,185.

I am… Annual deductible (assumed — typical plan) Already spent this year

Checked your insurer’s portal? Enter your remaining deductible and out-of-pocket max above/below and leave “already spent” at 0.

Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

Loading estimate…

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
MI	$507	$314	$901
HI	$550	$486	$583
WV	$550	$439	$1,316
AS	$634	$581	$687
KS	$646	$389	$1,349
PR	$689	$582	$757
IN	$698	$610	$1,794
OH	$722	$564	$1,408
SC	$729	$498	$1,823
NC	$741	$515	$2,550
VT	$803	$537	$1,211
DE	$922	$539	$922
NM	$936	$610	$1,097
WA	$937	$547	$1,626
ME	$1,019	$601	$3,674
ID	$1,037	$530	$4,235
IA	$1,045	$544	$1,540
UT	$1,063	$550	$8,485
MS	$1,078	$526	$1,923
MT	$1,163	$1,120	$2,834
NE	$1,197	$554	$2,841
MO	$1,205	$664	$2,587
OR	$1,242	$522	$10,105
ND	$1,269	$557	$8,376
WY	$1,360	$1,176	$1,696
PA	$1,379	$590	$7,170
IL	$1,394	$752	$2,126
MA	$1,514	$690	$2,264
VA	$1,569	$688	$3,579
CO	$1,616	$598	$3,015
CA	$1,629	$486	$5,512
MN	$1,632	$754	$11,703
NY	$1,686	$675	$3,396
AL	$1,720	$751	$12,246
NH	$1,790	$1,284	$3,471
SD	$1,956	$1,178	$2,688
TN	$2,088	$967	$2,855
CT	$2,110	$1,180	$3,209
AZ	$2,403	$899	$3,691
AR	$2,421	$705	$2,699
WI	$2,437	$1,664	$17,293
TX	$2,476	$902	$5,660
GA	$2,511	$1,537	$5,434
NV	$2,516	$725	$3,030
RI	$2,521	$1,231	$6,109
NJ	$2,522	$2,044	$7,498
OK	$2,555	$1,005	$4,689
FL	$2,760	$1,389	$13,858
AK	$2,919	$1,308	$4,106
MD	$2,948	$1,395	$4,632
DC	$3,246	$2,287	$6,127
LA	$3,791	$1,551	$9,573
KY	$4,473	$525	$10,644

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

MI	$507	$314	$901	<$1	$20,028	60	264	1,596
HI	$550	$486	$583	$29	$1,352	5	15	27
WV	$550	$439	$1,316	$110	$14,999	9	38	151
AS	$634	$581	$687	$581	$687	1 ⚠ thin data	1	6
KS	$646	$389	$1,349	$135	$24,266	28	86	415
PR	$689	$582	$757	$500	$791	1 ⚠ thin data	21	27
IN	$698	$610	$1,794	$51	$43,944	43	180	2,093
OH	$722	$564	$1,408	$176	$26,889	56	87	742
SC	$729	$498	$1,823	<$1	$50,000	35	116	1,415
NC	$741	$515	$2,550	$152	$15,675	30	61	364
VT	$803	$537	$1,211	$323	$16,098	5	28	273
DE	$922	$539	$922	$539	$922	3	2	5
NM	$936	$610	$1,097	$305	$4,159	5	35	77
WA	$937	$547	$1,626	$40	$33,603	42	85	671
ME	$1,019	$601	$3,674	$457	$34,606	18	29	220
ID	$1,037	$530	$4,235	$172	$15,485	16	89	619
IA	$1,045	$544	$1,540	$235	$29,487	29	83	469
UT	$1,063	$550	$8,485	$512	$16,613	34	96	921
MS	$1,078	$526	$1,923	$1	$14,119	18	69	432
MT	$1,163	$1,120	$2,834	$391	$37,160	15	212	504
NE	$1,197	$554	$2,841	$11	$13,842	28	88	536
MO	$1,205	$664	$2,587	$137	$17,716	28	77	556
OR	$1,242	$522	$10,105	$106	$36,803	18	45	168
ND	$1,269	$557	$8,376	$191	$23,928	9	38	100
WY	$1,360	$1,176	$1,696	<$1	$8,535	12	53	136
PA	$1,379	$590	$7,170	$40	$33,339	49	140	1,274
IL	$1,394	$752	$2,126	$154	$26,270	69	202	972
MA	$1,514	$690	$2,264	$1	$13,614	21	39	181
VA	$1,569	$688	$3,579	$66	$15,923	33	27	348
CO	$1,616	$598	$3,015	$49	$35,308	53	165	1,392
CA	$1,629	$486	$5,512	<$1	$165,500	131	411	4,489
MN	$1,632	$754	$11,703	$60	$50,000	44	75	653
NY	$1,686	$675	$3,396	$127	$54,804	80	207	4,297
AL	$1,720	$751	$12,246	$1	$61,656	19	82	294
NH	$1,790	$1,284	$3,471	$208	$37,298	9	30	305
SD	$1,956	$1,178	$2,688	$46	$5,366	8	30	128
TN	$2,088	$967	$2,855	<$1	$21,485	42	50	1,350
CT	$2,110	$1,180	$3,209	$533	$13,255	18	22	185
AZ	$2,403	$899	$3,691	$431	$13,741	27	86	596
AR	$2,421	$705	$2,699	$139	$19,922	8	23	119
WI	$2,437	$1,664	$17,293	$207	$25,737	66	110	995
TX	$2,476	$902	$5,660	<$1	$30,818	208	234	4,714
GA	$2,511	$1,537	$5,434	$110	$50,000	49	61	798
NV	$2,516	$725	$3,030	$543	$7,328	20	117	446
RI	$2,521	$1,231	$6,109	$480	$10,895	6	11	69
NJ	$2,522	$2,044	$7,498	$5	$16,802	39	55	1,252
OK	$2,555	$1,005	$4,689	$70	$25,121	40	51	431
FL	$2,760	$1,389	$13,858	<$1	$1,518,970	107	127	2,902
AK	$2,919	$1,308	$4,106	$72	$18,153	6	23	57
MD	$2,948	$1,395	$4,632	$1,017	$5,000	2 ⚠ thin data	4	10
DC	$3,246	$2,287	$6,127	$1,244	$14,206	2 ⚠ thin data	4	9
LA	$3,791	$1,551	$9,573	$7	$17,386	34	114	898
KY	$4,473	$525	$10,644	$224	$26,085	32	58	596