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 · OTHER 48000329 · MUNSTER, IN

48000329 — Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator Copyright � 2021 By American Medical Association. All Rights Reserved.

What each payer pays FRANCISCAN HEALTH MUNSTER (CCN 150165) 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.

$69,436 All-payer median here
$18,748 Cash / self-pay here
44 payer/plan-name variants
← This hospital National rates for 48000329 →
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
   
Meridian Health Plan $69,436 0.0% 1
AETNA BETTER HEALTH OF ILLINOIS $69,436 0.0% 1
Franciscan Alliance, Inc. $69,436 0.0% 1
GROUP ADMINISTRATORS $69,436 0.0% 1
HEALTHLINK PPO $69,436 0.0% 1
Humana $69,436 0.0% 7
MAGNACARE $69,436 0.0% 1
Managed Care Ambetter $69,436 0.0% 1
Managed Care Benefit Administrative Systems $69,436 0.0% 1
Medicare (Generic) $69,436 0.0% 3
Medicare Replacement Blue Cross Medicare Adv In Out Of State $69,436 0.0% 1
Medicare Replacement Medicare Replacement Ins $69,436 0.0% 1
Molina Healthcare $69,436 0.0% 1
NATIONAL ASSOCIATION OF LETTER CARRIERS (NALC) HEALTH BENEFIT PLAN $69,436 0.0% 1
WellCare Health Plans $69,436 0.0% 1
Workers Comp Workers Comp Generic Illinois $69,436 0.0% 1
Workers Comp Workers Comp Generic Indiana $69,436 0.0% 1
ALLIED BENEFIT SYSTEMS $69,436 0.0% 2
Allwell (Centene Medicare Advantage) $69,436 0.0% 1
Anthem BCBS $69,436 0.0% 1
BLUE CROSS BLUE SHIELD FEDERAL EMPLOYEE PROGRAM $69,436 0.0% 1
Blue Cross Community Health Plans of Illinois $69,436 0.0% 1
Blue Cross Out Of State Blue Cross In Out Of State $69,436 0.0% 1
CareSource $69,436 0.0% 1
Cigna Healthcare $69,436 0.0% 5
Commercial Commercial Generic $69,436 0.0% 1
Commercial Generic Commercial Low Coverage $69,436 0.0% 1
Commercial Hospice Other $69,436 0.0% 1
Commercial Mva Liability Insurance $69,436 0.0% 1
BCBS of Illinois $52,077 -25.0% 6
PHCS (Private Healthcare Systems) $44,925 -35.3% 1
Meritain Health $39,440 -43.2% 1
Aetna $39,440 -43.2% 6
Anthem BCBS of Indiana $13,083 -81.2% 6
ALL SAVERS INSURANCE COMPANY $7,348 -89.4% 1
UMR (UnitedHealthcare TPA) $7,348 -89.4% 3
UnitedHealthcare $7,348 -89.4% 7
Managed Care Unitedhealthcare Shared Services $7,348 -89.4% 1
MDWISE HOOSIER HEALTHWISE $475 -99.3% 2
CARESOURCE OF INDIANA $475 -99.3% 2
Managed Health Services Indiana $475 -99.3% 2
UnitedHealthcare Community Plan $475 -99.3% 1
Managed Health Services Managed Health Services $475 -99.3% 1
Medicaid (Generic) $475 -99.3% 3

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.