D1904 (HCPCS) by state — Price Transparency

HCPCS · across United States

D1904 — 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).

$49,620 National median

$46,389 – $53,427 IQR (p25 – p75)

122 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: $48,025.

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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 D1904 (HCPCS), with interquartile range
State	Median	p25	p75
RI	$260,720	$51,395	$260,720
NY	$70,819	$69,488	$73,350
CA	$67,941	$60,524	$67,941
NJ	$59,382	$54,479	$67,671
DE	$58,648	$57,107	$71,307
NV	$58,162	$56,777	$59,547
NC	$55,544	$55,142	$55,947
PA	$51,872	$49,155	$55,762
CO	$51,015	$48,697	$52,948
UT	$50,353	$50,353	$50,353
AZ	$50,173	$50,173	$52,422
TX	$49,743	$47,003	$52,050
IN	$49,620	$29,604	$52,965
IL	$49,521	$49,521	$50,016
NM	$49,112	$49,112	$49,112
KS	$48,682	$45,426	$50,994
WA	$48,654	$48,654	$48,654
IA	$48,587	$48,587	$48,922
WI	$48,323	$47,531	$49,995
AR	$48,082	$46,682	$48,583
FL	$47,312	$46,322	$48,437
OH	$46,936	$31,216	$48,127
MT	$46,833	$46,833	$46,833
LA	$46,594	$43,986	$49,202
ND	$45,509	$45,509	$52,336
OK	$45,266	$44,961	$45,816
TN	$44,462	$44,462	$46,250
MD	$44,369	$44,369	$44,369
MO	$44,257	$44,257	$49,030
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	$260,720	$51,395	$260,720	$46,358	$265,934	1 ⚠ thin data	12	15
NY	$70,819	$69,488	$73,350	$64,226	$101,983	12	15	160
CA	$67,941	$60,524	$67,941	$20,917	$285,008	3	24	40
NJ	$59,382	$54,479	$67,671	$53,839	$74,438	9	11	60
DE	$58,648	$57,107	$71,307	$55,566	$87,972	2 ⚠ thin data	7	15
NV	$58,162	$56,777	$59,547	$55,392	$60,932	1 ⚠ thin data	2	2
NC	$55,544	$55,142	$55,947	$54,739	$56,349	1 ⚠ thin data	3	3
PA	$51,872	$49,155	$55,762	$20,415	$127,082	4	36	63
CO	$51,015	$48,697	$52,948	$45,913	$79,421	4	18	85
UT	$50,353	$50,353	$50,353	$46,555	$50,353	4	19	81
AZ	$50,173	$50,173	$52,422	$48,979	$63,886	4	26	81
TX	$49,743	$47,003	$52,050	$23,692	$265,934	24	93	653
IN	$49,620	$29,604	$52,965	$29,604	$265,934	5	28	97
IL	$49,521	$49,521	$50,016	$49,521	$61,901	1 ⚠ thin data	8	11
NM	$49,112	$49,112	$49,112	$26,940	$85,946	1 ⚠ thin data	16	34
KS	$48,682	$45,426	$50,994	$45,426	$73,023	2 ⚠ thin data	12	20
WA	$48,654	$48,654	$48,654	$48,654	$119,461	2 ⚠ thin data	17	72
IA	$48,587	$48,587	$48,922	$47,963	$50,361	2 ⚠ thin data	11	19
WI	$48,323	$47,531	$49,995	$26,497	$53,563	4	31	61
AR	$48,082	$46,682	$48,583	$37,003	$51,012	3	14	35
FL	$47,312	$46,322	$48,437	$42,871	$72,655	5	19	42
OH	$46,936	$31,216	$48,127	$1,320	$86,444	5	41	136
MT	$46,833	$46,833	$46,833	$35,125	$46,833	1 ⚠ thin data	12	13
LA	$46,594	$43,986	$49,202	$43,986	$49,202	1 ⚠ thin data	7	16
ND	$45,509	$45,509	$52,336	$45,509	$68,264	1 ⚠ thin data	11	13
OK	$45,266	$44,961	$45,816	$33,949	$67,441	3	16	45
TN	$44,462	$44,462	$46,250	$33,035	$48,212	2 ⚠ thin data	7	15
MD	$44,369	$44,369	$44,369	$43,523	$45,214	1 ⚠ thin data	7	7
MO	$44,257	$44,257	$49,030	$26,554	$58,836	3	20	47
SC	$36,500	$26,450	$40,000	$7,350	$50,000	10	11	136