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 702584217 · CARMEL, IN

702584217 — 000000000002054522-implant

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.

$116,254 All-payer median here
$91,780 Cash / self-pay here
71 payer/plan-name variants
← This hospital National rates for 702584217 →
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 $152,966 31.6% 2
CareSource $152,966 31.6% 4
Medicaid (Generic) $152,966 31.6% 2
United Behavioral Health (Optum) $152,966 31.6% 4
TRICARE $152,966 31.6% 6
Medicare (Generic) $152,966 31.6% 2
CDM DEFAULT - NON-NEGOTIATED RATE $152,966 31.6% 2
MHN (Managed Health Network) $152,966 31.6% 2
SMARTHEALTH PPO $147,612 27.0% 4
HEALTH SOUTH $145,318 25.0% 2
INTEGRATED HEALTH PLAN $145,318 25.0% 2
PPOM $143,788 23.7% 6
COMMUNITY HLTH ALLIANCE $143,788 23.7% 4
ASMED HEALTH PARTNERSHIP 20120101 $143,788 23.7% 2
HEALTHLINK PPO $141,494 21.7% 8
BeechStreet (MultiPlan) $140,729 21.1% 2
PRIME HEALTH $140,729 21.1% 2
MultiPlan $137,669 18.4% 8
COOK CHILDREN'S HEALTH PLAN (MEDICAID MANAGED CARE) $137,669 18.4% 2
Indiana Health Network $136,140 17.1% 8
First Health Network $134,610 15.8% 10
WORKERS COMP IN HEALTH $134,610 15.8% 2
CARDINAL HEALTH PPO $133,845 15.1% 4
PHP $132,316 13.8% 8
BLUEGRASS $130,021 11.8% 2
CORVEL $130,021 11.8% 8
PREFERRED HEALTH PLAN $130,021 11.8% 1
SIGNATURE CARE $128,491 10.5% 6
Three Rivers Provider Network $126,962 9.2% 6
COVENTRY HEALTH $126,962 9.2% 6
ENCORE $126,962 9.2% 6
ENCORE BANKERS $126,197 8.6% 8
PCIP $123,902 6.6% 4
UnitedHealthcare $123,902 6.6% 20
CARDINAL HEALTH HMO $122,373 5.3% 2
KAUFFMAN ENGINEERING $122,373 5.3% 2
LUTHERAN PREFERRED $122,373 5.3% 2
PRIME HEALTH WORKER COMP $122,373 5.3% 2
Medical Mutual of Ohio $119,313 2.6% 6
Sagamore Health Network $116,254 0.0% 54
ILLINOIS WORKERS COMP 20120101 $116,254 0.0% 2
Cigna Healthcare $115,489 -0.7% 16
Encircle PPO $114,724 -1.3% 6
SUBURBAN TPA $114,724 -1.3% 2
Ochsner Health Plan $113,195 -2.6% 4
ADVANTAGE 360 $111,665 -3.9% 8
UNIFIED GROUP SERVICES $110,136 -5.3% 8
SIHO Holding, Inc. $109,371 -5.9% 12
LUTHERAN ADVANCED $107,076 -7.9% 2
OWENSBORO COMMUNITY HEALTH $107,076 -7.9% 2
KEY BENEFIT ADMINISTRATORS $104,782 -9.9% 4
ENCORE EXCLUSIVE $104,017 -10.5% 6
Aetna $104,017 -10.5% 8
Humana $97,898 -15.8% 14
UNIFIED ZIONSVILLE $96,369 -17.1% 6
AHS ST FRANCIS $96,369 -17.1% 4
HELPING HAND OLD ORDER $91,780 -21.1% 2
SELFPAY $91,780 -21.1% 2
PLAIN CHURCH GROUP $91,780 -21.1% 6
TRICOUNTY $91,780 -21.1% 2
SUBURBAN/SHO $84,131 -27.6% 6
PROHEALTH $84,131 -27.6% 6
SMARTHEALTH PPO/HDHP 20161001 $81,072 -30.3% 2
Anthem (Elevance Health) $61,186 -47.4% 40
PATOKA VALLEY HEALTH CARE COOPERATIVE $55,068 -52.6% 8
ADVANTUS $47,419 -59.2% 6
UGS $47,419 -59.2% 6
MEDICAID ADVANTAGE $524 -99.5% 2
Managed Health Services Indiana $524 -99.5% 4
MDwise $444 -99.6% 4
MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 $363 -99.7% 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.