01204770_1 — Xenmatrix Surgical Graft 3.9x5.9
Cite this view
HANK Price Transparency. (n.d.). XENMATRIX SURGICAL GRAFT 3.9X5.9 (CDM 01204770_1) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/01204770_1?code_type=CDM
“XENMATRIX SURGICAL GRAFT 3.9X5.9 (CDM 01204770_1) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/01204770_1?code_type=CDM. Accessed .
“XENMATRIX SURGICAL GRAFT 3.9X5.9 (CDM 01204770_1) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/01204770_1?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,886–$4,845 (25th–75th percentile) across 1 hospital · 11 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 01204770_1 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| NELL J REDFIELD MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $2,850.00 | $5,700.00 | $4,845.00 | 2026-06-10 | MRF ↗ |
| NELL J REDFIELD MEMORIAL HOSPITAL Outpatient | REGENCE BS MCR | REGENCE BS MCR | $2,850.00 | $5,700.00 | $4,845.00 | 2026-06-10 | MRF ↗ |
| NELL J REDFIELD MEMORIAL HOSPITAL Outpatient | BC MCR ADV | BC MCR ADV | $2,878.50 | $5,700.00 | $4,845.00 | 2026-06-10 | MRF ↗ |
| NELL J REDFIELD MEMORIAL HOSPITAL Outpatient | CHOICECARE MCR ADV | CHOICECARE MCR ADV | $2,878.50 | $5,700.00 | $4,845.00 | 2026-06-10 | MRF ↗ |
| NELL J REDFIELD MEMORIAL HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $2,907.00 | $5,700.00 | $4,845.00 | 2026-06-10 | MRF ↗ |
| NELL J REDFIELD MEMORIAL HOSPITAL Outpatient | PACIFICSOURCE MCR ADV - ALL PLANS | PACIFICSOURCE MCR ADV - ALL PLANS | $2,935.50 | $5,700.00 | $4,845.00 | 2026-06-10 | MRF ↗ |
| NELL J REDFIELD MEMORIAL HOSPITAL Outpatient | UNIVERSITY OF UT - ALL PLANS | UNIVERSITY OF UT - ALL PLANS | $4,560.00 | $5,700.00 | $4,845.00 | 2026-06-10 | MRF ↗ |
| NELL J REDFIELD MEMORIAL HOSPITAL Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $4,674.00 | $5,700.00 | $4,845.00 | 2026-06-10 | MRF ↗ |
| NELL J REDFIELD MEMORIAL HOSPITAL Outpatient | TOWN & COUNTRY - ALL PLANS | TOWN & COUNTRY - ALL PLANS | $4,845.00 | $5,700.00 | $4,845.00 | 2026-06-10 | MRF ↗ |
| NELL J REDFIELD MEMORIAL HOSPITAL Outpatient | CHOICECARE PPO - ALL OTHER PLANS | CHOICECARE PPO - ALL OTHER PLANS | $4,845.00 | $5,700.00 | $4,845.00 | 2026-06-10 | MRF ↗ |
| NELL J REDFIELD MEMORIAL HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $4,845.00 | $5,700.00 | $4,845.00 | 2026-06-10 | MRF ↗ |
| NELL J REDFIELD MEMORIAL HOSPITAL Outpatient | BRIGHTPATH SELECT HLTH - ALL PLANS | BRIGHTPATH SELECT HLTH - ALL PLANS | $5,130.00 | $5,700.00 | $4,845.00 | 2026-06-10 | MRF ↗ |
| NELL J REDFIELD MEMORIAL HOSPITAL Outpatient | BC COMM - ALL OTHER PLANS | BC COMM - ALL OTHER PLANS | $5,586.00 | $5,700.00 | $4,845.00 | 2026-06-10 | MRF ↗ |
| NELL J REDFIELD MEMORIAL HOSPITAL Outpatient | REGENCE BS COMM - ALL OTHER PLANS | REGENCE BS COMM - ALL OTHER PLANS | $5,700.00 | $5,700.00 | $4,845.00 | 2026-06-10 | MRF ↗ |