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 702554209 · CARMEL, IN

702554209 — 000000000000580953-valve

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.

$85,080 All-payer median here
$67,169 Cash / self-pay here
71 payer/plan-name variants
← This hospital National rates for 702554209 →
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 $111,948 31.6% 2
CareSource $111,948 31.6% 4
Medicaid (Generic) $111,948 31.6% 2
United Behavioral Health (Optum) $111,948 31.6% 4
TRICARE $111,948 31.6% 6
Medicare (Generic) $111,948 31.6% 2
CDM DEFAULT - NON-NEGOTIATED RATE $111,948 31.6% 2
MHN (Managed Health Network) $111,948 31.6% 2
SMARTHEALTH PPO $108,030 27.0% 4
HEALTH SOUTH $106,351 25.0% 2
INTEGRATED HEALTH PLAN $106,351 25.0% 2
PPOM $105,231 23.7% 6
COMMUNITY HLTH ALLIANCE $105,231 23.7% 4
ASMED HEALTH PARTNERSHIP 20120101 $105,231 23.7% 2
HEALTHLINK PPO $103,552 21.7% 8
BeechStreet (MultiPlan) $102,992 21.1% 2
PRIME HEALTH $102,992 21.1% 2
MultiPlan $100,753 18.4% 8
COOK CHILDREN'S HEALTH PLAN (MEDICAID MANAGED CARE) $100,753 18.4% 2
Indiana Health Network $99,634 17.1% 8
First Health Network $98,514 15.8% 10
WORKERS COMP IN HEALTH $98,514 15.8% 2
CARDINAL HEALTH PPO $97,954 15.1% 4
PHP $96,835 13.8% 8
BLUEGRASS $95,156 11.8% 2
CORVEL $95,156 11.8% 8
PREFERRED HEALTH PLAN $95,156 11.8% 1
SIGNATURE CARE $94,036 10.5% 6
Three Rivers Provider Network $92,917 9.2% 6
COVENTRY HEALTH $92,917 9.2% 6
ENCORE $92,917 9.2% 6
ENCORE BANKERS $92,357 8.6% 8
PCIP $90,678 6.6% 4
UnitedHealthcare $90,678 6.6% 20
CARDINAL HEALTH HMO $89,558 5.3% 2
KAUFFMAN ENGINEERING $89,558 5.3% 2
LUTHERAN PREFERRED $89,558 5.3% 2
PRIME HEALTH WORKER COMP $89,558 5.3% 2
Medical Mutual of Ohio $87,319 2.6% 6
Sagamore Health Network $85,080 0.0% 54
ILLINOIS WORKERS COMP 20120101 $85,080 0.0% 2
Cigna Healthcare $84,521 -0.7% 16
Encircle PPO $83,961 -1.3% 6
SUBURBAN TPA $83,961 -1.3% 2
Ochsner Health Plan $82,842 -2.6% 4
ADVANTAGE 360 $81,722 -3.9% 8
UNIFIED GROUP SERVICES $80,603 -5.3% 8
SIHO Holding, Inc. $80,043 -5.9% 12
LUTHERAN ADVANCED $78,364 -7.9% 2
OWENSBORO COMMUNITY HEALTH $78,364 -7.9% 2
KEY BENEFIT ADMINISTRATORS $76,684 -9.9% 4
ENCORE EXCLUSIVE $76,125 -10.5% 6
Aetna $76,125 -10.5% 8
Humana $71,647 -15.8% 14
UNIFIED ZIONSVILLE $70,527 -17.1% 6
AHS ST FRANCIS $70,527 -17.1% 4
HELPING HAND OLD ORDER $67,169 -21.1% 2
SELFPAY $67,169 -21.1% 2
PLAIN CHURCH GROUP $67,169 -21.1% 6
TRICOUNTY $67,169 -21.1% 2
SUBURBAN/SHO $61,571 -27.6% 6
PROHEALTH $61,571 -27.6% 6
SMARTHEALTH PPO/HDHP 20161001 $59,332 -30.3% 2
Anthem (Elevance Health) $44,779 -47.4% 40
PATOKA VALLEY HEALTH CARE COOPERATIVE $40,301 -52.6% 8
ADVANTUS $34,704 -59.2% 6
UGS $34,704 -59.2% 6
MEDICAID ADVANTAGE $524 -99.4% 2
Managed Health Services Indiana $524 -99.4% 4
MDwise $444 -99.5% 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.