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 702184289 · CARMEL, IN

702184289 — Tile-gt-09

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.

$128,707 All-payer median here
$101,611 Cash / self-pay here
71 payer/plan-name variants
← This hospital National rates for 702184289 →
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 $169,351 31.6% 2
CareSource $169,351 31.6% 4
Medicaid (Generic) $169,351 31.6% 2
United Behavioral Health (Optum) $169,351 31.6% 4
TRICARE $169,351 31.6% 6
Medicare (Generic) $169,351 31.6% 2
CDM DEFAULT - NON-NEGOTIATED RATE $169,351 31.6% 2
MHN (Managed Health Network) $169,351 31.6% 2
SMARTHEALTH PPO $163,424 27.0% 4
HEALTH SOUTH $160,883 25.0% 2
INTEGRATED HEALTH PLAN $160,883 25.0% 2
PPOM $159,190 23.7% 6
COMMUNITY HLTH ALLIANCE $159,190 23.7% 4
ASMED HEALTH PARTNERSHIP 20120101 $159,190 23.7% 2
HEALTHLINK PPO $156,650 21.7% 8
BeechStreet (MultiPlan) $155,803 21.1% 2
PRIME HEALTH $155,803 21.1% 2
MultiPlan $152,416 18.4% 8
COOK CHILDREN'S HEALTH PLAN (MEDICAID MANAGED CARE) $152,416 18.4% 2
Indiana Health Network $150,722 17.1% 8
First Health Network $149,029 15.8% 10
WORKERS COMP IN HEALTH $149,029 15.8% 2
CARDINAL HEALTH PPO $148,182 15.1% 4
PHP $146,489 13.8% 8
BLUEGRASS $143,948 11.8% 2
CORVEL $143,948 11.8% 8
PREFERRED HEALTH PLAN $143,948 11.8% 1
SIGNATURE CARE $142,255 10.5% 6
Three Rivers Provider Network $140,561 9.2% 6
COVENTRY HEALTH $140,561 9.2% 6
ENCORE $140,561 9.2% 6
ENCORE BANKERS $139,715 8.6% 8
PCIP $137,174 6.6% 4
UnitedHealthcare $137,174 6.6% 20
CARDINAL HEALTH HMO $135,481 5.3% 2
KAUFFMAN ENGINEERING $135,481 5.3% 2
LUTHERAN PREFERRED $135,481 5.3% 2
PRIME HEALTH WORKER COMP $135,481 5.3% 2
Medical Mutual of Ohio $132,094 2.6% 6
Sagamore Health Network $128,707 0.0% 54
ILLINOIS WORKERS COMP 20120101 $128,707 0.0% 2
Cigna Healthcare $127,860 -0.7% 16
Encircle PPO $127,013 -1.3% 6
SUBURBAN TPA $127,013 -1.3% 2
Ochsner Health Plan $125,320 -2.6% 4
ADVANTAGE 360 $123,626 -3.9% 8
UNIFIED GROUP SERVICES $121,933 -5.3% 8
SIHO Holding, Inc. $121,086 -5.9% 12
LUTHERAN ADVANCED $118,546 -7.9% 2
OWENSBORO COMMUNITY HEALTH $118,546 -7.9% 2
KEY BENEFIT ADMINISTRATORS $116,005 -9.9% 4
ENCORE EXCLUSIVE $115,159 -10.5% 6
Aetna $115,159 -10.5% 8
Humana $108,385 -15.8% 14
UNIFIED ZIONSVILLE $106,691 -17.1% 6
AHS ST FRANCIS $106,691 -17.1% 4
HELPING HAND OLD ORDER $101,611 -21.1% 2
SELFPAY $101,611 -21.1% 2
PLAIN CHURCH GROUP $101,611 -21.1% 6
TRICOUNTY $101,611 -21.1% 2
SUBURBAN/SHO $93,143 -27.6% 6
PROHEALTH $93,143 -27.6% 6
SMARTHEALTH PPO/HDHP 20161001 $89,756 -30.3% 2
Anthem (Elevance Health) $67,740 -47.4% 40
PATOKA VALLEY HEALTH CARE COOPERATIVE $60,966 -52.6% 8
ADVANTUS $52,499 -59.2% 6
UGS $52,499 -59.2% 6
MEDICAID ADVANTAGE $524 -99.6% 2
Managed Health Services Indiana $524 -99.6% 4
MDwise $444 -99.7% 4
MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 $363 -99.7% 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.