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 · ELWOOD, IN

717038996 — Ustekinumab 90mg/ml Syr

What each payer pays ASCENSION ST VINCENT MERCY (CCN 151308) 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.

$53,449 All-payer median here
$42,197 Cash / self-pay here
80 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
   
CDM DEFAULT - NON-NEGOTIATED RATE $70,328 31.6% 2
TRICARE $70,328 31.6% 6
SelectHealth $70,328 31.6% 2
MHN (Managed Health Network) $70,328 31.6% 2
CareSource $70,328 31.6% 6
Medicaid (Generic) $70,328 31.6% 2
United Behavioral Health (Optum) $70,328 31.6% 4
HEALTH SOUTH $66,812 25.0% 2
INTEGRATED HEALTH PLAN $66,812 25.0% 2
ASMED HEALTH PARTNERSHIP 20120101 $66,108 23.7% 2
COMMUNITY HLTH ALLIANCE $66,108 23.7% 4
HEALTHLINK PPO $65,053 21.7% 8
PRIME HEALTH $64,702 21.1% 2
AMERICAN HEALTH GROUP $64,702 21.1% 2
COOK CHILDREN'S HEALTH PLAN (MEDICAID MANAGED CARE) $63,295 18.4% 2
MultiPlan $63,295 18.4% 8
BeechStreet (MultiPlan) $62,943 17.8% 4
First Health Network $62,943 17.8% 12
WORKERS COMP IN HEALTH $61,889 15.8% 2
Indiana Health Network $61,889 15.8% 10
CARDINAL HEALTH PPO $61,537 15.1% 4
UnitedHealthcare $61,185 14.5% 20
PHP $60,834 13.8% 8
CORVEL $59,779 11.8% 10
BLUEGRASS $59,779 11.8% 2
SIGNATURE CARE $59,075 10.5% 6
PPOM $58,724 9.9% 4
COVENTRY HEALTH $58,372 9.2% 6
Three Rivers Provider Network $58,372 9.2% 6
ENCORE $58,372 9.2% 8
ENCORE BANKERS $58,021 8.6% 8
PCIP $56,966 6.6% 4
KAUFFMAN ENGINEERING $56,262 5.3% 2
PRIME HEALTH WORKER COMP $56,262 5.3% 2
CARDINAL HEALTH HMO $56,262 5.3% 2
LUTHERAN PREFERRED $56,262 5.3% 2
Medical Mutual of Ohio $54,856 2.6% 6
Cigna Healthcare $54,856 2.6% 18
ILLINOIS WORKERS COMP 20120101 $53,449 0.0% 2
Sagamore Health Network $53,449 0.0% 56
Encircle PPO $52,746 -1.3% 6
SUBURBAN TPA $52,746 -1.3% 2
Ochsner Health Plan $52,043 -2.6% 4
ADVANTAGE 360 $51,339 -3.9% 8
SIHO Holding, Inc. $50,284 -5.9% 12
OWENSBORO COMMUNITY HEALTH $49,230 -7.9% 2
LUTHERAN ADVANCED $49,230 -7.9% 2
KEY BENEFIT ADMINISTRATORS $48,175 -9.9% 4
ENCORE EXCLUSIVE $47,823 -10.5% 6
UNIFIED GROUP SERVICES $46,416 -13.2% 6
Humana $45,010 -15.8% 22
UNIFIED ZIONSVILLE $44,307 -17.1% 6
AHS ST FRANCIS $44,307 -17.1% 4
SELFPAY $42,197 -21.1% 2
Medicare (Generic) $42,197 -21.1% 4
PLAIN CHURCH GROUP $42,197 -21.1% 6
TRICOUNTY $42,197 -21.1% 2
Aetna $40,790 -23.7% 10
PROHEALTH $38,680 -27.6% 6
SUBURBAN/SHO $38,680 -27.6% 6
Anthem (Elevance Health) $37,977 -28.9% 18
SMARTHEALTH PPO $37,274 -30.3% 6
SMARTHEALTH PPO/HDHP 20161001 $37,274 -30.3% 2
HELPING HAND OLD ORDER $28,131 -47.4% 4
ADVANTUS $24,615 -53.9% 8
UGS $24,615 -53.9% 8
WORKERS COMP $23,208 -56.6% 2
PERSONALIZED CARE $21,802 -59.2% 2
Devoted Health $21,802 -59.2% 2
Managed Health Services Indiana $20,395 -61.8% 2
ALLIANCE COALITION MEDICARE REPLACEMENT $19,692 -63.2% 2
Centene $14,066 -73.7% 2
IMMERGRUN $14,066 -73.7% 2
WellCare Health Plans $14,066 -73.7% 2
PACE (Program of All-Inclusive Care for the Elderly) $14,066 -73.7% 2
CORIZON $14,066 -73.7% 2
Zing Health Consolidator, Inc $14,066 -73.7% 2
MDwise $14,066 -73.7% 2
WORKERS COMP OBJSURG $14,066 -73.7% 2
THERAMATRIX PHYSICAL THERAPY $40 -99.9% 4

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.