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 47884837 · KYLE, TX

47884837 — 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.

$314,255 All-payer median here
$235,691 Cash / self-pay here
74 payer/plan-name variants
← This hospital National rates for 47884837 →
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
   
CDM DEFAULT - NON-NEGOTIATED RATE $654,697 108.3% 1
HEART SAVER $654,697 108.3% 2
PROVIDER LIABLE $654,697 108.3% 1
HEALTH SOUTH LAB $654,697 108.3% 1
BCBS OON $654,697 108.3% 4
ASCENSION PERSONALIZED CARE $654,697 108.3% 1
ORGAN SHARING ALLIANCE $654,697 108.3% 1
PPO NEXT (EBD,SHL) 20140101 $621,962 97.9% 1
OXFORD HEALTH INSURANCE $621,962 97.9% 1
CAPP CARE Inc $605,595 92.7% 2
Health Net $605,595 92.7% 2
Provider Network of America (PNOA) $589,227 87.5% 1
UHC STUDENT RESOURCE $589,227 87.5% 2
BeechStreet Corporation $589,227 87.5% 1
COASTAL COMP $589,227 87.5% 1
SHANNON HEALTH PLAN $589,227 87.5% 1
Galaxy Health Network $589,227 87.5% 1
HEALTHSMART PPO $589,227 87.5% 1
INTERPLAN $589,227 87.5% 1
Provider Partners Health Plan (PPHP) $582,680 85.4% 2
INTEGRATED PPO $582,680 85.4% 1
Great-West Healthcare $572,860 82.3% 2
Devoted Health $569,586 81.3% 1
Medicare (Generic) $556,492 77.1% 3
TRICARE $556,492 77.1% 2
WellMed Medical Management (UHC subsidiary) $556,492 77.1% 2
Cigna Healthcare $556,492 77.1% 10
ADDR CANCER TOGETHER $556,492 77.1% 2
COVENANT HEALTH $536,852 70.8% 3
TRUE CHOICE $523,758 66.7% 1
MultiPlan $523,758 66.7% 1
AVERDE HEALTH $523,758 66.7% 1
EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301 $523,758 66.7% 1
PHCS (Private Healthcare Systems) $523,758 66.7% 3
First Health Network $510,664 62.5% 1
FIRST CARE PPO $491,023 56.2% 2
FIRST CARE HMO $491,023 56.2% 2
HEALTHSMART BENEFIT SOLUTIONS $458,288 45.8% 2
COVENTRY HPN (EBD,SHL) 20140101 $458,288 45.8% 1
EMPHESYS INSURANCE COMPANY $445,194 41.7% 1
Humana $445,194 41.7% 9
SMARTHEALTH $435,374 38.5% 4
BCBS HMO ESSENTIALS $409,186 30.2% 2
VISTA HEALTH $392,818 25.0% 2
CSHCN CIDC $382,998 21.9% 2
FIRST CARE PROVIDENCE $379,724 20.8% 1
SETON PERFORMANCE PLUS $376,451 19.8% 4
Oscar Health $363,357 15.6% 2
Aetna $360,083 14.6% 23
WHOLE FOODS $350,263 11.5% 2
BCBS HPN $333,895 6.2% 3
FIRST CARE PROVIDENCE EMPLOYEE $327,348 4.2% 2
UnitedHealthcare $301,161 -4.2% 26
AUSTIN STATE HOSPITAL $294,614 -6.2% 1
BCBS BAV EXCHANGE $268,426 -14.6% 2
Superior HealthPlan $261,879 -16.7% 20
Sendero IdealCare $222,597 -29.2% 1
CORNERSTONE $196,409 -37.5% 1
TX REHAB $176,768 -43.8% 1
UTMB $150,580 -52.1% 1
TEXAS REHAB $150,580 -52.1% 1
WINGS $144,033 -54.2% 1
TRAVIS COUNTY INDIGENT $94,931 -69.8% 2
COUNTY INDIGENT $91,658 -70.8% 3
BCBS of Texas $91,658 -70.8% 8
WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 $78,564 -75.0% 1
WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 $72,017 -77.1% 1
BCBS CHIP/CHIP PERINATE $65,470 -79.2% 6
DELL CHILDRENS HEALTH PLAN $65,470 -79.2% 8
UnitedHealthcare Community Plan $65,470 -79.2% 4
WELLPOINT CHIP/CHIP PERINATE $65,470 -79.2% 4
WELLPOINT STAR KIDS $65,470 -79.2% 2
Amerigroup $65,470 -79.2% 12
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.