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 702584386 · CARMEL, IN

702584386 — 000000000001965011-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.

$90,420 All-payer median here
$71,384 Cash / self-pay here
73 payer/plan-name variants
← This hospital National rates for 702584386 →
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) $118,974 31.6% 1
TRICARE $118,974 31.6% 3
SelectHealth $118,974 31.6% 1
MHN (Managed Health Network) $118,974 31.6% 1
Medicaid (Generic) $118,974 31.6% 1
CareSource $118,974 31.6% 2
CDM DEFAULT - NON-NEGOTIATED RATE $118,974 31.6% 1
UnitedHealthcare $118,974 31.6% 8
United Behavioral Health (Optum) $118,974 31.6% 2
HEALTHLINK PPO $116,000 28.3% 6
SMARTHEALTH PPO $114,810 27.0% 2
INTEGRATED HEALTH PLAN $113,025 25.0% 1
HEALTH SOUTH $113,025 25.0% 1
COMMUNITY HLTH ALLIANCE $111,836 23.7% 2
ASMED HEALTH PARTNERSHIP 20120101 $111,836 23.7% 1
ADVANTAGE HEALTH SOLUTIONS $109,456 21.1% 1
PRIME HEALTH $109,456 21.1% 1
BeechStreet (MultiPlan) $107,671 19.1% 2
BCE EMERGIS 20120101 $107,077 18.4% 1
MultiPlan $107,077 18.4% 5
PPOM $107,077 18.4% 3
COOK CHILDREN'S HEALTH PLAN (MEDICAID MANAGED CARE) $106,482 17.8% 2
Indiana Health Network $104,697 15.8% 5
WORKERS COMP IN HEALTH $104,697 15.8% 1
First Health Network $104,697 15.8% 5
PHP $102,913 13.8% 4
BLUEGRASS $101,128 11.8% 1
CORVEL $101,128 11.8% 5
SIGNATURE CARE $99,938 10.5% 3
ENCORE $98,748 9.2% 4
Three Rivers Provider Network $98,748 9.2% 3
COVENTRY HEALTH $98,748 9.2% 3
ENCORE BANKERS $98,154 8.6% 4
PCIP $96,369 6.6% 2
LUTHERAN PREFERRED $95,179 5.3% 2
CARDINAL HEALTH HMO $95,179 5.3% 1
PRIME HEALTH WORKER COMP $95,179 5.3% 1
KAUFFMAN ENGINEERING $95,179 5.3% 1
CARDINAL HEALTH PPO $95,179 5.3% 3
Medical Mutual of Ohio $92,800 2.6% 4
Sagamore Health Network $90,420 0.0% 29
ILLINOIS WORKERS COMP 20120101 $90,420 0.0% 1
UNIFIED GROUP SERVICES $90,420 0.0% 5
SUBURBAN TPA $89,230 -1.3% 1
Ochsner Health Plan $88,041 -2.6% 2
Cigna Healthcare $87,446 -3.3% 10
SIHO Holding, Inc. $85,066 -5.9% 6
Encircle PPO $85,066 -5.9% 4
LUTHERAN ADVANCED $83,282 -7.9% 2
ADVANTAGE 360 $83,282 -7.9% 5
OWENSBORO COMMUNITY HEALTH $83,282 -7.9% 1
Aetna $80,902 -10.5% 4
ENCORE EXCLUSIVE $80,902 -10.5% 3
Humana $77,333 -14.5% 9
AHS ST FRANCIS $74,954 -17.1% 3
UNIFIED ZIONSVILLE $74,954 -17.1% 4
KEY BENEFIT ADMINISTRATORS $73,764 -18.4% 3
TRICOUNTY $71,384 -21.1% 1
PLAIN CHURCH GROUP $71,384 -21.1% 3
HELPING HAND OLD ORDER $71,384 -21.1% 1
SELFPAY $71,384 -21.1% 1
SUBURBAN/SHO $65,436 -27.6% 4
PROHEALTH $65,436 -27.6% 4
SMARTHEALTH PPO/HDHP 20161001 $63,056 -30.3% 1
Anthem (Elevance Health) $58,297 -35.5% 20
PATOKA VALLEY HEALTH CARE COOPERATIVE $42,831 -52.6% 4
UGS $36,882 -59.2% 3
ADVANTUS $36,882 -59.2% 3
MEDICAID ADVANTAGE $524 -99.4% 1
Managed Health Services Indiana $524 -99.4% 2
MDwise $444 -99.5% 2
MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 $363 -99.6% 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.