Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
ICD ITREVIA VR-T DF4
DeKalb, MS
See all hospitals reporting HCPCS C1722 →Price type
Kemper CAH, Inc.’s median price of $19.0k is 16% below the median hospital's median price ($22.6k), higher than 36% of the 1,352 hospitals reporting HCPCS C1722. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 13 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Humana all payor percent of total billed charges · outpatientfrom % of charges | $11.8k | $12.6k | $3.3k | 27% | — | $613 – $23.7k |
| 2 | Optum all payor other · outpatient | $14.8k | $15.8k | $4.2k | 27% | — | $771 – $29.7k |
| 3 | UnitedHealthcare all payor other · outpatient | $14.8k | $15.8k | $4.2k | 27% | — | $771 – $29.7k |
| 4 | Cigna all payor other · outpatient | $16.5k | $17.7k | $4.7k | 27% | — | $863 – $33.3k |
| 5 | Cigna Healthspring all payor other · outpatient | $17.4k | $18.6k | $4.9k | 27% | — | $907 – $35.0k |
| 6 | Humana all payor other · outpatient | $17.4k | $18.6k | $4.9k | 27% | — | $907 – $35.0k |
| 7 | Ambetter all payor other · outpatient | $17.6k | $18.8k | $5.0k | 27% | — | $916 – $35.3k |
| 8 | Molina all payor other · outpatient | $17.6k | $18.8k | $5.0k | 27% | — | $916 – $35.3k |
| 9 | WellCare all payor other · outpatient | $17.6k | $18.8k | $5.0k | 27% | — | $916 – $35.3k |
| 10 | Aetna all payor other · outpatient | $18.8k | $20.2k | $5.3k | 27% | — | $982 – $37.9k |
| 11 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $18.8k | $20.2k | $5.3k | 27% | — | $982 – $37.9k |
| 12 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $21.7k | $23.3k | $6.2k | 27% | — | $1.1k – $43.7k |
| 13 | MultiPlan all payor other · inpatient | $24.6k | $26.4k | $7.0k | 27% | — | $1.3k – $49.6k |
Last updated: Apr 1, 2026
See Fortify Assura VR implantable defibrillator generator pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.