S5001 (HCPCS) by state — Price Transparency

HCPCS · across United States

S5001 — Prescription Drug,brand Name

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

$115 National median

$8 – $522 IQR (p25 – p75)

204 hospitals filing

27 states

View hospital-by-hospital → Raw rate rows →

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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: $390.

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

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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 S5001 (HCPCS), with interquartile range
State	Median	p25	p75
TN	$113,000	$113,000	$113,000
VA	$1,863	$741	$2,982
CO	$951	$519	$1,551
CA	$942	$343	$1,265
NV	$709	$451	$1,155
NC	$466	$291	$678
NH	$315	$56	$531
KS	$298	$294	$298
FL	$283	$117	$688
NY	$260	$260	$731
MO	$258	$100	$517
TX	$252	$31	$608
IN	$144	$144	$144
ID	$115	$115	$589
WV	$95	$95	$95
IL	$53	$7	$84
UT	$50	$50	$219
MN	$43	$31	$60
SC	$34	$33	$35
IA	$29	$11	$62
OH	$26	$19	$84
PA	$16	$12	$16
NM	$5	$5	$5
LA	$5	$5	$16
WI	$3	$3	$3
RI	$2	$1	$7
WY	$1	$1	$1

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

TN	$113,000	$113,000	$113,000	$70	$113,000	13	33	289
VA	$1,863	$741	$2,982	$5	$4,141	6	14	39
CO	$951	$519	$1,551	$16	$180,000	8	29	207
CA	$942	$343	$1,265	<$1	$2,324	7	30	91
NV	$709	$451	$1,155	$142	$1,834	2 ⚠ thin data	10	28
NC	$466	$291	$678	<$1	$1,007	8	17	415
NH	$315	$56	$531	$35	$839	3	23	89
KS	$298	$294	$298	$4	$470	11	25	77
FL	$283	$117	$688	$21	$15,000	16	38	582
NY	$260	$260	$731	$16	$5,175	7	65	153
MO	$258	$100	$517	$7	$862	3	17	57
TX	$252	$31	$608	$1	$2,941	42	110	3,070
IN	$144	$144	$144	$144	$9,650	2 ⚠ thin data	6	8
ID	$115	$115	$589	$50	$963	1 ⚠ thin data	27	87
WV	$95	$95	$95	$95	$95	2 ⚠ thin data	1	2
IL	$53	$7	$84	$5	$150	15	5	55
UT	$50	$50	$219	$50	$651	12	19	99
MN	$43	$31	$60	$21	$65	3	2	7
SC	$34	$33	$35	$28	$185	4	43	185
IA	$29	$11	$62	$5	$71	3	7	10
OH	$26	$19	$84	<$1	$4,682	12	13	94
PA	$16	$12	$16	$12	$5,024	14	3	28
NM	$5	$5	$5	$5	$5	1 ⚠ thin data	15	22
LA	$5	$5	$16	$5	$892	5	34	89
WI	$3	$3	$3	$3	$3	1 ⚠ thin data	1	1
RI	$2	<$1	$7	<$1	$970	2 ⚠ thin data	8	1,978
WY	<$1	<$1	<$1	<$1	<$1	1 ⚠ thin data	1	1