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 702596223 · CARMEL, IN

702596223 — Kit-106523us

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.

$245,125 All-payer median here
$193,520 Cash / self-pay here
71 payer/plan-name variants
← This hospital National rates for 702596223 →
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 $322,533 31.6% 2
CareSource $322,533 31.6% 4
Medicaid (Generic) $322,533 31.6% 2
United Behavioral Health (Optum) $322,533 31.6% 4
TRICARE $322,533 31.6% 6
Medicare (Generic) $322,533 31.6% 2
CDM DEFAULT - NON-NEGOTIATED RATE $322,533 31.6% 2
MHN (Managed Health Network) $322,533 31.6% 2
SMARTHEALTH PPO $311,244 27.0% 4
HEALTH SOUTH $306,406 25.0% 2
INTEGRATED HEALTH PLAN $306,406 25.0% 2
PPOM $303,181 23.7% 6
COMMUNITY HLTH ALLIANCE $303,181 23.7% 4
ASMED HEALTH PARTNERSHIP 20120101 $303,181 23.7% 2
HEALTHLINK PPO $298,343 21.7% 8
BeechStreet (MultiPlan) $296,730 21.1% 2
PRIME HEALTH $296,730 21.1% 2
MultiPlan $290,280 18.4% 8
COOK CHILDREN'S HEALTH PLAN (MEDICAID MANAGED CARE) $290,280 18.4% 2
Indiana Health Network $287,054 17.1% 8
First Health Network $283,829 15.8% 10
WORKERS COMP IN HEALTH $283,829 15.8% 2
CARDINAL HEALTH PPO $282,216 15.1% 4
PHP $278,991 13.8% 8
BLUEGRASS $274,153 11.8% 2
CORVEL $274,153 11.8% 8
PREFERRED HEALTH PLAN $274,153 11.8% 1
SIGNATURE CARE $270,928 10.5% 6
Three Rivers Provider Network $267,702 9.2% 6
COVENTRY HEALTH $267,702 9.2% 6
ENCORE $267,702 9.2% 6
ENCORE BANKERS $266,090 8.6% 8
PCIP $261,252 6.6% 4
UnitedHealthcare $261,252 6.6% 20
CARDINAL HEALTH HMO $258,026 5.3% 2
KAUFFMAN ENGINEERING $258,026 5.3% 2
LUTHERAN PREFERRED $258,026 5.3% 2
PRIME HEALTH WORKER COMP $258,026 5.3% 2
Medical Mutual of Ohio $251,576 2.6% 6
Sagamore Health Network $245,125 0.0% 54
ILLINOIS WORKERS COMP 20120101 $245,125 0.0% 2
Cigna Healthcare $243,512 -0.7% 16
Encircle PPO $241,900 -1.3% 6
SUBURBAN TPA $241,900 -1.3% 2
Ochsner Health Plan $238,674 -2.6% 4
ADVANTAGE 360 $235,449 -3.9% 8
UNIFIED GROUP SERVICES $232,224 -5.3% 8
SIHO Holding, Inc. $230,611 -5.9% 12
LUTHERAN ADVANCED $225,773 -7.9% 2
OWENSBORO COMMUNITY HEALTH $225,773 -7.9% 2
KEY BENEFIT ADMINISTRATORS $220,935 -9.9% 4
ENCORE EXCLUSIVE $219,322 -10.5% 6
Aetna $219,322 -10.5% 8
Humana $206,421 -15.8% 14
UNIFIED ZIONSVILLE $203,196 -17.1% 6
AHS ST FRANCIS $203,196 -17.1% 4
HELPING HAND OLD ORDER $193,520 -21.1% 2
SELFPAY $193,520 -21.1% 2
PLAIN CHURCH GROUP $193,520 -21.1% 6
TRICOUNTY $193,520 -21.1% 2
SUBURBAN/SHO $177,393 -27.6% 6
PROHEALTH $177,393 -27.6% 6
SMARTHEALTH PPO/HDHP 20161001 $170,942 -30.3% 2
Anthem (Elevance Health) $129,013 -47.4% 40
PATOKA VALLEY HEALTH CARE COOPERATIVE $116,112 -52.6% 8
ADVANTUS $99,985 -59.2% 6
UGS $99,985 -59.2% 6
MEDICAID ADVANTAGE $524 -99.8% 2
Managed Health Services Indiana $524 -99.8% 4
MDwise $444 -99.8% 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.