3609749 — Drape Surgical 135x80in Femoral Angiography 2 Window Sterile [dynjp4104]
Cite this view
HANK Price Transparency. (n.d.). DRAPE SURGICAL 135X80IN FEMORAL ANGIOGRAPHY 2 WINDOW STERILE [DYNJP4104] (CDM 3609749) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3609749?code_type=CDM
“DRAPE SURGICAL 135X80IN FEMORAL ANGIOGRAPHY 2 WINDOW STERILE [DYNJP4104] (CDM 3609749) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3609749?code_type=CDM. Accessed .
“DRAPE SURGICAL 135X80IN FEMORAL ANGIOGRAPHY 2 WINDOW STERILE [DYNJP4104] (CDM 3609749) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3609749?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $21–$52 (25th–75th percentile) across 2 hospitals · 34 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 3609749 — 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 |
|---|---|---|---|---|---|---|---|
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $0.13 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $4.79 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $7.10 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | AETNA MED ADV | AETNA MED ADV | $9.18 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | HEALTHNET AMBETTER PPO | HEALTHNET AMBETTER PPO | $10.51 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | MOLINA MCR ADV | MOLINA MCR ADV | $17.33 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | EPIC HEALTH PLAN - ALL OTHER PLANS | EPIC HEALTH PLAN - ALL OTHER PLANS | $17.33 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | MOLINA MEDI-CAL | MOLINA MEDI-CAL | $17.33 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PROVIDENCE CLEVERCARE MCR ADV | PROVIDENCE CLEVERCARE MCR ADV | $17.33 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | MOLINA EXCHANGE-ALL OTHER PLANS | MOLINA EXCHANGE-ALL OTHER PLANS | $17.33 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | IEHP MCAL | IEHP MCAL | $20.21 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | BLUE SHIELD HMO POS / CALPERS PPO | BLUE SHIELD HMO POS / CALPERS PPO | $20.85 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PRIMECARE OPTUM SENIOR | PRIMECARE OPTUM SENIOR | $21.95 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PRIMECARE OPTUM - ALL OTHER PLANS | PRIMECARE OPTUM - ALL OTHER PLANS | $21.95 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | HERITAGE PROV NTWRK/REGAL - ALL OTHER PLANS | HERITAGE PROV NTWRK/REGAL - ALL OTHER PLANS | $22.29 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | BLUE SHIELD EPO PPO - ALL OTHER PLANS | BLUE SHIELD EPO PPO - ALL OTHER PLANS | $22.41 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | AETNA IFP | AETNA IFP | $23.10 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | HERITAGE PROV NTWRK/REGAL MCR ADV | HERITAGE PROV NTWRK/REGAL MCR ADV | $23.10 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | AETNA/WHOLE HEALTH - ALL OTHER PLANS | AETNA/WHOLE HEALTH - ALL OTHER PLANS | $23.37 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $28.88 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | CHOICE PHYCN NTWRK MCR ADV-ALL OTHER PLANS | CHOICE PHYCN NTWRK MCR ADV-ALL OTHER PLANS | $28.88 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PROSPECT HP-ALL PLANS | PROSPECT HP-ALL PLANS | $28.88 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | UHC SELECT | UHC SELECT | $28.88 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PC INLAND VALLEY SCAN | PC INLAND VALLEY SCAN | $28.88 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | PC INLAND VALLEY-ALL OTHER PLANS | PC INLAND VALLEY-ALL OTHER PLANS | $28.88 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $30.67 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | COVENTRY CCN/FIRST HLTH - ALL PLANS | COVENTRY CCN/FIRST HLTH - ALL PLANS | $31.76 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | CHOICE PHYCN NTWRK OP ONLY | CHOICE PHYCN NTWRK OP ONLY | $37.54 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | MULTIPLAN/PHCS - ALL PLANS | MULTIPLAN/PHCS - ALL PLANS | $41.58 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | CHOICECARE NTWRK-ALL PLANS | CHOICECARE NTWRK-ALL PLANS | $41.58 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ZELIS COMM-ALL OTHER PLANS | ZELIS COMM-ALL OTHER PLANS | $43.31 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | NETWORKS BY DESIGN - ALL PLANS | NETWORKS BY DESIGN - ALL PLANS | $43.31 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | FOUNDATION INLAND EPO-ALL OTHER PLANS | FOUNDATION INLAND EPO-ALL OTHER PLANS | $46.20 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | FOUNDATION INLAND PPO | FOUNDATION INLAND PPO | $49.09 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | INTERPLAN - ALL PLANS | INTERPLAN - ALL PLANS | $51.98 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | HEALTH PAYORS - ALL PLANS | HEALTH PAYORS - ALL PLANS | $51.98 | $57.75 | $28.88 | 2026-04-02 | MRF ↗ |
| ARKANSAS VALLEY REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | FEP | $5,127.00 | $5,893.00 | $3,536.00 | 2026-05-22 | MRF ↗ |
| ARKANSAS VALLEY REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Co & NV | HMO | $5,127.00 | $5,893.00 | $3,536.00 | 2026-05-22 | MRF ↗ |
| ARKANSAS VALLEY REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Co & NV | PPO | $5,127.00 | $5,893.00 | $3,536.00 | 2026-05-22 | MRF ↗ |
| ARKANSAS VALLEY REGIONAL MEDICAL CENTER Outpatient | America | PPO | $5,304.00 | $5,893.00 | $3,536.00 | 2026-05-22 | MRF ↗ |
| ARKANSAS VALLEY REGIONAL MEDICAL CENTER Outpatient | Humana Inc. | Commercial | $5,304.00 | $5,893.00 | $3,536.00 | 2026-05-22 | MRF ↗ |
| ARKANSAS VALLEY REGIONAL MEDICAL CENTER Outpatient | Meritain Health | Commercial | $5,304.00 | $5,893.00 | $3,536.00 | 2026-05-22 | MRF ↗ |
| ARKANSAS VALLEY REGIONAL MEDICAL CENTER Outpatient | Muti-Plan | Commercial | $5,304.00 | $5,893.00 | $3,536.00 | 2026-05-22 | MRF ↗ |
| ARKANSAS VALLEY REGIONAL MEDICAL CENTER Outpatient | Rocky Mountain Hospital & Medical | Commercial | $5,480.00 | $5,893.00 | $3,536.00 | 2026-05-22 | MRF ↗ |
| ARKANSAS VALLEY REGIONAL MEDICAL CENTER Outpatient | United Healthcare Insurance Company | Commercial | $5,480.00 | $5,893.00 | $3,536.00 | 2026-05-22 | MRF ↗ |
| ARKANSAS VALLEY REGIONAL MEDICAL CENTER Outpatient | Cigna Health and Life Insurance Co | Commercial | $5,598.00 | $5,893.00 | $3,536.00 | 2026-05-22 | MRF ↗ |
| ARKANSAS VALLEY REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $5,893.00 | $5,893.00 | $3,536.00 | 2026-05-22 | MRF ↗ |