4083190 — G01212 Dilator Ves Jcd16.0-38-20
Cite this view
HANK Price Transparency. (n.d.). G01212 Dilator Ves Jcd16.0-38-20 (CDM 4083190) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4083190?code_type=CDM
“G01212 Dilator Ves Jcd16.0-38-20 (CDM 4083190) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4083190?code_type=CDM. Accessed .
“G01212 Dilator Ves Jcd16.0-38-20 (CDM 4083190) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4083190?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,361–$5,772 (25th–75th percentile) across 2 hospitals · 6 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4083190 — 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 |
|---|---|---|---|---|---|---|---|
| PRESENTATION MEDICAL CENTER Both | HealthPartners | Commercial | $5.00 | $5.00 | $5.00 | 2026-05-27 | MRF ↗ |
| PRESENTATION MEDICAL CENTER Both | Sanford Health Plan | Commercial | $5.00 | $5.00 | $5.00 | 2026-05-27 | MRF ↗ |
| ST ANDREW'S HOSPITAL Both | NextBlue | Medicare Advantage | $3,146.00 | $6,555.00 | $5,900.00 | 2025-11-12 | MRF ↗ |
| ST ANDREW'S HOSPITAL Both | Medica | Medicare Advantage | $3,146.00 | $6,555.00 | $5,900.00 | 2025-11-12 | MRF ↗ |
| ST ANDREW'S HOSPITAL Both | Blue Cross Blue Shield | Commercial | $4,264.00 | $6,555.00 | $5,900.00 | 2025-11-12 | MRF ↗ |
| ST ANDREW'S HOSPITAL Both | United Healthcare | Commercial | $5,729.00 | $6,555.00 | $5,900.00 | 2025-11-12 | MRF ↗ |
| ST ANDREW'S HOSPITAL Both | Medica | Commercial | $5,900.00 | $6,555.00 | $5,900.00 | 2025-11-12 | MRF ↗ |
| ST ANDREW'S HOSPITAL Both | Sandford Health Plan | Commercial | $6,227.00 | $6,555.00 | $5,900.00 | 2025-11-12 | MRF ↗ |