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 31549451 · KYLE, TX

31549451 — Icd Def Compia MRI Crt-d Df-1

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.

$190,052 All-payer median here
$145,571 Cash / self-pay here
74 payer/plan-name variants
← This hospital National rates for 31549451 →
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 $404,365 112.8% 4
CDM DEFAULT - NON-NEGOTIATED RATE $404,365 112.8% 1
ORGAN SHARING ALLIANCE $404,365 112.8% 1
ASCENSION PERSONALIZED CARE $404,365 112.8% 1
PROVIDER LIABLE $404,365 112.8% 1
HEALTH SOUTH LAB $404,365 112.8% 1
PPO NEXT (EBD,SHL) 20140101 $384,147 102.1% 1
OXFORD HEALTH INSURANCE $384,147 102.1% 1
Health Net $374,038 96.8% 2
CAPP CARE Inc $374,038 96.8% 2
BeechStreet Corporation $363,928 91.5% 1
UHC STUDENT RESOURCE $363,928 91.5% 2
COASTAL COMP $363,928 91.5% 1
SHANNON HEALTH PLAN $363,928 91.5% 1
Galaxy Health Network $363,928 91.5% 1
HEALTHSMART PPO $363,928 91.5% 1
Provider Network of America (PNOA) $363,928 91.5% 1
INTERPLAN $363,928 91.5% 1
INTEGRATED PPO $359,885 89.4% 1
Provider Partners Health Plan (PPHP) $359,885 89.4% 2
Great-West Healthcare $353,819 86.2% 2
Devoted Health $351,798 85.1% 1
ADDR CANCER TOGETHER $343,710 80.9% 2
WellMed Medical Management (UHC subsidiary) $343,710 80.9% 2
TRICARE $343,710 80.9% 2
Cigna Healthcare $343,710 80.9% 10
Medicare (Generic) $343,710 80.9% 3
COVENANT HEALTH $331,579 74.5% 3
MultiPlan $323,492 70.2% 1
EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301 $323,492 70.2% 1
TRUE CHOICE $323,492 70.2% 1
AVERDE HEALTH $323,492 70.2% 1
PHCS (Private Healthcare Systems) $323,492 70.2% 3
First Health Network $315,405 66.0% 1
FIRST CARE PPO $303,274 59.6% 2
FIRST CARE HMO $303,274 59.6% 2
COVENTRY HPN (EBD,SHL) 20140101 $283,056 48.9% 1
HEALTHSMART BENEFIT SOLUTIONS $283,056 48.9% 2
EMPHESYS INSURANCE COMPANY $274,968 44.7% 1
Humana $274,968 44.7% 9
SMARTHEALTH $268,903 41.5% 4
BCBS HMO ESSENTIALS $252,728 33.0% 2
VISTA HEALTH $242,619 27.7% 2
CSHCN CIDC $236,554 24.5% 2
FIRST CARE PROVIDENCE $234,532 23.4% 1
SETON PERFORMANCE PLUS $232,510 22.3% 4
Oscar Health $224,423 18.1% 2
WHOLE FOODS $216,335 13.8% 2
BCBS HPN $206,226 8.5% 3
HEART SAVER $202,207 6.4% 2
FIRST CARE PROVIDENCE EMPLOYEE $202,182 6.4% 2
Aetna $198,139 4.3% 23
UnitedHealthcare $186,008 -2.1% 26
AUSTIN STATE HOSPITAL $181,964 -4.3% 1
BCBS BAV EXCHANGE $165,790 -12.8% 2
Superior HealthPlan $161,746 -14.9% 20
Sendero IdealCare $137,484 -27.7% 1
CORNERSTONE $121,310 -36.2% 1
TX REHAB $109,179 -42.6% 1
UTMB $93,004 -51.1% 1
TEXAS REHAB $93,004 -51.1% 1
WINGS $88,960 -53.2% 1
TRAVIS COUNTY INDIGENT $58,633 -69.1% 2
COUNTY INDIGENT $56,611 -70.2% 3
BCBS of Texas $56,611 -70.2% 8
WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 $48,524 -74.5% 1
WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 $44,480 -76.6% 1
DELL CHILDRENS HEALTH PLAN $40,436 -78.7% 8
BCBS CHIP/CHIP PERINATE $40,436 -78.7% 6
UnitedHealthcare Community Plan $40,436 -78.7% 4
Amerigroup $40,436 -78.7% 12
WELLPOINT CHIP/CHIP PERINATE $40,436 -78.7% 4
WELLPOINT STAR KIDS $40,436 -78.7% 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.