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HANK Price Transparency. (n.d.).
2102-2205 Vitoss Foam Pack 5cc (CDM 3617286) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 29, 2026 , from http://ppman.hank.ai/transparency/procedure/3617286/by-state?code_type=CDM
“2102-2205 Vitoss Foam Pack 5cc (CDM 3617286) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/3617286/by-state?code_type=CDM. Accessed
June 29, 2026 .
“2102-2205 Vitoss Foam Pack 5cc (CDM 3617286) by State,” HANK Price Transparency ,
accessed June 29, 2026 ,
http://ppman.hank.ai/transparency/procedure/3617286/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
3617286 — 2102-2205 Vitoss Foam Pack 5cc
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$4,741
National median
$4,662 – $4,899
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 3617286 (CDM), with interquartile range
State Median p25 p75
CO $4,741 $4,662 $4,899