J0175 (HCPCS) by state — Price Transparency

HCPCS · across United States

J0175 — Inj, Donanemab-azbt, 2 Mg

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

$8 National median

$4 – $1,050 IQR (p25 – p75)

1,482 hospitals filing

51 states

View hospital-by-hospital → Raw rate rows →

Estimate your cost

What would you pay?

Plug in your deductible, what you've already spent against it, your OOP-max, and your coinsurance %. We'll math the rest. Math reference: methodology.

This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

Uninsured estimates use the cash / self-pay median for this code: $1,447.

I am… Annual deductible (assumed — typical plan) Already spent this year

Checked your insurer’s portal? Enter your remaining deductible and out-of-pocket max above/below and leave “already spent” at 0.

Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

Loading estimate…

Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for J0175 (HCPCS), with interquartile range
State	Median	p25	p75
PR	$4	$4	$4
VT	$4	$4	$4
ID	$4	$4	$7
RI	$4	$4	$5
OK	$4	$4	$7
TN	$4	$4	$10
AL	$4	$4	$7
MS	$4	$4	$9
SD	$4	$4	$9
UT	$4	$4	$5
WV	$4	$4	$5
ND	$5	$4	$25
PA	$5	$4	$7
NM	$5	$4	$6
MT	$5	$4	$13
CT	$5	$4	$8
WI	$5	$4	$6
VA	$5	$4	$694
ME	$5	$4	$12
CA	$5	$4	$11
SC	$5	$4	$1,558
AZ	$5	$4	$7
HI	$6	$4	$2,820
NC	$6	$6	$691
NH	$6	$4	$9
NV	$6	$5	$7
MN	$7	$4	$13
CO	$7	$4	$13
NY	$7	$5	$1,016
LA	$7	$4	$3,006
WA	$8	$4	$785
IN	$8	$4	$15
FL	$9	$4	$319
TX	$9	$4	$16
MI	$9	$4	$1,775
DC	$10	$9	$12
OR	$10	$4	$2,915
KS	$11	$5	$3,273
GA	$15	$5	$228
NE	$33	$21	$2,574
KY	$34	$4	$676
AK	$40	$35	$44
OH	$83	$6	$2,291
AR	$678	$4	$1,429
WY	$699	$4	$1,368
NJ	$779	$5	$2,175
MO	$951	$4	$1,885
MA	$1,001	$4	$2,190
IL	$1,116	$6	$2,742
IA	$1,217	$4	$2,898
MD	$1,282	$1,183	$2,165

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

PR	$4	$4	$4	$4	$4	1 ⚠ thin data	5	5
VT	$4	$4	$4	$3	$10	2 ⚠ thin data	18	38
ID	$4	$4	$7	$4	$588	6	20	42
RI	$4	$4	$5	$3	$23	6	10	73
OK	$4	$4	$7	$2	$595	26	35	245
TN	$4	$4	$10	$3	$2,536	33	56	937
AL	$4	$4	$7	$4	$1,603	18	64	243
MS	$4	$4	$9	$3	$3,225	11	31	171
SD	$4	$4	$9	<$1	$3,168	11	25	82
UT	$4	$4	$5	$3	$16	18	16	383
WV	$4	$4	$5	$3	$29	10	45	452
ND	$5	$4	$25	$1	$34	11	29	129
PA	$5	$4	$7	$1	$24,358	49	193	2,228
NM	$5	$4	$6	$4	$9	9	32	126
MT	$5	$4	$13	$4	$2,130	11	45	125
CT	$5	$4	$8	$2	$2,474	13	16	160
WI	$5	$4	$6	$3	$3,432	54	99	771
VA	$5	$4	$694	$3	$3,840	26	41	349
ME	$5	$4	$12	$4	$4,710	17	13	172
CA	$5	$4	$11	$2	$10,512	134	338	2,273
SC	$5	$4	$1,558	<$1	$12,936	43	158	1,581
AZ	$5	$4	$7	$3	$5,961	15	56	269
HI	$6	$4	$2,820	$3	$4,699	7	22	186
NC	$6	$6	$691	$4	$4,608	52	93	1,447
NH	$6	$4	$9	$4	$2,313	12	26	294
NV	$6	$5	$7	$4	$727	8	63	150
MN	$7	$4	$13	<$1	$2,702	47	48	1,030
CO	$7	$4	$13	$3	$2,651	36	44	668
NY	$7	$5	$1,016	$2	$4,907	71	199	3,343
LA	$7	$4	$3,006	$4	$9,200	14	96	624
WA	$8	$4	$785	$4	$3,906	34	34	570
IN	$8	$4	$15	$2	$5,920	27	153	1,019
FL	$9	$4	$319	<$1	$12,358	94	174	2,386
TX	$9	$4	$16	<$1	$3,357	128	179	3,757
MI	$9	$4	$1,775	$2	$3,555	32	254	879
DC	$10	$9	$12	$4	$15	1 ⚠ thin data	11	21
OR	$10	$4	$2,915	$3	$3,045	24	342	1,274
KS	$11	$5	$3,273	$4	$5,651	15	90	295
GA	$15	$5	$228	$3	$3,882	31	77	1,652
NE	$33	$21	$2,574	$4	$14,267	17	34	524
KY	$34	$4	$676	$3	$8,869	37	96	1,301
AK	$40	$35	$44	$30	$49	1 ⚠ thin data	1	2
OH	$83	$6	$2,291	<$1	$3,583	73	192	2,734
AR	$678	$4	$1,429	$4	$4,492	11	149	460
WY	$699	$4	$1,368	$4	$1,444	6	19	23
NJ	$779	$5	$2,175	<$1	$11,816	40	225	5,205
MO	$951	$4	$1,885	$1	$8,070	33	206	1,698
MA	$1,001	$4	$2,190	<$1	$3,537	22	94	521
IL	$1,116	$6	$2,742	<$1	$16,740	58	197	1,343
IA	$1,217	$4	$2,898	<$1	$3,570	24	128	891
MD	$1,282	$1,183	$2,165	$4	$2,496	3	27	108