Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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81795 — Plate Lock 16mm

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $2,473

Usually $2,324–$2,473 (25th–75th percentile) across 2 hospitals · 13 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT 81795 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

What this costs at this hospital

The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$2,324 $2,473 typical $2,473

The middle 50% of negotiated facility rates for this procedure, measured across 2 hospitals.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $2,473
Likely subtotal $2,473
Facility charge (no separate professional fee) $2,473

Not included in this estimate:

  • Rehab, physical therapy, and other post-acute care after discharge
  • Complications, revisions, or readmissions
  • Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)

The biggest swing: your remaining deductible and out-of-pocket max — enter your own plan terms to tighten this.

How each figure is sourced
Hospital facility (actual)
source: Hospital MRF (45 CFR 180)

Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).

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
HOSPITAL EPISCOPAL SAN LUCAS METRO Both Prossam Prossam $1,700.00 — — 2026-07-18 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Humanamilitary Tricare $1,854.72 $3,091.20 — 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Humanamilitary Tricare $1,854.72 $3,091.20 — 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Aetna Commercial $2,102.02 $3,091.20 — 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Aetna Commercial $2,102.02 $3,091.20 — 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Highmark — $2,287.49 $3,091.20 — 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Highmark — $2,287.49 $3,091.20 — 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both United Commercial $2,360.13 $3,091.20 — 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both United Commercial $2,360.13 $3,091.20 — 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Cdphp Commercial $2,435.87 $3,091.20 — 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Cdphp Commercial $2,435.87 $3,091.20 — 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Mvp Commercial $2,443.28 $3,091.20 — 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Mvp Commercial $2,443.28 $3,091.20 — 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Emblemghi — $2,472.96 $3,091.20 — 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Multiplan — $2,472.96 $3,091.20 — 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Magnacare — $2,472.96 $3,091.20 — 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Emblemghi — $2,472.96 $3,091.20 — 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Harvardpilgrim — $2,472.96 $3,091.20 — 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Multiplan — $2,472.96 $3,091.20 — 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Magnacare — $2,472.96 $3,091.20 — 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Harvardpilgrim — $2,472.96 $3,091.20 — 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Threeriversprovidernetwork — $2,627.52 $3,091.20 — 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Threeriversprovidernetwork — $2,627.52 $3,091.20 — 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Coventry — $2,782.08 $3,091.20 — 2026-05-23 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Coventry — $2,782.08 $3,091.20 — 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Martinspoint Tricare $3,091.20 $3,091.20 — 2026-05-13 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both Martinspoint Tricare $3,091.20 $3,091.20 — 2026-05-23 MRF ↗