102155 — Graft Bone Pack 10cc Tcp Foam Vitoss
Cite this view
HANK Price Transparency. (n.d.). GRAFT BONE PACK 10CC TCP FOAM VITOSS (OTHER 102155) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/102155?code_type=OTHER
“GRAFT BONE PACK 10CC TCP FOAM VITOSS (OTHER 102155) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/102155?code_type=OTHER. Accessed .
“GRAFT BONE PACK 10CC TCP FOAM VITOSS (OTHER 102155) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/102155?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,514–$8,710 (25th–75th percentile) across 2 hospitals · 20 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 102155 — 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 |
|---|---|---|---|---|---|---|---|
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $3,975.32 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $4,264.29 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $4,354.35 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $4,354.35 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $4,354.35 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $4,354.35 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $4,354.35 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $4,354.35 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $4,354.35 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $4,354.35 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $4,354.35 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $4,994.63 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $5,043.12 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $5,069.84 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $5,277.66 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $5,541.89 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $6,135.67 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $6,303.90 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| KERN MEDICAL CENTER Both | Anthem Blue Cross | Hmo/Ppo | $6,530.00 | $57,540.00 | $46,032.00 | 2026-05-13 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $6,699.75 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $6,799.71 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $6,817.52 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $6,838.30 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $6,841.27 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $7,058.00 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $7,123.31 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $7,125.29 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $7,499.37 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $7,738.86 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $7,837.82 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Aetna | Aetna Hmo/Pos/Ppo | $8,550.35 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| KERN MEDICAL CENTER Both | Blue Shield | Hmo/Ppo | $8,763.00 | $57,540.00 | $46,032.00 | 2026-05-13 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Coventry | Coventry - Workers Comp | $9,351.95 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Multiplan | Multiplan Ppo | $9,401.43 | $9,896.24 | $4,522.58 | 2026-05-23 | MRF ↗ |
| KERN MEDICAL CENTER Both | Anthem Blue Cross Medical | Medi-Calhmo | $14,385.00 | $57,540.00 | $46,032.00 | 2026-05-13 | MRF ↗ |
| KERN MEDICAL CENTER Both | Blue Cross Medpoint Um | Medi-Calhmo | $14,385.00 | $57,540.00 | $46,032.00 | 2026-05-13 | MRF ↗ |
| KERN MEDICAL CENTER Both | Kern Legacy Health Plan | Hmo/Ppo | $24,166.80 | $57,540.00 | $46,032.00 | 2026-05-13 | MRF ↗ |
| KERN MEDICAL CENTER Both | Kern Health Systems | Medi-Calhmo | $28,770.00 | $57,540.00 | $46,032.00 | 2026-05-13 | MRF ↗ |
| KERN MEDICAL CENTER Both | Universal Healthcare | Ipa | $31,186.68 | $57,540.00 | $46,032.00 | 2026-05-13 | MRF ↗ |
| KERN MEDICAL CENTER Both | Community Health Network | Ppo | $35,962.50 | $57,540.00 | $46,032.00 | 2026-05-13 | MRF ↗ |
| KERN MEDICAL CENTER Both | Health Net Commercial | Hmo/Ppo/Medi-Calhmo | $43,155.00 | $57,540.00 | $46,032.00 | 2026-05-13 | MRF ↗ |
| KERN MEDICAL CENTER Both | Kaiser Commercial | Hmo | $51,786.00 | $57,540.00 | $46,032.00 | 2026-05-13 | MRF ↗ |