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 29644942 · KYLE, TX

29644942 — Icd Quadra Assura Crt-d

What each payer pays ASCENSION SETON HAYS (CCN 670056) 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.

$175,118 All-payer median here
$132,721 Cash / self-pay here
75 payer/plan-name variants
← This hospital National rates for 29644942 →
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
   
BCBS OON $368,669 110.5% 4
HEART SAVER $368,669 110.5% 2
HEALTH SOUTH LAB $368,669 110.5% 1
CDM DEFAULT - NON-NEGOTIATED RATE $368,669 110.5% 1
PROVIDER LIABLE $368,669 110.5% 1
ASCENSION PERSONALIZED CARE $368,669 110.5% 1
ORGAN SHARING ALLIANCE $368,669 110.5% 1
HOSPICE AUSTIN 20161001 $368,669 110.5% 1
PPO NEXT (EBD,SHL) 20140101 $350,236 100.0% 1
OXFORD HEALTH INSURANCE $350,236 100.0% 1
CAPP CARE Inc $341,019 94.7% 2
Health Net $341,019 94.7% 2
BeechStreet Corporation $331,802 89.5% 1
COASTAL COMP $331,802 89.5% 1
SHANNON HEALTH PLAN $331,802 89.5% 1
Galaxy Health Network $331,802 89.5% 1
HEALTHSMART PPO $331,802 89.5% 1
Provider Network of America (PNOA) $331,802 89.5% 1
INTERPLAN $331,802 89.5% 1
UHC STUDENT RESOURCE $331,802 89.5% 2
INTEGRATED PPO $328,116 87.4% 1
Provider Partners Health Plan (PPHP) $328,116 87.4% 2
Great-West Healthcare $322,586 84.2% 2
Devoted Health $320,742 83.2% 1
Medicare (Generic) $313,369 78.9% 3
Cigna Healthcare $313,369 78.9% 10
TRICARE $313,369 78.9% 2
WellMed Medical Management (UHC subsidiary) $313,369 78.9% 2
ADDR CANCER TOGETHER $313,369 78.9% 2
COVENANT HEALTH $302,309 72.6% 3
PHCS (Private Healthcare Systems) $294,935 68.4% 3
MultiPlan $294,935 68.4% 1
EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301 $294,935 68.4% 1
TRUE CHOICE $294,935 68.4% 1
AVERDE HEALTH $294,935 68.4% 1
First Health Network $287,562 64.2% 1
FIRST CARE HMO $276,502 57.9% 2
FIRST CARE PPO $276,502 57.9% 2
COVENTRY HPN (EBD,SHL) 20140101 $258,068 47.4% 1
HEALTHSMART BENEFIT SOLUTIONS $258,068 47.4% 2
Humana $250,695 43.2% 9
EMPHESYS INSURANCE COMPANY $250,695 43.2% 1
SMARTHEALTH $245,165 40.0% 4
BCBS HMO ESSENTIALS $230,418 31.6% 2
VISTA HEALTH $221,202 26.3% 2
CSHCN CIDC $215,672 23.2% 2
FIRST CARE PROVIDENCE $213,828 22.1% 1
SETON PERFORMANCE PLUS $211,985 21.1% 4
Oscar Health $204,611 16.8% 2
WHOLE FOODS $197,238 12.6% 2
BCBS HPN $188,021 7.4% 3
FIRST CARE PROVIDENCE EMPLOYEE $184,335 5.3% 2
Aetna $180,648 3.2% 23
UnitedHealthcare $169,588 -3.2% 26
AUSTIN STATE HOSPITAL $165,901 -5.3% 1
BCBS BAV EXCHANGE $151,154 -13.7% 2
Superior HealthPlan $147,468 -15.8% 20
Sendero IdealCare $125,348 -28.4% 1
CORNERSTONE $110,601 -36.8% 1
TX REHAB $99,541 -43.2% 1
UTMB $84,794 -51.6% 1
TEXAS REHAB $84,794 -51.6% 1
WINGS $81,107 -53.7% 1
TRAVIS COUNTY INDIGENT $53,457 -69.5% 2
COUNTY INDIGENT $51,614 -70.5% 3
BCBS of Texas $51,614 -70.5% 8
WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 $44,240 -74.7% 1
WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 $40,554 -76.8% 1
DELL CHILDRENS HEALTH PLAN $36,867 -78.9% 8
BCBS CHIP/CHIP PERINATE $36,867 -78.9% 6
UnitedHealthcare Community Plan $36,867 -78.9% 4
Amerigroup $36,867 -78.9% 12
WELLPOINT CHIP/CHIP PERINATE $36,867 -78.9% 4
WELLPOINT STAR KIDS $36,867 -78.9% 2
HEART SAVER VETERANS $75 -100.0% 1

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.