B1604 (HCPCS) by state — Price Transparency

HCPCS · across United States

B1604 — Pain Syndrome M <43.50

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

$41,686 National median

$38,050 – $49,359 IQR (p25 – p75)

103 hospitals filing

29 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $38,968.

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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 B1604 (HCPCS), with interquartile range
State	Median	p25	p75
RI	$200,490	$45,253	$200,490
NY	$54,890	$53,457	$57,025
DE	$52,460	$51,082	$63,783
NV	$52,025	$50,787	$53,264
WA	$50,789	$50,789	$51,997
NC	$49,684	$49,324	$50,044
NJ	$49,359	$48,731	$49,858
CO	$47,361	$45,632	$48,778
CA	$46,542	$26,720	$46,542
TX	$43,759	$39,814	$46,480
KS	$43,545	$34,932	$45,614
FL	$42,320	$40,787	$43,326
IN	$41,951	$40,730	$54,985
PA	$41,883	$39,088	$45,452
ND	$40,708	$40,708	$46,814
AZ	$40,312	$39,757	$47,621
OK	$40,217	$34,823	$40,341
MO	$38,968	$38,081	$40,527
WI	$38,446	$36,551	$39,926
IL	$38,081	$38,081	$38,462
NM	$37,767	$37,767	$37,767
LA	$37,616	$35,887	$39,345
IA	$37,363	$37,363	$37,919
AR	$37,359	$37,230	$41,103
OH	$36,930	$24,005	$38,777
MT	$36,014	$36,014	$36,014
UT	$35,790	$35,790	$35,790
TN	$35,309	$34,190	$37,929
MD	$34,389	$34,389	$34,389

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	$200,490	$45,253	$200,490	$40,818	$204,500	1 ⚠ thin data	12	15
NY	$54,890	$53,457	$57,025	$49,909	$79,341	12	15	160
DE	$52,460	$51,082	$63,783	$49,703	$78,690	2 ⚠ thin data	7	15
NV	$52,025	$50,787	$53,264	$49,548	$54,503	1 ⚠ thin data	2	2
WA	$50,789	$50,789	$51,997	$49,310	$91,864	1 ⚠ thin data	11	16
NC	$49,684	$49,324	$50,044	$48,964	$50,404	1 ⚠ thin data	3	3
NJ	$49,359	$48,731	$49,858	$41,401	$54,294	9	11	60
CO	$47,361	$45,632	$48,778	$41,069	$71,042	3	12	47
CA	$46,542	$26,720	$46,542	$16,085	$87,452	1 ⚠ thin data	13	17
TX	$43,759	$39,814	$46,480	$18,218	$204,500	23	92	631
KS	$43,545	$34,932	$45,614	$34,932	$65,318	2 ⚠ thin data	12	20
FL	$42,320	$40,787	$43,326	$32,967	$64,989	5	19	42
IN	$41,951	$40,730	$54,985	$26,067	$204,500	3	24	49
PA	$41,883	$39,088	$45,452	$17,976	$113,674	4	36	63
ND	$40,708	$40,708	$46,814	$40,708	$61,061	1 ⚠ thin data	11	13
AZ	$40,312	$39,757	$47,621	$37,769	$57,146	3	23	41
OK	$40,217	$34,823	$40,341	$26,107	$60,325	3	16	45
MO	$38,968	$38,081	$40,527	$23,381	$52,628	3	20	47
WI	$38,446	$36,551	$39,926	$20,376	$47,911	4	31	61
IL	$38,081	$38,081	$38,462	$38,081	$47,601	1 ⚠ thin data	8	11
NM	$37,767	$37,767	$37,767	$15,086	$66,092	1 ⚠ thin data	16	34
LA	$37,616	$35,887	$39,345	$35,887	$39,345	1 ⚠ thin data	7	16
IA	$37,363	$37,363	$37,919	$37,175	$39,034	2 ⚠ thin data	11	19
AR	$37,359	$37,230	$41,103	$28,455	$43,159	3	14	35
OH	$36,930	$24,005	$38,777	$1,320	$66,474	5	41	136
MT	$36,014	$36,014	$36,014	$27,011	$36,014	1 ⚠ thin data	12	13
UT	$35,790	$35,790	$35,790	$35,790	$35,790	3	16	64
TN	$35,309	$34,190	$37,929	$26,482	$40,723	2 ⚠ thin data	7	15
MD	$34,389	$34,389	$34,389	$33,734	$35,044	1 ⚠ thin data	7	7