111939 — Defibrillator Icd Sr Energen
Cite this view
HANK Price Transparency. (n.d.). DEFIBRILLATOR ICD SR ENERGEN (OTHER 111939) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/111939?code_type=OTHER
“DEFIBRILLATOR ICD SR ENERGEN (OTHER 111939) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/111939?code_type=OTHER. Accessed .
“DEFIBRILLATOR ICD SR ENERGEN (OTHER 111939) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/111939?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $15,228–$24,114 (25th–75th percentile) across 2 hospitals · 15 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 111939 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| GLENCOE REGIONAL HEALTH Both | United Healthcare | Default | $3,013.16 | $4,184.95 | $4,184.95 | 2026-05-06 | MRF ↗ |
| GLENCOE REGIONAL HEALTH Both | Blue Cross Blue Shield Of Mn | Default | $3,082.22 | $4,184.95 | $4,184.95 | 2026-05-06 | MRF ↗ |
| GLENCOE REGIONAL HEALTH Both | Medica | Default | $3,117.79 | $4,184.95 | $4,184.95 | 2026-05-06 | MRF ↗ |
| GLENCOE REGIONAL HEALTH Both | Healthpartners | Default | $3,732.98 | $4,184.95 | $4,184.95 | 2026-05-06 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $13,902.03 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $14,912.59 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $15,227.52 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $15,227.52 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $15,227.52 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $15,227.52 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $15,227.52 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $15,227.52 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $15,227.52 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $15,227.52 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $15,227.52 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $17,466.66 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $17,636.24 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $17,729.68 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $18,456.45 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $19,380.48 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $21,456.96 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $22,045.30 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $23,429.62 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $23,779.16 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $23,841.45 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $23,914.13 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $23,924.51 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $24,682.43 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $24,910.84 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $24,917.76 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $26,225.94 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $27,063.46 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $27,409.54 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Aetna | Aetna Hmo/Pos/Ppo | $29,901.31 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Coventry | Coventry - Workers Comp | $32,704.56 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Multiplan | Multiplan Ppo | $32,877.60 | $34,608.00 | $15,815.86 | 2026-05-23 | MRF ↗ |