821043 — Graft Tlnt Tf3434
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GRAFT TLNT TF3434 (CDM 821043) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/821043?code_type=CDM
MLA (9th ed.)
“GRAFT TLNT TF3434 (CDM 821043) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/821043?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“GRAFT TLNT TF3434 (CDM 821043) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/821043?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $16,103–$103,010 (25th–75th percentile) across 2 hospitals · 43 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 821043 — 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 |
|---|---|---|---|---|---|---|---|
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | MCRPPO | $1,270.57 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | MCRHMO | $1,275.87 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Aetna | MCR | $2,144.09 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Simply | MGMCR | $4,235.25 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Cigna | NBN | $4,817.59 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Molina Healthcare | MGMCR | $5,029.36 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | United | OptionsPPO | $6,008.76 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | AvMed | HMOFI | $6,617.57 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | AvMed | ASOEO | $7,411.68 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Molina Healthcare | HIX | $8,470.50 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Cigna | PPO | $11,620.46 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Cigna | ManagedCareHMO | $11,620.46 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | United | GlobalBenefitPlan | $11,911.64 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | AvMed | HIXOON | $13,235.15 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Beacon Health Options | COMM | $13,235.15 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Plotkin Health | WC | $13,235.15 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Prime Health Sheriff | WORKERSCOMP | $13,235.15 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Prime Health Sheriff | COMM | $13,235.15 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | American Health Plan | MCR | $15,000.00 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Naphcare | Prison | $17,205.69 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Evolutions Healthcare | MANAGEDCAREPPO | $17,205.69 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Multiplan | Primary | $20,646.83 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Evernorth | BHCOMM | $21,176.24 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Value Options | Tricare | $22,499.76 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Multiplan | Complementary | $22,499.76 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | PPO Next | PPO | $22,499.76 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | PPO Next | COMM | $22,499.76 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Prime Health | COMM | $22,499.76 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | NovaNet | COMM | $23,823.27 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Evolutions Healthcare | TRADITIONALPPO | $23,823.27 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Beacon Health Options | MCR | $26,470.30 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Sunshine State | MCR | $27,793.81 | $26,470.30 | $26,470.30 | 2024-10-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $30,360.96 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $30,360.96 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | MyBlueHealth | $32,312.74 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterEPO | $36,866.88 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | ValueHMO | $36,866.88 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterHMO | $36,866.88 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | BlueAdvantage | $37,951.20 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | United | OptionsPPO | $53,999.14 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | BlueEssentials | $59,203.87 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | BlueEssentialsAccess | $59,203.87 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | Traditional | $63,974.88 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | EPOSOA | $64,191.74 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | IMO Med - Select Network | WC | $65,059.20 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | PPO | $69,179.62 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Sendero | ACHP | $69,396.48 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Shared Health | MGMCR | $75,902.40 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | WC | $80,239.68 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | COMM | $80,239.68 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Workforce Commission | WCOMP | $84,576.96 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Optum Health | COMM | $97,588.80 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $97,588.80 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | NaphCare | MGMCR | $97,588.80 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Seven Corners | GVT | $97,588.80 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Averde Health | COMM | $97,588.80 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Comanche County | LOCALGOV | $108,432.00 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Austin FC | WORKERSCOMP | $108,432.00 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | National ChoiceCare | WC | $108,432.00 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Independent Medical Systems | COMM | $119,275.20 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | HealthSmart Preferred Care | Accel | $119,275.20 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Physicians Cooperative of Texas | WC | $119,275.20 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Prime Health | WC | $130,118.40 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | National Health Care | COMM | $140,961.60 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Coastal Comp Health Networks | WORKERSCOMP | $140,961.60 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Municipal League | COMM | $151,804.80 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MedCorp Southwest | MCR | $162,648.00 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MedCorp Southwest | MCD | $162,648.00 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | HealthSmart Preferred Care | COMM | $173,491.20 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Rockport Healthcare Group | WORKERSCOMPRockportCommunityNetwork | $173,491.20 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Medical Control Network Solutions | MedicalControlNetwork | $195,177.60 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Multiplan | COMMPPO | $195,177.60 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Beech Street | COMMPPO | $195,177.60 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Rockport Healthcare Group | WORKERSCOMPNewtonHealthcareNetwork | $195,177.60 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCE Emergis Corporation | COMMPPO | $195,177.60 | $216,864.00 | $216,864.00 | 2026-03-01 | MRF ↗ |