40842 (HCPCS) by state — Price Transparency

HCPCS · across United States

40842 — Reconstruction Of Mouth

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

$5,638 National median

$2,023 – $7,685 IQR (p25 – p75)

1,728 hospitals filing

53 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $3,147.

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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 40842 (HCPCS), with interquartile range
State	Median	p25	p75
UT	$728	$532	$5,671
VT	$777	$657	$1,696
WV	$816	$532	$5,415
MI	$1,133	$460	$5,684
MT	$2,316	$1,106	$5,976
IN	$2,703	$631	$3,507
TN	$3,130	$1,407	$5,154
NV	$3,234	$2,253	$6,471
NH	$3,285	$1,766	$6,951
NY	$3,334	$610	$7,000
MO	$3,572	$1,973	$6,017
AZ	$3,824	$2,595	$6,305
DC	$4,044	$3,090	$4,512
AS	$4,168	$878	$7,457
PR	$4,302	$4,302	$4,302
AR	$4,525	$1,672	$5,660
TX	$4,705	$2,056	$6,340
KS	$4,860	$649	$7,614
WY	$4,872	$672	$5,916
AL	$5,266	$2,144	$6,137
MS	$5,540	$4,491	$6,477
AK	$5,569	$1,236	$7,458
SC	$5,616	$4,358	$8,741
MD	$5,625	$4,814	$5,734
PA	$5,705	$892	$8,238
KY	$5,710	$5,135	$7,141
OH	$5,750	$4,982	$8,852
ME	$5,840	$5,725	$21,844
IL	$5,850	$1,172	$6,475
IA	$5,855	$5,563	$8,042
MN	$5,888	$4,586	$6,218
HI	$5,916	$2,837	$6,993
CO	$5,945	$2,841	$7,200
SD	$5,986	$4,856	$6,093
CT	$6,048	$2,630	$7,250
VA	$6,065	$4,844	$8,722
ND	$6,093	$5,916	$10,719
GA	$6,134	$4,651	$7,512
FL	$6,157	$2,236	$9,061
NM	$6,243	$5,580	$7,084
LA	$6,250	$2,984	$13,081
NE	$6,333	$5,709	$8,042
OK	$6,631	$5,458	$11,112
RI	$6,656	$5,394	$11,803
DE	$6,821	$6,397	$9,986
CA	$6,854	$2,694	$8,268
NJ	$6,967	$5,845	$8,522
MA	$7,073	$3,543	$9,039
WA	$8,090	$6,768	$15,707
WI	$8,384	$5,744	$11,890
NC	$8,612	$5,929	$8,629
OR	$9,488	$7,139	$13,320
ID	$11,726	$8,276	$13,925

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

UT	$728	$532	$5,671	$532	$15,499	33	41	1,272
VT	$777	$657	$1,696	$422	$7,945	2 ⚠ thin data	21	89
WV	$816	$532	$5,415	$444	$41,334	8	30	131
MI	$1,133	$460	$5,684	<$1	$29,444	57	262	1,737
MT	$2,316	$1,106	$5,976	$503	$17,423	12	45	167
IN	$2,703	$631	$3,507	$147	$29,226	37	89	1,328
TN	$3,130	$1,407	$5,154	$167	$14,553	44	74	2,286
NV	$3,234	$2,253	$6,471	$579	$45,983	17	99	425
NH	$3,285	$1,766	$6,951	$177	$44,504	12	30	345
NY	$3,334	$610	$7,000	$50	$46,702	72	165	4,588
MO	$3,572	$1,973	$6,017	$416	$16,402	25	47	469
AZ	$3,824	$2,595	$6,305	$253	$17,455	28	72	740
DC	$4,044	$3,090	$4,512	$2,210	$19,258	2 ⚠ thin data	6	14
AS	$4,168	$878	$7,457	$878	$7,457	1 ⚠ thin data	1	6
PR	$4,302	$4,302	$4,302	$4,302	$4,732	1 ⚠ thin data	5	5
AR	$4,525	$1,672	$5,660	$82	$13,628	12	30	231
TX	$4,705	$2,056	$6,340	<$1	$40,531	197	231	7,869
KS	$4,860	$649	$7,614	$400	$40,689	21	76	373
WY	$4,872	$672	$5,916	$672	$11,550	6	24	33
AL	$5,266	$2,144	$6,137	$1	$24,035	22	39	312
MS	$5,540	$4,491	$6,477	$498	$23,448	16	81	380
AK	$5,569	$1,236	$7,458	$1,233	$22,745	3	14	40
SC	$5,616	$4,358	$8,741	$1	$50,000	43	54	951
MD	$5,625	$4,814	$5,734	$3,145	$8,069	1 ⚠ thin data	11	19
PA	$5,705	$892	$8,238	$40	$33,764	36	136	2,016
KY	$5,710	$5,135	$7,141	$1,809	$14,497	28	49	735
OH	$5,750	$4,982	$8,852	$469	$25,989	69	71	1,125
ME	$5,840	$5,725	$21,844	$881	$35,382	19	9	143
IL	$5,850	$1,172	$6,475	$261	$22,203	58	115	848
IA	$5,855	$5,563	$8,042	$450	$16,121	20	61	398
MN	$5,888	$4,586	$6,218	$548	$50,000	50	48	710
HI	$5,916	$2,837	$6,993	$438	$15,437	8	17	93
CO	$5,945	$2,841	$7,200	$478	$26,888	49	58	987
SD	$5,986	$4,856	$6,093	$427	$6,211	4	12	19
CT	$6,048	$2,630	$7,250	$1,275	$16,816	14	21	208
VA	$6,065	$4,844	$8,722	$12	$23,393	29	54	541
ND	$6,093	$5,916	$10,719	$364	$22,677	9	38	153
GA	$6,134	$4,651	$7,512	$396	$50,000	49	81	1,390
FL	$6,157	$2,236	$9,061	$1	$986,568	117	187	3,980
NM	$6,243	$5,580	$7,084	$1,683	$26,001	10	32	133
LA	$6,250	$2,984	$13,081	$112	$30,046	36	116	1,663
NE	$6,333	$5,709	$8,042	$79	$19,277	18	47	742
OK	$6,631	$5,458	$11,112	$450	$23,080	38	47	481
RI	$6,656	$5,394	$11,803	$912	$37,381	5	7	70
DE	$6,821	$6,397	$9,986	$896	$30,880	4	8	32
CA	$6,854	$2,694	$8,268	$1	$59,910	154	415	4,149
NJ	$6,967	$5,845	$8,522	$19	$31,679	36	61	1,345
MA	$7,073	$3,543	$9,039	$1	$21,370	20	59	265
WA	$8,090	$6,768	$15,707	$449	$40,469	38	47	1,196
WI	$8,384	$5,744	$11,890	$609	$43,319	63	96	905
NC	$8,612	$5,929	$8,629	$489	$16,269	41	59	908
OR	$9,488	$7,139	$13,320	$4,693	$51,070	18	30	383
ID	$11,726	$8,276	$13,925	$320	$23,194	13	51	516