346190 — Graft Drms Ptch 16x20cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GRAFT DRMS PTCH 16X20CM (CDM 346190) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/346190?code_type=CDM
MLA (9th ed.)
“GRAFT DRMS PTCH 16X20CM (CDM 346190) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/346190?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“GRAFT DRMS PTCH 16X20CM (CDM 346190) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/346190?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $23,869–$82,208 (25th–75th percentile) across 3 hospitals · 33 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 346190 — 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 |
|---|---|---|---|---|---|---|---|
| CHI ST ALEXIUS HEALTH DICKINSON Outpatient | United | Medicare|All Plans | $180.60 | $430.00 | $270.90 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH DICKINSON Outpatient | United | Medicare|All Plans | $180.60 | $430.00 | $270.90 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH DICKINSON Outpatient | BCBS - ND | Medicare|All Plans | $184.22 | $430.00 | $270.90 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH DICKINSON Outpatient | BCBS - ND | Medicare|All Plans | $184.22 | $430.00 | $270.90 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH DICKINSON Outpatient | Medica | Medicare|All Plans | $215.00 | $430.00 | $270.90 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH DICKINSON Outpatient | Medica | Medicare|All Plans | $215.00 | $430.00 | $270.90 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH DICKINSON Outpatient | BCBS - ND | Medicaid|All Plans | $253.70 | $430.00 | $270.90 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH DICKINSON Outpatient | BCBS - ND | Medicaid|All Plans | $253.70 | $430.00 | $270.90 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH DICKINSON Inpatient | United | Commercial|All Plans | $301.00 | $430.00 | $270.90 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH DICKINSON Inpatient | United | Commercial|All Plans | $301.00 | $430.00 | $270.90 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH DICKINSON Inpatient | Sanford Health Plan | Commercial|All Plans | $339.70 | $430.00 | $270.90 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH DICKINSON Inpatient | Sanford Health Plan | Commercial|All Plans | $339.70 | $430.00 | $270.90 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH DICKINSON Inpatient | Medica | Commercial|All Plans | $374.10 | $430.00 | $270.90 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH DICKINSON Inpatient | Medica | Commercial|All Plans | $374.10 | $430.00 | $270.90 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH DICKINSON Inpatient | Health Partners | Commercial|All Plans | $408.50 | $430.00 | $270.90 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH DICKINSON Inpatient | Health Partners | Commercial|All Plans | $408.50 | $430.00 | $270.90 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH DICKINSON Inpatient | MultiPlan | Commercial|All Plans | $417.10 | $430.00 | $270.90 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH DICKINSON Inpatient | MultiPlan | Commercial|All Plans | $417.10 | $430.00 | $270.90 | 2026-02-28 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $20,005.30 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $20,005.30 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | MyBlueHealth | $21,291.35 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | CHIP | $22,030.12 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | MCD | $22,030.12 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | MyBlueHealth | $23,446.34 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterHMO | $24,292.15 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterEPO | $24,292.15 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | ValueHMO | $24,292.15 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | BlueAdvantage | $25,006.63 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | AmbetterEPO | $26,750.86 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | ValueHMO | $26,750.86 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | AmbetterHMO | $26,750.86 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | BlueAdvantage | $27,537.65 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | United | OptionsPPO | $35,580.86 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | BlueEssentialsAccess | $39,010.33 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | BlueEssentials | $39,010.33 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | United | OptionsPPO | $39,182.14 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | EPOSOA | $42,296.92 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | IMO Med - Select Network | WC | $42,868.50 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | BlueEssentialsAccess | $42,958.73 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | BlueEssentials | $42,958.73 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | PPO | $45,583.50 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCBS | Traditional | $45,583.50 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Sendero | ACHP | $45,726.40 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | EPOSOA | $46,577.97 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | IMO Med - Select Network | WC | $47,207.40 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Shared Health | MGMCR | $50,013.25 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | PPO | $50,197.20 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | Traditional | $50,197.20 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Sendero | ACHP | $50,354.56 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | COMM | $52,871.15 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | WC | $52,871.15 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Shared Health | MGMCR | $55,075.30 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Texas Workforce Commission | WCOMP | $55,729.05 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Texas Healthcare Foundation HEB | WC | $58,222.46 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Texas Healthcare Foundation HEB | COMM | $58,222.46 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Texas Workforce Commission | WCOMP | $61,369.62 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | NaphCare | MGMCR | $64,302.75 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Averde Health | COMM | $64,302.75 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $64,302.75 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Seven Corners | GVT | $64,302.75 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Averde Health | COMM | $70,811.10 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | NaphCare | MGMCR | $70,811.10 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | United | GlobalBenefitPlan | $70,811.10 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | National ChoiceCare | WC | $71,447.50 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Comanche County | LOCALGOV | $71,447.50 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Austin FC | WORKERSCOMP | $71,447.50 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Physicians Cooperative of Texas | WC | $78,592.25 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Independent Medical Systems | COMM | $78,592.25 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | HealthSmart Preferred Care | Accel | $78,592.25 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Austin FC | WORKERSCOMP | $78,679.00 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Comanche County | LOCALGOV | $78,679.00 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Prime Health | WC | $85,737.00 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Physicians Cooperative of Texas | WC | $86,546.90 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Independent Medical Systems | COMM | $86,546.90 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | HealthSmart Preferred Care | Accel | $86,546.90 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Coastal Comp Health Networks | WORKERSCOMP | $92,881.75 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | National Health Care | COMM | $92,881.75 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Prime Health | WC | $94,414.80 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Texas Municipal League | COMM | $100,026.50 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Occunet | COMM | $100,026.50 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Coastal Comp Health Networks | WORKERSCOMP | $102,282.70 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | National Health Care | COMM | $102,282.70 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | MedCorp Southwest | COMM | $107,171.25 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Rockport Healthcare Group | WORKERSCOMPRockportCommunityNetwork | $114,316.00 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | HealthSmart Preferred Care | COMM | $114,316.00 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | MedCorp Southwest | COMM | $118,018.50 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | HealthSmart Preferred Care | COMM | $125,886.40 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Medical Control Network Solutions | MedicalControlNetwork | $128,605.50 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | BCE Emergis Corporation | COMMPPO | $128,605.50 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Rockport Healthcare Group | WORKERSCOMPNewtonHealthcareNetwork | $128,605.50 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Multiplan | COMMPPO | $128,605.50 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Beech Street | COMMPPO | $128,605.50 | $142,895.00 | $142,895.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Medical Control Network Solutions | MedicalControlNetwork | $141,622.20 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Beech Street | COMMPPO | $141,622.20 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Multiplan | COMMPPO | $141,622.20 | $157,358.00 | $157,358.00 | 2026-03-01 | MRF ↗ |