25765485_5 — Graft Xenmatrix Surg 15cmx20cm Antibac*
Cite this view
HANK Price Transparency. (n.d.). GRAFT XENMATRIX SURG 15CMX20CM ANTIBAC* (CDM 25765485_5) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/25765485_5?code_type=CDM
“GRAFT XENMATRIX SURG 15CMX20CM ANTIBAC* (CDM 25765485_5) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/25765485_5?code_type=CDM. Accessed .
“GRAFT XENMATRIX SURG 15CMX20CM ANTIBAC* (CDM 25765485_5) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/25765485_5?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $9,828–$10,374 (25th–75th percentile) across 1 hospital · 10 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 25765485_5 — 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 |
|---|---|---|---|---|---|---|---|
| MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS Outpatient | TRIWEST WELL MARK ALL PLANS | TRIWEST WELL MARK ALL PLANS | $9,282.00 | $10,920.00 | $9,828.00 | 2026-03-21 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $9,828.00 | $10,920.00 | $9,828.00 | 2026-03-21 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS Outpatient | FIRST HEALTH-ALL PLANS | FIRST HEALTH-ALL PLANS | $9,828.00 | $10,920.00 | $9,828.00 | 2026-03-21 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS Outpatient | PREF HLTH CARE SYTMS COMM - ALL PLANS | PREF HLTH CARE SYTMS COMM - ALL PLANS | $9,828.00 | $10,920.00 | $9,828.00 | 2026-03-21 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS Outpatient | PHC LEASED NTWRK ACCESS - ALL PLANS | PHC LEASED NTWRK ACCESS - ALL PLANS | $10,374.00 | $10,920.00 | $9,828.00 | 2026-03-21 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $10,374.00 | $10,920.00 | $9,828.00 | 2026-03-21 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS Outpatient | MULTIPLAN PPO - ALL PLANS | MULTIPLAN PPO - ALL PLANS | $10,374.00 | $10,920.00 | $9,828.00 | 2026-03-21 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS Outpatient | AUXIANT-ALL PLANS | AUXIANT-ALL PLANS | $10,374.00 | $10,920.00 | $9,828.00 | 2026-03-21 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS Outpatient | HEALTH PARTNERS KS-ALL PLANS | HEALTH PARTNERS KS-ALL PLANS | $10,810.80 | $10,920.00 | $9,828.00 | 2026-03-21 | MRF ↗ |
| MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $10,810.80 | $10,920.00 | $9,828.00 | 2026-03-21 | MRF ↗ |