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HANK Price Transparency. (n.d.).
DRUG/SUBSTANCE NOS 4-6 (CPT 80376) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved November 5, 2026 , from http://ppman.hank.ai/transparency/procedure/80376/by-state?code_type=CPT
“DRUG/SUBSTANCE NOS 4-6 (CPT 80376) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/80376/by-state?code_type=CPT. Accessed
November 5, 2026 .
“DRUG/SUBSTANCE NOS 4-6 (CPT 80376) by State,” HANK Price Transparency ,
accessed November 5, 2026 ,
http://ppman.hank.ai/transparency/procedure/80376/by-state?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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CPT · across United States
80376 — Drug/substance Nos 4-6
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$42
National median
$20 – $101
IQR (p25 – p75)
1,110
hospitals filing
48
states
Walking in without insurance?
Cash / self-pay price
Cash median
$69
vs. negotiated
+64.1%
Hospitals reporting
243
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 80376 (CPT), with interquartile range
State Median p25 p75
AK $0 $0 $0
OR $9 $4 $10
FL $10 $7 $131
ME $10 $7 $15
VA $17 $15 $30
PA $19 $14 $30
ID $21 $21 $29
AR $22 $22 $49
NE $22 $16 $23
TX $22 $19 $41
OH $25 $9 $37
NJ $26 $25 $28
NH $27 $21 $54
HI $28 $25 $28
KS $28 $18 $44
NV $29 $24 $29
MI $32 $20 $56
VT $34 $34 $68
NY $34 $19 $62
IN $38 $9 $162
CT $39 $16 $69
IL $39 $23 $64
MD $40 $29 $48
MN $43 $25 $63
SD $45 $45 $45
IA $49 $39 $60
CO $50 $0 $225
WV $54 $14 $95
AZ $55 $43 $85
WI $57 $28 $94
MT $61 $38 $233
LA $64 $48 $74
ND $67 $24 $172
RI $67 $35 $102
NC $68 $40 $83
TN $70 $48 $129
CA $73 $29 $176
MO $74 $37 $136
GA $74 $34 $97
MA $103 $48 $232
KY $120 $38 $180
AL $134 $84 $348
WY $135 $131 $135
SC $182 $35 $286
WA $194 $136 $226
UT $300 $30 $316
OK $448 $44 $448
MS $1,733 $40 $1,733