SUP-GS-5770 — Allograft Human Tissue Epifix 7cm X 7cm Dehy Purion
Cite this view
HANK Price Transparency. (n.d.). ALLOGRAFT HUMAN TISSUE EPIFIX 7CM X 7CM DEHY PURION (OTHER SUP-GS-5770) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-GS-5770?code_type=OTHER
“ALLOGRAFT HUMAN TISSUE EPIFIX 7CM X 7CM DEHY PURION (OTHER SUP-GS-5770) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-GS-5770?code_type=OTHER. Accessed .
“ALLOGRAFT HUMAN TISSUE EPIFIX 7CM X 7CM DEHY PURION (OTHER SUP-GS-5770) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-GS-5770?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $14,039–$24,775 (25th–75th percentile) across 1 hospital · 12 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER SUP-GS-5770 — 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 |
|---|---|---|---|---|---|---|---|
| NEWPORT COMMUNITY HOSPITAL Both | Pacificsource | Medicareadvantage Plans | $13,267.49 | $27,076.50 | $27,076.50 | 2026-05-09 | MRF ↗ |
| NEWPORT COMMUNITY HOSPITAL Both | Bcidaho | Medicareadvantage Plans | $13,402.87 | $27,076.50 | $27,076.50 | 2026-05-09 | MRF ↗ |
| NEWPORT COMMUNITY HOSPITAL Both | Wellcare | Medicare Advantage | $13,402.87 | $27,076.50 | $27,076.50 | 2026-05-09 | MRF ↗ |
| NEWPORT COMMUNITY HOSPITAL Both | Molina | Medicare Plans | $13,402.87 | $27,076.50 | $27,076.50 | 2026-05-09 | MRF ↗ |
| NEWPORT COMMUNITY HOSPITAL Both | Unitedhealthcare | Medicare Advantage | $13,944.40 | $27,076.50 | $27,076.50 | 2026-05-09 | MRF ↗ |
| NEWPORT COMMUNITY HOSPITAL Both | Wellpoint | Medicare Advantage | $14,323.47 | $27,076.50 | $27,076.50 | 2026-05-09 | MRF ↗ |
| NEWPORT COMMUNITY HOSPITAL Both | Molina | Marketplace Plans | $20,307.38 | $27,076.50 | $27,076.50 | 2026-05-09 | MRF ↗ |
| NEWPORT COMMUNITY HOSPITAL Both | Aetna | All Commercial Plans | $21,119.67 | $27,076.50 | $27,076.50 | 2026-05-09 | MRF ↗ |
| NEWPORT COMMUNITY HOSPITAL Both | Premera | All Commercial Plans | $23,015.03 | $27,076.50 | $27,076.50 | 2026-05-09 | MRF ↗ |
| NEWPORT COMMUNITY HOSPITAL Both | Bcidaho | All Ppo Plans | $23,015.03 | $27,076.50 | $27,076.50 | 2026-05-09 | MRF ↗ |
| NEWPORT COMMUNITY HOSPITAL Both | Bcidaho | All Traditional Plans | $23,015.03 | $27,076.50 | $27,076.50 | 2026-05-09 | MRF ↗ |
| NEWPORT COMMUNITY HOSPITAL Both | Bcidaho | All Hmo Plans | $23,015.03 | $27,076.50 | $27,076.50 | 2026-05-09 | MRF ↗ |
| NEWPORT COMMUNITY HOSPITAL Both | Cigna | All Commercial Plans | $24,368.85 | $27,076.50 | $27,076.50 | 2026-05-09 | MRF ↗ |
| NEWPORT COMMUNITY HOSPITAL Both | Multiplan | All Commercial Plans | $24,910.38 | $27,076.50 | $27,076.50 | 2026-05-09 | MRF ↗ |
| NEWPORT COMMUNITY HOSPITAL Both | Regence Wa | All Commercial Plans | $25,722.68 | $27,076.50 | $27,076.50 | 2026-05-09 | MRF ↗ |
| NEWPORT COMMUNITY HOSPITAL Both | Unitedhealthcare | All Commercial Plans | $25,722.68 | $27,076.50 | $27,076.50 | 2026-05-09 | MRF ↗ |
| NEWPORT COMMUNITY HOSPITAL Both | Asuris | All Commercial Plans | $25,722.68 | $27,076.50 | $27,076.50 | 2026-05-09 | MRF ↗ |
| NEWPORT COMMUNITY HOSPITAL Both | Firstchoice | All Commercial Plans | $25,993.44 | $27,076.50 | $27,076.50 | 2026-05-09 | MRF ↗ |