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 702182586 · CARMEL, IN

702182586 — Implant-mus-105-040

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.

$102,377 All-payer median here
$80,824 Cash / self-pay here
71 payer/plan-name variants
← This hospital National rates for 702182586 →
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
   
SelectHealth $134,707 31.6% 2
CareSource $134,707 31.6% 4
Medicaid (Generic) $134,707 31.6% 2
United Behavioral Health (Optum) $134,707 31.6% 4
TRICARE $134,707 31.6% 6
Medicare (Generic) $134,707 31.6% 2
CDM DEFAULT - NON-NEGOTIATED RATE $134,707 31.6% 2
MHN (Managed Health Network) $134,707 31.6% 2
SMARTHEALTH PPO $129,992 27.0% 4
HEALTH SOUTH $127,972 25.0% 2
INTEGRATED HEALTH PLAN $127,972 25.0% 2
PPOM $126,625 23.7% 6
COMMUNITY HLTH ALLIANCE $126,625 23.7% 4
ASMED HEALTH PARTNERSHIP 20120101 $126,625 23.7% 2
HEALTHLINK PPO $124,604 21.7% 8
BeechStreet (MultiPlan) $123,930 21.1% 2
PRIME HEALTH $123,930 21.1% 2
MultiPlan $121,236 18.4% 8
COOK CHILDREN'S HEALTH PLAN (MEDICAID MANAGED CARE) $121,236 18.4% 2
Indiana Health Network $119,889 17.1% 8
First Health Network $118,542 15.8% 10
WORKERS COMP IN HEALTH $118,542 15.8% 2
CARDINAL HEALTH PPO $117,869 15.1% 4
PHP $116,522 13.8% 8
BLUEGRASS $114,501 11.8% 2
CORVEL $114,501 11.8% 8
PREFERRED HEALTH PLAN $114,501 11.8% 1
SIGNATURE CARE $113,154 10.5% 6
Three Rivers Provider Network $111,807 9.2% 6
COVENTRY HEALTH $111,807 9.2% 6
ENCORE $111,807 9.2% 6
ENCORE BANKERS $111,133 8.6% 8
PCIP $109,113 6.6% 4
UnitedHealthcare $109,113 6.6% 20
CARDINAL HEALTH HMO $107,766 5.3% 2
KAUFFMAN ENGINEERING $107,766 5.3% 2
LUTHERAN PREFERRED $107,766 5.3% 2
PRIME HEALTH WORKER COMP $107,766 5.3% 2
Medical Mutual of Ohio $105,071 2.6% 6
Sagamore Health Network $102,377 0.0% 54
ILLINOIS WORKERS COMP 20120101 $102,377 0.0% 2
Cigna Healthcare $101,704 -0.7% 16
SUBURBAN TPA $101,030 -1.3% 2
Encircle PPO $101,030 -1.3% 6
Ochsner Health Plan $99,683 -2.6% 4
ADVANTAGE 360 $98,336 -3.9% 8
UNIFIED GROUP SERVICES $96,989 -5.3% 8
SIHO Holding, Inc. $96,316 -5.9% 12
LUTHERAN ADVANCED $94,295 -7.9% 2
OWENSBORO COMMUNITY HEALTH $94,295 -7.9% 2
KEY BENEFIT ADMINISTRATORS $92,274 -9.9% 4
Aetna $91,601 -10.5% 8
ENCORE EXCLUSIVE $91,601 -10.5% 6
Humana $86,212 -15.8% 14
UNIFIED ZIONSVILLE $84,865 -17.1% 6
AHS ST FRANCIS $84,865 -17.1% 4
HELPING HAND OLD ORDER $80,824 -21.1% 2
PLAIN CHURCH GROUP $80,824 -21.1% 6
TRICOUNTY $80,824 -21.1% 2
SELFPAY $80,824 -21.1% 2
SUBURBAN/SHO $74,089 -27.6% 6
PROHEALTH $74,089 -27.6% 6
SMARTHEALTH PPO/HDHP 20161001 $71,395 -30.3% 2
Anthem (Elevance Health) $53,883 -47.4% 40
PATOKA VALLEY HEALTH CARE COOPERATIVE $48,495 -52.6% 8
ADVANTUS $41,759 -59.2% 6
UGS $41,759 -59.2% 6
Managed Health Services Indiana $524 -99.5% 4
MEDICAID ADVANTAGE $524 -99.5% 2
MDwise $444 -99.6% 4
MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 $363 -99.6% 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.