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 31547547 · KYLE, TX

31547547 — Icd Ellps Dr Coated Cd2411-36c

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.

$224,599 All-payer median here
$172,033 Cash / self-pay here
74 payer/plan-name variants
← This hospital National rates for 31547547 →
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
   
PROVIDER LIABLE $477,871 112.8% 1
ASCENSION PERSONALIZED CARE $477,871 112.8% 1
ORGAN SHARING ALLIANCE $477,871 112.8% 1
HEALTH SOUTH LAB $477,871 112.8% 1
CDM DEFAULT - NON-NEGOTIATED RATE $477,871 112.8% 1
BCBS OON $477,871 112.8% 4
PPO NEXT (EBD,SHL) 20140101 $453,977 102.1% 1
OXFORD HEALTH INSURANCE $453,977 102.1% 1
Health Net $442,030 96.8% 2
CAPP CARE Inc $442,030 96.8% 2
UHC STUDENT RESOURCE $430,084 91.5% 2
BeechStreet Corporation $430,084 91.5% 1
COASTAL COMP $430,084 91.5% 1
SHANNON HEALTH PLAN $430,084 91.5% 1
Galaxy Health Network $430,084 91.5% 1
HEALTHSMART PPO $430,084 91.5% 1
Provider Network of America (PNOA) $430,084 91.5% 1
INTERPLAN $430,084 91.5% 1
INTEGRATED PPO $425,305 89.4% 1
Provider Partners Health Plan (PPHP) $425,305 89.4% 2
Great-West Healthcare $418,137 86.2% 2
Devoted Health $415,748 85.1% 1
Cigna Healthcare $406,190 80.9% 10
TRICARE $406,190 80.9% 2
WellMed Medical Management (UHC subsidiary) $406,190 80.9% 2
ADDR CANCER TOGETHER $406,190 80.9% 2
Medicare (Generic) $406,190 80.9% 3
COVENANT HEALTH $391,854 74.5% 3
TRUE CHOICE $382,297 70.2% 1
MultiPlan $382,297 70.2% 1
EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301 $382,297 70.2% 1
AVERDE HEALTH $382,297 70.2% 1
PHCS (Private Healthcare Systems) $382,297 70.2% 3
First Health Network $372,739 66.0% 1
FIRST CARE HMO $358,403 59.6% 2
FIRST CARE PPO $358,403 59.6% 2
COVENTRY HPN (EBD,SHL) 20140101 $334,510 48.9% 1
HEALTHSMART BENEFIT SOLUTIONS $334,510 48.9% 2
EMPHESYS INSURANCE COMPANY $324,952 44.7% 1
Humana $324,952 44.7% 9
SMARTHEALTH $317,784 41.5% 4
BCBS HMO ESSENTIALS $298,669 33.0% 2
VISTA HEALTH $286,722 27.7% 2
CSHCN CIDC $279,554 24.5% 2
FIRST CARE PROVIDENCE $277,165 23.4% 1
SETON PERFORMANCE PLUS $274,776 22.3% 4
Oscar Health $265,218 18.1% 2
Aetna $262,829 17.0% 23
WHOLE FOODS $255,661 13.8% 2
BCBS HPN $243,714 8.5% 3
HEART SAVER $238,960 6.4% 2
FIRST CARE PROVIDENCE EMPLOYEE $238,935 6.4% 2
UnitedHealthcare $219,821 -2.1% 26
AUSTIN STATE HOSPITAL $215,042 -4.3% 1
BCBS BAV EXCHANGE $195,927 -12.8% 2
Superior HealthPlan $191,148 -14.9% 20
Sendero IdealCare $162,476 -27.7% 1
CORNERSTONE $143,361 -36.2% 1
TX REHAB $129,025 -42.6% 1
UTMB $109,910 -51.1% 1
TEXAS REHAB $109,910 -51.1% 1
WINGS $105,132 -53.2% 1
TRAVIS COUNTY INDIGENT $69,291 -69.1% 2
COUNTY INDIGENT $66,902 -70.2% 3
BCBS of Texas $66,902 -70.2% 8
WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 $57,344 -74.5% 1
WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 $52,566 -76.6% 1
BCBS CHIP/CHIP PERINATE $47,787 -78.7% 6
DELL CHILDRENS HEALTH PLAN $47,787 -78.7% 8
UnitedHealthcare Community Plan $47,787 -78.7% 4
WELLPOINT CHIP/CHIP PERINATE $47,787 -78.7% 4
WELLPOINT STAR KIDS $47,787 -78.7% 2
Amerigroup $47,787 -78.7% 12
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.