90399 (CPT) by state — Price Transparency

CPT · across United States

90399 — Unlisted Immune Globulin

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

$428 National median

$155 – $522 IQR (p25 – p75)

587 hospitals filing

39 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $1,262.

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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 90399 (CPT), with interquartile range
State	Median	p25	p75
NV	$1,470	$920	$1,470
OR	$1,284	$963	$1,284
WA	$1,145	$995	$1,369
VA	$1,134	$1,134	$1,134
FL	$1,016	$706	$1,108
IL	$920	$706	$1,446
MD	$706	$702	$706
OK	$706	$706	$706
WI	$706	$454	$706
ID	$706	$530	$706
IN	$706	$15	$2,746
KS	$706	$706	$1,626
MO	$706	$706	$706
GA	$567	$22	$706
TN	$522	$454	$1,134
NC	$522	$522	$522
AZ	$492	$477	$1,592
LA	$454	$454	$454
NJ	$449	$449	$449
CO	$428	$428	$706
TX	$428	$428	$428
NM	$359	$359	$359
PA	$157	$36	$197
NY	$155	$75	$252
OH	$139	$59	$1,160
MI	$135	$120	$175
MA	$126	$126	$127
RI	$111	$111	$111
WV	$95	$95	$507
CT	$93	$93	$308
AL	$86	$86	$241
CA	$75	$5	$920
KY	$58	$15	$454
SC	$56	$32	$706
NH	$56	$56	$56
ND	$54	$54	$380
UT	$50	$50	$50
VT	$40	$40	$40
AS	$20	$20	$20

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

NV	$1,470	$920	$1,470	$57	$1,470	4	11	37
OR	$1,284	$963	$1,284	$963	$1,626	8	1	23
WA	$1,145	$995	$1,369	$963	$1,626	4	1	8
VA	$1,134	$1,134	$1,134	$706	$1,284	10	1	23
FL	$1,016	$706	$1,108	<$1	$3,132	80	41	529
IL	$920	$706	$1,446	$706	$28,750	16	2	70
MD	$706	$702	$706	$692	$706	1 ⚠ thin data	1	4
OK	$706	$706	$706	$706	$5,454	10	2	16
WI	$706	$454	$706	$367	$1,165	25	7	68
ID	$706	$530	$706	<$1	$706	3	2	4
IN	$706	$15	$2,746	$15	$2,746	12	11	35
KS	$706	$706	$1,626	$706	$1,626	4	1	7
MO	$706	$706	$706	$706	$1,165	7	1	8
GA	$567	$22	$706	$21	$920	6	2	10
TN	$522	$454	$1,134	$6	$113,000	33	6	276
NC	$522	$522	$522	$522	$1,626	16	23	621
AZ	$492	$477	$1,592	$293	$1,592	14	14	39
LA	$454	$454	$454	$454	$706	6	33	194
NJ	$449	$449	$449	$449	$449	12	4	61
CO	$428	$428	$706	$5	$180,000	16	5	103
TX	$428	$428	$428	<$1	$8,450	83	54	1,664
NM	$359	$359	$359	$359	$359	1 ⚠ thin data	16	25
PA	$157	$36	$197	$13	$309	12	15	64
NY	$155	$75	$252	$31	$706	35	90	1,818
OH	$139	$59	$1,160	<$1	$3,851	32	30	263
MI	$135	$120	$175	$93	$706	16	30	143
MA	$126	$126	$127	$94	$26,328	3	8	35
RI	$111	$111	$111	$111	$123	4	1	6
WV	$95	$95	$507	$95	$920	3	2	3
CT	$93	$93	$308	$93	$522	2 ⚠ thin data	2	3
AL	$86	$86	$241	$37	$706	3	7	16
CA	$75	$5	$920	$5	$1,626	61	2	139
KY	$58	$15	$454	$15	$706	14	2	18
SC	$56	$32	$706	<$1	$5,534	14	4	35
NH	$56	$56	$56	$56	$64	1 ⚠ thin data	12	21
ND	$54	$54	$380	$54	$706	2 ⚠ thin data	2	3
UT	$50	$50	$50	$50	$1,626	11	3	59
VT	$40	$40	$40	$40	$40	1 ⚠ thin data	3	3
AS	$20	$20	$20	$20	$20	1 ⚠ thin data	1	3