Sx00000071871 — Icd Viva Xt Crtd Dtba1d4 (system)
Cite this view
HANK Price Transparency. (n.d.). ICD VIVA XT CRTD DTBA1D4 (SYSTEM) (OTHER Sx00000071871) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Sx00000071871?code_type=OTHER
“ICD VIVA XT CRTD DTBA1D4 (SYSTEM) (OTHER Sx00000071871) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Sx00000071871?code_type=OTHER. Accessed .
“ICD VIVA XT CRTD DTBA1D4 (SYSTEM) (OTHER Sx00000071871) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Sx00000071871?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $98,632–$107,612 (25th–75th percentile) across 1 hospital · 7 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER Sx00000071871 — 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 |
|---|---|---|---|---|---|---|---|
| San Angelo Community Medical Center | Bcbs Blue Adv | — | $62,554.11 | $139,303.96 | $69,651.98 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Aetna Commercial | — | $93,333.65 | $139,303.96 | $69,651.98 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Humana Commercial | — | $97,512.78 | $139,303.96 | $69,651.98 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Texas Ppo/Pos | — | $101,990.40 | $139,303.96 | $69,651.98 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Texas Indemnity | — | $101,990.40 | $139,303.96 | $69,651.98 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Bcbs Texas Hmo | — | $101,990.40 | $139,303.96 | $69,651.98 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | First Health | — | $104,477.97 | $139,303.96 | $69,651.98 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | United Healthcare Commercial | — | $108,657.09 | $139,303.96 | $69,651.98 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Healthsmart | — | $123,980.52 | $139,303.96 | $69,651.98 | 2026-07-30 | MRF ↗ |
| San Angelo Community Medical Center | Ebpa Multiplan | — | $125,373.57 | $139,303.96 | $69,651.98 | 2026-07-30 | MRF ↗ |