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HANK Price Transparency. (n.d.).
DME POS (HCPCS A4628) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 28, 2026 , from http://ppman.hank.ai/transparency/procedure/A4628/by-state?code_type=HCPCS
“DME POS (HCPCS A4628) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/A4628/by-state?code_type=HCPCS. Accessed
June 28, 2026 .
“DME POS (HCPCS A4628) by State,” HANK Price Transparency ,
accessed June 28, 2026 ,
http://ppman.hank.ai/transparency/procedure/A4628/by-state?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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HCPCS · across United States
A4628 — Dme Pos
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$5
National median
$5 – $8
IQR (p25 – p75)
713
hospitals filing
48
states
Walking in without insurance?
Cash / self-pay price
Cash median
$3
vs. negotiated
-46.4%
Hospitals reporting
138
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 A4628 (HCPCS), with interquartile range
State Median p25 p75
KY $44 $16 $98
OH $26 $16 $150
NM $15 $5 $15
AL $13 $7 $100
MD $12 $9 $14
NV $9 $5 $887
MS $8 $5 $9
IL $8 $3 $12
NC $8 $8 $8
OK $8 $6 $9
NJ $7 $5 $8
NH $7 $5 $9
SC $7 $5 $8
LA $7 $5 $10
AR $7 $6 $8
MN $7 $5 $13
WI $6 $5 $60
AZ $6 $5 $17
NY $6 $5 $8
SD $6 $6 $6
GA $6 $5 $7
TN $5 $5 $5
VA $5 $5 $5
ME $5 $5 $5
MA $5 $1 $7
CO $5 $5 $11
PA $5 $4 $7
FL $5 $5 $6
MI $5 $3 $5
TX $5 $1 $7
ID $5 $5 $5
AK $5 $2 $12
CA $5 $3 $85
MO $5 $5 $6
IN $5 $5 $7
MT $5 $4 $5
DE $5 $5 $5
UT $5 $5 $5
OR $5 $5 $5
RI $5 $3 $5
KS $4 $4 $5
IA $4 $4 $5
WA $4 $3 $6
WV $4 $3 $50
NE $4 $3 $11
ND $3 $1 $5
HI $3 $3 $5
CT $1 $0 $4