SUR001117 — Graft Jacket
Cite this view
HANK Price Transparency. (n.d.). GRAFT JACKET (CDM SUR001117) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUR001117?code_type=CDM
“GRAFT JACKET (CDM SUR001117) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUR001117?code_type=CDM. Accessed .
“GRAFT JACKET (CDM SUR001117) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUR001117?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,229–$7,993 (25th–75th percentile) across 1 hospital · 8 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUR001117 — 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 |
|---|---|---|---|---|---|---|---|
| WAVERLY HEALTH CENTER Outpatient | UHC MEDICARE | UHC MEDICARE | $3,737.30 | $9,835.00 | $5,114.20 | 2026-10-19 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | CHOICECARE NETWORK - ALL PLANS | CHOICECARE NETWORK - ALL PLANS | $3,774.67 | $9,835.00 | $5,114.20 | 2026-10-19 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MEDICA MEDICARE COST PLAN-ALL PLANS | MEDICA MEDICARE COST PLAN-ALL PLANS | $4,229.05 | $9,835.00 | $5,114.20 | 2026-10-19 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE MCARE | MIDLANDS CHOICE MCARE | $4,229.05 | $9,835.00 | $5,114.20 | 2026-10-19 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HLTH PARTNERS BRIDGES NTWRK | HLTH PARTNERS BRIDGES NTWRK | $6,835.33 | $9,835.00 | $5,114.20 | 2026-10-19 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HLTH PARTNERS OPEN NTWRK - ALL OTHER PLANS | HLTH PARTNERS OPEN NTWRK - ALL OTHER PLANS | $6,835.33 | $9,835.00 | $5,114.20 | 2026-10-19 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $6,894.34 | $9,835.00 | $5,114.20 | 2026-10-19 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $8,359.75 | $9,835.00 | $5,114.20 | 2026-10-19 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HEALTH ALLIANCE-ALL PLANS | HEALTH ALLIANCE-ALL PLANS | $8,851.50 | $9,835.00 | $5,114.20 | 2026-10-19 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE-ALL OTHER PLANS | MIDLANDS CHOICE-ALL OTHER PLANS | $8,851.50 | $9,835.00 | $5,114.20 | 2026-10-19 | MRF ↗ |