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HANK Price Transparency. (n.d.).
GRAFTJACKET 4CMX8CM **NEEDS ABN SIGNED*** (CDM 25765749_5) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved October 28, 2026 , from http://ppman.hank.ai/transparency/procedure/25765749_5/by-state?code_type=CDM
“GRAFTJACKET 4CMX8CM **NEEDS ABN SIGNED*** (CDM 25765749_5) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/25765749_5/by-state?code_type=CDM. Accessed
October 28, 2026 .
“GRAFTJACKET 4CMX8CM **NEEDS ABN SIGNED*** (CDM 25765749_5) by State,” HANK Price Transparency ,
accessed October 28, 2026 ,
http://ppman.hank.ai/transparency/procedure/25765749_5/by-state?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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CDM · across United States
25765749_5 — Graftjacket 4cmx8cm **needs Abn Signed***
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$4,041
National median
$3,828 – $4,041
IQR (p25 – p75)
1
hospitals filing
1
states
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 25765749_5 (CDM), with interquartile range
State Median p25 p75
KS $4,041 $3,828 $4,041