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).

$4,057 National median

$2,395 – $6,584 IQR (p25 – p75)

1,073 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
NE	$1,008	$832	$1,723
WY	$1,042	$771	$1,669
OK	$1,140	$1,140	$1,700
NM	$1,797	$1,797	$3,934
WA	$1,923	$1,864	$4,233
MT	$2,137	$2,137	$3,302
LA	$2,165	$2,165	$2,241
ND	$2,179	$873	$2,326
SC	$2,199	$2,199	$2,356
UT	$2,241	$2,241	$2,241
AR	$2,280	$2,280	$2,280
NJ	$2,356	$2,271	$2,706
RI	$2,417	$2,326	$2,554
CA	$2,438	$2,075	$4,161
TN	$2,646	$2,395	$3,067
AL	$2,698	$2,265	$4,514
NY	$2,736	$1,888	$3,115
MS	$2,873	$2,668	$3,078
PA	$2,952	$2,558	$6,000
MO	$3,056	$2,375	$3,428
KY	$3,115	$2,628	$3,384
CT	$3,296	$2,839	$4,761
NH	$3,335	$2,137	$4,293
VA	$3,578	$3,090	$6,598
HI	$3,628	$2,647	$7,254
KS	$3,646	$2,519	$31,171
IN	$3,666	$2,977	$4,514
VT	$3,721	$3,000	$4,441
NV	$3,772	$3,625	$3,772
WV	$4,108	$4,108	$4,108
FL	$4,108	$2,261	$4,757
GA	$4,108	$2,320	$4,433
ID	$4,108	$2,628	$4,514
MI	$4,209	$2,326	$5,952
NC	$4,399	$3,847	$10,151
IL	$4,514	$3,183	$8,391
WI	$4,647	$2,736	$8,946
MN	$4,745	$0	$5,802
MD	$4,839	$4,254	$5,301
TX	$4,873	$3,571	$5,444
AZ	$4,980	$1,807	$7,188
ME	$5,777	$5,777	$6,225
OH	$5,871	$2,034	$9,709
OR	$6,156	$3,543	$8,208
CO	$7,103	$3,602	$14,230
IA	$7,449	$2,280	$10,374
MA	$11,773	$4,233	$16,994
AK	$17,446	$15,379	$19,514

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

NE	$1,008	$832	$1,723	$245	$2,900	3	12	23
WY	$1,042	$771	$1,669	$635	$2,394	1 ⚠ thin data	9	9
OK	$1,140	$1,140	$1,700	<$1	$6,922	25	26	188
NM	$1,797	$1,797	$3,934	$1,797	$3,934	8	15	38
WA	$1,923	$1,864	$4,233	$1,454	$10,397	23	17	81
MT	$2,137	$2,137	$3,302	$2,137	$4,469	4	16	37
LA	$2,165	$2,165	$2,241	$1,690	$4,514	16	49	343
ND	$2,179	$873	$2,326	$1	$4,514	3	6	14
SC	$2,199	$2,199	$2,356	$29	$8,255	24	19	140
UT	$2,241	$2,241	$2,241	$2,241	$10,397	13	3	73
AR	$2,280	$2,280	$2,280	$2,280	$2,280	2 ⚠ thin data	12	15
NJ	$2,356	$2,271	$2,706	$69	$15,189	29	12	333
RI	$2,417	$2,326	$2,554	$1,609	$4,626	5	3	23
CA	$2,438	$2,075	$4,161	<$1	$12,017	116	119	771
TN	$2,646	$2,395	$3,067	$5	$9,050	33	24	608
AL	$2,698	$2,265	$4,514	$2,116	$4,514	2 ⚠ thin data	2	10
NY	$2,736	$1,888	$3,115	$9	$19,740	48	94	907
MS	$2,873	$2,668	$3,078	$2,462	$3,283	2 ⚠ thin data	1	2
PA	$2,952	$2,558	$6,000	<$1	$25,564	37	81	579
MO	$3,056	$2,375	$3,428	$1,942	$29,398	17	49	156
KY	$3,115	$2,628	$3,384	$1,425	$4,651	13	7	45
CT	$3,296	$2,839	$4,761	$2,252	$8,434	8	6	64
NH	$3,335	$2,137	$4,293	$1,043	$10,970	10	17	213
VA	$3,578	$3,090	$6,598	$1,714	$8,208	18	5	74
HI	$3,628	$2,647	$7,254	$7	$11,982	6	11	73
KS	$3,646	$2,519	$31,171	$1,663	$43,277	13	61	142
IN	$3,666	$2,977	$4,514	$1,961	$8,715	17	8	60
VT	$3,721	$3,000	$4,441	$2,280	$5,161	2 ⚠ thin data	2	2
NV	$3,772	$3,625	$3,772	$2,042	$7,244	7	78	143
WV	$4,108	$4,108	$4,108	$2,394	$5,882	16	40	463
FL	$4,108	$2,261	$4,757	$569	$8,208	72	27	251
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
MI	$4,209	$2,326	$5,952	$1	$17,203	38	29	280
NC	$4,399	$3,847	$10,151	$1,660	$30,814	30	62	1,530
IL	$4,514	$3,183	$8,391	$414	$17,481	37	56	286
WI	$4,647	$2,736	$8,946	$13	$11,842	35	66	392
MN	$4,745	<$1	$5,802	<$1	$9,354	25	28	1,204
MD	$4,839	$4,254	$5,301	$2,326	$7,524	1 ⚠ thin data	11	24
TX	$4,873	$3,571	$5,444	$1	$22,772	103	80	2,346
AZ	$4,980	$1,807	$7,188	$676	$16,497	18	32	168
ME	$5,777	$5,777	$6,225	$2,251	$6,687	10	4	26
OH	$5,871	$2,034	$9,709	<$1	$25,398	75	88	1,993
OR	$6,156	$3,543	$8,208	$550	$10,606	11	13	48
CO	$7,103	$3,602	$14,230	$2	$40,279	44	58	617
IA	$7,449	$2,280	$10,374	$1,797	$14,683	15	23	137
MA	$11,773	$4,233	$16,994	$10	$20,947	17	109	813
AK	$17,446	$15,379	$19,514	$13,312	$21,581	1 ⚠ thin data	1	2