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 31547563 · KYLE, TX

31547563 — Defib Crt Compia MRI Quad Crt

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.

$186,008 All-payer median here
$145,571 Cash / self-pay here
74 payer/plan-name variants
← This hospital National rates for 31547563 →
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
   
ASCENSION PERSONALIZED CARE $404,365 117.4% 1
BCBS OON $404,365 117.4% 4
CDM DEFAULT - NON-NEGOTIATED RATE $404,365 117.4% 1
ORGAN SHARING ALLIANCE $404,365 117.4% 1
PROVIDER LIABLE $404,365 117.4% 1
HEALTH SOUTH LAB $404,365 117.4% 1
OXFORD HEALTH INSURANCE $384,147 106.5% 1
PPO NEXT (EBD,SHL) 20140101 $384,147 106.5% 1
CAPP CARE Inc $374,038 101.1% 2
Health Net $374,038 101.1% 2
Provider Network of America (PNOA) $363,928 95.7% 1
INTERPLAN $363,928 95.7% 1
UHC STUDENT RESOURCE $363,928 95.7% 2
HEALTHSMART PPO $363,928 95.7% 1
BeechStreet Corporation $363,928 95.7% 1
COASTAL COMP $363,928 95.7% 1
SHANNON HEALTH PLAN $363,928 95.7% 1
Galaxy Health Network $363,928 95.7% 1
INTEGRATED PPO $359,885 93.5% 1
Provider Partners Health Plan (PPHP) $359,885 93.5% 2
Great-West Healthcare $353,819 90.2% 2
Devoted Health $351,798 89.1% 1
Medicare (Generic) $343,710 84.8% 3
ADDR CANCER TOGETHER $343,710 84.8% 2
WellMed Medical Management (UHC subsidiary) $343,710 84.8% 2
TRICARE $343,710 84.8% 2
Cigna Healthcare $343,710 84.8% 10
MultiPlan $323,492 73.9% 1
PHCS (Private Healthcare Systems) $323,492 73.9% 3
TRUE CHOICE $323,492 73.9% 1
EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301 $323,492 73.9% 1
AVERDE HEALTH $323,492 73.9% 1
First Health Network $315,405 69.6% 1
FIRST CARE PPO $303,274 63.0% 2
FIRST CARE HMO $303,274 63.0% 2
HEALTHSMART BENEFIT SOLUTIONS $283,056 52.2% 2
COVENTRY HPN (EBD,SHL) 20140101 $283,056 52.2% 1
Humana $274,968 47.8% 9
EMPHESYS INSURANCE COMPANY $274,968 47.8% 1
SMARTHEALTH $268,903 44.6% 4
BCBS HMO ESSENTIALS $252,728 35.9% 2
VISTA HEALTH $242,619 30.4% 2
CSHCN CIDC $236,554 27.2% 2
FIRST CARE PROVIDENCE $234,532 26.1% 1
SETON PERFORMANCE PLUS $232,510 25.0% 4
Oscar Health $224,423 20.7% 2
WHOLE FOODS $216,335 16.3% 2
BCBS HPN $206,226 10.9% 3
HEART SAVER $202,207 8.7% 2
FIRST CARE PROVIDENCE EMPLOYEE $202,182 8.7% 2
Aetna $198,139 6.5% 23
UnitedHealthcare $186,008 0.0% 26
AUSTIN STATE HOSPITAL $181,964 -2.2% 1
BCBS BAV EXCHANGE $165,790 -10.9% 2
Superior HealthPlan $161,746 -13.0% 20
Sendero IdealCare $137,484 -26.1% 1
CORNERSTONE $121,310 -34.8% 1
COVENANT HEALTH $117,266 -37.0% 3
TX REHAB $109,179 -41.3% 1
TEXAS REHAB $93,004 -50.0% 1
UTMB $93,004 -50.0% 1
WINGS $88,960 -52.2% 1
TRAVIS COUNTY INDIGENT $58,633 -68.5% 2
COUNTY INDIGENT $56,611 -69.6% 3
BCBS of Texas $56,611 -69.6% 8
WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 $48,524 -73.9% 1
WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 $44,480 -76.1% 1
DELL CHILDRENS HEALTH PLAN $40,436 -78.3% 8
BCBS CHIP/CHIP PERINATE $40,436 -78.3% 6
UnitedHealthcare Community Plan $40,436 -78.3% 4
Amerigroup $40,436 -78.3% 12
WELLPOINT CHIP/CHIP PERINATE $40,436 -78.3% 4
WELLPOINT STAR KIDS $40,436 -78.3% 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.