71894012504 (NDC) by state — Price Transparency

NDC · across United States

71894012504 — Onasemnogene Abeparvovec-xioi 1x5.5ml & 3x8.3ml IV Kit

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

$4,143,750 National median

$2,414,212 – $4,462,500 IQR (p25 – p75)

4 hospitals filing

2 states

View hospital-by-hospital → Raw rate rows →

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Plug in your deductible, what you've already spent against it, your OOP-max, and your coinsurance %. We'll math the rest. Math reference: methodology.

This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

Uninsured estimates use the cash / self-pay median for this code: $3,506,250.

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Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

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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 71894012504 (NDC), with interquartile range
State	Median	p25	p75
CA	$4,424,250	$3,480,750	$4,462,500
AR	$4,434	$4,434	$4,434

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

CA	$4,424,250	$3,480,750	$4,462,500	$11,961	$4,961,662	3	81	203
AR	$4,434	$4,434	$4,434	$4,434	$4,434	1 ⚠ thin data	22	24