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 702554161 · CARMEL, IN

702554161 — 000000000001030807-generator

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.

$80,206 All-payer median here
$63,320 Cash / self-pay here
71 payer/plan-name variants
← This hospital National rates for 702554161 →
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 $105,534 31.6% 2
CareSource $105,534 31.6% 4
Medicaid (Generic) $105,534 31.6% 2
United Behavioral Health (Optum) $105,534 31.6% 4
TRICARE $105,534 31.6% 6
Medicare (Generic) $105,534 31.6% 2
CDM DEFAULT - NON-NEGOTIATED RATE $105,534 31.6% 2
MHN (Managed Health Network) $105,534 31.6% 2
SMARTHEALTH PPO $101,840 27.0% 4
HEALTH SOUTH $100,257 25.0% 2
INTEGRATED HEALTH PLAN $100,257 25.0% 2
PPOM $99,202 23.7% 6
COMMUNITY HLTH ALLIANCE $99,202 23.7% 4
ASMED HEALTH PARTNERSHIP 20120101 $99,202 23.7% 2
HEALTHLINK PPO $97,619 21.7% 8
BeechStreet (MultiPlan) $97,091 21.1% 2
PRIME HEALTH $97,091 21.1% 2
MultiPlan $94,981 18.4% 8
COOK CHILDREN'S HEALTH PLAN (MEDICAID MANAGED CARE) $94,981 18.4% 2
Indiana Health Network $93,925 17.1% 8
First Health Network $92,870 15.8% 10
WORKERS COMP IN HEALTH $92,870 15.8% 2
CARDINAL HEALTH PPO $92,342 15.1% 4
PHP $91,287 13.8% 8
BLUEGRASS $89,704 11.8% 2
CORVEL $89,704 11.8% 8
PREFERRED HEALTH PLAN $89,704 11.8% 1
SIGNATURE CARE $88,649 10.5% 6
Three Rivers Provider Network $87,593 9.2% 6
COVENTRY HEALTH $87,593 9.2% 6
ENCORE $87,593 9.2% 6
ENCORE BANKERS $87,066 8.6% 8
PCIP $85,483 6.6% 4
UnitedHealthcare $85,483 6.6% 20
CARDINAL HEALTH HMO $84,427 5.3% 2
KAUFFMAN ENGINEERING $84,427 5.3% 2
LUTHERAN PREFERRED $84,427 5.3% 2
PRIME HEALTH WORKER COMP $84,427 5.3% 2
Medical Mutual of Ohio $82,317 2.6% 6
Sagamore Health Network $80,206 0.0% 54
ILLINOIS WORKERS COMP 20120101 $80,206 0.0% 2
Cigna Healthcare $79,678 -0.7% 16
Encircle PPO $79,150 -1.3% 6
SUBURBAN TPA $79,150 -1.3% 2
Ochsner Health Plan $78,095 -2.6% 4
ADVANTAGE 360 $77,040 -3.9% 8
UNIFIED GROUP SERVICES $75,984 -5.3% 8
SIHO Holding, Inc. $75,457 -5.9% 12
LUTHERAN ADVANCED $73,874 -7.9% 2
OWENSBORO COMMUNITY HEALTH $73,874 -7.9% 2
KEY BENEFIT ADMINISTRATORS $72,291 -9.9% 4
ENCORE EXCLUSIVE $71,763 -10.5% 6
Aetna $71,763 -10.5% 8
Humana $67,542 -15.8% 14
UNIFIED ZIONSVILLE $66,486 -17.1% 6
AHS ST FRANCIS $66,486 -17.1% 4
HELPING HAND OLD ORDER $63,320 -21.1% 2
SELFPAY $63,320 -21.1% 2
PLAIN CHURCH GROUP $63,320 -21.1% 6
TRICOUNTY $63,320 -21.1% 2
SUBURBAN/SHO $58,044 -27.6% 6
PROHEALTH $58,044 -27.6% 6
SMARTHEALTH PPO/HDHP 20161001 $55,933 -30.3% 2
Anthem (Elevance Health) $42,214 -47.4% 40
PATOKA VALLEY HEALTH CARE COOPERATIVE $37,992 -52.6% 8
ADVANTUS $32,716 -59.2% 6
UGS $32,716 -59.2% 6
MEDICAID ADVANTAGE $524 -99.3% 2
Managed Health Services Indiana $524 -99.3% 4
MDwise $444 -99.4% 4
MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 $363 -99.5% 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.