77096 — Coil Vortx Diamond 18 3mm X 3.3mm Fibered Platinum 5bx
Cite this view
HANK Price Transparency. (n.d.). COIL VORTX DIAMOND 18 3MM X 3.3MM FIBERED PLATINUM 5BX (CPT 77096) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/77096?code_type=CPT
“COIL VORTX DIAMOND 18 3MM X 3.3MM FIBERED PLATINUM 5BX (CPT 77096) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/77096?code_type=CPT. Accessed .
“COIL VORTX DIAMOND 18 3MM X 3.3MM FIBERED PLATINUM 5BX (CPT 77096) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/77096?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $67–$1,443 (25th–75th percentile) across 3 hospitals · 27 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 77096 — 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 |
|---|---|---|---|---|---|---|---|
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Humanamilitary | Tricare | $50.37 | $83.96 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Humanamilitary | Tricare | $50.37 | $83.96 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Commercial | $57.09 | $83.96 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Commercial | $57.09 | $83.96 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Highmark | — | $62.13 | $83.96 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Highmark | — | $62.13 | $83.96 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Commercial | $64.10 | $83.96 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Commercial | $64.10 | $83.96 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Commercial | $66.16 | $83.96 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Commercial | $66.16 | $83.96 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Commercial | $66.36 | $83.96 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Commercial | $66.36 | $83.96 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Multiplan | — | $67.17 | $83.96 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Harvardpilgrim | — | $67.17 | $83.96 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Magnacare | — | $67.17 | $83.96 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Multiplan | — | $67.17 | $83.96 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Harvardpilgrim | — | $67.17 | $83.96 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Emblemghi | — | $67.17 | $83.96 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Magnacare | — | $67.17 | $83.96 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Emblemghi | — | $67.17 | $83.96 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Threeriversprovidernetwork | — | $71.36 | $83.96 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Threeriversprovidernetwork | — | $71.36 | $83.96 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Coventry | — | $75.56 | $83.96 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Coventry | — | $75.56 | $83.96 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Martinspoint | Tricare | $83.96 | $83.96 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Martinspoint | Tricare | $83.96 | $83.96 | — | 2026-05-13 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Cigna | Commercial | $600.00 | $2,672.39 | $1,336.19 | 2026-05-09 | MRF ↗ |
| Rehabilitation Hospital Of Rhode Island Inpatient | Wellcare - Managed Medicare | Wellcare - Managed Medicare | — | $1,138.32 | $1,138.32 | 2025-08-08 | MRF ↗ |
| Rehabilitation Hospital Of Rhode Island Inpatient | Aetna Managed Medicare | Aetna Managed Medicare | — | $1,138.32 | $1,138.32 | 2025-08-08 | MRF ↗ |
| Rehabilitation Hospital Of Rhode Island Inpatient | Commonwealth Care Alliance | Commonwealth Care Alliance | — | $1,138.32 | $1,138.32 | 2025-08-08 | MRF ↗ |
| Rehabilitation Hospital Of Rhode Island Inpatient | Blue Cross Blue Shield of RI Managed Medicare | Blue Cross Blue Shield of RI Managed Medicare | — | $1,138.32 | $1,138.32 | 2025-08-08 | MRF ↗ |
| Rehabilitation Hospital Of Rhode Island Inpatient | Neighborhood Health Plan - Managed Medicare | Neighborhood Health Plan - Managed Medicare | — | $1,138.32 | $1,138.32 | 2025-08-08 | MRF ↗ |
| Rehabilitation Hospital Of Rhode Island Inpatient | United Healthcare Dual | United Healthcare Dual | — | $1,138.32 | $1,138.32 | 2025-08-08 | MRF ↗ |
| Rehabilitation Hospital Of Rhode Island Inpatient | United Healthcare - Managed Medicare | United Healthcare - Managed Medicare | — | $1,138.32 | $1,138.32 | 2025-08-08 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Aetna Medicare | Medicare | $1,443.09 | $2,672.39 | $1,336.19 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Medicare | Medicare | $1,443.09 | $2,672.39 | $1,336.19 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Peoples Health | Commercial | $1,443.09 | $2,672.39 | $1,336.19 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Tricare Va | Commercial | $1,443.09 | $2,672.39 | $1,336.19 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Vantage Medicare | Medicare | $1,443.09 | $2,672.39 | $1,336.19 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Zelis Ppo | Commercial | $1,469.81 | $2,672.39 | $1,336.19 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Dignity Health | Commercial | $1,471.95 | $2,672.39 | $1,336.19 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Louisana Healthcare Connections | Medicaid | $1,651.80 | $2,672.39 | $1,336.19 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Uhc Medicaid | Medicaid | $1,651.80 | $2,672.39 | $1,336.19 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Humana Medicaid | Medicaid | $1,651.80 | $2,672.39 | $1,336.19 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Amerihealth | Commercial | $1,651.80 | $2,672.39 | $1,336.19 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | $2,164.64 | $2,672.39 | $1,336.19 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Vantage Commercial | Commercial | $2,405.15 | $2,672.39 | $1,336.19 | 2026-05-09 | MRF ↗ |