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 702594173 · CARMEL, IN

702594173 — 000000000002413039-system

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.

$79,505 All-payer median here
$61,157 Cash / self-pay here
72 payer/plan-name variants
← This hospital National rates for 702594173 →
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) $101,929 28.2% 1
TRICARE $101,929 28.2% 3
SelectHealth $101,929 28.2% 1
MHN (Managed Health Network) $101,929 28.2% 1
Medicaid (Generic) $101,929 28.2% 1
CareSource $101,929 28.2% 2
CDM DEFAULT - NON-NEGOTIATED RATE $101,929 28.2% 1
UnitedHealthcare $101,929 28.2% 8
United Behavioral Health (Optum) $101,929 28.2% 2
HEALTHLINK PPO $99,381 25.0% 6
SMARTHEALTH PPO $98,361 23.7% 2
INTEGRATED HEALTH PLAN $96,833 21.8% 1
HEALTH SOUTH $96,833 21.8% 1
COMMUNITY HLTH ALLIANCE $95,813 20.5% 2
ASMED HEALTH PARTNERSHIP 20120101 $95,813 20.5% 1
ADVANTAGE HEALTH SOLUTIONS $93,775 17.9% 1
PRIME HEALTH $93,775 17.9% 1
BeechStreet (MultiPlan) $92,246 16.0% 2
BCE EMERGIS 20120101 $91,736 15.4% 1
MultiPlan $91,736 15.4% 5
PPOM $91,736 15.4% 3
COOK CHILDREN'S HEALTH PLAN (MEDICAID MANAGED CARE) $91,226 14.7% 2
Indiana Health Network $89,698 12.8% 5
WORKERS COMP IN HEALTH $89,698 12.8% 1
First Health Network $89,698 12.8% 5
PHP $88,169 10.9% 4
BLUEGRASS $86,640 9.0% 1
CORVEL $86,640 9.0% 5
SIGNATURE CARE $85,620 7.7% 3
ENCORE $84,601 6.4% 4
Three Rivers Provider Network $84,601 6.4% 3
COVENTRY HEALTH $84,601 6.4% 3
ENCORE BANKERS $84,091 5.8% 4
PCIP $82,562 3.8% 2
LUTHERAN PREFERRED $81,543 2.6% 2
CARDINAL HEALTH HMO $81,543 2.6% 1
PRIME HEALTH WORKER COMP $81,543 2.6% 1
KAUFFMAN ENGINEERING $81,543 2.6% 1
CARDINAL HEALTH PPO $81,543 2.6% 3
Medical Mutual of Ohio $79,505 0.0% 4
Sagamore Health Network $77,466 -2.6% 29
ILLINOIS WORKERS COMP 20120101 $77,466 -2.6% 1
UNIFIED GROUP SERVICES $77,466 -2.6% 5
SUBURBAN TPA $76,447 -3.8% 1
Ochsner Health Plan $75,427 -5.1% 2
Cigna Healthcare $74,918 -5.8% 10
SIHO Holding, Inc. $72,879 -8.3% 6
Encircle PPO $72,879 -8.3% 4
OWENSBORO COMMUNITY HEALTH $71,350 -10.3% 1
LUTHERAN ADVANCED $71,350 -10.3% 2
ADVANTAGE 360 $71,350 -10.3% 5
ENCORE EXCLUSIVE $69,312 -12.8% 2
Aetna $69,312 -12.8% 4
Humana $66,254 -16.7% 9
UNIFIED ZIONSVILLE $64,215 -19.2% 4
AHS ST FRANCIS $64,215 -19.2% 3
KEY BENEFIT ADMINISTRATORS $63,196 -20.5% 3
TRICOUNTY $61,157 -23.1% 1
PLAIN CHURCH GROUP $61,157 -23.1% 3
HELPING HAND OLD ORDER $61,157 -23.1% 1
SELFPAY $61,157 -23.1% 1
SUBURBAN/SHO $56,061 -29.5% 4
PROHEALTH $56,061 -29.5% 4
SMARTHEALTH PPO/HDHP 20161001 $54,022 -32.1% 1
Anthem (Elevance Health) $41,791 -47.4% 12
UGS $31,598 -60.3% 3
ADVANTUS $31,598 -60.3% 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.