3617044 — Drsg Fine Mesh Gauze 4*10
Cite this view
HANK Price Transparency. (n.d.). Drsg Fine Mesh Gauze 4*10 (CDM 3617044) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3617044?code_type=CDM
“Drsg Fine Mesh Gauze 4*10 (CDM 3617044) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3617044?code_type=CDM. Accessed .
“Drsg Fine Mesh Gauze 4*10 (CDM 3617044) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3617044?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $15–$4,125 (25th–75th percentile) across 3 hospitals · 11 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 3617044 — 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 |
|---|---|---|---|---|---|---|---|
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | Cigna | HMO | $9.03 | $30.00 | $5.70 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | HMO | $10.41 | $30.00 | $6.90 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | HMO | $10.41 | $30.00 | $6.90 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | Cigna | PPO | $12.78 | $30.00 | $5.70 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | Blue Choice | $13.17 | $30.00 | $6.90 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | Blue Choice | $13.17 | $30.00 | $6.90 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | Aetna | All Products | $13.20 | $30.00 | $5.70 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL BothFacility | BCBS IL | Blue Choice | $13.86 | $30.00 | $5.70 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | UHC | All Products | $15.00 | $30.00 | $6.90 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Humana | All Products | $15.00 | $30.00 | $6.90 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | UHC | Navigate Core | $15.00 | $30.00 | $5.70 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | UHC | All Products | $15.00 | $30.00 | $6.90 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Humana | All Products | $15.00 | $30.00 | $6.90 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | UHC | All Products | $15.60 | $30.00 | $5.70 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | PPO | $15.75 | $30.00 | $6.90 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | PPO | $15.75 | $30.00 | $6.90 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL BothFacility | BCBS IL | PPO | $17.25 | $30.00 | $5.70 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | PPO | $18.48 | $30.00 | $6.90 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | PPO | $18.48 | $30.00 | $6.90 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | Aetna | FH-Medical Rental | $19.50 | $30.00 | $6.90 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | Aetna | FH-Medical Rental | $19.50 | $30.00 | $6.90 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL BothFacility | BCBS IL | HMO | $20.10 | $30.00 | $5.70 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL BothFacility | BCBS IL | Blue Precision | $20.88 | $30.00 | $5.70 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | Aetna | ASA | $21.45 | $30.00 | $6.90 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | Aetna | ASA | $21.45 | $30.00 | $6.90 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL BothFacility | Aetna | FH-Medical Rental | $21.90 | $30.00 | $5.70 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | Humana | All Products | $25.14 | $30.00 | $5.70 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | Blue Precision | $31.62 | $30.00 | $6.90 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | HMO | $31.62 | $30.00 | $6.90 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | Blue Precision | $31.62 | $30.00 | $6.90 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | HMO | $31.62 | $30.00 | $6.90 | 2026-03-31 | MRF ↗ |
| ARKANSAS VALLEY REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Co & NV | PPO | $5,490.00 | $6,310.00 | $3,786.00 | 2026-05-22 | MRF ↗ |
| ARKANSAS VALLEY REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Co & NV | HMO | $5,490.00 | $6,310.00 | $3,786.00 | 2026-05-22 | MRF ↗ |
| ARKANSAS VALLEY REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | FEP | $5,490.00 | $6,310.00 | $3,786.00 | 2026-05-22 | MRF ↗ |
| ARKANSAS VALLEY REGIONAL MEDICAL CENTER Outpatient | Muti-Plan | Commercial | $5,679.00 | $6,310.00 | $3,786.00 | 2026-05-22 | MRF ↗ |
| ARKANSAS VALLEY REGIONAL MEDICAL CENTER Outpatient | Meritain Health | Commercial | $5,679.00 | $6,310.00 | $3,786.00 | 2026-05-22 | MRF ↗ |
| ARKANSAS VALLEY REGIONAL MEDICAL CENTER Outpatient | Humana Inc. | Commercial | $5,679.00 | $6,310.00 | $3,786.00 | 2026-05-22 | MRF ↗ |
| ARKANSAS VALLEY REGIONAL MEDICAL CENTER Outpatient | America | PPO | $5,679.00 | $6,310.00 | $3,786.00 | 2026-05-22 | MRF ↗ |
| ARKANSAS VALLEY REGIONAL MEDICAL CENTER Outpatient | United Healthcare Insurance Company | Commercial | $5,868.00 | $6,310.00 | $3,786.00 | 2026-05-22 | MRF ↗ |
| ARKANSAS VALLEY REGIONAL MEDICAL CENTER Outpatient | Rocky Mountain Hospital & Medical | Commercial | $5,868.00 | $6,310.00 | $3,786.00 | 2026-05-22 | MRF ↗ |
| ARKANSAS VALLEY REGIONAL MEDICAL CENTER Outpatient | Cigna Health and Life Insurance Co | Commercial | $5,995.00 | $6,310.00 | $3,786.00 | 2026-05-22 | MRF ↗ |
| ARKANSAS VALLEY REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $6,310.00 | $6,310.00 | $3,786.00 | 2026-05-22 | MRF ↗ |