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 702554489 · CARMEL, IN

702554489 — 000000000000577551-valve

What each payer pays ST VINCENT HEART CENTER (CCN 150153) 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.

$78,536 All-payer median here
$62,002 Cash / self-pay here
73 payer/plan-name variants
← This hospital National rates for 702554489 →
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
   
Medicare (Generic) $103,337 31.6% 1
TRICARE $103,337 31.6% 3
SelectHealth $103,337 31.6% 1
MHN (Managed Health Network) $103,337 31.6% 1
Medicaid (Generic) $103,337 31.6% 1
CareSource $103,337 31.6% 2
CDM DEFAULT - NON-NEGOTIATED RATE $103,337 31.6% 1
UnitedHealthcare $103,337 31.6% 8
United Behavioral Health (Optum) $103,337 31.6% 2
HEALTHLINK PPO $100,754 28.3% 6
SMARTHEALTH PPO $99,720 27.0% 2
INTEGRATED HEALTH PLAN $98,170 25.0% 1
HEALTH SOUTH $98,170 25.0% 1
COMMUNITY HLTH ALLIANCE $97,137 23.7% 2
ASMED HEALTH PARTNERSHIP 20120101 $97,137 23.7% 1
ADVANTAGE HEALTH SOLUTIONS $95,070 21.1% 1
PRIME HEALTH $95,070 21.1% 1
BeechStreet (MultiPlan) $93,520 19.1% 2
BCE EMERGIS 20120101 $93,003 18.4% 1
MultiPlan $93,003 18.4% 5
PPOM $93,003 18.4% 3
COOK CHILDREN'S HEALTH PLAN (MEDICAID MANAGED CARE) $92,487 17.8% 2
Indiana Health Network $90,937 15.8% 5
WORKERS COMP IN HEALTH $90,937 15.8% 1
First Health Network $90,937 15.8% 5
PHP $89,387 13.8% 4
BLUEGRASS $87,836 11.8% 1
CORVEL $87,836 11.8% 5
SIGNATURE CARE $86,803 10.5% 3
ENCORE $85,770 9.2% 4
Three Rivers Provider Network $85,770 9.2% 3
COVENTRY HEALTH $85,770 9.2% 3
ENCORE BANKERS $85,253 8.6% 4
PCIP $83,703 6.6% 2
LUTHERAN PREFERRED $82,670 5.3% 2
CARDINAL HEALTH HMO $82,670 5.3% 1
PRIME HEALTH WORKER COMP $82,670 5.3% 1
KAUFFMAN ENGINEERING $82,670 5.3% 1
CARDINAL HEALTH PPO $82,670 5.3% 3
Medical Mutual of Ohio $80,603 2.6% 4
Sagamore Health Network $78,536 0.0% 29
ILLINOIS WORKERS COMP 20120101 $78,536 0.0% 1
UNIFIED GROUP SERVICES $78,536 0.0% 5
SUBURBAN TPA $77,503 -1.3% 1
Ochsner Health Plan $76,469 -2.6% 2
Cigna Healthcare $75,953 -3.3% 10
SIHO Holding, Inc. $73,886 -5.9% 6
Encircle PPO $73,886 -5.9% 4
LUTHERAN ADVANCED $72,336 -7.9% 2
ADVANTAGE 360 $72,336 -7.9% 5
OWENSBORO COMMUNITY HEALTH $72,336 -7.9% 1
Aetna $70,269 -10.5% 4
ENCORE EXCLUSIVE $70,269 -10.5% 3
Humana $67,169 -14.5% 9
AHS ST FRANCIS $65,102 -17.1% 3
UNIFIED ZIONSVILLE $65,102 -17.1% 4
KEY BENEFIT ADMINISTRATORS $64,069 -18.4% 3
TRICOUNTY $62,002 -21.1% 1
PLAIN CHURCH GROUP $62,002 -21.1% 3
HELPING HAND OLD ORDER $62,002 -21.1% 1
SELFPAY $62,002 -21.1% 1
SUBURBAN/SHO $56,835 -27.6% 4
PROHEALTH $56,835 -27.6% 4
SMARTHEALTH PPO/HDHP 20161001 $54,769 -30.3% 1
Anthem (Elevance Health) $50,635 -35.5% 20
PATOKA VALLEY HEALTH CARE COOPERATIVE $37,201 -52.6% 4
UGS $32,034 -59.2% 3
ADVANTUS $32,034 -59.2% 3
MEDICAID ADVANTAGE $524 -99.3% 1
Managed Health Services Indiana $524 -99.3% 2
MDwise $444 -99.4% 2
MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 $363 -99.5% 1
THERAMATRIX PHYSICAL THERAPY $40 -99.9% 2

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.