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HANK Price Transparency. (n.d.).
CPT 22004 (HCPCS 22004) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 28, 2026 , from http://ppman.hank.ai/transparency/procedure/22004/by-state?code_type=HCPCS
“CPT 22004 (HCPCS 22004) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/22004/by-state?code_type=HCPCS. Accessed
June 28, 2026 .
“CPT 22004 (HCPCS 22004) by State,” HANK Price Transparency ,
accessed June 28, 2026 ,
http://ppman.hank.ai/transparency/procedure/22004/by-state?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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HCPCS · across United States
22004 — CPT 22004
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$15
National median
$9 – $17
IQR (p25 – p75)
4
hospitals filing
4
states
Walking in without insurance?
Cash / self-pay price
Cash median
$10
vs. negotiated
-31.0%
Hospitals reporting
3
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 22004 (HCPCS), with interquartile range
State Median p25 p75
CO $4,344 $4,344 $4,344
KS $1,000 $1,000 $1,000
IL $15 $9 $15
FL $13 $8 $18