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 717038996 · FISHERS, IN

717038996 — Ustekinumab 90mg/ml Syr

What each payer pays ASCENSION ST VINCENT FISHERS (CCN 150181) 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.

$54,856 All-payer median here
$42,197 Cash / self-pay here
66 payer/plan-name variants
← This hospital National rates for 717038996 →
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) $70,328 28.2% 1
United Behavioral Health (Optum) $70,328 28.2% 2
TRICARE $70,328 28.2% 3
CareSource $70,328 28.2% 2
CDM DEFAULT - NON-NEGOTIATED RATE $70,328 28.2% 1
UnitedHealthcare $70,328 28.2% 7
MHN (Managed Health Network) $70,328 28.2% 1
Medicare (Generic) $70,328 28.2% 1
SMARTHEALTH PPO $67,866 23.7% 2
INTEGRATED HEALTH PLAN $66,812 21.8% 1
HEALTH SOUTH $66,812 21.8% 1
PPOM $66,108 20.5% 3
COMMUNITY HLTH ALLIANCE $66,108 20.5% 2
ASMED HEALTH PARTNERSHIP 20120101 $66,108 20.5% 1
HEALTHLINK PPO $65,053 18.6% 4
BeechStreet (MultiPlan) $64,702 17.9% 1
PRIME HEALTH $64,702 17.9% 1
COOK CHILDREN'S HEALTH PLAN (MEDICAID MANAGED CARE) $63,295 15.4% 1
MultiPlan $63,295 15.4% 4
Indiana Health Network $62,592 14.1% 4
First Health Network $61,889 12.8% 5
WORKERS COMP IN HEALTH $61,889 12.8% 1
CORVEL $59,779 9.0% 4
PHP $59,779 9.0% 5
BLUEGRASS $59,779 9.0% 1
SIGNATURE CARE $59,075 7.7% 3
Three Rivers Provider Network $58,372 6.4% 3
COVENTRY HEALTH $58,372 6.4% 3
ENCORE $58,372 6.4% 3
SelectHealth $58,021 5.8% 2
ENCORE BANKERS $58,021 5.8% 4
LUTHERAN PREFERRED $56,262 2.6% 1
CARDINAL HEALTH HMO $56,262 2.6% 1
PRIME HEALTH WORKER COMP $56,262 2.6% 1
CARDINAL HEALTH PPO $56,262 2.6% 3
KAUFFMAN ENGINEERING $56,262 2.6% 1
PCIP $55,559 1.3% 3
Medical Mutual of Ohio $54,856 0.0% 3
Sagamore Health Network $53,449 -2.6% 27
ILLINOIS WORKERS COMP 20120101 $53,449 -2.6% 1
SUBURBAN TPA $52,746 -3.8% 1
Ochsner Health Plan $52,043 -5.1% 2
ADVANTAGE 360 $51,339 -6.4% 4
Cigna Healthcare $51,339 -6.4% 11
Encircle PPO $50,284 -8.3% 4
SIHO Holding, Inc. $50,284 -8.3% 6
LUTHERAN ADVANCED $49,230 -10.3% 1
OWENSBORO COMMUNITY HEALTH $49,230 -10.3% 1
KEY BENEFIT ADMINISTRATORS $48,175 -12.2% 2
ENCORE EXCLUSIVE $47,823 -12.8% 2
Aetna $47,823 -12.8% 3
UNIFIED GROUP SERVICES $46,416 -15.4% 3
Humana $45,362 -17.3% 8
AHS ST FRANCIS $44,307 -19.2% 2
UNIFIED ZIONSVILLE $44,307 -19.2% 3
SELFPAY $42,197 -23.1% 1
HELPING HAND OLD ORDER $42,197 -23.1% 1
PLAIN CHURCH GROUP $42,197 -23.1% 3
TRICOUNTY $42,197 -23.1% 1
SUBURBAN/SHO $38,680 -29.5% 3
PROHEALTH $38,680 -29.5% 4
SMARTHEALTH PPO/HDHP 20161001 $37,274 -32.1% 1
Anthem (Elevance Health) $31,296 -42.9% 8
UGS $21,802 -60.3% 3
ADVANTUS $21,802 -60.3% 3
THERAMATRIX PHYSICAL THERAPY $40 -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.