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 48000305 · DYER, IN

48000305 — Removal And Replacement Of Wireless Cardiac Stimulator For Left Ventricular Pacing; Pulse Generator Component(s) (battery And/or Transmitter), Including Placement Of A New Electrode Copyright � 2019 By American Medical Association. All Rights Reserved.

What each payer pays FRANCISCAN HEALTH DYER (CCN 150090) 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.

$84,587 All-payer median here
$24,023 Cash / self-pay here
47 payer/plan-name variants
← This hospital National rates for 48000305 →
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
   
Meridian Health Plan of Illinois $84,587 0.0% 2
AETNA BETTER HEALTH OF ILLINOIS $84,587 0.0% 2
ALLIED BENEFIT SYSTEMS $84,587 0.0% 1
Commercial Third Party Liability $84,587 0.0% 1
Franciscan Alliance, Inc. $84,587 0.0% 1
HEALTHLINK PPO $84,587 0.0% 1
Humana $84,587 0.0% 7
MAGNACARE $84,587 0.0% 1
Managed Care Ambetter $84,587 0.0% 1
Medicaid Illinois Countycare $84,587 0.0% 1
Medicare (Generic) $84,587 0.0% 3
Medicare Replacement Blue Cross Medicare Adv In Out Of State $84,587 0.0% 1
Medicare Replacement Communicare Advantage Plan $84,587 0.0% 1
Medicare Replacement Medicare Replacement Ins $84,587 0.0% 1
Medicare Replacement Optum Medicare Replacement $84,587 0.0% 1
Molina Healthcare $84,587 0.0% 1
NATIONAL ASSOCIATION OF LETTER CARRIERS (NALC) HEALTH BENEFIT PLAN $84,587 0.0% 1
WellCare Health Plans $84,587 0.0% 1
Workers Comp Workers Comp Generic Illinois $84,587 0.0% 1
Workers Comp Workers Comp Generic Indiana $84,587 0.0% 1
Allwell (Centene Medicare Advantage) $84,587 0.0% 1
Anthem (Elevance Health) $84,587 0.0% 1
BLUE CROSS BLUE SHIELD FEDERAL EMPLOYEE PROGRAM $84,587 0.0% 1
Blue Cross Community Health Plans of Illinois $84,587 0.0% 2
Blue Cross Out Of State Blue Cross In Out Of State $84,587 0.0% 1
CareSource $84,587 0.0% 1
Cigna Healthcare $84,587 0.0% 5
Commercial Commercial Generic $84,587 0.0% 1
Commercial Hospice Other $84,587 0.0% 1
Commercial Mva Liability Insurance $84,587 0.0% 1
BCBS of Illinois $75,705 -10.5% 8
PHCS (Private Healthcare Systems) $54,728 -35.3% 1
Aetna $48,045 -43.2% 6
Meritain Health $48,045 -43.2% 1
ALL SAVERS INSURANCE COMPANY $7,348 -91.3% 1
Managed Care Unitedhealthcare Shared Services $7,348 -91.3% 1
GOLDEN RULE INSURANCE $7,348 -91.3% 1
UnitedHealthcare $7,348 -91.3% 7
UMR (UnitedHealthcare TPA) $7,348 -91.3% 2
CARESOURCE OF INDIANA $475 -99.4% 2
CENPATICO INDIANA $475 -99.4% 1
Managed Health Services Indiana $475 -99.4% 2
Managed Health Services Managed Health Services $475 -99.4% 1
MDWISE HOOSIER HEALTHWISE $475 -99.4% 2
Medicaid (Generic) $475 -99.4% 4
UnitedHealthcare Community Plan $475 -99.4% 1
Anthem BCBS of Indiana $475 -99.4% 5

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.