J2787 (HCPCS) by state — Price Transparency

HCPCS · across United States

J2787 — Riboflavin 5'phos Opth<=3ml

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

$4,090 National median

$2,395 – $6,598 IQR (p25 – p75)

1,067 hospitals filing

48 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $6,840.

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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 J2787 (HCPCS), with interquartile range
State	Median	p25	p75
AK	$17,446	$15,379	$19,514
MA	$11,773	$4,233	$16,994
IA	$7,449	$2,280	$10,374
CO	$7,103	$3,612	$14,230
OR	$6,156	$3,543	$8,208
OH	$5,871	$2,034	$9,709
ME	$5,777	$5,777	$6,225
AZ	$4,980	$1,807	$7,188
TX	$4,873	$3,571	$5,444
MD	$4,839	$4,254	$5,301
MN	$4,745	$0	$5,802
WI	$4,670	$2,736	$8,946
IL	$4,514	$3,183	$8,391
NC	$4,399	$3,847	$10,151
MI	$4,209	$2,326	$5,981
WV	$4,108	$4,108	$4,108
FL	$4,108	$2,242	$4,514
GA	$4,108	$2,320	$4,433
ID	$4,108	$2,628	$4,514
NV	$3,772	$3,625	$3,772
VT	$3,721	$3,000	$4,441
IN	$3,666	$2,977	$4,514
KS	$3,646	$2,519	$31,171
HI	$3,628	$2,647	$7,254
VA	$3,578	$3,090	$6,598
NH	$3,323	$2,116	$4,255
CT	$3,296	$2,839	$4,761
KY	$3,115	$2,628	$3,384
MO	$3,083	$2,403	$3,437
PA	$2,952	$2,558	$6,000
NY	$2,915	$2,074	$3,115
MS	$2,873	$2,668	$3,078
AL	$2,698	$2,265	$4,514
TN	$2,646	$2,395	$3,067
CA	$2,438	$2,075	$4,161
RI	$2,417	$2,326	$2,554
NJ	$2,356	$2,271	$2,706
AR	$2,280	$2,280	$2,280
UT	$2,241	$2,241	$2,241
SC	$2,199	$2,199	$2,356
ND	$2,179	$873	$2,326
LA	$2,165	$2,165	$2,241
MT	$2,137	$2,137	$3,302
WA	$1,923	$1,864	$4,233
NM	$1,797	$1,797	$3,934
OK	$1,140	$1,140	$2,179
WY	$1,042	$771	$1,669
NE	$1,008	$832	$1,723

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

AK	$17,446	$15,379	$19,514	$13,312	$21,581	1 ⚠ thin data	1	2
MA	$11,773	$4,233	$16,994	$10	$20,947	17	109	813
IA	$7,449	$2,280	$10,374	$1,797	$14,683	15	23	135
CO	$7,103	$3,612	$14,230	$2	$40,279	44	58	625
OR	$6,156	$3,543	$8,208	$550	$10,606	11	13	47
OH	$5,871	$2,034	$9,709	<$1	$25,398	75	88	1,993
ME	$5,777	$5,777	$6,225	$2,251	$6,687	10	4	26
AZ	$4,980	$1,807	$7,188	$676	$16,497	18	32	168
TX	$4,873	$3,571	$5,444	$1	$22,772	103	80	2,347
MD	$4,839	$4,254	$5,301	$2,326	$7,524	1 ⚠ thin data	11	24
MN	$4,745	<$1	$5,802	<$1	$9,354	25	28	1,204
WI	$4,670	$2,736	$8,946	$13	$11,842	35	66	391
IL	$4,514	$3,183	$8,391	$414	$17,481	37	56	286
NC	$4,399	$3,847	$10,151	$1,660	$30,814	30	62	1,530
MI	$4,209	$2,326	$5,981	$1	$17,203	37	29	278
WV	$4,108	$4,108	$4,108	$2,558	$4,108	15	39	461
FL	$4,108	$2,242	$4,514	$569	$8,208	71	27	249
GA	$4,108	$2,320	$4,433	$975	$5,882	18	5	46
ID	$4,108	$2,628	$4,514	$2,628	$4,514	2 ⚠ thin data	2	5
NV	$3,772	$3,625	$3,772	$2,042	$7,244	7	78	143
VT	$3,721	$3,000	$4,441	$2,280	$5,161	2 ⚠ thin data	2	2
IN	$3,666	$2,977	$4,514	$1,961	$8,715	17	8	60
KS	$3,646	$2,519	$31,171	$1,663	$43,277	13	61	142
HI	$3,628	$2,647	$7,254	$7	$11,982	6	11	73
VA	$3,578	$3,090	$6,598	$1,714	$8,208	18	5	74
NH	$3,323	$2,116	$4,255	$1,043	$10,970	10	17	198
CT	$3,296	$2,839	$4,761	$2,252	$8,434	8	6	64
KY	$3,115	$2,628	$3,384	$1,425	$4,651	13	7	45
MO	$3,083	$2,403	$3,437	$1,942	$29,398	16	48	148
PA	$2,952	$2,558	$6,000	<$1	$25,564	37	81	579
NY	$2,915	$2,074	$3,115	$9	$19,740	46	68	881
MS	$2,873	$2,668	$3,078	$2,462	$3,283	2 ⚠ thin data	1	2
AL	$2,698	$2,265	$4,514	$2,116	$4,514	2 ⚠ thin data	2	10
TN	$2,646	$2,395	$3,067	$5	$9,050	33	24	608
CA	$2,438	$2,075	$4,161	<$1	$12,017	115	118	769
RI	$2,417	$2,326	$2,554	$1,609	$4,626	5	3	23
NJ	$2,356	$2,271	$2,706	$69	$15,189	29	12	333
AR	$2,280	$2,280	$2,280	$2,280	$2,280	2 ⚠ thin data	12	15
UT	$2,241	$2,241	$2,241	$2,241	$10,397	13	3	73
SC	$2,199	$2,199	$2,356	$29	$8,255	24	19	140
ND	$2,179	$873	$2,326	$1	$4,514	3	6	14
LA	$2,165	$2,165	$2,241	$1,690	$4,514	16	49	343
MT	$2,137	$2,137	$3,302	$2,137	$4,469	4	16	37
WA	$1,923	$1,864	$4,233	$1,454	$10,397	23	17	81
NM	$1,797	$1,797	$3,934	$1,797	$3,934	8	15	38
OK	$1,140	$1,140	$2,179	<$1	$6,922	26	26	192
WY	$1,042	$771	$1,669	$635	$2,394	1 ⚠ thin data	9	9
NE	$1,008	$832	$1,723	$245	$2,900	3	12	23