J0402 (HCPCS) by state — Price Transparency

HCPCS · across United States

J0402 — Inj, Abilify Asimtufii, 1 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

$6 – $21 IQR (p25 – p75)

1,379 hospitals filing

51 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $8,788.

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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 J0402 (HCPCS), with interquartile range
State	Median	p25	p75
IA	$10,966	$4,350	$18,361
OH	$7,920	$10	$13,860
NE	$6,312	$1,195	$16,334
DC	$5,600	$9	$10,454
ND	$1,132	$6	$1,434
AK	$57	$50	$64
TX	$14	$6	$22
MN	$12	$6	$17
WI	$12	$6	$9,886
SD	$10	$6	$13
IL	$10	$6	$9,055
CO	$10	$6	$12
MD	$10	$6	$12
WA	$9	$6	$16
WV	$9	$6	$10
NV	$9	$7	$10
NC	$9	$7	$9
AZ	$9	$7	$13
NH	$8	$6	$12
KY	$8	$6	$1,578
KS	$8	$6	$10
WY	$8	$6	$9,844
NM	$7	$6	$11
FL	$7	$6	$16
CA	$7	$6	$14
CT	$7	$6	$9
NY	$7	$6	$10
OR	$7	$6	$12
ID	$7	$6	$5,930
GA	$7	$6	$10
MT	$7	$6	$18
SC	$6	$6	$12
HI	$6	$6	$10
PA	$6	$6	$8
MO	$6	$6	$15
LA	$6	$6	$7
OK	$6	$6	$10
IN	$6	$6	$10
UT	$6	$6	$7
VA	$6	$6	$13
MA	$6	$6	$7
NJ	$6	$6	$7
AR	$6	$6	$6
RI	$6	$6	$11
ME	$6	$6	$9
MS	$6	$6	$7
AL	$6	$6	$7
VT	$6	$6	$6
MI	$6	$5	$6
TN	$6	$6	$6
PR	$6	$6	$6

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

IA	$10,966	$4,350	$18,361	$6	$24,991	21	30	681
OH	$7,920	$10	$13,860	$2	$26,400	67	201	2,894
NE	$6,312	$1,195	$16,334	$6	$56,916	21	63	1,001
DC	$5,600	$9	$10,454	$6	$14,934	1 ⚠ thin data	17	53
ND	$1,132	$6	$1,434	$2	$8,761	9	30	196
AK	$57	$50	$64	$44	$71	1 ⚠ thin data	1	2
TX	$14	$6	$22	$5	$39,217	132	120	3,124
MN	$12	$6	$17	$5	$29,061	38	58	1,064
WI	$12	$6	$9,886	$5	$24,114	52	304	1,262
SD	$10	$6	$13	$3	$15	4	24	35
IL	$10	$6	$9,055	$1	$24,467	55	101	1,020
CO	$10	$6	$12	$5	$50	42	34	718
MD	$10	$6	$12	$6	$8,445	2 ⚠ thin data	8	16
WA	$9	$6	$16	$5	$20,912	30	41	658
WV	$9	$6	$10	$4	$42	17	48	548
NV	$9	$7	$10	$5	$21	7	90	201
NC	$9	$7	$9	$6	$23,949	36	78	1,020
AZ	$9	$7	$13	$4	$28	16	38	305
NH	$8	$6	$12	$6	$41	12	20	261
KY	$8	$6	$1,578	$5	$9,322	24	58	920
KS	$8	$6	$10	$6	$4,551	14	27	194
WY	$8	$6	$9,844	$5	$9,844	4	13	19
NM	$7	$6	$11	$6	$37	9	32	146
FL	$7	$6	$16	$1	$80,477	97	130	1,838
CA	$7	$6	$14	<$1	$101,091	125	235	2,029
CT	$7	$6	$9	$3	$1,370	10	18	125
NY	$7	$6	$10	$3	$16,155	73	167	2,850
OR	$7	$6	$12	$6	$33	19	16	287
ID	$7	$6	$5,930	$3	$18,925	8	33	117
GA	$7	$6	$10	$5	$24	30	39	360
MT	$7	$6	$18	$6	$20,912	13	50	182
SC	$6	$6	$12	<$1	$10,796	31	102	860
HI	$6	$6	$10	$5	$16,281	7	13	127
PA	$6	$6	$8	$3	$172	35	87	1,324
MO	$6	$6	$15	$1	$18,211	22	80	327
LA	$6	$6	$7	$2	$18	16	76	449
OK	$6	$6	$10	<$1	$1,301	24	34	242
IN	$6	$6	$10	$2	$13,333	23	84	413
UT	$6	$6	$7	$5	$22,262	27	24	436
VA	$6	$6	$13	$4	$13,462	28	28	257
MA	$6	$6	$7	$5	$30	17	16	157
NJ	$6	$6	$7	$5	$38	35	59	907
AR	$6	$6	$6	$6	$15	7	26	91
RI	$6	$6	$11	$4	$34	5	7	65
ME	$6	$6	$9	$6	$24	19	9	138
MS	$6	$6	$7	$2	$16	8	41	136
AL	$6	$6	$7	$5	$11,618	17	43	224
VT	$6	$6	$6	$5	$15	2 ⚠ thin data	18	38
MI	$6	$5	$6	$1	$19	35	49	417
TN	$6	$6	$6	$2	$21	30	56	1,159
PR	$6	$6	$6	$6	$7	1 ⚠ thin data	5	5