40992766 — Delivery System Triclip G4 Nt
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DELIVERY SYSTEM TRICLIP G4 NT (CDM 40992766) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/40992766?code_type=CDM
MLA (9th ed.)
“DELIVERY SYSTEM TRICLIP G4 NT (CDM 40992766) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/40992766?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“DELIVERY SYSTEM TRICLIP G4 NT (CDM 40992766) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/40992766?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $66,096–$126,684 (25th–75th percentile) across 1 hospital · 16 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 40992766 — 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 |
|---|---|---|---|---|---|---|---|
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | BCBS NETWORK L | 3152_STTN BLUE CROSS BLUE SHIELD NETWORK L 20250401 | $36,720.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | BCBS ACA EXCHANGE | 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 | $36,720.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | BCBS ACA EXCHANGE | 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 | $36,720.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | BCBS SELECT | 3180_STTN BLUE CROSS BLUE SHIELD SELECT 20250701 | $36,720.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | BCBS SELECT | 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701 | $36,720.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | BCBS PREFERRED | 3179_STTN BLUE CROSS BLUE SHIELD PREFERRED 20250701 | $36,720.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | BCBS PREFERRED | 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701 | $36,720.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | BCBS NETWORK L | 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401 | $36,720.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Both | SMART HEALTH | 2840_MTTN, RPTN, RHTN, SDTN, THTN ASCENSION SMART HEALTH INPATIENT 20241001 | $46,512.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Both | SMART HEALTH | 2789_STTN ASCENSION SMART HEALTH INPATIENT 20241001 | $46,512.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | SMART HEALTH | 2936_MTTN, RPTN, RHTN, SDTN, THTN ASCENSION SMART HEALTH OUTPATIENT 20250101 | $46,512.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | SMART HEALTH | 2937_STTN ASCENSION SMART HEALTH OUTPATIENT 20250101 | $46,512.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Inpatient | CIGNA SUREFIT | 2862_STTN CIGNA SUREFIT 20241001 | $61,200.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | HEALTH 2 BUSINESS | 1740_STTN HEALTH 2 BUSINESS 20201211 | $66,096.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | AETNA | 3161_RPTN AETNA 20250701 | $66,096.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | HEALTH 2 BUSINESS | 1741_MTTN HEALTH 2 BUSINESS 20201211 | $66,096.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | HEALTH 2 BUSINESS | 1742_REGIONALS HEALTH 2 BUSINESS 20201211 | $66,096.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Inpatient | CIGNA HMO | 3185_STTN CIGNA HMO 20250601 | $70,992.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | CHRISTIAN HEALTHCARE MINISTRIES | 1811_CHRISTIAN HEALTHCARE MINISTRIES 20210222 | $73,440.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Inpatient | UHC | 3176_UHC (STTN) 20250715 | $75,888.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Inpatient | UHC COMPASS/EXCHANGE | 3166_UHC STTN EXCHANGE 20250715 | $75,888.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Inpatient | CIGNA PPO | 3183_STTN CIGNA PPO 20250601 | $78,336.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | BCBS MISSIONPOINT | 2410_STTN BLUE CROSS BLUE SHIELD MISSION POINT 20221001 | $80,784.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | AETNA | 3159_STTN AETNA 20250701 | $83,232.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | HUMANA +51 CPOS | 2863_STTN HUMANA +51 CPOS 20241001 | $88,128.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | CIGNA LOCALPLUS | 3187_STTN CIGNA LOCALPLUS 20250601 | $88,128.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Inpatient | CIGNA PPO | 3184_MTTN CIGNA PPO 20250601 | $97,920.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | UHC COMPASS/EXCHANGE | 3165_MTTN UHC EXCHANGE 20250715 | $97,920.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Inpatient | UHC COMPASS/EXCHANGE | 3169_SDTN UHC COMPASS 20250715 | $97,920.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Inpatient | UHC COMPASS/EXCHANGE | 3167_RPTN UHC EXCHANGE 20250715 | $100,368.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Inpatient | UHC COMPASS/EXCHANGE | 3170_THTN UHC COMPASS 20250715 | $100,368.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Inpatient | UHC COMPASS/EXCHANGE | 3168_RHTN UHC EXCHANGE 20250715 | $100,368.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Inpatient | UHC | 3172_RPTN UHC 20250715 | $105,264.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Inpatient | UHC | 3175_THTN UHC 20250715 | $105,264.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Inpatient | UHC | 3171_MTTN UHC 20250715 | $105,264.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Inpatient | UHC | 3173_RHTN UHC 20250715 | $105,264.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Inpatient | UHC | 3174_SDTN UHC 20250715 | $107,712.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Inpatient | CIGNA LOCALPLUS | 3192_RHTN CIGNA LOCALPLUS 20250601 | $122,400.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Inpatient | CIGNA LOCALPLUS | 3193_CIGNA LOCALPLUS (DEKALB) 20250601 | $124,848.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | AETNA (RUTHERFORD ONLY) | 3160_MTTN AETNA 20250701 | $124,848.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | AETNA | 3164_THTN AETNA 20250701 | $127,296.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | CIGNA LOCALPLUS | 3191_RPTN CIGNA LOCALPLUS 20250601 | $127,296.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | CIGNA HMO | 3195_RPTN CIGNA HMO 20250601 | $127,296.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | CIGNA PPO | 3198_RPTN CIGNA PPO 20250601 | $132,192.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | BCBS MISSIONPOINT | 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001 | $134,640.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Inpatient | CIGNA HMO | 3196_CIGNA HMO (DEKALB) 20250601 | $134,640.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Inpatient | CIGNA PPO | 3199_CIGNA PPO (DEKALB) 20250601 | $139,536.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Inpatient | PHCS | 2867_STTN PHCS 20241001 | $141,984.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | BCBS NETWORK E | 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401 | $146,880.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | CIGNA LOCALPLUS | 3194_THTN CIGNA LOCALPLUS 20250601 | $151,776.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | AETNA | 3163_SDTN AETNA 20250701 | $173,808.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | AETNA | 3162_RHTN AETNA 20250701 | $173,808.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | MULTIPLAN | 418_MTTN, STTN MULTIPLAN 20120701 | $188,496.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $244,800.00 | $244,800.00 | $73,440.00 | 2026-01-01 | MRF ↗ |