Copy link
Export CSV
Cite this view
HANK Price Transparency. (n.d.).
DRAPE SURG CONVERTORS ANCILLARY HALF SHEET 44INX58IN FAN FOLD NONWOVEN LF SMS STRL DISP (CDM 101205) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved October 9, 2026 , from http://ppman.hank.ai/transparency/procedure/101205/by-state?code_type=CDM
“DRAPE SURG CONVERTORS ANCILLARY HALF SHEET 44INX58IN FAN FOLD NONWOVEN LF SMS STRL DISP (CDM 101205) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/101205/by-state?code_type=CDM. Accessed
October 9, 2026 .
“DRAPE SURG CONVERTORS ANCILLARY HALF SHEET 44INX58IN FAN FOLD NONWOVEN LF SMS STRL DISP (CDM 101205) by State,” HANK Price Transparency ,
accessed October 9, 2026 ,
http://ppman.hank.ai/transparency/procedure/101205/by-state?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
Print / Save PDF
CDM · across United States
101205 — Drape Surg Convertors Ancillary Half Sheet 44inx58in Fan Fold Nonwoven Lf Sms Strl Disp
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$323
National median
$2 – $765
IQR (p25 – p75)
7
hospitals filing
3
states
Walking in without insurance?
Cash / self-pay price
Cash median
$1,754
vs. negotiated
+443.5%
Hospitals reporting
11
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 101205 (CDM), with interquartile range
State Median p25 p75
NC $0 $0 $0
TX $416 $5 $759
KY $1,277 $777 $2,540