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
$48
Average
$128
Median
$125
High
$171
Each hospital's average Humana rate, under the methodology and billing class chosen below.
139 hospitals; the 90th percentile is 1.3× 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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148 hospital rates
iThe hospitals that file a Humana 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 | Lake Regional Health System Osage Beach, MO fee schedule · both | 4 | $134 | $134 | — | — | 1–10 | $134 – $134 |
| 2 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $130 | $130 | — | — | — | $130 – $130 |
| 3 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 4 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 5 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 6 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 7 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 8 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 9 | Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 10 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 20 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 23 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 3 | $125 | $125 | — | — | — | $125 – $125 |
| 24 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 25 | COMMONSPIRIT KANSAS, INC. Dodge City, KS fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
← Payers reporting HCPCS Q4333 · Snapshot 20261111T120946Z-9134e7f7