SUP-131203 (CDM) — raw rate rows

CDM · raw rates

SUP-131203 — Pacemaker Transcatheter 2

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 $20,637

Usually $20,637–$20,637 (25th–75th percentile) across 1 hospital · 6 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-131203 — 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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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
BUTLER HOSPITAL OutpatientFacility	AETNA HEALTH MANAGEMENT, LLC	COMMERCIAL	—	$30,550.00	$10,692.50	2026-02-28	MRF ↗
BUTLER HOSPITAL OutpatientFacility	AETNA HEALTH MANAGEMENT, LLC	RI PREFERRED	—	$30,550.00	$10,692.50	2026-02-28	MRF ↗
BUTLER HOSPITAL OutpatientFacility	Blue Cross & Blue Shield of Rhode Island	MANAGED MEDICARE	—	$30,550.00	$10,692.50	2026-02-28	MRF ↗
BUTLER HOSPITAL OutpatientFacility	Blue Cross & Blue Shield of Rhode Island	PPO	—	$30,550.00	$10,692.50	2026-02-28	MRF ↗
BUTLER HOSPITAL OutpatientFacility	Blue Cross & Blue Shield of Rhode Island	Prime EPO	$13,472.55	$30,550.00	$10,692.50	2026-02-28	MRF ↗
BUTLER HOSPITAL OutpatientFacility	Blue Cross & Blue Shield of Rhode Island	OUT OF STATE	—	$30,550.00	$10,692.50	2026-02-28	MRF ↗
BUTLER HOSPITAL OutpatientFacility	Connecticut General Life Insurance Company	Evernorth	—	$30,550.00	$10,692.50	2026-02-28	MRF ↗
BUTLER HOSPITAL OutpatientFacility	HARVARD PILGRIM HEALTHCARE, INC.	COMMERCIAL	—	$30,550.00	$10,692.50	2026-02-28	MRF ↗
BUTLER HOSPITAL OutpatientFacility	MULTIPLAN, INC	COMMERCIAL	—	$30,550.00	$10,692.50	2026-02-28	MRF ↗
BUTLER HOSPITAL OutpatientFacility	PRIVATE HEALTHCARE SYSTEM	COMMERCIAL	—	$30,550.00	$10,692.50	2026-02-28	MRF ↗