SUP-168281 — Device Ventricular Assist Impella 5.5 Smartassist Sterile Latex Free Disposable
Cite this view
HANK Price Transparency. (n.d.). DEVICE VENTRICULAR ASSIST IMPELLA 5.5 SMARTASSIST STERILE LATEX FREE DISPOSABLE (CDM SUP-168281) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-168281?code_type=CDM
“DEVICE VENTRICULAR ASSIST IMPELLA 5.5 SMARTASSIST STERILE LATEX FREE DISPOSABLE (CDM SUP-168281) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-168281?code_type=CDM. Accessed .
“DEVICE VENTRICULAR ASSIST IMPELLA 5.5 SMARTASSIST STERILE LATEX FREE DISPOSABLE (CDM SUP-168281) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-168281?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $110,486–$202,108 (25th–75th percentile) across 1 hospital · 16 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-168281 — 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 |
|---|---|---|---|---|---|---|---|
| PORTNEUF MEDICAL CENTER BothFacility | HEALTHCARE HIGHWAYS [2210] | HCH JOHN SOULES FOODS [221011] | $110,485.98 | $269,478.00 | $161,686.80 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | HEALTHCARE HIGHWAYS [2210] | HCH 90 DEGREE BENEFITS [221013] | $110,485.98 | $269,478.00 | $161,686.80 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | ONCOLOGY PATIENT ASSISTANCE PROGRAMS [2295] | BCCS FAMILY CIRCLE OF CARE [229553] | $110,485.98 | $269,478.00 | $161,686.80 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | MODA HEALTH [6100] | MODA HEALTH [610000] | $110,485.98 | $269,478.00 | $161,686.80 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | LUCENT HEALTH [6000] | LUCENT HEALTH [600000] | $110,485.98 | $269,478.00 | $161,686.80 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | WEB TPA [2115] | WEB TPA HEALTHCARE HIGHWAYS [211504] | $110,485.98 | $269,478.00 | $161,686.80 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | BLACK LUNG [6055] | BLACK LUNG [605500] | $110,485.98 | $269,478.00 | $161,686.80 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | PENDING SSI [1616] | PENDING SSI RCA [161601] | $110,485.98 | $269,478.00 | $161,686.80 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] | EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501] | $110,485.98 | $269,478.00 | $161,686.80 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | HEALTHCARE HIGHWAYS [2210] | HCH BROKEN ARROW [221012] | $110,485.98 | $269,478.00 | $161,686.80 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] | EBMS BINGHAM MEMORIAL HOSPITAL [244502] | $161,686.80 | $269,478.00 | $161,686.80 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | MEDISHARE CHRISTIAN CARE [1645] | MEDISHARE CHRISTIAN CARE [164500] | $161,686.80 | $269,478.00 | $161,686.80 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | MULTIPLAN [1680] | HMA [168003] | $180,550.26 | $269,478.00 | $161,686.80 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | WORKER'S COMP [2125] | FIRST HEALTH WORKER'S COMP [212555] | $196,045.25 | $269,478.00 | $161,686.80 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | WORKER'S COMP [2125] | JME CLAIMS WORK COMP [2125114] | $202,108.50 | $269,478.00 | $161,686.80 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | TRANSAMERICAN LIFE [1990] | TRANSAMERICAN LIFE [199000] | $202,108.50 | $269,478.00 | $161,686.80 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | WORKER'S COMP [2125] | CNA INSURANCE WC [2125100] | $202,108.50 | $269,478.00 | $161,686.80 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | ENABLECOMP [1350] | W/C WORK COMP ENABLECOMP [135000] | $202,108.50 | $269,478.00 | $161,686.80 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | GEHA [1415] | GEHA - ASA [141503] | $242,530.20 | $269,478.00 | $161,686.80 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | UNITED HEALTHCARE [2060] | UHC SUREST BIND [206032] | $242,530.20 | $269,478.00 | $161,686.80 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | UMR [2035] | UMR UNITED HEALTHCARE [203502] | $242,530.20 | $269,478.00 | $161,686.80 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | UMR [2035] | UNITED MEDICAL RESOURCES [203503] | $242,530.20 | $269,478.00 | $161,686.80 | 2026-03-31 | MRF ↗ |
| PORTNEUF MEDICAL CENTER BothFacility | UNITED HEALTHCARE [2060] | UNITED HEALTHCARE STUDENT SVC [206012] | $242,530.20 | $269,478.00 | $161,686.80 | 2026-03-31 | MRF ↗ |