Sx00000082399 (OTHER) — raw rate rows

OTHER · raw rates

Sx00000082399 — Graft Main Body G48402 G48402

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

View state-by-state → View hospital-by-hospital →

Typical negotiated price $88,028

Usually $85,130–$92,881 (25th–75th percentile) across 1 hospital · 7 payers.

“Negotiated” is the hospital’s negotiated facility rate for this OTHER Sx00000082399 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

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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	—	$53,990.71	$120,233.82	$60,116.91	2026-07-30	MRF ↗
San Angelo Community Medical Center	Aetna Commercial	—	$80,556.66	$120,233.82	$60,116.91	2026-07-30	MRF ↗
San Angelo Community Medical Center	Humana Commercial	—	$84,163.67	$120,233.82	$60,116.91	2026-07-30	MRF ↗
San Angelo Community Medical Center	Bcbs Texas Ppo/Pos	—	$88,028.33	$120,233.82	$60,116.91	2026-07-30	MRF ↗
San Angelo Community Medical Center	Bcbs Texas Indemnity	—	$88,028.33	$120,233.82	$60,116.91	2026-07-30	MRF ↗
San Angelo Community Medical Center	Bcbs Texas Hmo	—	$88,028.33	$120,233.82	$60,116.91	2026-07-30	MRF ↗
San Angelo Community Medical Center	First Health	—	$90,175.37	$120,233.82	$60,116.91	2026-07-30	MRF ↗
San Angelo Community Medical Center	United Healthcare Commercial	—	$93,782.38	$120,233.82	$60,116.91	2026-07-30	MRF ↗
San Angelo Community Medical Center	Healthsmart	—	$107,008.10	$120,233.82	$60,116.91	2026-07-30	MRF ↗
San Angelo Community Medical Center	Ebpa Multiplan	—	$108,210.44	$120,233.82	$60,116.91	2026-07-30	MRF ↗