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)

599 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
AS	$20	$20	$20
VT	$40	$40	$40
UT	$50	$50	$50
ND	$54	$54	$380
NH	$56	$56	$56
SC	$57	$33	$706
KY	$58	$15	$454
CA	$75	$5	$920
AL	$86	$86	$241
CT	$93	$93	$308
WV	$95	$95	$507
RI	$111	$111	$111
MA	$126	$126	$26,328
MI	$135	$120	$175
OH	$139	$59	$1,160
NY	$155	$75	$252
PA	$157	$36	$197
NM	$359	$359	$359
CO	$428	$428	$706
TX	$428	$428	$428
NJ	$449	$449	$449
LA	$454	$454	$454
AZ	$492	$477	$1,592
TN	$522	$50	$1,134
NC	$522	$522	$522
GA	$567	$22	$706
IN	$706	$15	$2,746
KS	$706	$706	$1,626
MD	$706	$702	$706
OK	$706	$706	$706
WI	$706	$454	$706
ID	$706	$530	$706
IL	$706	$706	$1,446
MO	$706	$706	$706
FL	$1,021	$706	$1,116
VA	$1,134	$1,134	$1,134
WA	$1,145	$995	$1,369
OR	$1,284	$963	$1,284
NV	$1,470	$920	$1,470

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

AS	$20	$20	$20	$20	$20	1 ⚠ thin data	1	3
VT	$40	$40	$40	$40	$40	1 ⚠ thin data	3	3
UT	$50	$50	$50	$50	$1,626	13	4	72
ND	$54	$54	$380	$54	$706	2 ⚠ thin data	2	3
NH	$56	$56	$56	$56	$64	1 ⚠ thin data	12	21
SC	$57	$33	$706	<$1	$5,534	15	6	38
KY	$58	$15	$454	$15	$706	14	2	18
CA	$75	$5	$920	<$1	$1,626	63	3	142
AL	$86	$86	$241	$37	$706	3	7	16
CT	$93	$93	$308	$93	$522	2 ⚠ thin data	2	3
WV	$95	$95	$507	$95	$920	3	2	3
RI	$111	$111	$111	$111	$123	4	1	6
MA	$126	$126	$26,328	$94	$50,000	4	15	48
MI	$135	$120	$175	$93	$706	16	30	143
OH	$139	$59	$1,160	<$1	$3,851	32	30	263
NY	$155	$75	$252	$31	$706	36	92	1,842
PA	$157	$36	$197	$13	$309	12	15	64
NM	$359	$359	$359	$359	$359	1 ⚠ thin data	16	25
CO	$428	$428	$706	$5	$180,000	16	5	103
TX	$428	$428	$428	<$1	$8,450	83	54	1,664
NJ	$449	$449	$449	$449	$449	12	4	61
LA	$454	$454	$454	$454	$706	6	33	194
AZ	$492	$477	$1,592	$293	$1,592	14	14	39
TN	$522	$50	$1,134	$1	$113,000	34	18	300
NC	$522	$522	$522	$522	$1,626	16	23	621
GA	$567	$22	$706	$21	$920	6	2	10
IN	$706	$15	$2,746	$15	$2,746	12	11	35
KS	$706	$706	$1,626	$706	$1,626	4	1	7
MD	$706	$702	$706	$692	$706	1 ⚠ thin data	1	4
OK	$706	$706	$706	$706	$5,454	12	2	22
WI	$706	$454	$706	$367	$1,165	28	7	77
ID	$706	$530	$706	<$1	$706	3	2	4
IL	$706	$706	$1,446	$706	$28,750	16	2	66
MO	$706	$706	$706	$706	$1,165	7	1	8
FL	$1,021	$706	$1,116	<$1	$3,132	79	40	524
VA	$1,134	$1,134	$1,134	$706	$1,284	10	1	23
WA	$1,145	$995	$1,369	$963	$1,626	4	1	8
OR	$1,284	$963	$1,284	$963	$1,626	8	1	22
NV	$1,470	$920	$1,470	$57	$1,470	4	11	37