SUP-136104 — Impella 5.0 Catheter
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). IMPELLA 5.0 CATHETER (CDM SUP-136104) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-136104?code_type=CDM
MLA (9th ed.)
“IMPELLA 5.0 CATHETER (CDM SUP-136104) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-136104?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“IMPELLA 5.0 CATHETER (CDM SUP-136104) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-136104?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $51,535–$124,418 (25th–75th percentile) across 2 hospitals · 17 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-136104 — 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 |
|---|---|---|---|---|---|---|---|
| NORTHWESTERN MEDICINE MCHENRY Outpatient | AETNA HEALTH PLAN [171] | NWR AETNA NM EMPLOYEES | $22,521.17 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | CIGNA HEALTH PLAN [178] | NWR CIGNA ALTERNATIVE | $22,987.93 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE PREFERRED | $32,778.22 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE SELECT | $32,778.22 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE OPTIONS | $34,411.88 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | MERCY CARE HEALTH PLANS [5013] | NWR MERCY CARE | $35,415.42 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | CIGNA HEALTH PLAN [178] | NWR CIGNA BROAD | $36,057.21 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | AETNA HEALTH PLAN [171] | NWR AETNA APCN/SP | $40,141.36 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | NLFH AETNA NM EMPLOYEES | $40,756.45 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | AETNA HEALTH PLAN [171] | NWR AETNA IL PREFERRED | $41,424.95 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | ALTERNATE BLUE CROSS [1402] | NWR BCBS HMO | $41,634.99 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | BLUE CROSS BLUE SHIELD [1401] | NWR BCBS HMO | $41,634.99 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | ALTERNATE BLUE CROSS [1402] | NWR BCBS PPO | $45,450.76 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PPO | $45,450.76 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE SELECT | $51,461.16 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | NLFH CIGNA ALTERNATIVE | $51,559.37 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS HMO | $52,025.86 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | NLFH BCBS HMO | $52,025.86 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE PREFERRED | $54,039.13 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | UNITED HEALTHCARE [158] | NWR UHC CORE | $55,311.06 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | AETNA HEALTH PLAN [171] | NWR AETNA | $56,828.03 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE OPTIONS | $57,132.69 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | HEALTHLINK [125] | NWR SEIU HEALTHLINK | $58,345.00 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | AETNA HEALTH PLAN [171] | NWR AETNA ASA | $61,262.25 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | UNITED HEALTHCARE [158] | NWR UHC HMO/PPO | $61,495.63 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | CHOICECARE [177] | NWR CHOICE CARE | $62,079.08 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | NLFH BCBS PPO | $67,051.73 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS PPO | $67,051.73 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | MULTIPLAN/PHCS [142] | NWR PHCS PPO | $73,514.70 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | THE ALLIANCE [1703] | NWR THE ALLIANCE | $74,949.99 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | HEALTH'S FINEST NETWORK [126] | NWR HFN PLATINUM EPO | $81,683.00 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | HEALTH'S FINEST NETWORK [126] | NWR HFN PPO | $85,183.70 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | CIGNA HEALTH PLAN [178] | NWR CIGNA BEHAVORIAL BHS | $87,517.50 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | BEECHSTREET [176] | NWR BEECHSTREET | $93,352.00 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | NLFH AETNA | $105,573.94 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BC LAKE COUNTY PHYS ASSOC IPA | $110,484.36 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | NLFH AETNA ASA | $111,711.96 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | UNITED HEALTHCARE [158] | NLFH UHC CORE | $116,376.86 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PAR/INDEMNITY ADP | $116,690.00 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | ALTERNATE BLUE CROSS MEDICARE ADV [2304] | NWR BLUE CROSS MEDICARE ADVT | — | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | ALTERNATE HUMANA MEDICARE ADV [2409] | NWR HUMANA MEDICARE ADVT | — | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | MULTIPLAN/PHCS [142] | NWR NON-CONTRACTED PAYORS | $116,690.00 | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | GLOBAL EXCEL [1712] | NWR MEDICARE | — | $116,690.00 | $81,683.00 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | NLFH CIGNA BROAD | $119,323.11 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | HEALTHLINK [125] | NLFH SEIU HEALTHLINK | $122,760.40 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | UNITED HEALTHCARE [158] | NLFH UHC HMO/PPO | $129,389.46 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | HEALTH'S FINEST NETWORK [126] | NLFH HFN PLATINUM/CHC ELITE | $156,887.80 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | THE ALLIANCE [1703] | NLFH THE ALLIANCE | $157,698.02 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | MULTIPLAN/PHCS [142] | NLFH PHCS | $175,547.38 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BEECHSTREET [176] | NLFH PHCS | $175,547.38 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | FIRST HEALTH PLAN [6034] | NLFH FIRST HEALTH | $201,327.06 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | HEALTH'S FINEST NETWORK [126] | NLFH HFN PPO | $220,968.72 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | ALTERNATE HUMANA MEDICARE ADV [2409] | NLFH HUMANA MEDICARE ADVT | — | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS PAR/INDEMNITY ADP | $245,520.80 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | HUMANA HEALTH PLAN [130] | NLFH ADVOCATE IPA | — | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH ADVOCATE IPA | — | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | UNITED HEALTHCARE [158] | NLFH UHC NON-CONTRACTED OON - ED ONLY | $245,520.80 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | MULTIPLAN/PHCS [142] | NLFH NON-CONTRACTED PAYORS | $245,520.80 | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | GLOBAL EXCEL [1712] | NLFH MEDICARE | — | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | ALTERNATE BLUE CROSS MEDICARE ADV [2304] | NLFH BLUE CROSS MEDICARE ADVT | — | $245,520.80 | $171,864.56 | 2026-04-01 | MRF ↗ |