B1904 (HCPCS) by state — Price Transparency

HCPCS · across United States

B1904 — 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).

$73,807 National median

$64,487 – $84,451 IQR (p25 – p75)

113 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: $73,706.

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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 B1904 (HCPCS), with interquartile range
State	Median	p25	p75
RI	$424,360	$71,522	$424,360
NY	$115,381	$113,130	$119,103
WA	$107,501	$107,501	$110,058
CA	$98,511	$56,555	$98,511
NJ	$93,545	$77,698	$97,869
PA	$84,429	$73,598	$90,761
AZ	$82,468	$74,212	$85,324
DE	$81,753	$79,605	$99,399
NV	$81,075	$79,145	$83,006
IL	$80,603	$80,603	$81,409
NM	$79,937	$79,937	$79,937
IA	$79,083	$79,083	$79,706
IN	$77,972	$64,976	$96,836
NC	$77,426	$76,865	$77,987
WI	$77,363	$67,246	$81,374
AR	$76,239	$64,963	$79,075
MT	$76,228	$76,228	$76,228
KS	$73,938	$67,860	$74,115
CO	$73,807	$71,113	$76,015
TX	$72,434	$68,193	$81,802
TN	$72,368	$64,361	$73,552
MD	$72,287	$72,287	$72,287
OH	$71,160	$50,809	$78,334
LA	$66,236	$61,315	$71,158
FL	$66,060	$64,847	$69,778
OK	$64,487	$62,673	$73,677
ND	$63,438	$63,438	$72,954
MO	$61,588	$61,588	$68,345
UT	$57,526	$57,526	$57,526
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	$424,360	$71,522	$424,360	$64,512	$432,847	1 ⚠ thin data	12	15
NY	$115,381	$113,130	$119,103	$104,281	$165,327	12	15	160
WA	$107,501	$107,501	$110,058	$104,369	$194,440	1 ⚠ thin data	11	16
CA	$98,511	$56,555	$98,511	$34,045	$185,102	1 ⚠ thin data	13	17
NJ	$93,545	$77,698	$97,869	$75,754	$107,656	9	11	60
PA	$84,429	$73,598	$90,761	$28,410	$177,147	4	36	63
AZ	$82,468	$74,212	$85,324	$68,275	$102,389	3	23	41
DE	$81,753	$79,605	$99,399	$77,457	$122,630	2 ⚠ thin data	7	15
NV	$81,075	$79,145	$83,006	$77,215	$84,936	1 ⚠ thin data	2	2
IL	$80,603	$80,603	$81,409	$80,603	$100,754	1 ⚠ thin data	8	11
NM	$79,937	$79,937	$79,937	$39,871	$139,890	1 ⚠ thin data	16	34
IA	$79,083	$79,083	$79,706	$78,143	$82,051	2 ⚠ thin data	11	19
IN	$77,972	$64,976	$96,836	$45,907	$432,847	3	24	49
NC	$77,426	$76,865	$77,987	$76,304	$78,548	1 ⚠ thin data	3	3
WI	$77,363	$67,246	$81,374	$43,128	$82,188	4	31	61
AR	$76,239	$64,963	$79,075	$60,229	$83,029	3	14	35
MT	$76,228	$76,228	$76,228	$57,171	$76,228	1 ⚠ thin data	12	13
KS	$73,938	$67,860	$74,115	$67,860	$101,790	2 ⚠ thin data	12	20
CO	$73,807	$71,113	$76,015	$64,001	$110,710	3	12	47
TX	$72,434	$68,193	$81,802	$38,562	$432,847	23	92	631
TN	$72,368	$64,361	$73,552	$45,972	$78,472	2 ⚠ thin data	7	15
MD	$72,287	$72,287	$72,287	$70,910	$73,664	1 ⚠ thin data	7	7
OH	$71,160	$50,809	$78,334	$1,320	$140,701	5	41	136
LA	$66,236	$61,315	$71,158	$61,315	$71,158	1 ⚠ thin data	7	16
FL	$66,060	$64,847	$69,778	$62,654	$101,278	5	19	42
OK	$64,487	$62,673	$73,677	$55,258	$94,010	3	16	45
ND	$63,438	$63,438	$72,954	$63,438	$95,157	1 ⚠ thin data	11	13
MO	$61,588	$61,588	$68,345	$36,953	$83,827	3	20	47
UT	$57,526	$57,526	$57,526	$57,526	$57,526	3	16	64
SC	$36,500	$26,450	$40,000	$7,350	$50,000	10	11	136