28621363_1 — Graft Jacket 6x12
Cite this view
HANK Price Transparency. (n.d.). GRAFT JACKET 6X12 (CDM 28621363_1) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/28621363_1?code_type=CDM
“GRAFT JACKET 6X12 (CDM 28621363_1) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/28621363_1?code_type=CDM. Accessed .
“GRAFT JACKET 6X12 (CDM 28621363_1) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/28621363_1?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,351–$15,082 (25th–75th percentile) across 1 hospital · 21 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 28621363_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 |
|---|---|---|---|---|---|---|---|
| RUSH MEMORIAL HOSPITAL Outpatient | HEALTH NET | HEALTH NET | $4,935.23 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | CARESOURCE MCR ADV | CARESOURCE MCR ADV | $5,194.98 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | MY TRUE ADVANTAGE - ALL PLANS | MY TRUE ADVANTAGE - ALL PLANS | $5,194.98 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $5,194.98 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $5,246.93 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $5,246.93 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | VIANT BEECH ST MCR ADV | VIANT BEECH ST MCR ADV | $5,350.83 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | TODAY'S OPTION MCR ADV-ALL PLANS | TODAY'S OPTION MCR ADV-ALL PLANS | $5,350.83 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | ANTHEM MCR ADV | ANTHEM MCR ADV | $5,350.83 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | ANTHEM PATH ESSENTIALS | ANTHEM PATH ESSENTIALS | $7,876.26 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | CARESOURCE MARKETPLACE-ALL OTHER PLANS | CARESOURCE MARKETPLACE-ALL OTHER PLANS | $8,311.97 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | ANTHEM HMO | ANTHEM HMO | $9,820.19 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | ANTHEM PPO | ANTHEM PPO | $11,227.86 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | ANTHEM PATH X | ANTHEM PATH X | $11,227.86 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | ANTHEM PATH | ANTHEM PATH | $11,227.86 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | ANTHEM TRAD - ALL OTHER PLANS | ANTHEM TRAD - ALL OTHER PLANS | $12,275.24 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $13,406.40 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $13,406.40 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | PHCS-ALL PLANS | PHCS-ALL PLANS | $13,406.40 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | HUMANA CHOICE CARE ONE | HUMANA CHOICE CARE ONE | $13,909.14 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | COVENTRY/FIRST HEALTH-ALL PLANS | COVENTRY/FIRST HEALTH-ALL PLANS | $15,082.20 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | CONSUMERS LIFE INS-ALL PLANS | CONSUMERS LIFE INS-ALL PLANS | $15,082.20 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $15,417.36 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | HUMANA CHOICE CARE-ALL OTHER PLANS | HUMANA CHOICE CARE-ALL OTHER PLANS | $15,417.36 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | SIHO-ALL PLANS | SIHO-ALL PLANS | $15,417.36 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | SAGAMORE-ALL PLANS | SAGAMORE-ALL PLANS | $15,417.36 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $15,584.94 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | COMMUNITY HEALTH ALLIANCE-ALL PLANS | COMMUNITY HEALTH ALLIANCE-ALL PLANS | $15,752.52 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |
| RUSH MEMORIAL HOSPITAL Outpatient | ENCORE HEALTH SERVICES-ALL PLANS | ENCORE HEALTH SERVICES-ALL PLANS | $16,422.84 | $16,758.00 | $12,568.50 | 2026-04-27 | MRF ↗ |