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 702185601 · CARMEL, IN

702185601 — Implant-c23-209

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.

$193,602 All-payer median here
$152,844 Cash / self-pay here
71 payer/plan-name variants
← This hospital National rates for 702185601 →
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 $254,740 31.6% 2
CareSource $254,740 31.6% 4
Medicaid (Generic) $254,740 31.6% 2
United Behavioral Health (Optum) $254,740 31.6% 4
TRICARE $254,740 31.6% 6
Medicare (Generic) $254,740 31.6% 2
CDM DEFAULT - NON-NEGOTIATED RATE $254,740 31.6% 2
MHN (Managed Health Network) $254,740 31.6% 2
SMARTHEALTH PPO $245,824 27.0% 4
HEALTH SOUTH $242,003 25.0% 2
INTEGRATED HEALTH PLAN $242,003 25.0% 2
PPOM $239,456 23.7% 6
COMMUNITY HLTH ALLIANCE $239,456 23.7% 4
ASMED HEALTH PARTNERSHIP 20120101 $239,456 23.7% 2
HEALTHLINK PPO $235,634 21.7% 8
BeechStreet (MultiPlan) $234,361 21.1% 2
PRIME HEALTH $234,361 21.1% 2
MultiPlan $229,266 18.4% 8
COOK CHILDREN'S HEALTH PLAN (MEDICAID MANAGED CARE) $229,266 18.4% 2
Indiana Health Network $226,719 17.1% 8
First Health Network $224,171 15.8% 10
WORKERS COMP IN HEALTH $224,171 15.8% 2
CARDINAL HEALTH PPO $222,898 15.1% 4
PHP $220,350 13.8% 8
BLUEGRASS $216,529 11.8% 2
CORVEL $216,529 11.8% 8
PREFERRED HEALTH PLAN $216,529 11.8% 1
SIGNATURE CARE $213,982 10.5% 6
Three Rivers Provider Network $211,434 9.2% 6
COVENTRY HEALTH $211,434 9.2% 6
ENCORE $211,434 9.2% 6
ENCORE BANKERS $210,160 8.6% 8
PCIP $206,339 6.6% 4
UnitedHealthcare $206,339 6.6% 20
CARDINAL HEALTH HMO $203,792 5.3% 2
KAUFFMAN ENGINEERING $203,792 5.3% 2
LUTHERAN PREFERRED $203,792 5.3% 2
PRIME HEALTH WORKER COMP $203,792 5.3% 2
Medical Mutual of Ohio $198,697 2.6% 6
Sagamore Health Network $193,602 0.0% 54
ILLINOIS WORKERS COMP 20120101 $193,602 0.0% 2
Cigna Healthcare $192,329 -0.7% 16
Encircle PPO $191,055 -1.3% 6
SUBURBAN TPA $191,055 -1.3% 2
Ochsner Health Plan $188,508 -2.6% 4
ADVANTAGE 360 $185,960 -3.9% 8
UNIFIED GROUP SERVICES $183,413 -5.3% 8
SIHO Holding, Inc. $182,139 -5.9% 12
LUTHERAN ADVANCED $178,318 -7.9% 2
OWENSBORO COMMUNITY HEALTH $178,318 -7.9% 2
KEY BENEFIT ADMINISTRATORS $174,497 -9.9% 4
ENCORE EXCLUSIVE $173,223 -10.5% 6
Aetna $173,223 -10.5% 8
Humana $163,034 -15.8% 14
UNIFIED ZIONSVILLE $160,486 -17.1% 6
AHS ST FRANCIS $160,486 -17.1% 4
HELPING HAND OLD ORDER $152,844 -21.1% 2
SELFPAY $152,844 -21.1% 2
PLAIN CHURCH GROUP $152,844 -21.1% 6
TRICOUNTY $152,844 -21.1% 2
SUBURBAN/SHO $140,107 -27.6% 6
PROHEALTH $140,107 -27.6% 6
SMARTHEALTH PPO/HDHP 20161001 $135,012 -30.3% 2
Anthem (Elevance Health) $101,896 -47.4% 40
PATOKA VALLEY HEALTH CARE COOPERATIVE $91,706 -52.6% 8
ADVANTUS $78,969 -59.2% 6
UGS $78,969 -59.2% 6
MEDICAID ADVANTAGE $524 -99.7% 2
Managed Health Services Indiana $524 -99.7% 4
MDwise $444 -99.8% 4
MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 $363 -99.8% 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.