27569 — Amniograft 1.5 Cm X 1.0 Cm
Cite this view
HANK Price Transparency. (n.d.). AMNIOGRAFT 1.5 CM X 1.0 CM (CDM 27569) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/27569?code_type=CDM
“AMNIOGRAFT 1.5 CM X 1.0 CM (CDM 27569) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/27569?code_type=CDM. Accessed .
“AMNIOGRAFT 1.5 CM X 1.0 CM (CDM 27569) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/27569?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,500–$3,354 (25th–75th percentile) across 4 hospitals · 15 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 27569 — 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 |
|---|---|---|---|---|---|---|---|
| SARATOGA HOSPITAL BothFacility | — | — | — | $428.31 | $214.16 | 2025-01-01 | MRF ↗ |
| GLENS FALLS HOSPITAL BothFacility | — | — | — | $367.12 | $183.56 | 2025-01-01 | MRF ↗ |
| CHILDREN'S NEBRASKA OutpatientFacility | Nebraska Medicaid | Managed Medicaid | $620.00 | $2,000.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Midlands Choice CHI | All Products | $1,400.00 | $2,000.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Ambetter | All Products | $1,400.00 | $2,000.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Blue Cross Blue Shield | Select Blue | $1,440.00 | $2,000.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | UHC | TNMC - University Regents | $1,520.00 | $2,000.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Blue Cross Blue Shield | BluePrint | $1,584.00 | $2,000.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Midlands Choice Elevate | All Products | $1,600.00 | $2,000.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Blue Cross Blue Shield | All Products | $1,600.00 | $2,000.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | UHC | All Products | $1,680.00 | $2,000.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Centivo | All Products | $1,700.00 | $2,000.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Wellmark | All Products | $1,700.00 | $2,000.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Avera Health Plan | All Products | $1,700.00 | $2,000.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Sanford Health Plan | All Products | $1,760.00 | $2,000.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Midlands Choice | All Products | $1,760.00 | $2,000.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Aetna | All Products | $1,760.00 | $2,000.00 | — | 2026-03-31 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Both | Medicare | Part B | $2,236.00 | $20,604.00 | $10,302.00 | 2025-06-12 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Both | Cigna | Commercial | $6,707.00 | $20,604.00 | $10,302.00 | 2025-06-12 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Co & NV | PPO | $18,132.00 | $20,604.00 | $10,302.00 | 2025-06-12 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Both | Rocky Mountain Health Maintenance Organization Inc. | Commercial | $18,956.00 | $20,604.00 | $10,302.00 | 2025-06-12 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Both | Kaiser Permanente | Commercial | $19,574.00 | $20,604.00 | $10,302.00 | 2025-06-12 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Both | United Healthcare Insurance Company | Commercial | $19,780.00 | $20,604.00 | $10,302.00 | 2025-06-12 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Both | Coventry | Commercial | $19,780.00 | $20,604.00 | $10,302.00 | 2025-06-12 | MRF ↗ |