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 47904528 · KYLE, TX

47904528 — Icd Quadra Assura Crt-d

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.

$223,978 All-payer median here
$171,558 Cash / self-pay here
74 payer/plan-name variants
← This hospital National rates for 47904528 →
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 $476,550 112.8% 4
ASCENSION PERSONALIZED CARE $476,550 112.8% 1
PROVIDER LIABLE $476,550 112.8% 1
HEALTH SOUTH LAB $476,550 112.8% 1
CDM DEFAULT - NON-NEGOTIATED RATE $476,550 112.8% 1
ORGAN SHARING ALLIANCE $476,550 112.8% 1
OXFORD HEALTH INSURANCE $452,722 102.1% 1
PPO NEXT (EBD,SHL) 20140101 $452,722 102.1% 1
CAPP CARE Inc $440,809 96.8% 2
Health Net $440,809 96.8% 2
BeechStreet Corporation $428,895 91.5% 1
COASTAL COMP $428,895 91.5% 1
SHANNON HEALTH PLAN $428,895 91.5% 1
Galaxy Health Network $428,895 91.5% 1
HEALTHSMART PPO $428,895 91.5% 1
Provider Network of America (PNOA) $428,895 91.5% 1
INTERPLAN $428,895 91.5% 1
UHC STUDENT RESOURCE $428,895 91.5% 2
INTEGRATED PPO $424,129 89.4% 1
Provider Partners Health Plan (PPHP) $424,129 89.4% 2
Great-West Healthcare $416,981 86.2% 2
Devoted Health $414,598 85.1% 1
Medicare (Generic) $405,067 80.9% 3
WellMed Medical Management (UHC subsidiary) $405,067 80.9% 2
ADDR CANCER TOGETHER $405,067 80.9% 2
Cigna Healthcare $405,067 80.9% 10
TRICARE $405,067 80.9% 2
AVERDE HEALTH $381,240 70.2% 1
EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301 $381,240 70.2% 1
TRUE CHOICE $381,240 70.2% 1
PHCS (Private Healthcare Systems) $381,240 70.2% 3
MultiPlan $381,240 70.2% 1
First Health Network $371,709 66.0% 1
FIRST CARE PPO $357,412 59.6% 2
FIRST CARE HMO $357,412 59.6% 2
COVENTRY HPN (EBD,SHL) 20140101 $333,585 48.9% 1
HEALTHSMART BENEFIT SOLUTIONS $333,585 48.9% 2
EMPHESYS INSURANCE COMPANY $324,054 44.7% 1
Humana $324,054 44.7% 9
SMARTHEALTH $316,906 41.5% 4
BCBS HMO ESSENTIALS $297,844 33.0% 2
VISTA HEALTH $285,930 27.7% 2
CSHCN CIDC $278,782 24.5% 2
FIRST CARE PROVIDENCE $276,399 23.4% 1
SETON PERFORMANCE PLUS $274,016 22.3% 4
Oscar Health $264,485 18.1% 2
Aetna $262,102 17.0% 23
WHOLE FOODS $254,954 13.8% 2
BCBS HPN $243,040 8.5% 3
HEART SAVER $238,299 6.4% 2
FIRST CARE PROVIDENCE EMPLOYEE $238,275 6.4% 2
UnitedHealthcare $219,213 -2.1% 26
AUSTIN STATE HOSPITAL $214,447 -4.3% 1
BCBS BAV EXCHANGE $195,385 -12.8% 2
Superior HealthPlan $190,620 -14.9% 20
Sendero IdealCare $162,027 -27.7% 1
CORNERSTONE $142,965 -36.2% 1
COVENANT HEALTH $138,199 -38.3% 3
TX REHAB $128,668 -42.6% 1
TEXAS REHAB $109,606 -51.1% 1
UTMB $109,606 -51.1% 1
WINGS $104,841 -53.2% 1
TRAVIS COUNTY INDIGENT $69,100 -69.1% 2
COUNTY INDIGENT $66,717 -70.2% 3
BCBS of Texas $66,717 -70.2% 8
WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 $57,186 -74.5% 1
WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 $52,420 -76.6% 1
Amerigroup $47,655 -78.7% 12
BCBS CHIP/CHIP PERINATE $47,655 -78.7% 6
UnitedHealthcare Community Plan $47,655 -78.7% 4
DELL CHILDRENS HEALTH PLAN $47,655 -78.7% 8
WELLPOINT CHIP/CHIP PERINATE $47,655 -78.7% 4
WELLPOINT STAR KIDS $47,655 -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.