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HANK Price Transparency. (n.d.).
HEMOSTAT ABS NWVN 4X4IN (CDM 999865) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved October 18, 2026 , from http://ppman.hank.ai/transparency/procedure/999865/by-state?code_type=CDM
“HEMOSTAT ABS NWVN 4X4IN (CDM 999865) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/999865/by-state?code_type=CDM. Accessed
October 18, 2026 .
“HEMOSTAT ABS NWVN 4X4IN (CDM 999865) by State,” HANK Price Transparency ,
accessed October 18, 2026 ,
http://ppman.hank.ai/transparency/procedure/999865/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
999865 — Hemostat Abs Nwvn 4x4in
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$402
National median
$212 – $925
IQR (p25 – p75)
12
hospitals filing
5
states
Walking in without insurance?
Cash / self-pay price
Cash median
$1,076
vs. negotiated
+167.7%
Hospitals reporting
12
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 999865 (CDM), with interquartile range
State Median p25 p75
WA $5,750 $4,363 $5,835
CO $929 $474 $1,546
KS $380 $258 $725
MO $337 $238 $495
TX $170 $95 $258