52065999 (CDM) — raw rate rows

CDM · raw rates

52065999 — Proclaim Xr 5 W/iphn Pt Contro

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

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Typical negotiated price $105,450

Usually $105,450–$105,450 (25th–75th percentile) across 1 hospital · 1 payer.

“Negotiated” is the hospital’s negotiated facility rate for this CDM 52065999 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

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Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

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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 Midtown Both	CDM DEFAULT - NON-NEGOTIATED RATE	CDM DEFAULT - NON-NEGOTIATED RATE	$105,450.00	$105,450.00	$31,635.00	2026-01-01	MRF ↗