105121322_1 — Gft Evas 18cm 28.5mm 12mm
Cite this view
HANK Price Transparency. (n.d.). GFT EVAS 18CM 28.5MM 12MM (CDM 105121322_1) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/105121322_1?code_type=CDM
“GFT EVAS 18CM 28.5MM 12MM (CDM 105121322_1) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/105121322_1?code_type=CDM. Accessed .
“GFT EVAS 18CM 28.5MM 12MM (CDM 105121322_1) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/105121322_1?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $34,356–$51,454 (25th–75th percentile) across 1 hospital · 15 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 105121322_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 |
|---|---|---|---|---|---|---|---|
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $26,334.03 | $52,773.60 | $18,470.76 | 2026-02-25 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | BLUE CROSS OF AZ-ALL PLANS | BLUE CROSS OF AZ-ALL PLANS | $30,080.95 | $52,773.60 | $18,470.76 | 2026-02-25 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | HEALTH PLAN OF NEVADA-ALL OTHER PLANS | HEALTH PLAN OF NEVADA-ALL OTHER PLANS | $31,822.48 | $52,773.60 | $18,470.76 | 2026-02-25 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $32,561.31 | $52,773.60 | $18,470.76 | 2026-02-25 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | HUMANA-ALL OTHER PLANS | HUMANA-ALL OTHER PLANS | $36,149.92 | $52,773.60 | $18,470.76 | 2026-02-25 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $39,580.20 | $52,773.60 | $18,470.76 | 2026-02-25 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $42,218.88 | $52,773.60 | $18,470.76 | 2026-02-25 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | HEALTH CHOICE HIE EXCHANGE | HEALTH CHOICE HIE EXCHANGE | $42,218.88 | $52,773.60 | $18,470.76 | 2026-02-25 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $47,496.24 | $52,773.60 | $18,470.76 | 2026-02-25 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | THREE RIVERS-ALL PLANS | THREE RIVERS-ALL PLANS | $48,551.71 | $52,773.60 | $18,470.76 | 2026-02-25 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | AMERICA'S CHOICE PROVIDER NETWORK-ALL PLANS | AMERICA'S CHOICE PROVIDER NETWORK-ALL PLANS | $50,134.92 | $52,773.60 | $18,470.76 | 2026-02-25 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | ONE HEALTH PLAN-ALL PLANS | ONE HEALTH PLAN-ALL PLANS | $52,773.60 | $52,773.60 | $18,470.76 | 2026-02-25 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | MEDIVERSAL-ALL PLANS | MEDIVERSAL-ALL PLANS | $52,773.60 | $52,773.60 | $18,470.76 | 2026-02-25 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | UNIVERSAL HEALTH-ALL PLANS | UNIVERSAL HEALTH-ALL PLANS | $52,773.60 | $52,773.60 | $18,470.76 | 2026-02-25 | MRF ↗ |
| KINGMAN REGIONAL MEDICAL CENTER Outpatient | AZ FOUNDATION-ALL PLANS | AZ FOUNDATION-ALL PLANS | $52,773.60 | $52,773.60 | $18,470.76 | 2026-02-25 | MRF ↗ |