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 87000702 · KYLE, TX

87000702 — Orgn Acq Cost/sac-heart Equip

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.

$179,560 All-payer median here
$105,970 Cash / self-pay here
74 payer/plan-name variants
← This hospital National rates for 87000702 →
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 $294,360 63.9% 4
PROVIDER LIABLE $294,360 63.9% 1
ORGAN SHARING ALLIANCE $294,360 63.9% 1
HEART SAVER $294,360 63.9% 2
HEALTH SOUTH LAB $294,360 63.9% 1
CDM DEFAULT - NON-NEGOTIATED RATE $294,360 63.9% 1
ASCENSION PERSONALIZED CARE $294,360 63.9% 1
OXFORD HEALTH INSURANCE $279,642 55.7% 1
PPO NEXT (EBD,SHL) 20140101 $279,642 55.7% 1
CAPP CARE Inc $272,283 51.6% 2
Health Net $272,283 51.6% 2
BeechStreet Corporation $264,924 47.5% 1
UHC STUDENT RESOURCE $264,924 47.5% 2
COASTAL COMP $264,924 47.5% 1
SHANNON HEALTH PLAN $264,924 47.5% 1
Galaxy Health Network $264,924 47.5% 1
HEALTHSMART PPO $264,924 47.5% 1
INTERPLAN $264,924 47.5% 1
Provider Network of America (PNOA) $264,924 47.5% 1
Provider Partners Health Plan (PPHP) $261,980 45.9% 2
INTEGRATED PPO $261,980 45.9% 1
Great-West Healthcare $257,565 43.4% 2
Devoted Health $256,093 42.6% 1
ADDR CANCER TOGETHER $250,206 39.3% 2
TRICARE $250,206 39.3% 2
Cigna Healthcare $250,206 39.3% 10
Medicare (Generic) $250,206 39.3% 3
WellMed Medical Management (UHC subsidiary) $250,206 39.3% 2
COVENANT HEALTH $241,375 34.4% 3
TRUE CHOICE $235,488 31.1% 1
MultiPlan $235,488 31.1% 1
EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301 $235,488 31.1% 1
PHCS (Private Healthcare Systems) $235,488 31.1% 3
AVERDE HEALTH $235,488 31.1% 1
First Health Network $229,601 27.9% 1
FIRST CARE HMO $220,770 23.0% 2
FIRST CARE PPO $220,770 23.0% 2
HEALTHSMART BENEFIT SOLUTIONS $206,052 14.8% 2
COVENTRY HPN (EBD,SHL) 20140101 $206,052 14.8% 1
Humana $203,108 13.1% 8
EMPHESYS INSURANCE COMPANY $200,165 11.5% 1
Aetna $197,221 9.8% 23
SMARTHEALTH $195,749 9.0% 4
BCBS HMO ESSENTIALS $191,334 6.6% 2
UnitedHealthcare $179,560 0.0% 24
VISTA HEALTH $176,616 -1.6% 2
CSHCN CIDC $172,201 -4.1% 2
FIRST CARE PROVIDENCE $170,729 -4.9% 1
SETON PERFORMANCE PLUS $166,313 -7.4% 4
BCBS HPN $164,842 -8.2% 3
Oscar Health $163,370 -9.0% 2
WHOLE FOODS $157,483 -12.3% 2
FIRST CARE PROVIDENCE EMPLOYEE $147,180 -18.0% 2
AUSTIN STATE HOSPITAL $132,462 -26.2% 1
BCBS BAV EXCHANGE $128,047 -28.7% 2
Superior HealthPlan $117,744 -34.4% 16
Sendero IdealCare $100,082 -44.3% 1
CORNERSTONE $88,308 -50.8% 1
TX REHAB $79,477 -55.7% 1
TEXAS REHAB $67,703 -62.3% 1
UTMB $67,703 -62.3% 1
WINGS $64,759 -63.9% 1
TRAVIS COUNTY INDIGENT $42,682 -76.2% 2
COUNTY INDIGENT $41,210 -77.0% 3
BCBS of Texas $41,210 -77.0% 8
WILLIAMSON/HAYS COUNTY INDIGNENT (SW) 20140101 $35,323 -80.3% 1
WILLIAMSON/HAYS COUNTY INDIGNENT (NW) 20140101 $32,380 -82.0% 1
DELL CHILDRENS HEALTH PLAN $29,436 -83.6% 8
BCBS CHIP/CHIP PERINATE $29,436 -83.6% 6
UnitedHealthcare Community Plan $29,436 -83.6% 4
Amerigroup $29,436 -83.6% 12
WELLPOINT CHIP/CHIP PERINATE $29,436 -83.6% 4
WELLPOINT STAR KIDS $29,436 -83.6% 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.