42210 (HCPCS) by state — Price Transparency

HCPCS · across United States

42210 — Reconstruct Cleft Palate

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

$6,001 National median

$3,340 – $8,619 IQR (p25 – p75)

1,787 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: $6,864.

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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 42210 (HCPCS), with interquartile range
State	Median	p25	p75
OR	$11,375	$7,106	$15,979
WI	$11,037	$5,785	$13,221
ID	$10,198	$6,590	$13,349
WA	$10,072	$6,795	$16,572
NC	$8,612	$6,048	$8,629
DC	$8,594	$4,308	$9,932
OK	$8,540	$5,646	$13,095
CA	$7,516	$3,734	$9,146
AK	$7,463	$2,159	$9,355
NE	$7,341	$5,709	$8,648
VA	$7,229	$5,880	$11,248
MA	$7,083	$4,854	$9,500
NJ	$7,075	$6,864	$10,822
DE	$6,821	$6,397	$9,986
RI	$6,806	$5,542	$12,167
GA	$6,410	$5,667	$8,978
NM	$6,367	$6,016	$9,952
IL	$6,344	$3,169	$8,095
CT	$6,260	$4,078	$7,825
FL	$6,235	$2,160	$10,737
ND	$6,211	$5,916	$11,367
HI	$6,171	$4,008	$7,510
CO	$6,123	$4,422	$9,951
SD	$6,064	$5,586	$18,133
SC	$6,056	$4,855	$15,471
IA	$6,048	$5,617	$7,403
PA	$5,919	$1,283	$10,205
NY	$5,916	$3,641	$7,700
MN	$5,888	$5,026	$6,218
ME	$5,840	$5,725	$21,844
OH	$5,754	$5,187	$9,279
MD	$5,734	$5,517	$6,448
AZ	$5,669	$3,870	$6,317
KY	$5,665	$5,127	$7,561
TX	$5,649	$3,275	$7,589
NH	$5,577	$2,865	$9,101
MS	$5,550	$4,556	$7,080
LA	$5,466	$4,065	$6,813
WY	$5,324	$1,063	$6,905
WV	$5,311	$846	$5,983
AL	$5,295	$2,658	$6,431
KS	$4,998	$1,001	$8,316
AR	$4,591	$2,699	$5,560
MO	$4,490	$2,125	$6,107
AS	$4,420	$1,384	$7,457
TN	$4,392	$2,550	$5,519
PR	$4,302	$4,302	$4,302
NV	$4,174	$2,709	$6,538
MT	$3,506	$1,530	$5,976
IN	$2,703	$1,251	$4,699
MI	$1,245	$721	$4,178
VT	$1,029	$746	$5,675
UT	$846	$167	$5,994

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

OR	$11,375	$7,106	$15,979	$717	$51,070	19	31	394
WI	$11,037	$5,785	$13,221	$573	$43,319	64	113	922
ID	$10,198	$6,590	$13,349	$415	$27,531	16	89	733
WA	$10,072	$6,795	$16,572	$626	$51,222	39	48	1,183
NC	$8,612	$6,048	$8,629	$839	$26,031	41	59	907
DC	$8,594	$4,308	$9,932	$1,187	$34,086	3	7	23
OK	$8,540	$5,646	$13,095	$448	$32,711	39	50	487
CA	$7,516	$3,734	$9,146	$1	$41,103	153	339	4,088
AK	$7,463	$2,159	$9,355	$2,159	$36,241	3	14	27
NE	$7,341	$5,709	$8,648	$79	$25,184	17	65	756
VA	$7,229	$5,880	$11,248	$1,093	$38,904	32	55	736
MA	$7,083	$4,854	$9,500	$1	$26,927	21	78	308
NJ	$7,075	$6,864	$10,822	$26	$31,679	42	234	4,417
DE	$6,821	$6,397	$9,986	$1,033	$30,880	4	8	32
RI	$6,806	$5,542	$12,167	$799	$37,381	5	7	70
GA	$6,410	$5,667	$8,978	$134	$50,000	50	82	1,402
NM	$6,367	$6,016	$9,952	$2,897	$26,001	10	32	133
IL	$6,344	$3,169	$8,095	$463	$34,120	60	141	866
CT	$6,260	$4,078	$7,825	$2,017	$18,753	14	21	209
FL	$6,235	$2,160	$10,737	$1	$986,568	117	179	3,880
ND	$6,211	$5,916	$11,367	$630	$22,677	9	38	153
HI	$6,171	$4,008	$7,510	$645	$16,487	8	17	102
CO	$6,123	$4,422	$9,951	$476	$26,888	49	58	987
SD	$6,064	$5,586	$18,133	$522	$32,683	7	72	206
SC	$6,056	$4,855	$15,471	$1	$50,000	43	54	1,318
IA	$6,048	$5,617	$7,403	$794	$16,121	20	103	389
PA	$5,919	$1,283	$10,205	$40	$33,764	39	145	2,040
NY	$5,916	$3,641	$7,700	$78	$58,970	80	224	4,232
MN	$5,888	$5,026	$6,218	$122	$50,000	51	60	798
ME	$5,840	$5,725	$21,844	$1,150	$35,382	19	9	143
OH	$5,754	$5,187	$9,279	$162	$25,989	72	99	1,226
MD	$5,734	$5,517	$6,448	$4,052	$8,069	1 ⚠ thin data	11	19
AZ	$5,669	$3,870	$6,317	$983	$20,984	28	57	753
KY	$5,665	$5,127	$7,561	$885	$16,129	29	52	771
TX	$5,649	$3,275	$7,589	<$1	$40,531	215	270	8,659
NH	$5,577	$2,865	$9,101	$134	$44,504	12	31	358
MS	$5,550	$4,556	$7,080	$204	$23,448	15	70	364
LA	$5,466	$4,065	$6,813	$148	$17,881	28	77	771
WY	$5,324	$1,063	$6,905	$1,063	$16,370	6	24	33
WV	$5,311	$846	$5,983	$167	$41,334	9	52	202
AL	$5,295	$2,658	$6,431	$1	$32,816	22	43	320
KS	$4,998	$1,001	$8,316	$398	$40,689	21	77	364
AR	$4,591	$2,699	$5,560	$34	$13,628	13	48	361
MO	$4,490	$2,125	$6,107	$179	$16,402	25	59	499
AS	$4,420	$1,384	$7,457	$1,384	$7,457	1 ⚠ thin data	1	6
TN	$4,392	$2,550	$5,519	$167	$24,506	45	94	2,275
PR	$4,302	$4,302	$4,302	$4,302	$4,732	1 ⚠ thin data	5	5
NV	$4,174	$2,709	$6,538	$987	$42,765	17	106	443
MT	$3,506	$1,530	$5,976	$274	$27,343	13	46	175
IN	$2,703	$1,251	$4,699	$250	$29,226	37	89	1,328
MI	$1,245	$721	$4,178	<$1	$18,149	63	242	1,405
VT	$1,029	$746	$5,675	<$1	$8,943	3	28	116
UT	$846	$167	$5,994	$167	$15,499	33	41	1,291