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 31547555 · KYLE, TX

31547555 — Icd Fortify Assura Dr 40 Df4

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.

$226,989 All-payer median here
$172,034 Cash / self-pay here
75 payer/plan-name variants
← This hospital National rates for 31547555 →
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 $477,872 110.5% 4
HEART SAVER $477,872 110.5% 2
HEALTH SOUTH LAB $477,872 110.5% 1
CDM DEFAULT - NON-NEGOTIATED RATE $477,872 110.5% 1
PROVIDER LIABLE $477,872 110.5% 1
ASCENSION PERSONALIZED CARE $477,872 110.5% 1
ORGAN SHARING ALLIANCE $477,872 110.5% 1
HOSPICE AUSTIN 20161001 $477,872 110.5% 1
PPO NEXT (EBD,SHL) 20140101 $453,978 100.0% 1
OXFORD HEALTH INSURANCE $453,978 100.0% 1
CAPP CARE Inc $442,031 94.7% 2
Health Net $442,031 94.7% 2
BeechStreet Corporation $430,085 89.5% 1
COASTAL COMP $430,085 89.5% 1
SHANNON HEALTH PLAN $430,085 89.5% 1
Galaxy Health Network $430,085 89.5% 1
HEALTHSMART PPO $430,085 89.5% 1
Provider Network of America (PNOA) $430,085 89.5% 1
INTERPLAN $430,085 89.5% 1
UHC STUDENT RESOURCE $430,085 89.5% 2
INTEGRATED PPO $425,306 87.4% 1
Provider Partners Health Plan (PPHP) $425,306 87.4% 2
Great-West Healthcare $418,138 84.2% 2
Devoted Health $415,748 83.2% 1
Medicare (Generic) $406,191 78.9% 3
Cigna Healthcare $406,191 78.9% 10
ADDR CANCER TOGETHER $406,191 78.9% 2
TRICARE $406,191 78.9% 2
WellMed Medical Management (UHC subsidiary) $406,191 78.9% 2
COVENANT HEALTH $391,855 72.6% 3
PHCS (Private Healthcare Systems) $382,297 68.4% 3
AVERDE HEALTH $382,297 68.4% 1
MultiPlan $382,297 68.4% 1
TRUE CHOICE $382,297 68.4% 1
EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301 $382,297 68.4% 1
First Health Network $372,740 64.2% 1
FIRST CARE HMO $358,404 57.9% 2
FIRST CARE PPO $358,404 57.9% 2
HEALTHSMART BENEFIT SOLUTIONS $334,510 47.4% 2
COVENTRY HPN (EBD,SHL) 20140101 $334,510 47.4% 1
EMPHESYS INSURANCE COMPANY $324,953 43.2% 1
Humana $324,953 43.2% 9
SMARTHEALTH $317,785 40.0% 4
BCBS HMO ESSENTIALS $298,670 31.6% 2
VISTA HEALTH $286,723 26.3% 2
CSHCN CIDC $279,555 23.2% 2
FIRST CARE PROVIDENCE $277,166 22.1% 1
SETON PERFORMANCE PLUS $274,776 21.1% 4
Oscar Health $265,219 16.8% 2
WHOLE FOODS $255,661 12.6% 2
BCBS HPN $243,715 7.4% 3
FIRST CARE PROVIDENCE EMPLOYEE $238,936 5.3% 2
Aetna $234,157 3.2% 23
UnitedHealthcare $219,821 -3.2% 26
AUSTIN STATE HOSPITAL $215,042 -5.3% 1
BCBS BAV EXCHANGE $195,927 -13.7% 2
Superior HealthPlan $191,149 -15.8% 20
Sendero IdealCare $162,476 -28.4% 1
CORNERSTONE $143,362 -36.8% 1
TX REHAB $129,025 -43.2% 1
UTMB $109,910 -51.6% 1
TEXAS REHAB $109,910 -51.6% 1
WINGS $105,132 -53.7% 1
TRAVIS COUNTY INDIGENT $69,291 -69.5% 2
COUNTY INDIGENT $66,902 -70.5% 3
BCBS of Texas $66,902 -70.5% 8
WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 $57,345 -74.7% 1
WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 $52,566 -76.8% 1
DELL CHILDRENS HEALTH PLAN $47,787 -78.9% 8
BCBS CHIP/CHIP PERINATE $47,787 -78.9% 6
UnitedHealthcare Community Plan $47,787 -78.9% 4
Amerigroup $47,787 -78.9% 12
WELLPOINT CHIP/CHIP PERINATE $47,787 -78.9% 4
WELLPOINT STAR KIDS $47,787 -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.