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 709138322 · CARMEL, IN

709138322 — Heart Acquisition

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.

$162,135 All-payer median here
$124,720 Cash / self-pay here
67 payer/plan-name variants
← This hospital National rates for 709138322 →
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
   
Medicaid (Generic) $207,866 28.2% 2
UnitedHealthcare $207,866 28.2% 18
United Behavioral Health (Optum) $207,866 28.2% 4
TRICARE $207,866 28.2% 6
CareSource $207,866 28.2% 4
CDM DEFAULT - NON-NEGOTIATED RATE $207,866 28.2% 2
SelectHealth $207,866 28.2% 2
MHN (Managed Health Network) $207,866 28.2% 2
Medicare (Generic) $207,866 28.2% 2
SMARTHEALTH PPO $200,591 23.7% 4
INTEGRATED HEALTH PLAN $197,473 21.8% 2
HEALTH SOUTH $197,473 21.8% 2
ASMED HEALTH PARTNERSHIP 20120101 $195,394 20.5% 2
COMMUNITY HLTH ALLIANCE $195,394 20.5% 4
PPOM $195,394 20.5% 6
HEALTHLINK PPO $192,276 18.6% 8
PRIME HEALTH $191,237 17.9% 2
BeechStreet (MultiPlan) $191,237 17.9% 2
MultiPlan $187,079 15.4% 8
COOK CHILDREN'S HEALTH PLAN (MEDICAID MANAGED CARE) $187,079 15.4% 2
Indiana Health Network $185,001 14.1% 8
WORKERS COMP IN HEALTH $182,922 12.8% 2
First Health Network $182,922 12.8% 10
CARDINAL HEALTH PPO $181,883 12.2% 4
PHP $179,804 10.9% 8
CORVEL $176,686 9.0% 8
BLUEGRASS $176,686 9.0% 2
PREFERRED HEALTH PLAN $176,686 9.0% 1
SIGNATURE CARE $174,607 7.7% 6
Three Rivers Provider Network $172,529 6.4% 6
ENCORE $172,529 6.4% 6
COVENTRY HEALTH $172,529 6.4% 6
ENCORE BANKERS $171,489 5.8% 8
PCIP $168,371 3.8% 4
KAUFFMAN ENGINEERING $166,293 2.6% 2
LUTHERAN PREFERRED $166,293 2.6% 2
PRIME HEALTH WORKER COMP $166,293 2.6% 2
CARDINAL HEALTH HMO $166,293 2.6% 2
Medical Mutual of Ohio $162,135 0.0% 6
ILLINOIS WORKERS COMP 20120101 $157,978 -2.6% 2
Sagamore Health Network $157,978 -2.6% 54
Cigna Healthcare $156,939 -3.2% 16
Encircle PPO $155,900 -3.8% 6
SUBURBAN TPA $155,900 -3.8% 2
Ochsner Health Plan $153,821 -5.1% 4
ADVANTAGE 360 $151,742 -6.4% 8
UNIFIED GROUP SERVICES $149,664 -7.7% 8
SIHO Holding, Inc. $148,624 -8.3% 12
LUTHERAN ADVANCED $145,506 -10.3% 2
OWENSBORO COMMUNITY HEALTH $145,506 -10.3% 2
KEY BENEFIT ADMINISTRATORS $142,388 -12.2% 4
ENCORE EXCLUSIVE $141,349 -12.8% 6
Aetna $141,349 -12.8% 8
Humana $133,034 -17.9% 14
UNIFIED ZIONSVILLE $130,956 -19.2% 6
AHS ST FRANCIS $130,956 -19.2% 4
SELFPAY $124,720 -23.1% 2
HELPING HAND OLD ORDER $124,720 -23.1% 2
PLAIN CHURCH GROUP $124,720 -23.1% 6
TRICOUNTY $124,720 -23.1% 2
SUBURBAN/SHO $114,326 -29.5% 6
PROHEALTH $114,326 -29.5% 6
SMARTHEALTH PPO/HDHP 20161001 $110,169 -32.1% 2
Anthem (Elevance Health) $90,422 -44.2% 32
PATOKA VALLEY HEALTH CARE COOPERATIVE $74,832 -53.8% 8
ADVANTUS $64,438 -60.3% 6
UGS $64,438 -60.3% 6

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.