28122 — Part Excis Bone Tar/meta
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PART EXCIS BONE TAR/META (CDM 28122) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/28122?code_type=CDM
MLA (9th ed.)
“PART EXCIS BONE TAR/META (CDM 28122) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/28122?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“PART EXCIS BONE TAR/META (CDM 28122) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/28122?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,214–$7,826 (25th–75th percentile) across 6 hospitals · 37 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 28122 — 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 |
|---|---|---|---|---|---|---|---|
| Galveston Co Mem Hosp Outpatient | Texas Athletic Network | Premier | $300.00 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $507.60 | $1,692.00 | $981.36 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicare|All Plans | $558.36 | $1,692.00 | $981.36 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicare|All Plans | $586.28 | $1,692.00 | $981.36 | 2026-02-28 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Athletic Network | TexasCustomUC | $600.00 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Humana | Medicare|All Plans | $609.12 | $1,692.00 | $981.36 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | BCBS - MN | Medicare|All Plans | $609.12 | $1,692.00 | $981.36 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicaid|All Plans | $626.04 | $1,692.00 | $981.36 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicaid|All Plans | $626.04 | $1,692.00 | $981.36 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicare|All Plans | $639.58 | $1,692.00 | $981.36 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicaid|All Plans | $688.65 | $1,692.00 | $981.36 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|Federal Plans | $947.52 | $1,692.00 | $981.36 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|All Other Plans | $964.44 | $1,692.00 | $981.36 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Health Partners | Commercial|All Plans | $1,015.20 | $1,692.00 | $981.36 | 2026-02-28 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | CHIP | $1,152.29 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STARPLUS | $1,152.29 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STAR | $1,152.29 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STARKids | $1,152.29 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | CHPFC | $1,152.29 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | United | Commercial|New Business | $1,235.16 | $1,692.00 | $981.36 | 2026-02-28 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | MCR | $1,273.27 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | United | Commercial|All Other Plans | $1,353.60 | $1,692.00 | $981.36 | 2026-02-28 | MRF ↗ |
| BORGESS MEDICAL CENTER Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $1,450.00 | $1,450.00 | $710.50 | 2026-01-01 | MRF ↗ |
| THREE RIVERS HEALTH Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $1,450.00 | $1,450.00 | $710.50 | 2026-01-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $1,450.00 | $1,450.00 | $710.50 | 2026-01-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Ucare | Commercial|All Plans | $1,488.96 | $1,692.00 | $981.36 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $1,607.40 | $1,692.00 | $981.36 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Sanford Health Plan | Commercial|All Plans | $1,607.40 | $1,692.00 | $981.36 | 2026-02-28 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | STAR+PLUS | $2,496.62 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | STAR | $2,496.62 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | CHIPPerinatal | $2,496.62 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | CHIP | $2,496.62 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Amerigroup | MGMCD | $2,688.66 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Amerigroup | MCDCHIPBH | $2,688.66 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna | CSN | $2,842.30 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna | OpenAccessPlus | $3,072.76 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | MyBlueHealth | $3,130.37 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Childrens Health Plans | CHIP | $3,187.99 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior | HMO | $3,360.83 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior | EPO | $3,360.83 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | BAV | $3,456.86 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna | PPO | $3,648.90 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Oscar | HIX | $3,744.93 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior | ValueHMO | $3,802.54 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | United | OptionsPPO | $3,879.36 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | HMO | $4,321.07 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | EPOSOA | $4,417.09 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | PPO | $4,493.91 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Childrens Health Plans | STAR | $4,551.53 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Childrens Health Plans | STARKIDS | $4,551.53 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | IPA Management Services | COMM | $4,801.19 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Healthcare Highways | NarrowNetwork | $4,897.21 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Molina Healthcare | HIX | $5,185.28 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Evry Health | BroadNetwork | $5,242.90 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Humana | PPO | $6,128.24 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Humana | HMO | $6,128.24 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | Traditional | $6,721.66 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Christus (USFHP) | TRICARE | $7,681.90 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Curative Administrators | COMM | $7,681.90 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | HealthSmart Preferred Care | ACCEL | $8,258.04 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | United | GlobalAppendix | $8,642.14 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Fidelis SecureCare of TX | MGMCR | $8,642.14 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Multiplan | SAVILITYNETWORK | $9,602.38 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Coventry National First Health | COMM | $10,236.13 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Rockport Workers Comp | COMM | $10,562.61 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Physicians Cooperative of Texas | WC | $10,562.61 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Independent Medical System | COMM | $11,522.85 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | National Healthcare Solutions | COMM | $11,522.85 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Beech Street | WCOMP | $11,522.85 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | SouthWest Medical | WORKERSCOMP | $11,522.85 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Coastal Comp | COMM | $12,483.09 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| North Alabama Specialty Hospital Inpatient | Galaxy Health Network | Galaxy Health Network | — | $14,256.00 | $14,256.00 | 2025-07-02 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna Behavioral Health | COMMBH | $15,363.80 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Beech Street | COMMPPO | $15,363.80 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | HealthSmart Preferred Care | PPO | $15,747.90 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Physicians, INC | COMM | $16,324.04 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | HealthSmart Preferred Care | ACCOUNTABLEPPO | $16,324.04 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Affiliated PPO | COMM | $17,284.28 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Multiplan | COMPLEMENTARYPPO | $17,284.28 | $19,204.75 | $19,204.75 | 2026-03-01 | MRF ↗ |