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 161220303 · CARMEL, IN

161220303 — Histrelin Acetate 50mg Kit

What each payer pays ASCENSION ST VINCENT CARMEL (CCN 150157) 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.

$99,109 All-payer median here
$75,272 Cash / self-pay here
66 payer/plan-name variants
← This hospital National rates for 161220303 →
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) $125,454 26.6% 2
MHN (Managed Health Network) $125,454 26.6% 2
UnitedHealthcare $125,454 26.6% 14
United Behavioral Health (Optum) $125,454 26.6% 4
TRICARE $125,454 26.6% 6
SelectHealth $125,454 26.6% 2
CareSource $125,454 26.6% 4
CDM DEFAULT - NON-NEGOTIATED RATE $125,454 26.6% 2
Medicaid (Generic) $125,454 26.6% 2
SMARTHEALTH PPO $121,063 22.2% 4
INTEGRATED HEALTH PLAN $119,181 20.3% 2
HEALTH SOUTH $119,181 20.3% 2
ASMED HEALTH PARTNERSHIP 20120101 $117,927 19.0% 2
COMMUNITY HLTH ALLIANCE $117,927 19.0% 4
PPOM $117,927 19.0% 6
HEALTHLINK PPO $116,045 17.1% 8
PRIME HEALTH $115,418 16.5% 2
BeechStreet (MultiPlan) $115,418 16.5% 2
MultiPlan $112,909 13.9% 8
COOK CHILDREN'S HEALTH PLAN (MEDICAID MANAGED CARE) $112,909 13.9% 2
Indiana Health Network $111,654 12.7% 8
First Health Network $110,400 11.4% 10
WORKERS COMP IN HEALTH $110,400 11.4% 2
CARDINAL HEALTH PPO $109,772 10.8% 4
PHP $108,518 9.5% 8
PREFERRED HEALTH PLAN $106,636 7.6% 1
BLUEGRASS $106,636 7.6% 2
CORVEL $106,636 7.6% 8
SIGNATURE CARE $105,381 6.3% 6
Three Rivers Provider Network $104,127 5.1% 6
ENCORE $104,127 5.1% 6
COVENTRY HEALTH $104,127 5.1% 6
ENCORE BANKERS $103,500 4.4% 8
PCIP $101,618 2.5% 4
CARDINAL HEALTH HMO $100,363 1.3% 2
KAUFFMAN ENGINEERING $100,363 1.3% 2
LUTHERAN PREFERRED $100,363 1.3% 2
PRIME HEALTH WORKER COMP $100,363 1.3% 2
Medical Mutual of Ohio $97,854 -1.3% 6
ILLINOIS WORKERS COMP 20120101 $95,345 -3.8% 2
Sagamore Health Network $95,345 -3.8% 54
Cigna Healthcare $94,718 -4.4% 16
SUBURBAN TPA $94,091 -5.1% 2
Encircle PPO $94,091 -5.1% 6
Ochsner Health Plan $92,836 -6.3% 4
ADVANTAGE 360 $91,581 -7.6% 8
SIHO Holding, Inc. $89,700 -9.5% 12
LUTHERAN ADVANCED $87,818 -11.4% 2
OWENSBORO COMMUNITY HEALTH $87,818 -11.4% 2
KEY BENEFIT ADMINISTRATORS $85,936 -13.3% 4
ENCORE EXCLUSIVE $85,309 -13.9% 4
Aetna $84,054 -15.2% 6
UNIFIED GROUP SERVICES $82,800 -16.5% 6
Humana $80,291 -19.0% 14
UNIFIED ZIONSVILLE $79,036 -20.3% 6
AHS ST FRANCIS $79,036 -20.3% 4
TRICOUNTY $75,272 -24.1% 2
HELPING HAND OLD ORDER $75,272 -24.1% 2
SELFPAY $75,272 -24.1% 2
PLAIN CHURCH GROUP $75,272 -24.1% 6
SUBURBAN/SHO $69,000 -30.4% 6
PROHEALTH $69,000 -30.4% 6
SMARTHEALTH PPO/HDHP 20161001 $66,491 -32.9% 2
Anthem (Elevance Health) $43,909 -55.7% 16
UGS $38,891 -60.8% 6
ADVANTUS $38,891 -60.8% 6

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.