SUP-120635 — Occluder Cardiovascular Watchman Pebax Nitinol Platinum Iridium PET 21 Mm L75 Cm Od12 Fr Odsec14 Fr 3 Way Stopcock Y Adapter Self Expand Proximal Face Sterile Disposable Left Atrial Appendage
Cite this view
HANK Price Transparency. (n.d.). OCCLUDER CARDIOVASCULAR WATCHMAN PEBAX NITINOL PLATINUM IRIDIUM PET 21 MM L75 CM OD12 FR ODSEC14 FR 3 WAY STOPCOCK Y ADAPTER SELF EXPAND PROXIMAL FACE STERILE DISPOSABLE LEFT ATRIAL APPENDAGE (CDM SUP-120635) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-120635?code_type=CDM
“OCCLUDER CARDIOVASCULAR WATCHMAN PEBAX NITINOL PLATINUM IRIDIUM PET 21 MM L75 CM OD12 FR ODSEC14 FR 3 WAY STOPCOCK Y ADAPTER SELF EXPAND PROXIMAL FACE STERILE DISPOSABLE LEFT ATRIAL APPENDAGE (CDM SUP-120635) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-120635?code_type=CDM. Accessed .
“OCCLUDER CARDIOVASCULAR WATCHMAN PEBAX NITINOL PLATINUM IRIDIUM PET 21 MM L75 CM OD12 FR ODSEC14 FR 3 WAY STOPCOCK Y ADAPTER SELF EXPAND PROXIMAL FACE STERILE DISPOSABLE LEFT ATRIAL APPENDAGE (CDM SUP-120635) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-120635?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $42–$81,777 (25th–75th percentile) across 2 hospitals · 39 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-120635 — 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 |
|---|---|---|---|---|---|---|---|
| CONFLUENCE HEALTH HOSPITAL Both | WELLPOINT [6009] | HB WELLPOINT APPLE HEALTH | $18.36 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | AMBETTER FROM COORDINATED CARE [1034] | HB AMBETTER | $37.66 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | PREMERA [7000] | HB PREMERA EXCHANGE | $38.29 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | PREMERA [7000] | HB PREMERA HERITAGE PRIME | $39.56 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | PREMERA [7000] | HB PREMERA | $42.06 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | PREMERA EMPLOYEE [9300] | HB PREMERA | $42.06 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | REGENCE TO PREMERA ALTERNATE [7001] | HB PREMERA | $42.06 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | REGENCE [1006] | HB PREMERA | $42.06 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | PREMERA TO REGENCE ALTERNATE PAYOR [1038] | HB PREMERA | $42.06 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | KAISER PERMANENTE [1003] | HB FIRST HEALTH | $42.37 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | AETNA [1000] | HB AETNA | $42.37 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | AMERIBEN [8000] | HB FIRST CHOICE | $42.37 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | CIGNA [1001] | HB CIGNA | $42.37 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | COVENTRY [1002] | HB FIRST HEALTH | $42.37 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | FIRST CHOICE GENERIC [8999] | HB FIRST CHOICE | $42.37 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | FIRST CHOICE [8009] | HB FIRST CHOICE | $42.37 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | GEHA [1037] | HB AETNA | $42.37 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | MEGA LIFE [8005] | HB FIRST CHOICE | $42.37 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | MID WEST NATL LIFE [8006] | HB FIRST CHOICE | $42.37 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | MUTUAL OF OMAHA [8007] | HB FIRST CHOICE | $42.37 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | PACIFIC SOURCE ADMINISTRATORS [8010] | HB FIRST CHOICE | $42.37 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | PACIFIC SOURCE [8008] | HB FIRST CHOICE | $42.37 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | REGENCE [1006] | HB ASURIS | $42.37 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | UNITED HEALTH CARE [1008] | HB UHC | $42.37 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | MVA PROGRESSIVE [1027] | HB MULTIPLAN | $45.20 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | MVA STATE FARM [1028] | HB MULTIPLAN | $45.20 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | MULTIPLAN-PHCS [1033] | HB MULTIPLAN | $45.20 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | MVA FARMERS [1026] | HB MULTIPLAN | $45.20 | $47.08 | $42.37 | 2026-04-21 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | HEALTHCARE HIGHWAYS [2210] | HCH BROKEN ARROW [221012] | $57,698.23 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | HEALTHCARE HIGHWAYS [2210] | HCH 90 DEGREE BENEFITS [221013] | $57,698.23 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | PENDING SSI [1616] | PENDING SSI RCA [161601] | $57,698.23 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | WEB TPA [2115] | WEB TPA HEALTHCARE HIGHWAYS [211504] | $57,698.23 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | LUCENT HEALTH [6000] | LUCENT HEALTH [600000] | $57,698.23 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | ONCOLOGY PATIENT ASSISTANCE PROGRAMS [2295] | BCCS FAMILY CIRCLE OF CARE [229553] | $57,698.23 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | MODA HEALTH [6100] | MODA HEALTH [610000] | $57,698.23 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | BLACK LUNG [6055] | BLACK LUNG [605500] | $57,698.23 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | HEALTHCARE HIGHWAYS [2210] | HCH JOHN SOULES FOODS [221011] | $57,698.23 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] | EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501] | $57,698.23 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | PACIFIC SOURCE HEALTH PLANS [2850] | PACIFIC SOURCE HEALTH PLANS [285000] | $80,890.11 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] | EBMS BINGHAM MEMORIAL HOSPITAL [244502] | $84,436.44 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | MEDISHARE CHRISTIAN CARE [1645] | MEDISHARE CHRISTIAN CARE [164500] | $84,436.44 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | MULTIPLAN [1680] | HMA [168003] | $94,287.36 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | WORKER'S COMP [2125] | FIRST HEALTH WORKER'S COMP [212555] | $102,379.18 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | TRANSAMERICAN LIFE [1990] | TRANSAMERICAN LIFE [199000] | $105,545.55 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | WORKER'S COMP [2125] | JME CLAIMS WORK COMP [2125114] | $105,545.55 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | WORKER'S COMP [2125] | CNA INSURANCE WC [2125100] | $105,545.55 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | ENABLECOMP [1350] | W/C WORK COMP ENABLECOMP [135000] | $105,545.55 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | GEHA [1415] | GEHA - ASA [141503] | $126,654.66 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | UMR [2035] | UNITED MEDICAL RESOURCES [203503] | $126,654.66 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | UMR [2035] | UMR UNITED HEALTHCARE [203502] | $126,654.66 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | UNITED HEALTHCARE [2060] | UHC SUREST BIND [206032] | $126,654.66 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | UNITED HEALTHCARE [2060] | UNITED HEALTHCARE STUDENT SVC [206012] | $126,654.66 | $140,727.40 | $84,436.44 | 2026-03-31 | MRF ↗ |