L3764 (HCPCS) by state — Price Transparency

HCPCS · across United States

L3764 — Cf Ewho W Jnts

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

$953 National median

$777 – $1,314 IQR (p25 – p75)

1,448 hospitals filing

52 states

View hospital-by-hospital → Raw rate rows →

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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 L3764 (HCPCS), with interquartile range
State	Median	p25	p75
MD	$572	$510	$748
UT	$614	$532	$851
HI	$618	$600	$1,089
PR	$627	$627	$1,135
NE	$659	$474	$816
MI	$697	$489	$876
WI	$767	$640	$859
OR	$788	$548	$913
ID	$796	$625	$924
KS	$797	$636	$831
DC	$834	$593	$902
MS	$839	$616	$917
CO	$851	$579	$1,050
ND	$855	$851	$881
IA	$855	$781	$1,303
LA	$855	$626	$1,145
AL	$862	$697	$1,073
AR	$864	$819	$1,174
TN	$865	$571	$917
MT	$868	$722	$1,430
NC	$873	$389	$1,336
KY	$873	$852	$1,135
IL	$876	$682	$1,267
MN	$876	$845	$1,335
GA	$890	$702	$1,294
TX	$898	$839	$1,240
NM	$901	$860	$2,113
FL	$912	$870	$997
SC	$935	$890	$1,296
WA	$942	$814	$1,611
WY	$945	$779	$1,054
VT	$994	$846	$1,055
NH	$1,018	$608	$1,059
VA	$1,018	$977	$1,069
PA	$1,020	$902	$1,189
WV	$1,045	$947	$1,241
ME	$1,048	$628	$1,734
OH	$1,058	$859	$1,363
RI	$1,061	$1,018	$1,805
CT	$1,068	$1,038	$2,035
AK	$1,073	$1,063	$1,328
NY	$1,074	$834	$1,435
CA	$1,114	$1,014	$1,723
SD	$1,119	$1,110	$1,119
OK	$1,119	$881	$1,433
MA	$1,146	$1,096	$1,598
IN	$1,198	$859	$1,852
NJ	$1,250	$1,038	$2,590
MO	$1,294	$839	$2,831
AZ	$1,320	$1,042	$1,699
DE	$1,500	$1,020	$4,165
NV	$1,604	$1,059	$1,891

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

MD	$572	$510	$748	$239	$1,805	3	18	50
UT	$614	$532	$851	$197	$2,459	30	45	1,536
HI	$618	$600	$1,089	$583	$1,089	6	6	55
PR	$627	$627	$1,135	$627	$1,579	3	6	7
NE	$659	$474	$816	$194	$1,716	7	32	211
MI	$697	$489	$876	$84	$4,160	48	313	1,684
WI	$767	$640	$859	$182	$6,570	45	160	830
OR	$788	$548	$913	$226	$4,952	13	39	344
ID	$796	$625	$924	$208	$95,151	15	154	557
KS	$797	$636	$831	$5	$1,579	16	33	174
DC	$834	$593	$902	$340	$2,675	2 ⚠ thin data	26	80
MS	$839	$616	$917	$106	$2,657	12	57	163
CO	$851	$579	$1,050	$68	$5,671	40	95	1,487
ND	$855	$851	$881	$292	$1,805	7	31	80
IA	$855	$781	$1,303	$338	$2,265	19	42	228
LA	$855	$626	$1,145	$106	$2,715	25	147	955
AL	$862	$697	$1,073	$46	$2,025	14	24	154
AR	$864	$819	$1,174	<$1	$2,117	12	33	141
TN	$865	$571	$917	$128	$2,626	51	87	2,106
MT	$868	$722	$1,430	$310	$3,279	10	42	123
NC	$873	$389	$1,336	$65	$3,054	43	102	2,381
KY	$873	$852	$1,135	$35	$2,226	23	79	629
IL	$876	$682	$1,267	$18	$7,218	49	118	1,018
MN	$876	$845	$1,335	$186	$7,373	46	55	924
GA	$890	$702	$1,294	$48	$2,226	34	47	556
TX	$898	$839	$1,240	$3	$9,937	154	250	5,073
NM	$901	$860	$2,113	$819	$4,122	10	36	124
FL	$912	$870	$997	$138	$3,562	103	119	2,939
SC	$935	$890	$1,296	<$1	$3,193	24	58	387
WA	$942	$814	$1,611	$36	$6,477	30	72	691
WY	$945	$779	$1,054	$382	$1,283	3	4	4
VT	$994	$846	$1,055	$283	$1,520	4	19	61
NH	$1,018	$608	$1,059	$50	$3,345	9	40	303
VA	$1,018	$977	$1,069	$174	$2,219	37	62	812
PA	$1,020	$902	$1,189	$40	$5,099	43	84	1,103
WV	$1,045	$947	$1,241	$564	$2,053	9	40	137
ME	$1,048	$628	$1,734	$221	$3,924	19	15	407
OH	$1,058	$859	$1,363	<$1	$8,694	57	107	930
RI	$1,061	$1,018	$1,805	$604	$5,829	6	12	39
CT	$1,068	$1,038	$2,035	$526	$5,628	8	11	53
AK	$1,073	$1,063	$1,328	$1,020	$5,729	2 ⚠ thin data	6	12
NY	$1,074	$834	$1,435	$10	$10,481	59	287	2,404
CA	$1,114	$1,014	$1,723	$18	$14,109	105	335	2,672
SD	$1,119	$1,110	$1,119	$877	$1,579	3	8	10
OK	$1,119	$881	$1,433	$461	$2,783	26	32	201
MA	$1,146	$1,096	$1,598	$46	$3,442	30	219	1,060
IN	$1,198	$859	$1,852	$44	$3,258	35	134	1,238
NJ	$1,250	$1,038	$2,590	$21	$4,929	42	235	6,267
MO	$1,294	$839	$2,831	$100	$3,235	17	45	480
AZ	$1,320	$1,042	$1,699	$400	$7,829	25	65	423
DE	$1,500	$1,020	$4,165	$1,000	$4,678	2 ⚠ thin data	6	17
NV	$1,604	$1,059	$1,891	$159	$2,745	10	97	198