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Respiratory infections & inflammations w MCC

MS-DRG 177 · negotiated-rate distribution across hospitals in SC

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Hospitals
18
Min
$10,709
Median
$13,943
Max
$29,368
Range multiplier
2.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield9131$95$27,316$83,990884.1×
UnitedHealthcare977$45$29,368$80,5311789.6×
Medicaid136$4,091.81$4,439.61$12,6483.1×
Aetna934$29.1$58.8$13,943479.1×
Medicare532$12,340$12,648$13,1541.1×
Cigna924$25.2$12,538$28,5041131.1×
Molina517$4,439.61$11,766$24,4005.5×
Humana916$90$12,549$13,943154.9×
no fault [114001]114$6,265.09$6,265.09$6,265.091.0×
absolute total care412$2,020$12,897$24,40012.1×
select health411$2,312$14,148$31,23213.5×
WellCare210$10,924$11,786$12,6481.2×
univera healthcare [100169]19$9,364.77$13,379$13,3791.4×
independent health [100165]17$9,081.58$13,323$14,1691.6×
clover insurance company36$11,997$12,548$14,5011.2×
univera healthcare essential [100170]15$4,439.61$4,439.61$4,439.611.0×
devoted health35$10,924$11,535$12,0651.1×
umr [3113]44$29,368$29,368$29,3681.0×
first choice vip care plus [4833]44$12,703$12,928$13,1541.0×
select health of sc [4877]44$12,098$17,011$21,9231.8×
devoted health plan [4501]44$12,098$12,313$12,5281.0×
pai [3082]44$27,316$28,617$29,9181.1×
VA Health14$11,057$12,648$12,6481.1×
Multiplan44$90$90$28,932321.5×
phcs33$90$90$901.0×
fidelis essential [100163]13$4,439.61$4,439.61$4,439.611.0×
amerigroup [350102]13$4,439.61$4,439.61$4,439.611.0×
medcost - sc33$50.44$58.51$28,267560.4×
TRICARE13$11,057$11,057$11,0571.0×
beacon essential [350122]13$4,091.81$4,091.81$4,132.731.0×
federal workers compensation [500100]13$12,648$12,648$12,6481.0×
plotkin health33$60$60$601.0×
regency hospice13$10,709$10,709$10,7091.0×
amedisys hospice13$670$670$6701.0×
independent health essential [100166]13$4,439.61$5,327.54$5,327.541.2×
fidelis dual advantage [450120]12$12,648$12,648$12,6481.0×
agape hospice12$525$525$5251.0×
apex health12$995$6,066.44$11,13811.2×
devoted health plan12$13,943$13,943$13,9431.0×
eon health12$995$6,066.44$11,13811.2×
hospice [550001]12$1,063.88$1,063.88$1,063.881.0×
iha first choice [800001]12$11,189$11,189$11,1891.0×
medcost12$56.9$65.3$73.71.3×
nhc advantage12$995$6,066.44$11,13811.2×
prime health12$85$7,389.21$14,693172.9×
pruitt health12$995$6,066.44$11,13811.2×
sc state employees12$3,889$9,052.5$14,2163.7×
universal healthcare group11$11,566$11,566$11,5661.0×
galaxy health network11$90$90$901.0×
First Health11$90$90$901.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ROPER ST. FRANCIS MT PLEASANT HOSPITMT. PLEASANTSC11$12,528$29,368$29,918
BON SECOURS ST. FRANCIS XAVIER HOSPICHARLESTONSC11$12,528$29,368$29,918
ROPER ST. FRANCIS HOSPITAL-BERKELEYSUMMERVILLESC11$9,016.78$27,316$29,368
ROPER HOSPITAL INC.CHARLESTONSC11$9,016.78$27,316$29,368
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$14,941$32.2$13,943$83,990
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$16,390$25.2$12,065$80,301
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$16,091$36.9$11,824$51,764
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC36$63,440$24,150$1,063.88$11,057$31,372
COLLETON MEDICAL CENTERWALTERBOROSC43$45$10,709$43,313
EDGEFIELD COUNTY HEALTHCAREEDGEFIELDSC0
CONWAY HOSPITALCONWAYSC0
MCLEOD REGIONAL MEDICAL CENTERFLORENCESC0
SELF REGIONAL HEALTHCAREGREENWOODSC0
AIKEN REGIONAL MEDICAL CENTERAIKENSC0
MCLEOD LORIS SEACOAST HOSPITALLORISSC0
MCLEOD HEALTH CHERAWCHERAWSC0
MCLEOD HEALTH CLARENDONMANNINGSC0
MCLEOD MEDICAL CENTER - DILLONDILLONSC0

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.