9101791 — Puraply Am 2x4cm Sheet Per Sq Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PURAPLY AM 2X4CM SHEET PER SQ CM (CDM 9101791) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/9101791?code_type=CDM
MLA (9th ed.)
“PURAPLY AM 2X4CM SHEET PER SQ CM (CDM 9101791) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/9101791?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“PURAPLY AM 2X4CM SHEET PER SQ CM (CDM 9101791) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/9101791?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $191–$509 (25th–75th percentile) across 2 hospitals · 20 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 9101791 — 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 |
|---|---|---|---|---|---|---|---|
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AVMED EMPOWER | 1453_AVMED SELECT/EMPOWER 20250701 | $106.59 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AVMED EMPOWER | 1453_AVMED SELECT/EMPOWER 20250701 | $106.59 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS MBN | 1461_BLUE CROSS BLUE SHIELD MBN 20250701 | $125.40 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS MBN | 1461_BLUE CROSS BLUE SHIELD MBN 20250701 | $125.40 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS BSL | 1454_BLUE CROSS BLUE SHIELD BSL 20250701 | $125.40 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS BSL | 1454_BLUE CROSS BLUE SHIELD BSL 20250701 | $125.40 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | GEORGIA MEDICAID | 1366_MEDICAID REPLACEMENT GEORGIA 20240901 | $125.40 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | GEORGIA MEDICAID | 1366_MEDICAID REPLACEMENT GEORGIA 20240901 | $125.40 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS SBN | 1462_BLUE CROSS BLUE SHIELD SBN 20250701 | $144.21 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS SBN | 1462_BLUE CROSS BLUE SHIELD SBN 20250701 | $144.21 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS HMO | 1455_BLUE CROSS BLUE SHIELD HMO 20250701 | $144.21 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS HMO | 1455_BLUE CROSS BLUE SHIELD HMO 20250701 | $144.21 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Inpatient | AETNA SIGNATURE ADMIN | 331_AETNA SIGNATURE ADMIN 20160701 | $156.75 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Inpatient | AETNA SIGNATURE ADMIN | 331_AETNA SIGNATURE ADMIN 20160701 | $156.75 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS NWB | 1456_BLUE CROSS BLUE SHIELD NWB 20250701 | $163.02 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS NWB | 1456_BLUE CROSS BLUE SHIELD NWB 20250701 | $163.02 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS PPO | 1458_BLUE CROSS BLUE SHIELD PPO 20250701 | $200.64 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS PPO | 1458_BLUE CROSS BLUE SHIELD PPO 20250701 | $200.64 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AVMED | 1452_AVMED BROAD 20250701 | $200.64 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AVMED | 1452_AVMED BROAD 20250701 | $200.64 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AHF MCO | 399_AHF MCO 20140101 | $206.91 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AHF MCO | 399_AHF MCO 20140101 | $206.91 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Inpatient | COVENTRY PPO HIGH PERFORMANCE | 1380_COVENTRY PPO AND HIGH PERFORMANCE 20241001 | $219.45 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Inpatient | COVENTRY PPO HIGH PERFORMANCE | 1380_COVENTRY PPO AND HIGH PERFORMANCE 20241001 | $219.45 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | NORTHWELL DIRECT | 1414_NORTHWELL DIRECT 20241001 | $219.45 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | NORTHWELL DIRECT | 1414_NORTHWELL DIRECT 20241001 | $219.45 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AVMED NEW BUSINESS | 476_AVMED NEW BUSINESS 20181001 | $250.80 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AVMED NEW BUSINESS | 476_AVMED NEW BUSINESS 20181001 | $250.80 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | COVENTRY HMO | 1379_COVENTRY HMO 20241001 | $257.07 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | COVENTRY HMO | 1379_COVENTRY HMO 20241001 | $257.07 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Both | AETNA | 1447_AETNA SOUTH 20250701 | $269.61 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Both | AETNA | 1447_AETNA SOUTH 20250701 | $269.61 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | 90 DEGREE BENEFITS | 1387_90 DEGREE BENEFITS OUTPATIENT 20250101 | $313.50 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | 90 DEGREE BENEFITS | 1387_90 DEGREE BENEFITS OUTPATIENT 20250101 | $313.50 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS PHS | 1457_BLUE CROSS BLUE SHIELD PHS 20250701 | $351.12 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS PHS | 1457_BLUE CROSS BLUE SHIELD PHS 20250701 | $351.12 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | PHCS | 277_PHCS 20020901 | $376.20 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | SE GEORGIA HEALTH SYSTEMS | 1115_SE GEORGIA HEALTH SYSTEM 20220601 | $376.20 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | SE GEORGIA HEALTH SYSTEMS | 1115_SE GEORGIA HEALTH SYSTEM 20220601 | $376.20 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | PHCS | 277_PHCS 20020901 | $376.20 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | FIRST HEALTH | 1184_FIRST HEALTH COVENTRY 20230701 | $388.74 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | FIRST HEALTH | 1184_FIRST HEALTH COVENTRY 20230701 | $388.74 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | COVENTRY WC | 1282_COVENTRY WORKERS COMPENSATION 20230715 | $407.55 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | COVENTRY WC | 1282_COVENTRY WORKERS COMPENSATION 20230715 | $407.55 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | UHC PPO | 822_UNITED HEALTH CARE PPO 20210101 | $457.71 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | UHC PPO | 822_UNITED HEALTH CARE PPO 20210101 | $457.71 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | MULTIPLAN | 384_MULTIPLAN 20160101 | $501.60 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | MULTIPLAN | 384_MULTIPLAN 20160101 | $501.60 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BEECHSTREET | 533_BEECHSTREET 20160101 | $532.95 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BEECHSTREET | 533_BEECHSTREET 20160101 | $532.95 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | UHC | 1460_UNITED HEALTH CARE 20250701 | $627.00 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Both | HEARTLAND HOME HEALTH AND HOSPICE | 1165_MEDICARE ADVANTAGE HEARTLAND HOME HEALTH AND HOSPICE INPATIENT 20211001 | $627.00 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $627.00 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | UHC | 1460_UNITED HEALTH CARE 20250701 | $627.00 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Both | HEARTLAND HOME HEALTH AND HOSPICE | 1165_MEDICARE ADVANTAGE HEARTLAND HOME HEALTH AND HOSPICE INPATIENT 20211001 | $627.00 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | HEARTLAND HOME HEALTH AND HOSPICE | 757_MEDICARE ADVANTAGE HEARTLAND HOME HEALTH AND HOSPICE OUTPATIENT 20210101 | $627.00 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $627.00 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | HEARTLAND HOME HEALTH AND HOSPICE | 757_MEDICARE ADVANTAGE HEARTLAND HOME HEALTH AND HOSPICE OUTPATIENT 20210101 | $627.00 | $627.00 | $231.99 | 2026-01-01 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER OutpatientFacility | Health Spring | Commercial | $12,265.00 | $35,042.00 | $8,410.00 | 2026-11-06 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $16,119.00 | $35,042.00 | $8,410.00 | 2026-11-06 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER OutpatientFacility | Humana | PPO | $35,042.00 | $35,042.00 | $8,410.00 | 2026-11-06 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER OutpatientFacility | Humana | Medicare Advantage | $35,042.00 | $35,042.00 | $8,410.00 | 2026-11-06 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER OutpatientFacility | Humana | HMO | $35,042.00 | $35,042.00 | $8,410.00 | 2026-11-06 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Alabama | Medicare Advantage | $35,042.00 | $35,042.00 | $8,410.00 | 2026-11-06 | MRF ↗ |