SUP-385041 — Sys Delivery Triclip Nt
Cite this view
HANK Price Transparency. (n.d.). SYS DELIVERY TRICLIP NT (CDM SUP-385041) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-385041?code_type=CDM
“SYS DELIVERY TRICLIP NT (CDM SUP-385041) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-385041?code_type=CDM. Accessed .
“SYS DELIVERY TRICLIP NT (CDM SUP-385041) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-385041?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $40,913–$117,585 (25th–75th percentile) across 6 hospitals · 8 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-385041 — 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 |
|---|---|---|---|---|---|---|---|
| SWEDISH HOSPITAL Outpatient | Medicaid Replacement | — | $15,795.00 | $117,000.00 | $53,820.00 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Medicare Advantage | — | $17,199.00 | $117,000.00 | $53,820.00 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Ambetter | Commercial | $18,369.00 | $117,000.00 | $53,820.00 | 2026-07-31 | MRF ↗ |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL Inpatient | — | — | — | $117,000.00 | $76,050.00 | 2025-01-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital Inpatient | — | — | — | $117,000.00 | $76,050.00 | 2025-01-01 | MRF ↗ |
| Skokie Hospital Inpatient | — | — | — | $117,000.00 | $76,050.00 | 2025-01-01 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Medicaid Replacement | — | $19,071.00 | $117,000.00 | $53,820.00 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Medicare Advantage | — | $20,124.00 | $117,000.00 | $53,820.00 | 2026-07-31 | MRF ↗ |
| LINDEN OAKS AT EDWARD Outpatient | Medicaid Replacement | — | $20,672.40 | $193,200.00 | $86,940.00 | 2026-08-01 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Ambetter | Commercial | $26,091.00 | $117,000.00 | $53,820.00 | 2026-07-31 | MRF ↗ |
| LINDEN OAKS AT EDWARD Inpatient | Medicaid Replacement | — | $29,752.80 | $193,200.00 | $86,940.00 | 2026-08-01 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Aetna | Commercial | $38,025.00 | $117,000.00 | $53,820.00 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Cigna | Commercial | $38,610.00 | $117,000.00 | $53,820.00 | 2026-07-31 | MRF ↗ |
| LINDEN OAKS AT EDWARD Inpatient | Humana | Commercial | $41,151.60 | $193,200.00 | $86,940.00 | 2026-08-01 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | United Health Care | Commercial | $41,886.00 | $117,000.00 | $53,820.00 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Cigna | Commercial | $43,407.00 | $117,000.00 | $53,820.00 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Aetna | Commercial | $46,800.00 | $117,000.00 | $53,820.00 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Humana | Commercial | $47,970.00 | $117,000.00 | $53,820.00 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | United Health Care | Commercial | $48,555.00 | $117,000.00 | $53,820.00 | 2026-07-31 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Humana | Commercial | $57,096.00 | $117,000.00 | $53,820.00 | 2026-07-31 | MRF ↗ |
| LINDEN OAKS AT EDWARD Inpatient | Ambetter | Commercial | $57,766.80 | $193,200.00 | $86,940.00 | 2026-08-01 | MRF ↗ |
| LINDEN OAKS AT EDWARD Inpatient | Medicare Advantage | — | $57,766.80 | $193,200.00 | $86,940.00 | 2026-08-01 | MRF ↗ |
| LINDEN OAKS AT EDWARD Inpatient | Cigna | Commercial | $60,085.20 | $193,200.00 | $86,940.00 | 2026-08-01 | MRF ↗ |
| SWEDISH HOSPITAL Inpatient | Blue Cross | Commercial | $62,595.00 | $117,000.00 | $53,820.00 | 2026-07-31 | MRF ↗ |
| LINDEN OAKS AT EDWARD Inpatient | Blue Cross | Commercial | $62,596.80 | $193,200.00 | $86,940.00 | 2026-08-01 | MRF ↗ |
| LINDEN OAKS AT EDWARD Outpatient | Cigna | Commercial | $63,369.60 | $193,200.00 | $86,940.00 | 2026-08-01 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Blue Cross | Commercial | $63,882.00 | $117,000.00 | $53,820.00 | 2026-07-31 | MRF ↗ |
| LINDEN OAKS AT EDWARD Inpatient | Aetna | Commercial | $66,460.80 | $193,200.00 | $86,940.00 | 2026-08-01 | MRF ↗ |
| LINDEN OAKS AT EDWARD Inpatient | United Health Care | Commercial | $72,063.60 | $193,200.00 | $86,940.00 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Inpatient | Medicaid Replacement | — | $76,050.00 | $117,000.00 | $50,310.00 | 2026-08-01 | MRF ↗ |
| LINDEN OAKS AT EDWARD Outpatient | Aetna | Commercial | $76,893.60 | $193,200.00 | $86,940.00 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Outpatient | Medicaid Replacement | — | $77,220.00 | $117,000.00 | $50,310.00 | 2026-08-01 | MRF ↗ |
| LINDEN OAKS AT EDWARD Outpatient | Blue Cross | Commercial | $78,825.60 | $193,200.00 | $86,940.00 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Inpatient | Medicare Advantage | — | $91,260.00 | $117,000.00 | $50,310.00 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Inpatient | Blue Cross | Commercial | $99,450.00 | $117,000.00 | $50,310.00 | 2026-08-01 | MRF ↗ |
| LINDEN OAKS AT EDWARD Outpatient | United Health Care | Commercial | $100,657.20 | $193,200.00 | $86,940.00 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Inpatient | Cigna | Commercial | $115,830.00 | $117,000.00 | $50,310.00 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Outpatient | Medicare Advantage | — | $118,170.00 | $117,000.00 | $50,310.00 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Inpatient | United Health Care | Commercial | $135,720.00 | $117,000.00 | $50,310.00 | 2026-08-01 | MRF ↗ |
| LINDEN OAKS AT EDWARD Outpatient | Ambetter | Commercial | $151,662.00 | $193,200.00 | $86,940.00 | 2026-08-01 | MRF ↗ |
| LINDEN OAKS AT EDWARD Outpatient | Medicare Advantage | — | $151,662.00 | $193,200.00 | $86,940.00 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Inpatient | Humana | Commercial | $153,270.00 | $117,000.00 | $50,310.00 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Inpatient | Ambetter | Commercial | $157,950.00 | $117,000.00 | $50,310.00 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Outpatient | Humana | Commercial | $163,800.00 | $117,000.00 | $50,310.00 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Inpatient | Aetna | Commercial | $163,800.00 | $117,000.00 | $50,310.00 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Outpatient | Ambetter | Commercial | $163,800.00 | $117,000.00 | $50,310.00 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Outpatient | Blue Cross | Commercial | $176,670.00 | $117,000.00 | $50,310.00 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Outpatient | Cigna | Commercial | $214,110.00 | $117,000.00 | $50,310.00 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Outpatient | United Health Care | Commercial | $252,720.00 | $117,000.00 | $50,310.00 | 2026-08-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 Outpatient | Aetna | Commercial | $281,970.00 | $117,000.00 | $50,310.00 | 2026-08-01 | MRF ↗ |