828574 — Graft Nrv 4-5mm 70mm
Cite this view
HANK Price Transparency. (n.d.). GRAFT NRV 4-5MM 70MM (CDM 828574) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/828574?code_type=CDM
“GRAFT NRV 4-5MM 70MM (CDM 828574) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/828574?code_type=CDM. Accessed .
“GRAFT NRV 4-5MM 70MM (CDM 828574) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/828574?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,070–$105,745 (25th–75th percentile) across 2 hospitals · 40 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 828574 — 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 CAPITAL HOSPITAL Outpatient | Aetna | MCR | $423.66 | $6,140.00 | $6,140.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | MCRPPO | $423.66 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | MCRPPO | $423.66 | $6,140.00 | $6,140.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | MCRHMO | $425.50 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | MCRHMO | $425.50 | $6,140.00 | $6,140.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Aetna | MCR | $497.34 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | United | OptionsPPO | $1,246.42 | $6,140.00 | $6,140.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | United | OptionsPPO | $1,369.22 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | AvMed | HMOFI | $1,535.00 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Sunshine State Health Plan | QHP | $1,688.50 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | AvMed | ASOEO | $1,719.20 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Aetna | ASA | $1,842.00 | $6,140.00 | $6,140.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Molina Healthcare | HIX | $1,964.80 | $6,140.00 | $6,140.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Molina Healthcare | HIX | $1,964.80 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | United | GlobalBenefitPlan | $2,763.00 | $6,140.00 | $6,140.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | United | GlobalBenefitPlan | $2,763.00 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Prime Health Sheriff | WORKERSCOMP | $3,070.00 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Plotkin Health | WC | $3,070.00 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | AvMed | HIXOON | $3,070.00 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Beacon Health Options | COMM | $3,070.00 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Prime Health Sheriff | WORKERSCOMP | $3,070.00 | $6,140.00 | $6,140.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Prime Health Sheriff | COMM | $3,070.00 | $6,140.00 | $6,140.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Plotkin Health | COMM | $3,070.00 | $6,140.00 | $6,140.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | AvMed | HIXOON | $3,070.00 | $6,140.00 | $6,140.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Prime Health Sheriff | COMM | $3,070.00 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Multiplan | Primary | $4,789.20 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Multiplan | Primary | $4,789.20 | $6,140.00 | $6,140.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Evernorth | BHCOMM | $4,912.00 | $6,140.00 | $6,140.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Evernorth | BHCOMM | $4,912.00 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | PPO Next | COMM | $5,219.00 | $6,140.00 | $6,140.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | PPO Next | PPO | $5,219.00 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Evolutions Healthcare | TRADITIONALPPO | $5,219.00 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Prime Health | COMM | $5,219.00 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | PPO Next | COMM | $5,219.00 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Multiplan | Complementary | $5,219.00 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | PPO Next | PPO | $5,219.00 | $6,140.00 | $6,140.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Evolutions Healthcare | TRADITIONALPPO | $5,219.00 | $6,140.00 | $6,140.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Multiplan | Complementary | $5,219.00 | $6,140.00 | $6,140.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | NovaNet | COMM | $5,526.00 | $6,140.00 | $6,140.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | NovaNet | COMM | $5,526.00 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Beacon Health Options | MCR | $6,140.00 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Beacon Health Options | MCR | $6,140.00 | $6,140.00 | $6,140.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Sunshine State | MCR | $6,447.00 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | American Health Plan | MCR | $15,000.00 | $6,140.00 | $6,140.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | American Health Plan | MCR | $15,000.00 | $6,140.00 | $6,140.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $32,898.32 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $32,898.32 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | MyBlueHealth | $35,013.21 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | ValueHMO | $39,947.96 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterHMO | $39,947.96 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterEPO | $39,947.96 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | BlueAdvantage | $41,122.90 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | United | OptionsPPO | $58,512.01 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | BlueEssentialsAccess | $64,151.72 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | BlueEssentials | $64,151.72 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | Traditional | $69,321.46 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | EPOSOA | $69,556.45 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | IMO Med - Select Network | WC | $70,496.40 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | PPO | $74,961.17 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Sendero | ACHP | $75,196.16 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Shared Health | MGMCR | $82,245.80 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | COMM | $86,945.56 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | WC | $86,945.56 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Workforce Commission | WCOMP | $91,645.32 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Seven Corners | GVT | $105,744.60 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Optum Health | COMM | $105,744.60 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $105,744.60 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | NaphCare | MGMCR | $105,744.60 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Averde Health | COMM | $105,744.60 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Austin FC | WORKERSCOMP | $117,494.00 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Comanche County | LOCALGOV | $117,494.00 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | National ChoiceCare | WC | $117,494.00 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | HealthSmart Preferred Care | Accel | $129,243.40 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Physicians Cooperative of Texas | WC | $129,243.40 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Independent Medical Systems | COMM | $129,243.40 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Prime Health | WC | $140,992.80 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Coastal Comp Health Networks | WORKERSCOMP | $152,742.20 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | National Health Care | COMM | $152,742.20 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Municipal League | COMM | $164,491.60 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MedCorp Southwest | MCD | $176,241.00 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MedCorp Southwest | MCR | $176,241.00 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | HealthSmart Preferred Care | COMM | $187,990.40 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Rockport Healthcare Group | WORKERSCOMPRockportCommunityNetwork | $187,990.40 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCE Emergis Corporation | COMMPPO | $211,489.20 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Rockport Healthcare Group | WORKERSCOMPNewtonHealthcareNetwork | $211,489.20 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Multiplan | COMMPPO | $211,489.20 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Medical Control Network Solutions | MedicalControlNetwork | $211,489.20 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Beech Street | COMMPPO | $211,489.20 | $234,988.00 | $234,988.00 | 2026-03-01 | MRF ↗ |