Copy link
Export CSV
Cite this view
HANK Price Transparency. (n.d.).
MAALOX SUS 30ML (CDM 1264) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved October 9, 2026 , from http://ppman.hank.ai/transparency/procedure/1264/by-state?code_type=CDM
“MAALOX SUS 30ML (CDM 1264) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/1264/by-state?code_type=CDM. Accessed
October 9, 2026 .
“MAALOX SUS 30ML (CDM 1264) by State,” HANK Price Transparency ,
accessed October 9, 2026 ,
http://ppman.hank.ai/transparency/procedure/1264/by-state?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
Print / Save PDF
CDM · across United States
1264 — Maalox Sus 30ml
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$14
National median
$7 – $22
IQR (p25 – p75)
6
hospitals filing
5
states
Walking in without insurance?
Cash / self-pay price
Cash median
$29
vs. negotiated
+100.0%
Hospitals reporting
19
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 1264 (CDM), with interquartile range
State Median p25 p75
TX $1,886 $1,754 $2,078
NY $408 $402 $415
NV $14 $7 $19
KS $7 $7 $7
AR $6 $6 $7