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 47867169 · KYLE, TX

47867169 — Defib Energen Crtd-d N140

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.

$182,566 All-payer median here
$139,838 Cash / self-pay here
75 payer/plan-name variants
← This hospital National rates for 47867169 →
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 $388,439 112.8% 4
HOSPICE AUSTIN 20161001 $388,439 112.8% 1
PROVIDER LIABLE $388,439 112.8% 1
HEALTH SOUTH LAB $388,439 112.8% 1
CDM DEFAULT - NON-NEGOTIATED RATE $388,439 112.8% 1
ORGAN SHARING ALLIANCE $388,439 112.8% 1
ASCENSION PERSONALIZED CARE $388,439 112.8% 1
OXFORD HEALTH INSURANCE $369,017 102.1% 1
PPO NEXT (EBD,SHL) 20140101 $369,017 102.1% 1
CAPP CARE Inc $359,306 96.8% 2
Health Net $359,306 96.8% 2
BeechStreet Corporation $349,595 91.5% 1
COASTAL COMP $349,595 91.5% 1
SHANNON HEALTH PLAN $349,595 91.5% 1
Galaxy Health Network $349,595 91.5% 1
HEALTHSMART PPO $349,595 91.5% 1
Provider Network of America (PNOA) $349,595 91.5% 1
INTERPLAN $349,595 91.5% 1
UHC STUDENT RESOURCE $349,595 91.5% 2
INTEGRATED PPO $345,711 89.4% 1
Provider Partners Health Plan (PPHP) $345,711 89.4% 2
Great-West Healthcare $339,884 86.2% 2
Devoted Health $337,942 85.1% 1
WellMed Medical Management (UHC subsidiary) $330,173 80.9% 2
TRICARE $330,173 80.9% 2
ADDR CANCER TOGETHER $330,173 80.9% 2
Cigna Healthcare $330,173 80.9% 10
Medicare (Generic) $330,173 80.9% 3
COVENANT HEALTH $318,520 74.5% 3
MultiPlan $310,751 70.2% 1
EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301 $310,751 70.2% 1
TRUE CHOICE $310,751 70.2% 1
AVERDE HEALTH $310,751 70.2% 1
PHCS (Private Healthcare Systems) $310,751 70.2% 3
First Health Network $302,983 66.0% 1
FIRST CARE HMO $291,329 59.6% 2
FIRST CARE PPO $291,329 59.6% 2
HEALTHSMART BENEFIT SOLUTIONS $271,907 48.9% 2
COVENTRY HPN (EBD,SHL) 20140101 $271,907 48.9% 1
Humana $264,139 44.7% 9
EMPHESYS INSURANCE COMPANY $264,139 44.7% 1
SMARTHEALTH $258,312 41.5% 4
BCBS HMO ESSENTIALS $242,775 33.0% 2
VISTA HEALTH $233,064 27.7% 2
CSHCN CIDC $227,237 24.5% 2
FIRST CARE PROVIDENCE $225,295 23.4% 1
SETON PERFORMANCE PLUS $223,353 22.3% 4
Oscar Health $215,584 18.1% 2
WHOLE FOODS $207,815 13.8% 2
BCBS HPN $198,104 8.5% 3
HEART SAVER $194,244 6.4% 2
FIRST CARE PROVIDENCE EMPLOYEE $194,220 6.4% 2
Aetna $190,335 4.3% 23
UnitedHealthcare $178,682 -2.1% 26
AUSTIN STATE HOSPITAL $174,798 -4.3% 1
BCBS BAV EXCHANGE $159,260 -12.8% 2
Superior HealthPlan $155,376 -14.9% 20
Sendero IdealCare $132,069 -27.7% 1
CORNERSTONE $116,532 -36.2% 1
TX REHAB $104,879 -42.6% 1
UTMB $89,341 -51.1% 1
TEXAS REHAB $89,341 -51.1% 1
WINGS $85,457 -53.2% 1
TRAVIS COUNTY INDIGENT $56,324 -69.1% 2
COUNTY INDIGENT $54,382 -70.2% 3
BCBS of Texas $54,382 -70.2% 8
WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 $46,613 -74.5% 1
WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 $42,728 -76.6% 1
DELL CHILDRENS HEALTH PLAN $38,844 -78.7% 8
BCBS CHIP/CHIP PERINATE $38,844 -78.7% 6
UnitedHealthcare Community Plan $38,844 -78.7% 4
Amerigroup $38,844 -78.7% 12
WELLPOINT CHIP/CHIP PERINATE $38,844 -78.7% 4
WELLPOINT STAR KIDS $38,844 -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.