Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · CDM 709038897 · KOKOMO, IN

709038897 — Thrmbectomy/lysis Avf W/pta+im

What each payer pays ASCENSION ST VINCENT KOKOMO (CCN 150010) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$54,469 All-payer median here
$40,852 Cash / self-pay here
64 payer/plan-name variants
← This hospital National rates for 709038897 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
CareSource $68,086 25.0% 2
Medicare (Generic) $68,086 25.0% 1
Medicaid (Generic) $68,086 25.0% 1
United Behavioral Health (Optum) $68,086 25.0% 2
UnitedHealthcare $68,086 25.0% 6
CDM DEFAULT - NON-NEGOTIATED RATE $68,086 25.0% 1
MHN (Managed Health Network) $68,086 25.0% 1
TRICARE $68,086 25.0% 3
SMARTHEALTH PPO $65,703 20.6% 2
HEALTH SOUTH $64,682 18.7% 1
INTEGRATED HEALTH PLAN $64,682 18.7% 1
ASMED HEALTH PARTNERSHIP 20120101 $64,001 17.5% 1
COMMUNITY HLTH ALLIANCE $64,001 17.5% 2
PPOM $64,001 17.5% 3
HEALTHLINK PPO $62,980 15.6% 4
PRIME HEALTH $62,639 15.0% 1
BeechStreet (MultiPlan) $62,639 15.0% 1
COOK CHILDREN'S HEALTH PLAN (MEDICAID MANAGED CARE) $61,277 12.5% 1
MultiPlan $61,277 12.5% 5
WORKERS COMP IN HEALTH $59,916 10.0% 1
First Health Network $59,916 10.0% 5
Indiana Health Network $59,916 10.0% 5
CARDINAL HEALTH PPO $59,575 9.4% 2
PHP $58,894 8.1% 4
SIGNATURE CARE $58,554 7.5% 4
CORVEL $57,873 6.2% 5
BLUEGRASS $57,873 6.2% 1
Three Rivers Provider Network $56,511 3.7% 3
COVENTRY HEALTH $56,511 3.7% 3
ENCORE $56,511 3.7% 3
PCIP $56,511 3.7% 3
ENCORE BANKERS $56,171 3.1% 4
SelectHealth $56,171 3.1% 2
LUTHERAN PREFERRED $54,469 0.0% 1
KAUFFMAN ENGINEERING $54,469 0.0% 1
PRIME HEALTH WORKER COMP $54,469 0.0% 1
CARDINAL HEALTH HMO $54,469 0.0% 1
UNIFIED GROUP SERVICES $53,107 -2.5% 2
Medical Mutual of Ohio $53,107 -2.5% 3
Sagamore Health Network $51,745 -5.0% 28
ILLINOIS WORKERS COMP 20120101 $51,745 -5.0% 1
Cigna Healthcare $51,405 -5.6% 10
SUBURBAN TPA $51,064 -6.3% 1
Encircle PPO $51,064 -6.3% 3
Ochsner Health Plan $50,384 -7.5% 2
SIHO Holding, Inc. $48,681 -10.6% 6
LUTHERAN ADVANCED $47,660 -12.5% 1
OWENSBORO COMMUNITY HEALTH $47,660 -12.5% 1
Aetna $46,979 -13.8% 5
ADVANTAGE 360 $46,298 -15.0% 5
ENCORE EXCLUSIVE $46,298 -15.0% 2
Humana $44,256 -18.8% 9
KEY BENEFIT ADMINISTRATORS $44,256 -18.8% 3
UNIFIED ZIONSVILLE $42,894 -21.3% 4
AHS ST FRANCIS $42,894 -21.3% 2
HELPING HAND OLD ORDER $40,852 -25.0% 1
SELFPAY $40,852 -25.0% 1
PLAIN CHURCH GROUP $40,852 -25.0% 3
TRICOUNTY $40,852 -25.0% 1
SUBURBAN/SHO $37,447 -31.2% 3
PROHEALTH $37,447 -31.2% 4
SMARTHEALTH PPO/HDHP 20161001 $36,086 -33.8% 1
UGS $21,107 -61.2% 3
ADVANTUS $21,107 -61.2% 3

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.