SUP-060204 — (sa) Impella 5.5 X 21fr
Cite this view
HANK Price Transparency. (n.d.). (SA) IMPELLA 5.5 X 21FR (CDM SUP-060204) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-060204?code_type=CDM
“(SA) IMPELLA 5.5 X 21FR (CDM SUP-060204) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-060204?code_type=CDM. Accessed .
“(SA) IMPELLA 5.5 X 21FR (CDM SUP-060204) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-060204?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $106,124–$185,027 (25th–75th percentile) across 1 hospital · 22 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-060204 — 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 |
|---|---|---|---|---|---|---|---|
| UW HEALTH BothFacility | Blue Cross Blue Shield HMOI | HMO Plans | $41,709.47 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH OutpatientFacility | Aetna Medicare Advantage | Aetna HMO, PPO | $59,584.95 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | Quartz Fully Insured | Quartz | $69,933.92 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | Blue Cross Blue Shield Choice | PPO | $81,662.74 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | Blue Cross Blue Shield | Broad PPO Plans | $99,726.39 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | ECOH | ECOH One Medical Home | $102,235.23 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | HFN | HFN Platinum | $102,235.23 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | ECOH | ECOH 1 | $102,235.23 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | Alliance Premier Network | Premier | $110,012.63 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | Quartz ASO | Quartz | $110,075.36 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | ECOH | ECOH Two Medical Home | $121,992.35 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | ECOH | ECOH 2 | $121,992.35 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH OutpatientFacility | Aspirus Health Plan of Wisconsin Medicare Adv | Aspirus HMO | $125,442.00 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH OutpatientFacility | Devoted Health Medicare Adv | HMO/POS/PPO | $125,442.00 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | The Alliance | Alliance | $141,624.02 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | Aetna | Aetna commerical plans | $145,512.72 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | Cigna | PPO/OAP/EPO | $152,098.43 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | United Healthcare | United Healthcare | $154,920.87 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | WPS PPO | Statewide/Healthy U | $155,861.69 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH OutpatientFacility | United Healthcare Medicare Adv | United Healthcare | $156,802.50 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | HFN | CHC/HFN 7564 | $158,684.13 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | ECOH | ECOH 3 | $158,684.13 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | Beloit Healt System | PPO | $181,890.90 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | MercyCare | HMO/POS/EPO/PPO | $188,163.00 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH OutpatientFacility | Quatz Senior Preferred Medicare | Quartz | $188,163.00 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | First Health/Coventry | PPO | $198,198.36 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH OutpatientFacility | Community Care Medicare Adv | Community Care | $203,843.25 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | Health Payment Systems | PPO | $235,203.75 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | HealthSmart | PPO | $235,203.75 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | Sheboygan Employers Health Network | PPO | $250,884.00 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | Multiplan | Multiplan | $280,362.87 | $313,605.00 | $50,176.80 | 2026-04-01 | MRF ↗ |