SUP-80796 — Kit Triclip G4 System 1 Steerable Guide Catheter & Any Combination Of Up To 3 Clips #tcg40100
Cite this view
HANK Price Transparency. (n.d.). Kit Triclip G4 System 1 Steerable Guide Catheter & Any Combination Of Up To 3 Clips #tcg40100 (CDM SUP-80796) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-80796?code_type=CDM
“Kit Triclip G4 System 1 Steerable Guide Catheter & Any Combination Of Up To 3 Clips #tcg40100 (CDM SUP-80796) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-80796?code_type=CDM. Accessed .
“Kit Triclip G4 System 1 Steerable Guide Catheter & Any Combination Of Up To 3 Clips #tcg40100 (CDM SUP-80796) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-80796?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $114,660–$163,800 (25th–75th percentile) across 2 hospitals · 12 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-80796 — 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 |
|---|---|---|---|---|---|---|---|
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | AETNA COMMERCIAL [85189] | MI AETNA | $95,004.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | AETNA COMMERCIAL [85189] | MI AETNA | $95,004.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | AETNA COMMERCIAL [85189] | MI AETNA | $95,004.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | AETNA COMMERCIAL [85189] | TH AETNA | $98,280.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | AETNA COMMERCIAL [85189] | TH AETNA | $98,280.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | AETNA COMMERCIAL [85189] | TH AETNA | $98,280.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | VIVA COMMERCIAL [85130] | TH VIVA | $106,470.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | VIVA COMMERCIAL [85130] | TH VIVA | $106,470.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | VIVA COMMERCIAL [85130] | TH VIVA | $106,470.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | CIGNA COMMERCIAL [85040] | CIGNA | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | HUMANA COMMERCIAL [85368] | TH HUMANA | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | HEALTH CHOICE [85751] | NB/TH HEALTH CHOICE | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | CIGNA COMMERCIAL [85040] | CIGNA | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | FIRST HEALTH NETWORK [85081] | MI FIRST HEALTH COMMERCIAL | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | VIVA COMMERCIAL [85130] | MI VIVA | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HEALTH CHOICE [85751] | MI Health Choice | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HUMANA COMMERCIAL [85368] | MI HUMANA | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | CIGNA COMMERCIAL [85040] | CIGNA | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | CIGNA COMMERCIAL [85040] | CIGNA | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | FIRST HEALTH NETWORK [85081] | MI FIRST HEALTH COMMERCIAL | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HEALTH CHOICE [85751] | MI Health Choice | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HUMANA COMMERCIAL [85368] | MI HUMANA | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | VIVA COMMERCIAL [85130] | MI VIVA | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HUMANA COMMERCIAL [85368] | MI HUMANA | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | CIGNA COMMERCIAL [85040] | CIGNA | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | FIRST HEALTH NETWORK [85081] | MI FIRST HEALTH COMMERCIAL | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HEALTH CHOICE [85751] | MI Health Choice | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | VIVA COMMERCIAL [85130] | MI VIVA | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | HEALTH CHOICE [85751] | NB/TH HEALTH CHOICE | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | HUMANA COMMERCIAL [85368] | TH HUMANA | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | CIGNA COMMERCIAL [85040] | CIGNA | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | HEALTH CHOICE [85751] | NB/TH HEALTH CHOICE | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | HUMANA COMMERCIAL [85368] | TH HUMANA | $114,660.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | GENERIC HOME HEALTH [85997] | BAY POINTE EAST POINTE ALTAPOINTE | $122,850.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | GENERIC HOME HEALTH [85997] | BAY POINTE EAST POINTE ALTAPOINTE | $122,850.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | FIRST HEALTH NETWORK [85081] | TH FIRST HEALTH COMMERCIAL | $122,850.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | GENERIC HOME HEALTH [85997] | BAY POINTE EAST POINTE ALTAPOINTE | $122,850.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | GENERIC HOME HEALTH [85997] | BAY POINTE EAST POINTE ALTAPOINTE | $122,850.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | GENERIC HOME HEALTH [85997] | BAY POINTE EAST POINTE ALTAPOINTE | $122,850.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | GENERIC HOME HEALTH [85997] | BAY POINTE EAST POINTE ALTAPOINTE | $122,850.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | FIRST HEALTH NETWORK [85081] | TH FIRST HEALTH COMMERCIAL | $122,850.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | FIRST HEALTH NETWORK [85081] | TH FIRST HEALTH COMMERCIAL | $122,850.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | MULTIPLAN NETWORK [85552] | MI MULTI PLAN | $131,040.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | GENERIC COMMERCIAL [85995] | TH Private Healthcare Systems (PHCS) | $131,040.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | MULTIPLAN NETWORK [85552] | MI MULTI PLAN | $131,040.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | GENERIC COMMERCIAL [85995] | TH Private Healthcare Systems (PHCS) | $131,040.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | MULTIPLAN NETWORK [85552] | MI MULTI PLAN | $131,040.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | GENERIC COMMERCIAL [85995] | TH Private Healthcare Systems (PHCS) | $131,040.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | GENERIC COMMERCIAL [85995] | MI MISSISSIPPI PHY. CARE NETWORK (MPCN) - 170% MEDICARE | $163,800.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE ADVANTAGE [85098] | TH UHC MEDICARE ADVANTAGE | $163,800.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | UNITED HEALTHCARE MEDICARE ADVANTAGE VACCINE [85099] | MI UHC MEDICARE ADVANTAGE | $163,800.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | GENERIC COMMERCIAL [85995] | MI MISSISSIPPI PHY. CARE NETWORK (MPCN) - 170% MEDICARE | $163,800.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | GENERIC COMMERCIAL [85995] | MI MISSISSIPPI PHY. CARE NETWORK (MPCN) - 170% MEDICARE | $163,800.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | UNITED HEALTHCARE MEDICARE ADVANTAGE VACCINE [85099] | MI UHC MEDICARE ADVANTAGE | $163,800.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE ADVANTAGE [85098] | TH UHC MEDICARE ADVANTAGE | $163,800.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | UNITED HEALTHCARE MEDICARE ADVANTAGE VACCINE [85099] | MI UHC MEDICARE ADVANTAGE | $163,800.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE ADVANTAGE [85098] | TH UHC MEDICARE ADVANTAGE | $163,800.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | CIGNA HEALTHSPRING MEDICARE ADVANTAGE [85203] | TH HEALTHSPRING - MEDICARE ADVANTAGE | $171,990.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | CIGNA HEALTHSPRING MEDICARE ADVANTAGE [85203] | TH HEALTHSPRING - MEDICARE ADVANTAGE | $171,990.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | VIVA MEDICARE ADVANTAGE [85132] | TH VIVA MEDICARE ADVANTAGE | $171,990.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | VIVA MEDICARE ADVANTAGE [85132] | MI VIVA MEDICARE ADVANTAGE | $171,990.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | CIGNA HEALTHSPRING MEDICARE ADVANTAGE [85203] | TH HEALTHSPRING - MEDICARE ADVANTAGE | $171,990.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | VIVA MEDICARE ADVANTAGE [85132] | MI VIVA MEDICARE ADVANTAGE | $171,990.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | VIVA MEDICARE ADVANTAGE [85132] | TH VIVA MEDICARE ADVANTAGE | $171,990.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | VIVA MEDICARE ADVANTAGE [85132] | MI VIVA MEDICARE ADVANTAGE | $171,990.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | VIVA MEDICARE ADVANTAGE [85132] | TH VIVA MEDICARE ADVANTAGE | $171,990.00 | $163,800.00 | $163,800.00 | 2025-10-30 | MRF ↗ |