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 AMNIOFILL 250 MG AF-0250
Boulder, CO
See all hospitals reporting HCPCS C9399 →Price type
Boulder Community Health’s median price of $937 is 40% below the median hospital's median price ($1.6k), higher than 42% of the 1,132 hospitals reporting HCPCS C9399. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Kaiser commercial facility · percent of total billed charges · inpatientfrom % of charges | $433 | $433 | $30 | 7% | — | $402 – $463 |
| 2 | Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $433 | $433 | $30 | 7% | — | $402 – $463 |
| 3 | Kaiser managed care facility · percent of total billed charges · inpatientfrom % of charges | $459 | $459 | — | — | — | $459 – $459 |
| 4 | Kaiser managed care facility · percent of total billed charges · outpatientfrom % of charges | $459 | $459 | — | — | — | $459 – $459 |
| 5 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $616 | $616 | — | — | — | $616 – $616 |
| 6 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $616 | $616 | — | — | — | $616 – $616 |
| 7 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $566 | $655 | $199 | 30% | — | $453 – $1.1k |
| 8 | Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges | $706 | $706 | — | — | — | $706 – $706 |
| 9 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $735 | $735 | — | — | — | $735 – $735 |
| 10 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $735 | $735 | — | — | — | $735 – $735 |
| 11 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $912 | $912 | $277 | 30% | — | $636 – $1.2k |
| 12 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $924 | $924 | — | — | — | $924 – $924 |
| 13 | Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges | $924 | $924 | — | — | — | $924 – $924 |
| 14 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $937 | $937 | — | — | — | $937 – $937 |
| 15 | Phcs commercial facility · percent of total billed charges · outpatientfrom % of charges | $937 | $937 | — | — | — | $937 – $937 |
| 16 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $794 | $998 | $335 | 34% | — | $729 – $1.5k |
| 17 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $794 | $998 | $335 | 34% | — | $729 – $1.5k |
| 18 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | $482 | 43% | — | $636 – $1.6k |
Last updated: Sep 16, 2026
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