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 · OTHER 48000329 · MICHIGAN CITY, IN

48000329 — Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator Copyright � 2021 By American Medical Association. All Rights Reserved.

What each payer pays FRANCISCAN HEALTH MICHIGAN CITY (CCN 150015) 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.

$78,275 All-payer median here
$20,430 Cash / self-pay here
53 payer/plan-name variants
← This hospital National rates for 48000329 →
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
   
Workers Comp Workers Comp Generic Indiana $78,275 0.0% 1
Commercial Generic Commercial Low Coverage $78,275 0.0% 1
Commercial Indiana Criminal Justice $78,275 0.0% 1
Commercial Mva Liability Insurance $78,275 0.0% 1
Commercial State Farm Auto $78,275 0.0% 1
Commercial Third Party Liability $78,275 0.0% 1
Franciscan Alliance, Inc. $78,275 0.0% 1
GROUP ADMINISTRATORS $78,275 0.0% 1
Humana $78,275 0.0% 4
KEY BENEFIT ADMINISTRATORS $78,275 0.0% 1
MAGNACARE $78,275 0.0% 1
Managed Care Ambetter $78,275 0.0% 1
Managed Care Benefit Administrative Systems $78,275 0.0% 1
Managed Care Health Partners $78,275 0.0% 1
Medicare (Generic) $78,275 0.0% 3
Medicare Replacement Blue Cross Medicare Adv In Out Of State $78,275 0.0% 1
Medicare Replacement Medicare Replacement Ins $78,275 0.0% 1
Meridian Health Plan of Illinois $78,275 0.0% 1
Priority Health $78,275 0.0% 1
WellCare Health Plans $78,275 0.0% 1
ADMINISTRATIVE CONCEPTS $78,275 0.0% 1
ALLIED BENEFIT SYSTEMS $78,275 0.0% 2
Allwell (Centene Medicare Advantage) $78,275 0.0% 1
Anthem (Elevance Health) $78,275 0.0% 1
ASR HEALTH BENEFITS $78,275 0.0% 1
BCBS of Illinois $78,275 0.0% 1
Blue Cross Bcbs Us Steel Claims $78,275 0.0% 1
Blue Cross Blue Cross Highmark Generic $78,275 0.0% 1
BLUE CROSS BLUE SHIELD FEDERAL EMPLOYEE PROGRAM $78,275 0.0% 1
Blue Cross Out Of State Blue Cross In Out Of State $78,275 0.0% 1
CareSource $78,275 0.0% 1
Christian Care Ministries (MediShare) $78,275 0.0% 1
Commercial Commercial Generic $78,275 0.0% 1
PHCS (Private Healthcare Systems) $66,228 -15.4% 1
Sagamore Health Network $64,577 -17.5% 1
Managed Care Lutheran Preferred $61,054 -22.0% 1
Aetna $55,262 -29.4% 5
Meritain Health $55,262 -29.4% 1
Cigna Healthcare $49,548 -36.7% 3
NATIONAL ASSOCIATION OF LETTER CARRIERS (NALC) HEALTH BENEFIT PLAN $47,278 -39.6% 1
Anthem BCBS of Indiana $15,384 -80.3% 6
UnitedHealthcare $10,345 -86.8% 5
ALL SAVERS INSURANCE COMPANY $10,345 -86.8% 1
GOLDEN RULE INSURANCE $10,345 -86.8% 1
UMR (UnitedHealthcare TPA) $10,345 -86.8% 5
Managed Care Unitedhealthcare Shared Services $10,345 -86.8% 1
CARESOURCE OF INDIANA $475 -99.4% 2
Medicaid Michigan Medicaid Michigan City $475 -99.4% 1
Medicaid (Generic) $475 -99.4% 3
MDWISE HOOSIER HEALTHWISE $475 -99.4% 2
Managed Health Services Managed Health Services $475 -99.4% 1
Managed Health Services Indiana $475 -99.4% 2
UnitedHealthcare Community Plan $475 -99.4% 1

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.