12065699 — Device Ventricular Assist Impella 5.5 Smartassist Sterile Latex Free Disposable 1000100
Cite this view
HANK Price Transparency. (n.d.). DEVICE VENTRICULAR ASSIST IMPELLA 5.5 SMARTASSIST STERILE LATEX FREE DISPOSABLE 1000100 (CDM 12065699) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/12065699?code_type=CDM
“DEVICE VENTRICULAR ASSIST IMPELLA 5.5 SMARTASSIST STERILE LATEX FREE DISPOSABLE 1000100 (CDM 12065699) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/12065699?code_type=CDM. Accessed .
“DEVICE VENTRICULAR ASSIST IMPELLA 5.5 SMARTASSIST STERILE LATEX FREE DISPOSABLE 1000100 (CDM 12065699) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/12065699?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $73,543–$109,438 (25th–75th percentile) across 5 hospitals · 8 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 12065699 — 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 |
|---|---|---|---|---|---|---|---|
| MCLAREN NORTHERN MICHIGAN Both | McLaren Commercial Ins | McLaren Commercial Ins | $36,280.00 | $121,258.00 | $60,629.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | WC - Workers Compensation | WC - Workers Compensation | $44,269.00 | $121,258.00 | $60,629.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Both | McLaren Commercial Ins | McLaren Commercial Ins | $46,325.00 | $161,413.00 | $80,706.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | McLaren Commercial Ins | McLaren Commercial Ins | $47,848.00 | $172,738.00 | $86,369.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | McLaren Commercial Ins | McLaren Commercial Ins | $51,278.00 | $147,139.00 | $73,569.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | WC - Workers Compensation | WC - Workers Compensation | $53,600.00 | $172,738.00 | $86,369.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Both | WC - Workers Compensation | WC - Workers Compensation | $55,406.00 | $161,413.00 | $80,706.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Both | WC - Workers Compensation | WC - Workers Compensation | $60,810.00 | $149,245.00 | $74,622.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Both | McLaren Commercial Ins | McLaren Commercial Ins | $62,205.00 | $149,245.00 | $74,622.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | WC - Workers Compensation | WC - Workers Compensation | $66,927.00 | $147,139.00 | $73,569.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Cofinity group 15892 & 15893 | Cofinity group 15892 & 15893 | $71,542.00 | $121,258.00 | $60,629.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Priority Health | Priority Health | $74,210.00 | $121,258.00 | $60,629.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Priority Health | Priority Health | $75,188.00 | $147,139.00 | $73,569.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Both | HAP - HMO | HAP - HMO | $76,848.00 | $161,413.00 | $80,706.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Cofinity group 15892 & 15893 | Cofinity group 15892 & 15893 | $77,983.00 | $147,139.00 | $73,569.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | HAP - HMO | HAP - HMO | $79,805.00 | $172,738.00 | $86,369.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | Cofinity group 15892 & 15893 | Cofinity group 15892 & 15893 | $82,914.00 | $172,738.00 | $86,369.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | HAP - HMO | HAP - HMO | $83,341.00 | $121,258.00 | $60,629.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Both | Cofinity group 15892 & 15893 | Cofinity group 15892 & 15893 | $83,934.00 | $161,413.00 | $80,706.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | United Healthcare | United Healthcare | $90,944.00 | $121,258.00 | $60,629.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Both | Priority Health | Priority Health | $91,392.00 | $161,413.00 | $80,706.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | Priority Health | Priority Health | $92,294.00 | $172,738.00 | $86,369.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Both | HAP - HMO | HAP - HMO | $94,845.00 | $149,245.00 | $74,622.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | PHP | PHP | $95,640.00 | $147,139.00 | $73,569.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Both | Cofinity Aetna | Cofinity Aetna | $99,672.00 | $161,413.00 | $80,706.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Both | Cofinity Aetna | Cofinity Aetna | $99,919.00 | $149,245.00 | $74,622.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Both | HAP - Preferred | HAP - Preferred | $101,060.00 | $161,413.00 | $80,706.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Both | Cofinity | Cofinity | $102,836.00 | $161,413.00 | $80,706.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Both | Cofinity | Cofinity | $103,859.00 | $149,245.00 | $74,622.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Both | United Healthcare | United Healthcare | $104,471.00 | $149,245.00 | $74,622.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Both | Priority Health | Priority Health | $108,680.00 | $149,245.00 | $74,622.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Both | United Healthcare | United Healthcare | $108,953.00 | $161,413.00 | $80,706.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Cofinity | Cofinity | $109,132.00 | $121,258.00 | $60,629.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | United Healthcare | United Healthcare | $110,354.00 | $147,139.00 | $73,569.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Cofinity Aetna | Cofinity Aetna | $110,354.00 | $147,139.00 | $73,569.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Cofinity | Cofinity | $110,354.00 | $147,139.00 | $73,569.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | HAP - Preferred | HAP - Preferred | $110,725.00 | $172,738.00 | $86,369.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Both | HAP - Preferred | HAP - Preferred | $119,873.00 | $149,245.00 | $74,622.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | United Healthcare | United Healthcare | $120,917.00 | $172,738.00 | $86,369.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | HAP - Preferred | HAP - Preferred | $127,319.00 | $147,139.00 | $73,569.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | Cofinity Aetna | Cofinity Aetna | $141,058.00 | $172,738.00 | $86,369.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | HAP - HMO | HAP - HMO | $144,196.00 | $147,139.00 | $73,569.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | First Health Network | First Health Network | $146,827.00 | $172,738.00 | $86,369.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | Cofinity | Cofinity | $147,691.00 | $172,738.00 | $86,369.00 | 2025-02-03 | MRF ↗ |