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 31548268 · KYLE, TX

31548268 — Icd Defib Crt Quad Cd3365-40c

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.

$310,981 All-payer median here
$235,691 Cash / self-pay here
75 payer/plan-name variants
← This hospital National rates for 31548268 →
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 $654,697 110.5% 1
HEART SAVER $654,697 110.5% 2
HEALTH SOUTH LAB $654,697 110.5% 1
CDM DEFAULT - NON-NEGOTIATED RATE $654,697 110.5% 1
BCBS OON $654,697 110.5% 4
ASCENSION PERSONALIZED CARE $654,697 110.5% 1
ORGAN SHARING ALLIANCE $654,697 110.5% 1
HOSPICE AUSTIN 20161001 $654,697 110.5% 1
OXFORD HEALTH INSURANCE $621,962 100.0% 1
PPO NEXT (EBD,SHL) 20140101 $621,962 100.0% 1
CAPP CARE Inc $605,595 94.7% 2
Health Net $605,595 94.7% 2
BeechStreet Corporation $589,227 89.5% 1
UHC STUDENT RESOURCE $589,227 89.5% 2
COASTAL COMP $589,227 89.5% 1
SHANNON HEALTH PLAN $589,227 89.5% 1
Galaxy Health Network $589,227 89.5% 1
HEALTHSMART PPO $589,227 89.5% 1
Provider Network of America (PNOA) $589,227 89.5% 1
INTERPLAN $589,227 89.5% 1
INTEGRATED PPO $582,680 87.4% 1
Provider Partners Health Plan (PPHP) $582,680 87.4% 2
Great-West Healthcare $572,860 84.2% 2
Devoted Health $569,586 83.2% 1
Medicare (Generic) $556,492 78.9% 3
TRICARE $556,492 78.9% 2
WellMed Medical Management (UHC subsidiary) $556,492 78.9% 2
ADDR CANCER TOGETHER $556,492 78.9% 2
Cigna Healthcare $556,492 78.9% 10
COVENANT HEALTH $536,852 72.6% 3
PHCS (Private Healthcare Systems) $523,758 68.4% 3
AVERDE HEALTH $523,758 68.4% 1
MultiPlan $523,758 68.4% 1
EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301 $523,758 68.4% 1
TRUE CHOICE $523,758 68.4% 1
First Health Network $510,664 64.2% 1
FIRST CARE HMO $491,023 57.9% 2
FIRST CARE PPO $491,023 57.9% 2
COVENTRY HPN (EBD,SHL) 20140101 $458,288 47.4% 1
HEALTHSMART BENEFIT SOLUTIONS $458,288 47.4% 2
Humana $445,194 43.2% 9
EMPHESYS INSURANCE COMPANY $445,194 43.2% 1
SMARTHEALTH $435,374 40.0% 4
BCBS HMO ESSENTIALS $409,186 31.6% 2
VISTA HEALTH $392,818 26.3% 2
CSHCN CIDC $382,998 23.2% 2
FIRST CARE PROVIDENCE $379,724 22.1% 1
SETON PERFORMANCE PLUS $376,451 21.1% 4
Oscar Health $363,357 16.8% 2
WHOLE FOODS $350,263 12.6% 2
BCBS HPN $333,895 7.4% 3
FIRST CARE PROVIDENCE EMPLOYEE $327,348 5.3% 2
Aetna $320,802 3.2% 23
UnitedHealthcare $301,161 -3.2% 26
AUSTIN STATE HOSPITAL $294,614 -5.3% 1
BCBS BAV EXCHANGE $268,426 -13.7% 2
Superior HealthPlan $261,879 -15.8% 20
Sendero IdealCare $222,597 -28.4% 1
CORNERSTONE $196,409 -36.8% 1
TX REHAB $176,768 -43.2% 1
UTMB $150,580 -51.6% 1
TEXAS REHAB $150,580 -51.6% 1
WINGS $144,033 -53.7% 1
TRAVIS COUNTY INDIGENT $94,931 -69.5% 2
COUNTY INDIGENT $91,658 -70.5% 3
BCBS of Texas $91,658 -70.5% 8
WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 $78,564 -74.7% 1
WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 $72,017 -76.8% 1
DELL CHILDRENS HEALTH PLAN $65,470 -78.9% 8
BCBS CHIP/CHIP PERINATE $65,470 -78.9% 6
UnitedHealthcare Community Plan $65,470 -78.9% 4
Amerigroup $65,470 -78.9% 12
WELLPOINT CHIP/CHIP PERINATE $65,470 -78.9% 4
WELLPOINT STAR KIDS $65,470 -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.