A4264 (HCPCS) by state — Price Transparency

HCPCS · across United States

A4264 — Intratubal Occlusion Device

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

$1,476 National median

$602 – $3,515 IQR (p25 – p75)

768 hospitals filing

49 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $1,860.

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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 A4264 (HCPCS), with interquartile range
State	Median	p25	p75
OH	$1	$0	$1
MD	$71	$71	$71
PR	$87	$87	$87
AZ	$636	$169	$1,734
ME	$698	$670	$6,439
NC	$704	$404	$1,020
MI	$712	$619	$1,206
CT	$777	$188	$3,978
AL	$839	$506	$861
GA	$860	$390	$1,066
NV	$1,307	$1,245	$10,998
WV	$1,463	$95	$1,463
TX	$1,498	$1,373	$4,537
NH	$1,507	$1,109	$1,760
NJ	$1,595	$1,397	$1,672
MA	$1,735	$849	$1,735
NY	$1,791	$1,138	$3,718
ID	$1,872	$333	$3,011
PA	$1,924	$1,368	$3,415
MO	$1,950	$1,018	$3,700
DC	$1,970	$975	$2,105
CA	$1,974	$1,016	$3,397
LA	$1,993	$1,897	$1,993
NE	$2,049	$1,464	$2,605
IL	$2,229	$592	$4,088
OK	$2,250	$100	$2,250
TN	$2,296	$1,568	$3,681
WY	$2,392	$1,197	$2,548
KS	$2,419	$1,835	$3,427
IA	$2,547	$1,413	$3,664
NM	$2,575	$2,026	$3,467
MT	$2,583	$1,827	$2,583
FL	$2,775	$1,386	$5,095
KY	$2,783	$1,465	$6,221
AR	$2,881	$290	$4,432
WA	$3,037	$2,720	$5,217
RI	$3,109	$3,109	$3,109
SC	$3,224	$1,674	$7,388
WI	$3,397	$2,074	$3,762
MN	$3,515	$2,419	$3,515
CO	$3,603	$2,039	$7,111
IN	$3,925	$660	$5,987
OR	$4,524	$2,295	$4,854
ND	$5,065	$4,808	$5,449
MS	$6,256	$1,470	$6,952
VA	$6,447	$4,078	$16,352
AK	$6,743	$4,576	$10,473
VT	$7,695	$7,695	$7,695
UT	$9,364	$3,740	$12,793

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

OH	<$1	<$1	<$1	<$1	$6,108	29	39	1,199
MD	$71	$71	$71	$71	$71	1 ⚠ thin data	0	2
PR	$87	$87	$87	$87	$87	1 ⚠ thin data	1	3
AZ	$636	$169	$1,734	$24	$13,433	26	53	1,228
ME	$698	$670	$6,439	$588	$8,574	3	11	25
NC	$704	$404	$1,020	$6	$7,178	26	80	3,820
MI	$712	$619	$1,206	$1	$10,864	18	99	741
CT	$777	$188	$3,978	$76	$5,425	3	10	42
AL	$839	$506	$861	$223	$2,526	1 ⚠ thin data	12	40
GA	$860	$390	$1,066	$53	$8,394	11	45	818
NV	$1,307	$1,245	$10,998	$10	$25,481	7	20	64
WV	$1,463	$95	$1,463	$95	$2,250	3	3	5
TX	$1,498	$1,373	$4,537	<$1	$58,701	150	255	5,838
NH	$1,507	$1,109	$1,760	$4	$2,617	4	82	189
NJ	$1,595	$1,397	$1,672	$4	$13,014	7	26	203
MA	$1,735	$849	$1,735	$44	$4,383	5	150	212
NY	$1,791	$1,138	$3,718	<$1	$6,440	33	148	655
ID	$1,872	$333	$3,011	$50	$13,228	9	55	615
PA	$1,924	$1,368	$3,415	$40	$17,054	47	67	1,127
MO	$1,950	$1,018	$3,700	$225	$17,356	6	45	145
DC	$1,970	$975	$2,105	$860	$2,627	1 ⚠ thin data	5	21
CA	$1,974	$1,016	$3,397	<$1	$43,411	72	347	2,198
LA	$1,993	$1,897	$1,993	$236	$2,089	5	13	48
NE	$2,049	$1,464	$2,605	$893	$3,665	3	9	46
IL	$2,229	$592	$4,088	$24	$11,370	23	58	464
OK	$2,250	$100	$2,250	$4	$6,108	20	11	40
TN	$2,296	$1,568	$3,681	$30	$11,154	17	50	522
WY	$2,392	$1,197	$2,548	$816	$3,679	3	26	66
KS	$2,419	$1,835	$3,427	$19	$10,743	15	49	182
IA	$2,547	$1,413	$3,664	$60	$12,500	10	48	239
NM	$2,575	$2,026	$3,467	$314	$21,031	5	46	82
MT	$2,583	$1,827	$2,583	$1,575	$2,583	1 ⚠ thin data	1	6
FL	$2,775	$1,386	$5,095	$98	$15,000	39	51	993
KY	$2,783	$1,465	$6,221	$465	$13,113	9	63	452
AR	$2,881	$290	$4,432	$64	$13,343	5	48	536
WA	$3,037	$2,720	$5,217	$472	$11,091	15	32	167
RI	$3,109	$3,109	$3,109	$1,283	$3,109	3	11	15
SC	$3,224	$1,674	$7,388	$1	$20,742	13	36	440
WI	$3,397	$2,074	$3,762	$22	$6,028	20	99	817
MN	$3,515	$2,419	$3,515	$389	$6,122	27	278	561
CO	$3,603	$2,039	$7,111	$751	$25,552	12	123	471
IN	$3,925	$660	$5,987	<$1	$19,956	14	134	370
OR	$4,524	$2,295	$4,854	$103	$18,438	9	192	813
ND	$5,065	$4,808	$5,449	$398	$6,155	4	12	39
MS	$6,256	$1,470	$6,952	$30	$6,952	6	105	167
VA	$6,447	$4,078	$16,352	$1,929	$55,241	14	40	261
AK	$6,743	$4,576	$10,473	$825	$13,342	4	29	85
VT	$7,695	$7,695	$7,695	$40	$7,695	2 ⚠ thin data	11	19
UT	$9,364	$3,740	$12,793	$405	$23,027	5	28	81