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 702554211 · CARMEL, IN

702554211 — 000000000000580955-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.

$83,961 All-payer median here
$66,285 Cash / self-pay here
71 payer/plan-name variants
← This hospital National rates for 702554211 →
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 $110,475 31.6% 2
CareSource $110,475 31.6% 4
Medicaid (Generic) $110,475 31.6% 2
United Behavioral Health (Optum) $110,475 31.6% 4
TRICARE $110,475 31.6% 6
Medicare (Generic) $110,475 31.6% 2
CDM DEFAULT - NON-NEGOTIATED RATE $110,475 31.6% 2
MHN (Managed Health Network) $110,475 31.6% 2
SMARTHEALTH PPO $106,608 27.0% 4
HEALTH SOUTH $104,951 25.0% 2
INTEGRATED HEALTH PLAN $104,951 25.0% 2
PPOM $103,846 23.7% 6
COMMUNITY HLTH ALLIANCE $103,846 23.7% 4
ASMED HEALTH PARTNERSHIP 20120101 $103,846 23.7% 2
HEALTHLINK PPO $102,189 21.7% 8
BeechStreet (MultiPlan) $101,637 21.1% 2
PRIME HEALTH $101,637 21.1% 2
MultiPlan $99,428 18.4% 8
COOK CHILDREN'S HEALTH PLAN (MEDICAID MANAGED CARE) $99,428 18.4% 2
Indiana Health Network $98,323 17.1% 8
First Health Network $97,218 15.8% 10
WORKERS COMP IN HEALTH $97,218 15.8% 2
CARDINAL HEALTH PPO $96,666 15.1% 4
PHP $95,561 13.8% 8
BLUEGRASS $93,904 11.8% 2
CORVEL $93,904 11.8% 8
PREFERRED HEALTH PLAN $93,904 11.8% 1
SIGNATURE CARE $92,799 10.5% 6
Three Rivers Provider Network $91,694 9.2% 6
COVENTRY HEALTH $91,694 9.2% 6
ENCORE $91,694 9.2% 6
ENCORE BANKERS $91,142 8.6% 8
PCIP $89,485 6.6% 4
UnitedHealthcare $89,485 6.6% 20
CARDINAL HEALTH HMO $88,380 5.3% 2
KAUFFMAN ENGINEERING $88,380 5.3% 2
LUTHERAN PREFERRED $88,380 5.3% 2
PRIME HEALTH WORKER COMP $88,380 5.3% 2
Medical Mutual of Ohio $86,170 2.6% 6
Sagamore Health Network $83,961 0.0% 54
ILLINOIS WORKERS COMP 20120101 $83,961 0.0% 2
Cigna Healthcare $83,409 -0.7% 16
Encircle PPO $82,856 -1.3% 6
SUBURBAN TPA $82,856 -1.3% 2
Ochsner Health Plan $81,752 -2.6% 4
ADVANTAGE 360 $80,647 -3.9% 8
UNIFIED GROUP SERVICES $79,542 -5.3% 8
SIHO Holding, Inc. $78,990 -5.9% 12
LUTHERAN ADVANCED $77,332 -7.9% 2
OWENSBORO COMMUNITY HEALTH $77,332 -7.9% 2
KEY BENEFIT ADMINISTRATORS $75,675 -9.9% 4
ENCORE EXCLUSIVE $75,123 -10.5% 6
Aetna $75,123 -10.5% 8
Humana $70,704 -15.8% 14
UNIFIED ZIONSVILLE $69,599 -17.1% 6
AHS ST FRANCIS $69,599 -17.1% 4
HELPING HAND OLD ORDER $66,285 -21.1% 2
SELFPAY $66,285 -21.1% 2
PLAIN CHURCH GROUP $66,285 -21.1% 6
TRICOUNTY $66,285 -21.1% 2
SUBURBAN/SHO $60,761 -27.6% 6
PROHEALTH $60,761 -27.6% 6
SMARTHEALTH PPO/HDHP 20161001 $58,552 -30.3% 2
Anthem (Elevance Health) $44,190 -47.4% 40
PATOKA VALLEY HEALTH CARE COOPERATIVE $39,771 -52.6% 8
ADVANTUS $34,247 -59.2% 6
UGS $34,247 -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.