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 47884845 · KYLE, TX

47884845 — Icd Fortify Assura Vr-40 Df4

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.

$198,371 All-payer median here
$148,779 Cash / self-pay here
75 payer/plan-name variants
← This hospital National rates for 47884845 →
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 $413,274 108.3% 4
PROVIDER LIABLE $413,274 108.3% 1
HOSPICE AUSTIN 20161001 $413,274 108.3% 1
HEART SAVER $413,274 108.3% 2
ASCENSION PERSONALIZED CARE $413,274 108.3% 1
CDM DEFAULT - NON-NEGOTIATED RATE $413,274 108.3% 1
HEALTH SOUTH LAB $413,274 108.3% 1
ORGAN SHARING ALLIANCE $413,274 108.3% 1
PPO NEXT (EBD,SHL) 20140101 $392,610 97.9% 1
OXFORD HEALTH INSURANCE $392,610 97.9% 1
CAPP CARE Inc $382,278 92.7% 2
Health Net $382,278 92.7% 2
Galaxy Health Network $371,946 87.5% 1
INTERPLAN $371,946 87.5% 1
Provider Network of America (PNOA) $371,946 87.5% 1
BeechStreet Corporation $371,946 87.5% 1
COASTAL COMP $371,946 87.5% 1
HEALTHSMART PPO $371,946 87.5% 1
SHANNON HEALTH PLAN $371,946 87.5% 1
UHC STUDENT RESOURCE $371,946 87.5% 2
Provider Partners Health Plan (PPHP) $367,814 85.4% 2
INTEGRATED PPO $367,814 85.4% 1
Great-West Healthcare $361,615 82.3% 2
Devoted Health $359,548 81.2% 1
TRICARE $351,283 77.1% 2
Cigna Healthcare $351,283 77.1% 10
WellMed Medical Management (UHC subsidiary) $351,283 77.1% 2
Medicare (Generic) $351,283 77.1% 3
ADDR CANCER TOGETHER $351,283 77.1% 2
COVENANT HEALTH $338,884 70.8% 3
TRUE CHOICE $330,619 66.7% 1
PHCS (Private Healthcare Systems) $330,619 66.7% 3
EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301 $330,619 66.7% 1
AVERDE HEALTH $330,619 66.7% 1
MultiPlan $330,619 66.7% 1
First Health Network $322,354 62.5% 1
FIRST CARE PPO $309,955 56.2% 2
FIRST CARE HMO $309,955 56.2% 2
COVENTRY HPN (EBD,SHL) 20140101 $289,292 45.8% 1
HEALTHSMART BENEFIT SOLUTIONS $289,292 45.8% 2
EMPHESYS INSURANCE COMPANY $281,026 41.7% 1
Humana $281,026 41.7% 9
SMARTHEALTH $274,827 38.5% 4
BCBS HMO ESSENTIALS $258,296 30.2% 2
VISTA HEALTH $247,964 25.0% 2
CSHCN CIDC $241,765 21.9% 2
FIRST CARE PROVIDENCE $239,699 20.8% 1
SETON PERFORMANCE PLUS $237,632 19.8% 4
Oscar Health $229,367 15.6% 2
Aetna $227,301 14.6% 23
WHOLE FOODS $221,101 11.5% 2
BCBS HPN $210,770 6.2% 3
FIRST CARE PROVIDENCE EMPLOYEE $206,637 4.2% 2
UnitedHealthcare $190,106 -4.2% 26
AUSTIN STATE HOSPITAL $185,973 -6.2% 1
BCBS BAV EXCHANGE $169,442 -14.6% 2
Superior HealthPlan $165,310 -16.7% 20
Sendero IdealCare $140,513 -29.2% 1
CORNERSTONE $123,982 -37.5% 1
TX REHAB $111,584 -43.8% 1
UTMB $95,053 -52.1% 1
TEXAS REHAB $95,053 -52.1% 1
WINGS $90,920 -54.2% 1
TRAVIS COUNTY INDIGENT $59,925 -69.8% 2
COUNTY INDIGENT $57,858 -70.8% 3
BCBS of Texas $57,858 -70.8% 8
WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 $49,593 -75.0% 1
WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 $45,460 -77.1% 1
BCBS CHIP/CHIP PERINATE $41,327 -79.2% 6
DELL CHILDRENS HEALTH PLAN $41,327 -79.2% 8
UnitedHealthcare Community Plan $41,327 -79.2% 4
WELLPOINT CHIP/CHIP PERINATE $41,327 -79.2% 4
WELLPOINT STAR KIDS $41,327 -79.2% 2
Amerigroup $41,327 -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.