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 702562109 · CARMEL, IN

702562109 — 000000000001030806-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.

$82,594 All-payer median here
$65,206 Cash / self-pay here
71 payer/plan-name variants
← This hospital National rates for 702562109 →
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 $108,676 31.6% 2
CareSource $108,676 31.6% 4
Medicaid (Generic) $108,676 31.6% 2
United Behavioral Health (Optum) $108,676 31.6% 4
TRICARE $108,676 31.6% 6
Medicare (Generic) $108,676 31.6% 2
CDM DEFAULT - NON-NEGOTIATED RATE $108,676 31.6% 2
MHN (Managed Health Network) $108,676 31.6% 2
SMARTHEALTH PPO $104,872 27.0% 4
HEALTH SOUTH $103,242 25.0% 2
INTEGRATED HEALTH PLAN $103,242 25.0% 2
PPOM $102,155 23.7% 6
COMMUNITY HLTH ALLIANCE $102,155 23.7% 4
ASMED HEALTH PARTNERSHIP 20120101 $102,155 23.7% 2
HEALTHLINK PPO $100,525 21.7% 8
BeechStreet (MultiPlan) $99,982 21.1% 2
PRIME HEALTH $99,982 21.1% 2
MultiPlan $97,808 18.4% 8
COOK CHILDREN'S HEALTH PLAN (MEDICAID MANAGED CARE) $97,808 18.4% 2
Indiana Health Network $96,722 17.1% 8
First Health Network $95,635 15.8% 10
WORKERS COMP IN HEALTH $95,635 15.8% 2
CARDINAL HEALTH PPO $95,092 15.1% 4
PHP $94,005 13.8% 8
BLUEGRASS $92,375 11.8% 2
CORVEL $92,375 11.8% 8
PREFERRED HEALTH PLAN $92,375 11.8% 1
SIGNATURE CARE $91,288 10.5% 6
Three Rivers Provider Network $90,201 9.2% 6
COVENTRY HEALTH $90,201 9.2% 6
ENCORE $90,201 9.2% 6
ENCORE BANKERS $89,658 8.6% 8
PCIP $88,028 6.6% 4
UnitedHealthcare $88,028 6.6% 20
CARDINAL HEALTH HMO $86,941 5.3% 2
KAUFFMAN ENGINEERING $86,941 5.3% 2
LUTHERAN PREFERRED $86,941 5.3% 2
PRIME HEALTH WORKER COMP $86,941 5.3% 2
Medical Mutual of Ohio $84,767 2.6% 6
Sagamore Health Network $82,594 0.0% 54
ILLINOIS WORKERS COMP 20120101 $82,594 0.0% 2
Cigna Healthcare $82,050 -0.7% 16
Encircle PPO $81,507 -1.3% 6
SUBURBAN TPA $81,507 -1.3% 2
Ochsner Health Plan $80,420 -2.6% 4
ADVANTAGE 360 $79,333 -3.9% 8
UNIFIED GROUP SERVICES $78,247 -5.3% 8
SIHO Holding, Inc. $77,703 -5.9% 12
LUTHERAN ADVANCED $76,073 -7.9% 2
OWENSBORO COMMUNITY HEALTH $76,073 -7.9% 2
KEY BENEFIT ADMINISTRATORS $74,443 -9.9% 4
ENCORE EXCLUSIVE $73,900 -10.5% 6
Aetna $73,900 -10.5% 8
Humana $69,553 -15.8% 14
UNIFIED ZIONSVILLE $68,466 -17.1% 6
AHS ST FRANCIS $68,466 -17.1% 4
HELPING HAND OLD ORDER $65,206 -21.1% 2
SELFPAY $65,206 -21.1% 2
PLAIN CHURCH GROUP $65,206 -21.1% 6
TRICOUNTY $65,206 -21.1% 2
SUBURBAN/SHO $59,772 -27.6% 6
PROHEALTH $59,772 -27.6% 6
SMARTHEALTH PPO/HDHP 20161001 $57,598 -30.3% 2
Anthem (Elevance Health) $43,470 -47.4% 40
PATOKA VALLEY HEALTH CARE COOPERATIVE $39,123 -52.6% 8
ADVANTUS $33,690 -59.2% 6
UGS $33,690 -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.