SUP-103 — Generator Demipulse 103
Cite this view
HANK Price Transparency. (n.d.). GENERATOR DEMIPULSE 103 (OTHER SUP-103) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-103?code_type=OTHER
“GENERATOR DEMIPULSE 103 (OTHER SUP-103) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-103?code_type=OTHER. Accessed .
“GENERATOR DEMIPULSE 103 (OTHER SUP-103) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-103?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $33,215–$58,469 (25th–75th percentile) across 2 hospitals · 11 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER SUP-103 — 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 |
|---|---|---|---|---|---|---|---|
| St. Louise Regional Hospital Outpatient | Blue Shield | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER Outpatient | Valley Health Plan | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-09 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER Outpatient | Phcs-Multiplan | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-09 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-09 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER Outpatient | Cigna | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-09 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER Outpatient | United Healthcare | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-09 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER Outpatient | Blue Shield | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-09 | MRF ↗ |
| St. Louise Regional Hospital Outpatient | Valley Health Plan | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| St. Louise Regional Hospital Outpatient | Phcs-Multiplan | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| St. Louise Regional Hospital Outpatient | Aetna | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| St. Louise Regional Hospital Outpatient | Cigna | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| St. Louise Regional Hospital Outpatient | United Healthcare | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| O'connor Hospital Outpatient | Blue Shield | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| O'connor Hospital Outpatient | United Healthcare | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| O'connor Hospital Outpatient | Cigna | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| O'connor Hospital Outpatient | Aetna | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| O'connor Hospital Outpatient | Phcs-Multiplan | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| O'connor Hospital Outpatient | Valley Health Plan | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-13 | MRF ↗ |
| O'connor Hospital Outpatient | Blue Shield | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-23 | MRF ↗ |
| O'connor Hospital Outpatient | United Healthcare | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-23 | MRF ↗ |
| O'connor Hospital Outpatient | Cigna | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-23 | MRF ↗ |
| O'connor Hospital Outpatient | Aetna | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-23 | MRF ↗ |
| O'connor Hospital Outpatient | Phcs-Multiplan | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-23 | MRF ↗ |
| O'connor Hospital Outpatient | Valley Health Plan | Commercial (Hmo/Ppo) | — | $49,947.95 | $34,963.56 | 2026-05-23 | MRF ↗ |
| NORTH OAKS MEDICAL CENTER Both | Mco Lhc | La Healthcare Connections | $7,260.96 | $102,992.40 | $0.02 | 2026-05-09 | MRF ↗ |
| NORTH OAKS MEDICAL CENTER Both | Mco Aetna Bh | Aetna Better Health Of Louisiana | $7,406.18 | $102,992.40 | $0.02 | 2026-05-09 | MRF ↗ |
| NORTH OAKS MEDICAL CENTER Both | Mco Lacare Am | Lacare Amerihealth Plan | $7,406.18 | $102,992.40 | $0.02 | 2026-05-09 | MRF ↗ |
| NORTH OAKS MEDICAL CENTER Both | Mco Humana Hh | Humana Healthy Horizons | $7,406.18 | $102,992.40 | $0.02 | 2026-05-09 | MRF ↗ |
| NORTH OAKS MEDICAL CENTER Both | Mco Uhc Comm | Uhc Community Plan | $7,406.18 | $102,992.40 | $0.02 | 2026-05-09 | MRF ↗ |
| NORTH OAKS MEDICAL CENTER Both | United Healthcare | Umr Nohs Employee Pca Plan | $16,993.75 | $102,992.40 | $0.02 | 2026-05-09 | MRF ↗ |
| NORTH OAKS MEDICAL CENTER Both | United Healthcare | Umr Nohs Employee Ppo Plan | $16,993.75 | $102,992.40 | $0.02 | 2026-05-09 | MRF ↗ |
| NORTH OAKS MEDICAL CENTER Both | United Healthcare | United Healthcare Hmo | $49,436.35 | $102,992.40 | $0.02 | 2026-05-09 | MRF ↗ |
| NORTH OAKS MEDICAL CENTER Both | United Healthcare | United Medical Resources | $49,436.35 | $102,992.40 | $0.02 | 2026-05-09 | MRF ↗ |
| NORTH OAKS MEDICAL CENTER Both | United Healthcare | United Healthcare Ppo | $49,436.35 | $102,992.40 | $0.02 | 2026-05-09 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Outpatient | Cbs Maryland | Bcbs Carefirst | $55,142.80 | $55,142.80 | $55,142.80 | 2026-05-13 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Outpatient | Humana Medicare Advantage | Humana Medicare Advantage Ppo Plan | $55,142.80 | $55,142.80 | $55,142.80 | 2026-05-13 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Outpatient | Humana Medicare Advantage | Humana Medicare Advantage | $55,142.80 | $55,142.80 | $55,142.80 | 2026-05-13 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Outpatient | Amerihealth Caritas Delaware Mco | Amerihealth Caritas | $55,142.80 | $55,142.80 | $55,142.80 | 2026-05-22 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Outpatient | United Healthcare | Uhc Choice Plus Pos | $55,142.80 | $55,142.80 | $55,142.80 | 2026-05-22 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Outpatient | Humana Medicare Advantage | Humana Medicare Advantage Ppo Plan | $55,142.80 | $55,142.80 | $55,142.80 | 2026-05-22 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Outpatient | Humana Medicare Advantage | Humana Medicare Advantage | $55,142.80 | $55,142.80 | $55,142.80 | 2026-05-22 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Outpatient | Cbs Maryland | Bcbs Carefirst | $55,142.80 | $55,142.80 | $55,142.80 | 2026-05-22 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Outpatient | Amerihealth Caritas Delaware Mco | Amerihealth Caritas | $55,142.80 | $55,142.80 | $55,142.80 | 2026-05-13 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Outpatient | United Healthcare | Uhc Choice Plus Pos | $55,142.80 | $55,142.80 | $55,142.80 | 2026-05-13 | MRF ↗ |
| NORTH OAKS MEDICAL CENTER Both | Aetna | Aetna Ppo | $61,795.44 | $102,992.40 | $0.02 | 2026-05-09 | MRF ↗ |
| NORTH OAKS MEDICAL CENTER Both | Verity Healthnet | Verity | $66,945.06 | $102,992.40 | $0.02 | 2026-05-09 | MRF ↗ |
| NORTH OAKS MEDICAL CENTER Both | Ppoplus Llc | Ppoplus Llc | $72,094.68 | $102,992.40 | $0.02 | 2026-05-09 | MRF ↗ |
| NORTH OAKS MEDICAL CENTER Both | Humana | Humana Health Care Ppo | $77,244.30 | $102,992.40 | $0.02 | 2026-05-09 | MRF ↗ |
| NORTH OAKS MEDICAL CENTER Both | Multiplan | Multiplan Ppo | $77,244.30 | $102,992.40 | $0.02 | 2026-05-09 | MRF ↗ |
| NORTH OAKS MEDICAL CENTER Both | Cigna | Cigna Ppo | $81,364.00 | $102,992.40 | $0.02 | 2026-05-09 | MRF ↗ |
| NORTH OAKS MEDICAL CENTER Both | Aetna | Aetna Hmo | $87,543.54 | $102,992.40 | $0.02 | 2026-05-09 | MRF ↗ |