15777 (HCPCS) by state — Price Transparency

HCPCS · across United States

15777 — Acellular Derm Matrix Implt

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

$1,720 National median

$324 – $4,005 IQR (p25 – p75)

1,841 hospitals filing

51 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 15777 (HCPCS), with interquartile range
State	Median	p25	p75
HI	$167	$1	$218
WV	$201	$196	$280
ND	$211	$200	$316
ME	$228	$194	$230
VT	$253	$193	$318
MI	$276	$176	$1,855
KY	$277	$197	$1,589
IN	$302	$210	$4,449
UT	$311	$311	$583
CA	$318	$195	$1,856
CO	$435	$208	$1,475
IL	$466	$266	$1,768
MT	$510	$335	$591
MA	$526	$234	$889
WY	$552	$210	$840
WA	$619	$296	$1,764
RI	$628	$210	$1,656
NH	$668	$384	$1,356
OR	$697	$193	$6,216
CT	$801	$456	$1,379
NC	$824	$215	$963
MN	$911	$441	$3,547
TN	$991	$363	$2,550
NM	$1,241	$1,156	$4,105
AL	$1,290	$591	$2,869
OK	$1,306	$735	$3,244
AR	$1,420	$281	$3,477
AK	$1,422	$422	$4,250
KS	$1,549	$440	$5,592
AZ	$1,574	$468	$3,495
PA	$1,644	$271	$4,300
NV	$1,645	$653	$2,441
NY	$1,789	$499	$3,606
NE	$1,826	$451	$3,259
WI	$1,837	$876	$3,052
MO	$1,995	$581	$7,129
DE	$2,069	$350	$8,629
MD	$2,078	$1,406	$3,472
OH	$2,161	$276	$13,430
TX	$2,234	$1,105	$5,660
MS	$2,352	$472	$13,843
GA	$2,369	$477	$6,316
LA	$2,397	$601	$3,139
FL	$2,772	$1,638	$6,580
SC	$3,351	$1,821	$25,500
VA	$3,448	$1,995	$13,964
DC	$3,802	$3,568	$4,575
ID	$5,380	$2,148	$8,846
NJ	$6,845	$2,913	$20,188
IA	$7,891	$795	$8,350
SD	$10,942	$3,053	$27,850

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

HI	$167	<$1	$218	<$1	$2,837	8	16	76
WV	$201	$196	$280	$93	$4,550	11	58	631
ND	$211	$200	$316	$1	$2,000	6	14	45
ME	$228	$194	$230	$70	$383	13	14	77
VT	$253	$193	$318	$31	$3,079	4	27	166
MI	$276	$176	$1,855	<$1	$21,284	52	332	1,965
KY	$277	$197	$1,589	$134	$11,643	25	24	180
IN	$302	$210	$4,449	$30	$255,737	41	163	1,673
UT	$311	$311	$583	$160	$5,929	34	55	660
CA	$318	$195	$1,856	<$1	$104,796	156	535	3,762
CO	$435	$208	$1,475	$49	$24,704	59	102	968
IL	$466	$266	$1,768	$114	$10,715	63	163	781
MT	$510	$335	$591	$201	$9,512	9	34	108
MA	$526	$234	$889	$1	$50,000	26	123	578
WY	$552	$210	$840	$95	$13,680	8	26	75
WA	$619	$296	$1,764	$79	$36,602	44	101	776
RI	$628	$210	$1,656	$131	$5,391	5	4	28
NH	$668	$384	$1,356	$92	$8,965	8	39	224
OR	$697	$193	$6,216	$140	$10,615	11	39	284
CT	$801	$456	$1,379	$221	$10,999	16	11	138
NC	$824	$215	$963	<$1	$10,074	39	92	1,073
MN	$911	$441	$3,547	<$1	$75,096	31	67	505
TN	$991	$363	$2,550	<$1	$118,288	50	77	1,680
NM	$1,241	$1,156	$4,105	$183	$7,082	11	36	91
AL	$1,290	$591	$2,869	$168	$281,155	26	142	488
OK	$1,306	$735	$3,244	$173	$43,616	33	36	416
AR	$1,420	$281	$3,477	$128	$165,442	19	72	644
AK	$1,422	$422	$4,250	$234	$6,769	4	16	36
KS	$1,549	$440	$5,592	$95	$38,599	24	105	533
AZ	$1,574	$468	$3,495	$178	$170,202	36	86	654
PA	$1,644	$271	$4,300	$40	$145,485	62	110	1,449
NV	$1,645	$653	$2,441	$179	$6,461	10	97	206
NY	$1,789	$499	$3,606	$20	$263,054	103	271	5,670
NE	$1,826	$451	$3,259	$79	$9,443	24	81	632
WI	$1,837	$876	$3,052	$149	$24,406	72	126	1,699
MO	$1,995	$581	$7,129	$102	$155,363	30	64	807
DE	$2,069	$350	$8,629	$204	$9,930	4	3	10
MD	$2,078	$1,406	$3,472	$943	$4,459	2 ⚠ thin data	12	22
OH	$2,161	$276	$13,430	$124	$178,829	65	198	1,039
TX	$2,234	$1,105	$5,660	<$1	$309,788	208	438	5,256
MS	$2,352	$472	$13,843	$167	$128,147	16	76	288
GA	$2,369	$477	$6,316	$8	$68,085	51	86	776
LA	$2,397	$601	$3,139	<$1	$17,386	26	74	487
FL	$2,772	$1,638	$6,580	<$1	$143,458	117	148	3,110
SC	$3,351	$1,821	$25,500	$1	$50,000	42	51	874
VA	$3,448	$1,995	$13,964	$11	$152,420	44	46	1,011
DC	$3,802	$3,568	$4,575	$518	$4,972	2 ⚠ thin data	9	21
ID	$5,380	$2,148	$8,846	$82	$39,284	16	134	931
NJ	$6,845	$2,913	$20,188	$7	$28,263	44	148	2,551
IA	$7,891	$795	$8,350	$63	$26,755	16	111	464
SD	$10,942	$3,053	$27,850	$1	$92,176	10	83	346