A1904 (HCPCS) by state — Price Transparency

HCPCS · across United States

A1904 — Guillain-barré M <38.50

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

$49,305 National median

$45,797 – $55,991 IQR (p25 – p75)

121 hospitals filing

30 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $48,039.

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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 A1904 (HCPCS), with interquartile range
State	Median	p25	p75
RI	$260,800	$50,306	$260,800
NY	$70,340	$69,387	$73,198
WA	$66,067	$66,067	$67,638
NJ	$58,798	$53,855	$64,976
DE	$57,634	$56,119	$70,073
CA	$57,435	$57,435	$60,542
NV	$57,156	$55,795	$58,517
PA	$54,916	$51,400	$64,628
NC	$54,583	$54,188	$54,979
CO	$52,032	$50,132	$53,589
IN	$51,966	$45,119	$63,830
IL	$49,536	$49,536	$50,032
AZ	$49,305	$49,305	$52,318
TX	$49,296	$47,670	$52,066
NM	$49,127	$49,127	$49,127
IA	$48,602	$48,592	$48,602
KS	$47,840	$45,440	$50,112
UT	$47,670	$47,670	$47,670
WI	$47,545	$47,299	$50,010
AR	$47,064	$45,693	$48,597
MT	$46,848	$46,848	$46,848
FL	$46,494	$45,341	$47,599
OH	$46,124	$31,226	$48,142
LA	$45,234	$43,225	$47,243
OK	$44,845	$44,183	$45,298
ND	$44,722	$44,722	$51,430
TN	$44,475	$44,475	$45,600
MD	$44,069	$43,229	$44,069
MO	$43,319	$43,319	$48,182
SC	$36,500	$26,450	$40,000

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

RI	$260,800	$50,306	$260,800	$45,376	$266,016	1 ⚠ thin data	12	15
NY	$70,340	$69,387	$73,198	$63,796	$101,303	12	15	160
WA	$66,067	$66,067	$67,638	$64,143	$119,498	1 ⚠ thin data	11	16
NJ	$58,798	$53,855	$64,976	$53,404	$71,474	9	11	60
DE	$57,634	$56,119	$70,073	$54,605	$86,450	2 ⚠ thin data	7	15
CA	$57,435	$57,435	$60,542	$20,923	$446,394	3	24	40
NV	$57,156	$55,795	$58,517	$54,434	$59,878	1 ⚠ thin data	2	2
PA	$54,916	$51,400	$64,628	$19,983	$216,951	7	39	155
NC	$54,583	$54,188	$54,979	$53,792	$55,374	1 ⚠ thin data	3	3
CO	$52,032	$50,132	$53,589	$45,119	$78,047	3	12	47
IN	$51,966	$45,119	$63,830	$32,290	$266,016	4	25	51
IL	$49,536	$49,536	$50,032	$49,536	$61,920	1 ⚠ thin data	8	11
AZ	$49,305	$49,305	$52,318	$48,132	$62,925	4	26	81
TX	$49,296	$47,670	$52,066	$23,699	$266,016	23	92	631
NM	$49,127	$49,127	$49,127	$26,940	$85,973	1 ⚠ thin data	16	34
IA	$48,602	$48,592	$48,602	$47,639	$50,021	2 ⚠ thin data	11	19
KS	$47,840	$45,440	$50,112	$45,440	$71,759	2 ⚠ thin data	12	20
UT	$47,670	$47,670	$47,670	$47,670	$47,670	3	16	64
WI	$47,545	$47,299	$50,010	$26,506	$52,636	4	31	61
AR	$47,064	$45,693	$48,597	$37,015	$51,027	3	14	35
MT	$46,848	$46,848	$46,848	$35,136	$46,848	1 ⚠ thin data	12	13
FL	$46,494	$45,341	$47,599	$42,884	$71,398	5	19	42
OH	$46,124	$31,226	$48,142	$1,320	$86,471	5	41	136
LA	$45,234	$43,225	$47,243	$43,225	$47,243	1 ⚠ thin data	7	16
OK	$44,845	$44,183	$45,298	$33,960	$66,274	3	16	45
ND	$44,722	$44,722	$51,430	$44,722	$67,083	1 ⚠ thin data	11	13
TN	$44,475	$44,475	$45,600	$32,335	$48,227	2 ⚠ thin data	7	15
MD	$44,069	$43,229	$44,069	$515	$44,908	2 ⚠ thin data	8	9
MO	$43,319	$43,319	$48,182	$25,991	$57,818	3	20	47
SC	$36,500	$26,450	$40,000	$7,350	$50,000	10	11	136