4050065 (CDM) by hospital — Price Transparency

CDM · across hospitals

4050065 — Xpansion Graft Appl

Hospital-by-hospital median negotiated rates. Hospitals are ranked by their typical (median) negotiated rate (highest first by default; click a column to re-sort). Outliers are flagged where a hospital's median is more than 2× or less than 0.5× the cohort median (red = high, green = low).

$2,643 National median

$392 Cohort median

7 hospitals

5 states (national)

View state-by-state → Raw rate rows →

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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.

Uninsured estimates use the cash / self-pay median for this code: $6,608.

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Outliers ↑ 3 high ↓ 3 low out of 7 hospitals

Median negotiated rate, by hospital

Ranked by typical (median) negotiated price. Red = high outlier, green = low outlier, slate = in-range. Hover for IQR.

Median negotiated rate by hospital for 4050065 (CDM)
Hospital	State	Median	p25	p75	Outlier flag
PERRY COUNTY MEMORIAL HOSPITAL	IN	$5,827	$2,643	$9,440	high
SARASOTA MEMORIAL HOSPITAL	FL	$1,118	$1,066	$1,168	high
SARASOTA MEMORIAL HOSPITAL - VENICE	FL	$1,112	$1,055	$1,168	high
KERALTY HOSPITAL	FL	$392	$392	$451	in range
MITCHELL COUNTY REGIONAL HEALTH	IA	$101	$98	$213	low
FOREST HEALTH MEDICAL CENTER	MI	$69	$69	$69	low
JAMESTOWN REGIONAL MEDICAL CENTER	ND	$2	$2	$2	low

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Hospital	State	City	Median	p25	p75	Min	Max	Cash $	Payers	Rates	Outlier

PERRY COUNTY MEMORIAL HOSPITAL	IN	Tell City	$5,827	$2,643	$9,440	$2,171	$9,440	$6,608	23	164	↑ 14.9× high
SARASOTA MEMORIAL HOSPITAL	FL	Sarasota	$1,118	$1,066	$1,168	$911	$1,212	$584	5	17	↑ 2.9× high
SARASOTA MEMORIAL HOSPITAL - VENICE ⚠ 15mo	FL	North Venice	$1,112	$1,055	$1,168	$911	$1,212	$584	4	16	↑ 2.8× high
KERALTY HOSPITAL ⚠ 29mo	FL	Miami	$392	$392	$451	$392	$832	—	4	22	in range
MITCHELL COUNTY REGIONAL HEALTH	IA	Osage	$101	$98	$213	$98	$264	$245	9	11	↓ 0.26× low
FOREST HEALTH MEDICAL CENTER	MI	Ypsilanti	$69	$69	$69	$69	$69	—	0	1	↓ 0.18× low
JAMESTOWN REGIONAL MEDICAL CENTER	ND	Jamestown	$2	$2	$2	$2	$3	$2	3	3	↓ 0.01× low