▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w CC
MS-DRG 194 · negotiated-rate distribution across hospitals in SC
Hospitals
18
Min
$5,432.59
Median
$7,190.47
Max
$15,145
Range multiplier
2.8×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 9 | 131 | $95 | $15,009 | $31,434 | 330.9× |
| UnitedHealthcare | 9 | 77 | $45 | $15,145 | $41,530 | 922.9× |
| Medicaid | 5 | 56 | $3,020.93 | $3,277.71 | $22,267 | 7.4× |
| Cigna | 9 | 36 | $25.2 | $7,589.44 | $15,858 | 629.3× |
| Aetna | 9 | 34 | $29.1 | $58.8 | $7,661.65 | 263.3× |
| Medicare | 5 | 31 | $6,130.14 | $6,130.14 | $7,772.69 | 1.3× |
| Humana | 8 | 23 | $90 | $7,604.36 | $23,380 | 259.8× |
| Molina | 5 | 17 | $3,277.71 | $6,067.82 | $12,583 | 3.8× |
| no fault [114001] | 1 | 14 | $4,625.43 | $4,625.43 | $4,625.43 | 1.0× |
| absolute total care | 4 | 12 | $2,020 | $6,706.32 | $13,729 | 6.8× |
| WellCare | 2 | 10 | $5,541.24 | $5,835.69 | $6,130.14 | 1.1× |
| select health of sc [4890] | 4 | 10 | $7,300.16 | $11,251 | $23,380 | 3.2× |
| select health | 4 | 10 | $6,246.28 | $7,549.99 | $38,548 | 6.2× |
| univera healthcare [100169] | 1 | 9 | $6,913.89 | $9,877.42 | $9,877.42 | 1.4× |
| independent health [100165] | 1 | 7 | $6,704.81 | $9,836.33 | $10,460 | 1.6× |
| clover insurance company | 3 | 6 | $6,186.79 | $6,471.06 | $7,478.09 | 1.2× |
| devoted health | 3 | 5 | $5,541.24 | $5,948.84 | $6,222.17 | 1.1× |
| univera healthcare essential [100170] | 1 | 5 | $3,277.71 | $3,277.71 | $3,277.71 | 1.0× |
| select health of sc [4877] | 4 | 4 | $6,982.4 | $9,968.44 | $12,954 | 1.9× |
| devoted health plan [4501] | 4 | 4 | $6,982.4 | $7,192.48 | $7,402.56 | 1.1× |
| Multiplan | 4 | 4 | $90 | $90 | $14,676 | 163.1× |
| VA Health | 1 | 4 | $6,130.14 | $6,130.14 | $6,573.22 | 1.1× |
| first choice vip care plus [4833] | 4 | 4 | $7,331.52 | $7,552.11 | $7,772.69 | 1.1× |
| umr [3113] | 4 | 4 | $15,145 | $15,145 | $15,145 | 1.0× |
| pai [3082] | 4 | 4 | $15,009 | $15,724 | $16,439 | 1.1× |
| phcs | 3 | 3 | $90 | $90 | $90 | 1.0× |
| amedisys hospice | 1 | 3 | $670 | $670 | $670 | 1.0× |
| amerigroup [350102] | 1 | 3 | $3,277.71 | $3,277.71 | $3,277.71 | 1.0× |
| beacon essential [350122] | 1 | 3 | $3,020.93 | $3,020.93 | $3,051.14 | 1.0× |
| federal workers compensation [500100] | 1 | 3 | $6,130.14 | $6,130.14 | $6,130.14 | 1.0× |
| fidelis essential [100163] | 1 | 3 | $3,277.71 | $3,277.71 | $3,277.71 | 1.0× |
| independent health essential [100166] | 1 | 3 | $3,277.71 | $3,933.25 | $3,933.25 | 1.2× |
| medcost - sc | 3 | 3 | $50.44 | $58.51 | $13,768 | 272.9× |
| plotkin health | 3 | 3 | $60 | $60 | $60 | 1.0× |
| regency hospice | 1 | 3 | $5,432.59 | $5,432.59 | $5,432.59 | 1.0× |
| TRICARE | 1 | 3 | $6,573.22 | $6,573.22 | $6,573.22 | 1.0× |
| eon health | 1 | 2 | $995 | $3,322.45 | $5,649.89 | 5.7× |
| nhc advantage | 1 | 2 | $995 | $3,322.45 | $5,649.89 | 5.7× |
| agape hospice | 1 | 2 | $525 | $525 | $525 | 1.0× |
| apex health | 1 | 2 | $995 | $3,322.45 | $5,649.89 | 5.7× |
| prime health | 1 | 2 | $85 | $3,769.26 | $7,453.51 | 87.7× |
| pruitt health | 1 | 2 | $995 | $3,322.45 | $5,649.89 | 5.7× |
| devoted health plan | 1 | 2 | $7,190.47 | $7,190.47 | $7,190.47 | 1.0× |
| sc state employees | 1 | 2 | $3,889 | $5,850 | $7,811 | 2.0× |
| fidelis dual advantage [450120] | 1 | 2 | $6,130.14 | $6,130.14 | $6,130.14 | 1.0× |
| iha first choice [800001] | 1 | 2 | $8,260.81 | $8,260.81 | $8,260.81 | 1.0× |
| hospice [550001] | 1 | 2 | $1,063.88 | $1,063.88 | $1,063.88 | 1.0× |
| medcost | 1 | 2 | $56.9 | $65.3 | $73.7 | 1.3× |
| mvp healthcare [100168] | 1 | 1 | $7,120.4 | $7,120.4 | $7,120.4 | 1.0× |
| naphcare | 1 | 1 | $10,594 | $10,594 | $10,594 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| HILTON HEAD HOSPITAL | HILTON HEAD ISLAND | SC | 14 | — | $8,763 | $32.2 | $7,190.47 | $41,530 |
| COASTAL CAROLINA MEDICAL CENTER | HARDEEVILLE | SC | 14 | — | $9,613.01 | $25.2 | $6,222.17 | $41,412 |
| MARY BLACK MEMORIAL HOSPITAL | SPARTANBURG | SC | 33 | $17,979 | $11,823 | $1,063.88 | $6,130.14 | $15,205 |
| EAST COOPER REGIONAL MEDICAL CENTER | MT. PLEASANT | SC | 14 | — | $9,437.75 | $36.9 | $6,097.57 | $26,695 |
| COLLETON MEDICAL CENTER | WALTERBORO | SC | 43 | — | — | $45 | $5,432.59 | $38,548 |
| BON SECOURS ST. FRANCIS XAVIER HOSPI | CHARLESTON | SC | 13 | — | — | $7,402.56 | $15,145 | $23,380 |
| ROPER ST. FRANCIS MT PLEASANT HOSPIT | MT. PLEASANT | SC | 13 | — | — | $7,402.56 | $15,145 | $23,380 |
| ROPER HOSPITAL INC. | CHARLESTON | SC | 13 | — | — | $4,650.04 | $15,009 | $15,858 |
| ROPER ST. FRANCIS HOSPITAL-BERKELEY | SUMMERVILLE | SC | 13 | — | — | $4,650.04 | $15,009 | $15,858 |
| EDGEFIELD COUNTY HEALTHCARE | EDGEFIELD | SC | 0 | — | — | — | — | — |
| CONWAY HOSPITAL | CONWAY | SC | 0 | — | — | — | — | — |
| MCLEOD REGIONAL MEDICAL CENTER | FLORENCE | SC | 0 | — | — | — | — | — |
| SELF REGIONAL HEALTHCARE | GREENWOOD | SC | 0 | — | — | — | — | — |
| AIKEN REGIONAL MEDICAL CENTER | AIKEN | SC | 0 | — | — | — | — | — |
| MCLEOD LORIS SEACOAST HOSPITAL | LORIS | SC | 0 | — | — | — | — | — |
| MCLEOD HEALTH CHERAW | CHERAW | SC | 0 | — | — | — | — | — |
| MCLEOD HEALTH CLARENDON | MANNING | SC | 0 | — | — | — | — | — |
| MCLEOD MEDICAL CENTER - DILLON | DILLON | SC | 0 | — | — | — | — | — |
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.