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 702557721 · CARMEL, IN

702557721 — 000000000000556580-kit

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.

$340,061 All-payer median here
$268,469 Cash / self-pay here
71 payer/plan-name variants
← This hospital National rates for 702557721 →
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 $447,449 31.6% 2
CareSource $447,449 31.6% 4
Medicaid (Generic) $447,449 31.6% 2
United Behavioral Health (Optum) $447,449 31.6% 4
TRICARE $447,449 31.6% 6
Medicare (Generic) $447,449 31.6% 2
CDM DEFAULT - NON-NEGOTIATED RATE $447,449 31.6% 2
MHN (Managed Health Network) $447,449 31.6% 2
SMARTHEALTH PPO $431,788 27.0% 4
HEALTH SOUTH $425,077 25.0% 2
INTEGRATED HEALTH PLAN $425,077 25.0% 2
PPOM $420,602 23.7% 6
COMMUNITY HLTH ALLIANCE $420,602 23.7% 4
ASMED HEALTH PARTNERSHIP 20120101 $420,602 23.7% 2
HEALTHLINK PPO $413,890 21.7% 8
BeechStreet (MultiPlan) $411,653 21.1% 2
PRIME HEALTH $411,653 21.1% 2
MultiPlan $402,704 18.4% 8
COOK CHILDREN'S HEALTH PLAN (MEDICAID MANAGED CARE) $402,704 18.4% 2
Indiana Health Network $398,230 17.1% 8
First Health Network $393,755 15.8% 10
WORKERS COMP IN HEALTH $393,755 15.8% 2
CARDINAL HEALTH PPO $391,518 15.1% 4
PHP $387,043 13.8% 8
BLUEGRASS $380,332 11.8% 2
CORVEL $380,332 11.8% 8
PREFERRED HEALTH PLAN $380,332 11.8% 1
SIGNATURE CARE $375,857 10.5% 6
Three Rivers Provider Network $371,383 9.2% 6
COVENTRY HEALTH $371,383 9.2% 6
ENCORE $371,383 9.2% 6
ENCORE BANKERS $369,145 8.6% 8
PCIP $362,434 6.6% 4
UnitedHealthcare $362,434 6.6% 20
CARDINAL HEALTH HMO $357,959 5.3% 2
KAUFFMAN ENGINEERING $357,959 5.3% 2
LUTHERAN PREFERRED $357,959 5.3% 2
PRIME HEALTH WORKER COMP $357,959 5.3% 2
Medical Mutual of Ohio $349,010 2.6% 6
Sagamore Health Network $340,061 0.0% 54
ILLINOIS WORKERS COMP 20120101 $340,061 0.0% 2
Cigna Healthcare $337,824 -0.7% 16
Encircle PPO $335,587 -1.3% 6
SUBURBAN TPA $335,587 -1.3% 2
Ochsner Health Plan $331,112 -2.6% 4
ADVANTAGE 360 $326,638 -3.9% 8
UNIFIED GROUP SERVICES $322,163 -5.3% 8
SIHO Holding, Inc. $319,926 -5.9% 12
LUTHERAN ADVANCED $313,214 -7.9% 2
OWENSBORO COMMUNITY HEALTH $313,214 -7.9% 2
KEY BENEFIT ADMINISTRATORS $306,503 -9.9% 4
ENCORE EXCLUSIVE $304,265 -10.5% 6
Aetna $304,265 -10.5% 8
Humana $286,367 -15.8% 14
UNIFIED ZIONSVILLE $281,893 -17.1% 6
AHS ST FRANCIS $281,893 -17.1% 4
HELPING HAND OLD ORDER $268,469 -21.1% 2
SELFPAY $268,469 -21.1% 2
PLAIN CHURCH GROUP $268,469 -21.1% 6
TRICOUNTY $268,469 -21.1% 2
SUBURBAN/SHO $246,097 -27.6% 6
PROHEALTH $246,097 -27.6% 6
SMARTHEALTH PPO/HDHP 20161001 $237,148 -30.3% 2
Anthem (Elevance Health) $178,980 -47.4% 40
PATOKA VALLEY HEALTH CARE COOPERATIVE $161,082 -52.6% 8
ADVANTUS $138,709 -59.2% 6
UGS $138,709 -59.2% 6
MEDICAID ADVANTAGE $524 -99.8% 2
Managed Health Services Indiana $524 -99.8% 4
MDwise $444 -99.9% 4
MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 $363 -99.9% 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.