3253621WWM (CDM) — raw rate rows

CDM · raw rates

3253621WWM — Hc Or Allograft P.l.#0741531

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

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Typical negotiated price $6,019

Usually $6,019–$6,114 (25th–75th percentile) across 1 hospital · 5 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM 3253621WWM — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

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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
WALLOWA MEMORIAL HOSPITAL Outpatient	AETNA - ALL PLANS	AETNA - ALL PLANS	$5,905.15	$6,336.00	$6,336.00	2026-07-09	MRF ↗
WALLOWA MEMORIAL HOSPITAL Outpatient	UHC - ALL PLANS	UHC - ALL PLANS	$6,019.20	$6,336.00	$6,336.00	2026-07-09	MRF ↗
WALLOWA MEMORIAL HOSPITAL Outpatient	CIGNA - ALL PLANS	CIGNA - ALL PLANS	$6,019.20	$6,336.00	$6,336.00	2026-07-09	MRF ↗
WALLOWA MEMORIAL HOSPITAL Outpatient	PACIFIC SOURCE - ALL PLANS	PACIFIC SOURCE - ALL PLANS	$6,019.20	$6,336.00	$6,336.00	2026-07-09	MRF ↗
WALLOWA MEMORIAL HOSPITAL Outpatient	BCBS OREGON NON-PAR - ALL OTHER PLANS	BCBS OREGON NON-PAR - ALL OTHER PLANS	$6,145.92	$6,336.00	$6,336.00	2026-07-09	MRF ↗
WALLOWA MEMORIAL HOSPITAL Outpatient	BCBS OREGON PAR	BCBS OREGON PAR	$6,336.00	$6,336.00	$6,336.00	2026-07-09	MRF ↗