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HANK Price Transparency. (n.d.).
EXTERNAL HEART ASSIST SYSTEMS (APR_DRG 178 - 4) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 26, 2026 , from http://ppman.hank.ai/transparency/procedure/178 - 4/by-state?code_type=APR_DRG
“EXTERNAL HEART ASSIST SYSTEMS (APR_DRG 178 - 4) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/178 - 4/by-state?code_type=APR_DRG. Accessed
June 26, 2026 .
“EXTERNAL HEART ASSIST SYSTEMS (APR_DRG 178 - 4) by State,” HANK Price Transparency ,
accessed June 26, 2026 ,
http://ppman.hank.ai/transparency/procedure/178 - 4/by-state?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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APR-DRG · across United States
178 - 4 — External Heart Assist Systems
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$85,791
National median
$9,199 – $373,174
IQR (p25 – p75)
9
hospitals filing
4
states
Walking in without insurance?
Cash / self-pay price
Cash median
$299,904
vs. negotiated
+249.6%
Hospitals reporting
5
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 178 - 4 (APR_DRG), with interquartile range
State Median p25 p75
CA $478,637 $360,275 $532,027
OH $300,250 $223,527 $422,732
IL $48,959 $48,959 $51,652
PA $9,199 $9,199 $9,199