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
Dual layer ardeograft 4x8cm
Low
$0
Average
$502
Median
$277
High
$2.2k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
226 hospitals; the 90th percentile is 10.2× 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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228 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $1.7k | $2.2k | $810 | 37% | — | $1.4k – $3.2k |
| 2 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 3 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 1 | $706 | $706 | — | — | — | $706 – $706 |
| 4 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 5 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $723 | $723 | — | — | — | $723 – $723 |
| 6 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $723 | $723 | — | — | — | $723 – $723 |
| 7 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $723 | $723 | — | — | — | $723 – $723 |
| 8 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 2 | $303 | $303 | $120 | 39% | — | $183 – $422 |
| 9 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 4 | $286 | $270 | $76 | 28% | — | $152 – $356 |
| 10 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 11 | Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient | 4 | $723 | $624 | $215 | 34% | — | $255 – $795 |
| 12 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 6 | $127 | $127 | — | — | — | $127 – $127 |
| 13 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 14 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · case rate · outpatient | 3 | $2.6k | $2.2k | $566 | 26% | — | $1.4k – $2.6k |
| 15 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 6 | $127 | $127 | — | — | — | $127 – $127 |
| 16 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 17 | Dayton Osteopathic Hospital Dayton, OH fee schedule · outpatient | 2 | $303 | $303 | $120 | 39% | — | $183 – $422 |
| 18 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 6 | $119 | $119 | — | — | — | $119 – $119 |
| 19 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 6 | $119 | $119 | — | — | — | $119 – $119 |
| 20 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 21 | Forsyth Memorial Hospital, Inc. Clemmons, NC fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 22 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 23 | Forsyth Memorial Hospital, Inc. Kernersville, NC fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 24 | Fort Hamilton Hospital Hamilton, OH fee schedule · outpatient | 2 | $307 | $307 | $121 | 39% | — | $186 – $429 |
| 25 | GLENS FALLS HOSPITAL INC Falls, NY facility · case rate · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
← Payers reporting HCPCS Q4333 · Snapshot 20261111T120946Z-9134e7f7