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 161226023 · CARMEL, IN

161226023 — Glucarpidase 1000 U/vl Pwdi

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.

$80,289 All-payer median here
$61,761 Cash / self-pay here
66 payer/plan-name variants
← This hospital National rates for 161226023 →
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
   
CareSource $102,935 28.2% 4
Medicaid (Generic) $102,935 28.2% 2
United Behavioral Health (Optum) $102,935 28.2% 4
TRICARE $102,935 28.2% 6
CDM DEFAULT - NON-NEGOTIATED RATE $102,935 28.2% 2
Medicare (Generic) $102,935 28.2% 2
MHN (Managed Health Network) $102,935 28.2% 2
SelectHealth $102,935 28.2% 2
SMARTHEALTH PPO $99,332 23.7% 4
HEALTH SOUTH $97,788 21.8% 2
INTEGRATED HEALTH PLAN $97,788 21.8% 2
ASMED HEALTH PARTNERSHIP 20120101 $96,759 20.5% 2
PPOM $96,759 20.5% 6
COMMUNITY HLTH ALLIANCE $96,759 20.5% 4
HEALTHLINK PPO $95,215 18.6% 8
PRIME HEALTH $94,700 17.9% 2
BeechStreet (MultiPlan) $94,700 17.9% 2
MultiPlan $92,642 15.4% 8
COOK CHILDREN'S HEALTH PLAN (MEDICAID MANAGED CARE) $92,642 15.4% 2
Indiana Health Network $91,612 14.1% 8
WORKERS COMP IN HEALTH $90,583 12.8% 2
First Health Network $90,583 12.8% 10
CARDINAL HEALTH PPO $90,068 12.2% 4
PHP $89,039 10.9% 8
PREFERRED HEALTH PLAN $87,495 9.0% 1
CORVEL $87,495 9.0% 8
BLUEGRASS $87,495 9.0% 2
SIGNATURE CARE $86,465 7.7% 6
COVENTRY HEALTH $85,436 6.4% 6
ENCORE $85,436 6.4% 6
Three Rivers Provider Network $85,436 6.4% 6
ENCORE BANKERS $84,921 5.8% 8
PCIP $83,377 3.8% 4
UnitedHealthcare $83,377 3.8% 20
CARDINAL HEALTH HMO $82,348 2.6% 2
LUTHERAN PREFERRED $82,348 2.6% 2
PRIME HEALTH WORKER COMP $82,348 2.6% 2
KAUFFMAN ENGINEERING $82,348 2.6% 2
Medical Mutual of Ohio $80,289 0.0% 6
Sagamore Health Network $78,231 -2.6% 54
ILLINOIS WORKERS COMP 20120101 $78,231 -2.6% 2
Cigna Healthcare $77,716 -3.2% 16
Encircle PPO $77,201 -3.8% 6
SUBURBAN TPA $77,201 -3.8% 2
Ochsner Health Plan $76,172 -5.1% 4
ADVANTAGE 360 $75,143 -6.4% 8
UNIFIED GROUP SERVICES $74,113 -7.7% 8
SIHO Holding, Inc. $73,599 -8.3% 12
OWENSBORO COMMUNITY HEALTH $72,054 -10.3% 2
LUTHERAN ADVANCED $72,054 -10.3% 2
KEY BENEFIT ADMINISTRATORS $70,510 -12.2% 4
ENCORE EXCLUSIVE $69,996 -12.8% 4
Aetna $69,996 -12.8% 8
Humana $65,878 -17.9% 14
AHS ST FRANCIS $64,849 -19.2% 4
UNIFIED ZIONSVILLE $64,849 -19.2% 6
SELFPAY $61,761 -23.1% 2
HELPING HAND OLD ORDER $61,761 -23.1% 2
TRICOUNTY $61,761 -23.1% 2
PLAIN CHURCH GROUP $61,761 -23.1% 6
SUBURBAN/SHO $56,614 -29.5% 6
PROHEALTH $56,614 -29.5% 6
SMARTHEALTH PPO/HDHP 20161001 $54,556 -32.1% 2
Anthem (Elevance Health) $36,027 -55.1% 16
UGS $31,910 -60.3% 6
ADVANTUS $31,910 -60.3% 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.