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 702574278 · CARMEL, IN

702574278 — 000000000001035212-catheter

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.

$85,080 All-payer median here
$67,169 Cash / self-pay here
73 payer/plan-name variants
← This hospital National rates for 702574278 →
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) $111,948 31.6% 1
TRICARE $111,948 31.6% 3
SelectHealth $111,948 31.6% 1
MHN (Managed Health Network) $111,948 31.6% 1
Medicaid (Generic) $111,948 31.6% 1
CareSource $111,948 31.6% 2
CDM DEFAULT - NON-NEGOTIATED RATE $111,948 31.6% 1
UnitedHealthcare $111,948 31.6% 8
United Behavioral Health (Optum) $111,948 31.6% 2
HEALTHLINK PPO $109,149 28.3% 6
SMARTHEALTH PPO $108,030 27.0% 2
INTEGRATED HEALTH PLAN $106,351 25.0% 1
HEALTH SOUTH $106,351 25.0% 1
COMMUNITY HLTH ALLIANCE $105,231 23.7% 2
ASMED HEALTH PARTNERSHIP 20120101 $105,231 23.7% 1
ADVANTAGE HEALTH SOLUTIONS $102,992 21.1% 1
PRIME HEALTH $102,992 21.1% 1
BeechStreet (MultiPlan) $101,313 19.1% 2
BCE EMERGIS 20120101 $100,753 18.4% 1
MultiPlan $100,753 18.4% 5
PPOM $100,753 18.4% 3
COOK CHILDREN'S HEALTH PLAN (MEDICAID MANAGED CARE) $100,193 17.8% 2
Indiana Health Network $98,514 15.8% 5
WORKERS COMP IN HEALTH $98,514 15.8% 1
First Health Network $98,514 15.8% 5
PHP $96,835 13.8% 4
BLUEGRASS $95,156 11.8% 1
CORVEL $95,156 11.8% 5
SIGNATURE CARE $94,036 10.5% 3
ENCORE $92,917 9.2% 4
Three Rivers Provider Network $92,917 9.2% 3
COVENTRY HEALTH $92,917 9.2% 3
ENCORE BANKERS $92,357 8.6% 4
PCIP $90,678 6.6% 2
LUTHERAN PREFERRED $89,558 5.3% 2
CARDINAL HEALTH HMO $89,558 5.3% 1
PRIME HEALTH WORKER COMP $89,558 5.3% 1
KAUFFMAN ENGINEERING $89,558 5.3% 1
CARDINAL HEALTH PPO $89,558 5.3% 3
Medical Mutual of Ohio $87,319 2.6% 4
Sagamore Health Network $85,080 0.0% 29
ILLINOIS WORKERS COMP 20120101 $85,080 0.0% 1
UNIFIED GROUP SERVICES $85,080 0.0% 5
SUBURBAN TPA $83,961 -1.3% 1
Ochsner Health Plan $82,842 -2.6% 2
Cigna Healthcare $82,282 -3.3% 10
SIHO Holding, Inc. $80,043 -5.9% 6
Encircle PPO $80,043 -5.9% 4
LUTHERAN ADVANCED $78,364 -7.9% 2
ADVANTAGE 360 $78,364 -7.9% 5
OWENSBORO COMMUNITY HEALTH $78,364 -7.9% 1
Aetna $76,125 -10.5% 4
ENCORE EXCLUSIVE $76,125 -10.5% 3
Humana $72,766 -14.5% 9
AHS ST FRANCIS $70,527 -17.1% 3
UNIFIED ZIONSVILLE $70,527 -17.1% 4
KEY BENEFIT ADMINISTRATORS $69,408 -18.4% 3
TRICOUNTY $67,169 -21.1% 1
PLAIN CHURCH GROUP $67,169 -21.1% 3
HELPING HAND OLD ORDER $67,169 -21.1% 1
SELFPAY $67,169 -21.1% 1
SUBURBAN/SHO $61,571 -27.6% 4
PROHEALTH $61,571 -27.6% 4
SMARTHEALTH PPO/HDHP 20161001 $59,332 -30.3% 1
Anthem (Elevance Health) $54,855 -35.5% 20
PATOKA VALLEY HEALTH CARE COOPERATIVE $40,301 -52.6% 4
UGS $34,704 -59.2% 3
ADVANTUS $34,704 -59.2% 3
MEDICAID ADVANTAGE $122 -99.9% 1
Managed Health Services Indiana $122 -99.9% 2
MDwise $103 -99.9% 2
MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 $84 -99.9% 1
THERAMATRIX PHYSICAL THERAPY $40 -100.0% 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.