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 702194372 · CARMEL, IN

702194372 — Tile-gt-10

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.

$144,354 All-payer median here
$111,041 Cash / self-pay here
70 payer/plan-name variants
← This hospital National rates for 702194372 →
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 $185,069 28.2% 2
CareSource $185,069 28.2% 4
Medicaid (Generic) $185,069 28.2% 2
United Behavioral Health (Optum) $185,069 28.2% 4
TRICARE $185,069 28.2% 6
Medicare (Generic) $185,069 28.2% 2
CDM DEFAULT - NON-NEGOTIATED RATE $185,069 28.2% 2
MHN (Managed Health Network) $185,069 28.2% 2
SMARTHEALTH PPO $178,592 23.7% 4
HEALTH SOUTH $175,816 21.8% 2
INTEGRATED HEALTH PLAN $175,816 21.8% 2
PPOM $173,965 20.5% 6
COMMUNITY HLTH ALLIANCE $173,965 20.5% 4
ASMED HEALTH PARTNERSHIP 20120101 $173,965 20.5% 2
HEALTHLINK PPO $171,189 18.6% 8
BeechStreet (MultiPlan) $170,263 17.9% 2
PRIME HEALTH $170,263 17.9% 2
MultiPlan $166,562 15.4% 8
COOK CHILDREN'S HEALTH PLAN (MEDICAID MANAGED CARE) $166,562 15.4% 2
Indiana Health Network $164,711 14.1% 8
First Health Network $162,861 12.8% 10
WORKERS COMP IN HEALTH $162,861 12.8% 2
CARDINAL HEALTH PPO $161,935 12.2% 4
PHP $160,085 10.9% 8
BLUEGRASS $157,309 9.0% 2
CORVEL $157,309 9.0% 8
PREFERRED HEALTH PLAN $157,309 9.0% 1
SIGNATURE CARE $155,458 7.7% 6
Three Rivers Provider Network $153,607 6.4% 6
COVENTRY HEALTH $153,607 6.4% 6
ENCORE $153,607 6.4% 6
ENCORE BANKERS $152,682 5.8% 8
PCIP $149,906 3.8% 4
UnitedHealthcare $149,906 3.8% 20
CARDINAL HEALTH HMO $148,055 2.6% 2
KAUFFMAN ENGINEERING $148,055 2.6% 2
LUTHERAN PREFERRED $148,055 2.6% 2
PRIME HEALTH WORKER COMP $148,055 2.6% 2
Medical Mutual of Ohio $144,354 0.0% 6
Sagamore Health Network $140,652 -2.6% 54
ILLINOIS WORKERS COMP 20120101 $140,652 -2.6% 2
Cigna Healthcare $139,727 -3.2% 16
Encircle PPO $138,802 -3.8% 6
SUBURBAN TPA $138,802 -3.8% 2
Ochsner Health Plan $136,951 -5.1% 4
ADVANTAGE 360 $135,100 -6.4% 8
UNIFIED GROUP SERVICES $133,250 -7.7% 8
SIHO Holding, Inc. $132,324 -8.3% 12
OWENSBORO COMMUNITY HEALTH $129,548 -10.3% 2
LUTHERAN ADVANCED $129,548 -10.3% 2
KEY BENEFIT ADMINISTRATORS $126,772 -12.2% 4
Aetna $125,847 -12.8% 8
ENCORE EXCLUSIVE $125,847 -12.8% 4
Humana $118,444 -17.9% 14
UNIFIED ZIONSVILLE $116,593 -19.2% 6
AHS ST FRANCIS $116,593 -19.2% 4
SELFPAY $111,041 -23.1% 2
PLAIN CHURCH GROUP $111,041 -23.1% 6
HELPING HAND OLD ORDER $111,041 -23.1% 2
TRICOUNTY $111,041 -23.1% 2
SUBURBAN/SHO $101,788 -29.5% 6
PROHEALTH $101,788 -29.5% 6
SMARTHEALTH PPO/HDHP 20161001 $98,087 -32.1% 2
UGS $57,371 -60.3% 6
ADVANTUS $57,371 -60.3% 6
Anthem (Elevance Health) $55,521 -61.5% 24
Managed Health Services Indiana $524 -99.6% 4
MEDICAID ADVANTAGE $524 -99.6% 2
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.