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 709238385 · CARMEL, IN

709238385 — Renal Acquisition Cadaver Dono

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.

$138,152 All-payer median here
$106,271 Cash / self-pay here
67 payer/plan-name variants
← This hospital National rates for 709238385 →
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) $177,118 28.2% 2
UnitedHealthcare $177,118 28.2% 18
United Behavioral Health (Optum) $177,118 28.2% 4
TRICARE $177,118 28.2% 6
CareSource $177,118 28.2% 4
CDM DEFAULT - NON-NEGOTIATED RATE $177,118 28.2% 2
SelectHealth $177,118 28.2% 2
MHN (Managed Health Network) $177,118 28.2% 2
Medicare (Generic) $177,118 28.2% 2
SMARTHEALTH PPO $170,919 23.7% 4
INTEGRATED HEALTH PLAN $168,262 21.8% 2
HEALTH SOUTH $168,262 21.8% 2
ASMED HEALTH PARTNERSHIP 20120101 $166,491 20.5% 2
COMMUNITY HLTH ALLIANCE $166,491 20.5% 4
PPOM $166,491 20.5% 6
HEALTHLINK PPO $163,834 18.6% 8
PRIME HEALTH $162,949 17.9% 2
BeechStreet (MultiPlan) $162,949 17.9% 2
MultiPlan $159,406 15.4% 8
COOK CHILDREN'S HEALTH PLAN (MEDICAID MANAGED CARE) $159,406 15.4% 2
Indiana Health Network $157,635 14.1% 8
WORKERS COMP IN HEALTH $155,864 12.8% 2
First Health Network $155,864 12.8% 10
CARDINAL HEALTH PPO $154,978 12.2% 4
PHP $153,207 10.9% 8
CORVEL $150,550 9.0% 8
BLUEGRASS $150,550 9.0% 2
PREFERRED HEALTH PLAN $150,550 9.0% 1
SIGNATURE CARE $148,779 7.7% 6
Three Rivers Provider Network $147,008 6.4% 6
ENCORE $147,008 6.4% 6
COVENTRY HEALTH $147,008 6.4% 6
ENCORE BANKERS $146,122 5.8% 8
PCIP $143,466 3.8% 4
KAUFFMAN ENGINEERING $141,694 2.6% 2
LUTHERAN PREFERRED $141,694 2.6% 2
PRIME HEALTH WORKER COMP $141,694 2.6% 2
CARDINAL HEALTH HMO $141,694 2.6% 2
Medical Mutual of Ohio $138,152 0.0% 6
ILLINOIS WORKERS COMP 20120101 $134,610 -2.6% 2
Sagamore Health Network $134,610 -2.6% 54
Cigna Healthcare $133,724 -3.2% 16
Encircle PPO $132,838 -3.8% 6
SUBURBAN TPA $132,838 -3.8% 2
Ochsner Health Plan $131,067 -5.1% 4
ADVANTAGE 360 $129,296 -6.4% 8
UNIFIED GROUP SERVICES $127,525 -7.7% 8
SIHO Holding, Inc. $126,639 -8.3% 12
LUTHERAN ADVANCED $123,983 -10.3% 2
OWENSBORO COMMUNITY HEALTH $123,983 -10.3% 2
KEY BENEFIT ADMINISTRATORS $121,326 -12.2% 4
ENCORE EXCLUSIVE $120,440 -12.8% 6
Aetna $120,440 -12.8% 8
Humana $113,356 -17.9% 14
AHS ST FRANCIS $111,584 -19.2% 4
UNIFIED ZIONSVILLE $111,584 -19.2% 6
SELFPAY $106,271 -23.1% 2
HELPING HAND OLD ORDER $106,271 -23.1% 2
PLAIN CHURCH GROUP $106,271 -23.1% 6
TRICOUNTY $106,271 -23.1% 2
PROHEALTH $97,415 -29.5% 6
SUBURBAN/SHO $97,415 -29.5% 6
SMARTHEALTH PPO/HDHP 20161001 $93,873 -32.1% 2
Anthem (Elevance Health) $77,046 -44.2% 32
PATOKA VALLEY HEALTH CARE COOPERATIVE $63,762 -53.8% 8
UGS $54,907 -60.3% 6
ADVANTUS $54,907 -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.