Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
GRAFT DURAL 1X3IN EASY VERSATILE RELIABLE
Low
$13
Average
$603
Median
$234
High
$8.7k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
118 hospitals; the 90th percentile is 9.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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128 hospital rates
iThe hospitals that file a Ambetter rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | $102 | 7% | — | $1.3k – $1.5k |
| 2 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1.4k | $1.4k | $137 | 10% | — | $1.2k – $1.6k |
| 3 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 2 | $1.5k | $1.5k | $132 | 9% | — | $1.3k – $1.7k |
| 4 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1.5k | $1.5k | $141 | 10% | — | $1.3k – $1.7k |
| 5 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 2 | $1.4k | $1.5k | $152 | 10% | — | $1.2k – $1.7k |
| 6 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1.4k | $1.4k | $172 | 12% | — | $1.2k – $1.7k |
| 7 | Bristol Regional Medical Center BRISTOL, VA fee schedule · both | 1 | $257 | $257 | — | — | — | $257 – $257 |
| 8 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 9 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1.4k | $1.4k | $181 | 13% | — | $1.1k – $1.6k |
| 10 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 2 | $1.9k | $1.9k | $167 | 9% | — | $1.7k – $2.1k |
| 11 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1.8k | $1.8k | $200 | 11% | — | $1.6k – $2.1k |
| 12 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1.4k | $1.4k | $181 | 13% | — | $1.1k – $1.6k |
| 13 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · inpatientfrom % of charges | 1 | $2.1k | $2.1k | $153 | 7% | — | $2.0k – $2.3k |
| 14 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | $90 | 7% | — | $1.2k – $1.4k |
| 15 | Dickenson Community Hospital CLINTWOOD, VA percent of total billed charges · bothfrom % of charges | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 16 | Franklin Woods Community Hospital JOHNSON CITY, TN fee schedule · both | 1 | $246 | $246 | — | — | — | $246 – $246 |
| 17 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 1 | $285 | $285 | — | — | — | $285 – $285 |
| 18 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 19 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 20 | Greeneville Community Hospital GREENEVILLE, TN fee schedule · both | 1 | $253 | $253 | — | — | — | $253 – $253 |
| 21 | Hancock County Hospital SNEEDVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $8.7k | $8.7k | — | — | — | $8.7k – $8.7k |
| 22 | Hardin County General Hospital Savannah, TN facility · fee schedule · outpatient | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 23 | Hawkins County Memorial Hospital ROGERSVILLE, TN fee schedule · both | 1 | $246 | $246 | — | — | — | $246 – $246 |
| 24 | Hendrick Medical Center Brownwood, TX facility · case rate · outpatient | 1 | $284 | $284 | — | — | — | $284 – $284 |
| 25 | Hendricks Regional Health Brownsburg, IN fee schedule · outpatient | 1 | $263 | $263 | — | — | — | $263 – $263 |
← Payers reporting HCPCS Q4115 · Snapshot 20261111T120946Z-9134e7f7