CareSource
What does CareSource actually pay hospitals? We analyzed 173 negotiated rates from 2 hospitals across 2 states.
Is CareSource Expensive or Cheap?
Based on our analysis of 173 negotiated rates, CareSource is somewhat more expensive than average compared to other insurance companies in our database. They pay roughly the same or less than Medicare for equivalent services.
Top Procedures with Negotiated Rates
Procedures where CareSource has the most rate data
| Code | Description | Rates | Avg Rate | Min | Max |
|---|---|---|---|---|---|
| 85025 | HC LAB CBC W/AUTO DIFF | 2 | $13 | $11 | $16 |
| 36415 | HC VENIPUNCTURE | 2 | $15 | $12 | $18 |
| 80053 | HC LAB COMP METABOLIC PANEL | 2 | $18 | $15 | $21 |
| 73562 | HC XR KNEE 3 VIEWS | 2 | $107 | $49 | $166 |
| 12031 | HC REPAIR INT SCLP 2.5CM /< | 2 | $408 | $65 | $751 |
| 71045 | HC XR CHEST 1 VIEW | 2 | $129 | $92 | $166 |
| 99281 | HC ED LEVEL 1 | 2 | $139 | $112 | $166 |
| 12001 | HC REPAIR SIMSCLP 2.5CM/< | 2 | $253 | $133 | $374 |
| 12002 | HC REPAIR SIM SCLP 2.6-7.5CM | 2 | $253 | $133 | $374 |
| 73060 | HC XR HUMERUS MIN 2 VIEWS | 2 | $150 | $135 | $166 |
| 71046 | HC XR CHEST 2 VIEWS | 2 | $151 | $137 | $166 |
| 73590 | HC XR LEG TIBIA & FIBULA 2 VWS | 2 | $159 | $153 | $166 |
| 73030 | HC SHOULDER BILATERAL - 2 VIEW | 2 | $174 | $166 | $182 |
| 72100 | HC XR SPINE LUMBAR 2- 3 VIEWS | 2 | $184 | $168 | $200 |
| 12004 | HC REPAIR SIM SCLP 7.6-12.5CM | 2 | $271 | $168 | $374 |
| 70450 | HC CT BRAIN | 2 | $413 | $200 | $627 |
| 71250 | HC CT CHEST WO CONTRAST | 2 | $511 | $200 | $821 |
| 72110 | HC XR SPINE LUMBAR 4-5 VIEW | 2 | $285 | $200 | $371 |
| 72125 | HC CT SPINE CERVICAL WO CONTR | 2 | $495 | $200 | $789 |
| 72131 | HC CT SPINE LUMBAR WO CONTR | 2 | $399 | $200 | $598 |
| 20611 | HC DRAIN/INJ JOINT/BURSA W/US MAJOR | 2 | $388 | $221 | $555 |
| 99282 | HC ED LEVEL 2 | 2 | $269 | $240 | $298 |
| 62323 | HC INJ LUMBAR W IMAGING | 2 | $784 | $265 | $1,302 |
| 20610 | HC HIP INJ UNILATERAL PM | 2 | $410 | $266 | $555 |
| 99283 | HC ED LEVEL 3 | 2 | $412 | $304 | $521 |
Hospitals with CareSource Rates
Hospitals where we have negotiated rate data for CareSource
| Hospital | State | Rates | Procedures | Avg Rate | Range |
|---|---|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | KY | 101 | 101 | $20,334 | $16 - $437,983 |
| CHI Memorial Hospital - Georgia | GA | 72 | 72 | $431 | $11 - $1,676 |
About This Data
These rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule. They reflect specific hospital-payer contracts and may not represent your actual cost, which depends on your specific plan, deductible, copay, coinsurance, and network status. Data sources include CommonSpirit Health, HCA Healthcare, and Kaiser Permanente filings.