▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w/o CC/MCC
MS-DRG 195 · negotiated-rate distribution across hospitals in SC
Hospitals
18
Min
$4,126.12
Median
$5,607.66
Max
$11,168
Range multiplier
2.7×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 9 | 118 | $95.00 | $10,197 | $19,449 | 204.7× |
| UnitedHealthcare | 9 | 69 | $45.00 | $6,965.00 | $32,388 | 719.7× |
| Medicaid | 1 | 35 | $3,359.34 | $3,570.98 | $4,115.25 | 1.2× |
| Aetna | 9 | 34 | $29.10 | $58.80 | $6,418.23 | 220.6× |
| Cigna | 9 | 32 | $25.20 | $6,291.87 | $12,367 | 490.8× |
| Medicare | 3 | 26 | $4,664.33 | $4,664.33 | $6,511.25 | 1.4× |
| Molina | 5 | 17 | $3,359.34 | $4,732.13 | $9,813.41 | 2.9× |
| Humana | 9 | 14 | $90.00 | $5,230.08 | $6,379.98 | 70.9× |
| no fault [114001] | 1 | 14 | $5,039.28 | $5,039.28 | $5,039.28 | 1.0× |
| absolute total care | 4 | 12 | $2,020.00 | $5,230.08 | $13,729 | 6.8× |
| WellCare | 2 | 10 | $4,208.64 | $4,436.49 | $4,664.33 | 1.1× |
| select health | 4 | 10 | $4,871.31 | $5,888.04 | $38,548 | 7.9× |
| univera healthcare [100169] | 1 | 9 | $6,913.89 | $9,877.42 | $9,877.42 | 1.4× |
| clover insurance company | 3 | 6 | $4,824.91 | $5,046.60 | $5,831.97 | 1.2× |
| devoted health | 3 | 5 | $4,208.64 | $4,639.34 | $4,852.50 | 1.2× |
| univera healthcare essential [100170] | 1 | 5 | $3,359.34 | $3,359.34 | $3,359.34 | 1.0× |
| select health of sc [4877] | 4 | 4 | $5,783.32 | $8,317.70 | $10,852 | 1.9× |
| Multiplan | 4 | 4 | $90.00 | $90.00 | $11,147 | 123.9× |
| VA Health | 1 | 4 | $4,615.62 | $4,664.33 | $4,664.33 | 1.0× |
| pai [3082] | 4 | 4 | $10,197 | $10,682 | $11,168 | 1.1× |
| TRICARE | 1 | 3 | $4,615.62 | $4,615.62 | $4,615.62 | 1.0× |
| amedisys hospice | 1 | 3 | $670.00 | $670.00 | $670.00 | 1.0× |
| beacon essential [350122] | 1 | 3 | $3,127.12 | $3,413.68 | $3,413.68 | 1.1× |
| federal workers compensation [500100] | 1 | 3 | $4,664.33 | $4,664.33 | $4,664.33 | 1.0× |
| fidelis essential [100163] | 1 | 3 | $3,359.34 | $3,570.98 | $3,570.98 | 1.1× |
| medcost - sc | 3 | 3 | $50.44 | $58.51 | $9,791.43 | 194.1× |
| phcs | 3 | 3 | $90.00 | $90.00 | $90.00 | 1.0× |
| plotkin health | 3 | 3 | $60.00 | $60.00 | $60.00 | 1.0× |
| regency hospice | 1 | 3 | $4,126.12 | $4,126.12 | $4,126.12 | 1.0× |
| medcost | 1 | 2 | $56.90 | $65.30 | $73.70 | 1.3× |
| devoted health plan | 1 | 2 | $5,607.66 | $5,607.66 | $5,607.66 | 1.0× |
| nhc advantage | 1 | 2 | $995.00 | $2,643.08 | $4,291.16 | 4.3× |
| apex health | 1 | 2 | $995.00 | $2,643.08 | $4,291.16 | 4.3× |
| umr [3113] | 2 | 2 | $11,811 | $11,811 | $11,811 | 1.0× |
| first choice vip care plus [4833] | 2 | 2 | $6,511.25 | $6,511.25 | $6,511.25 | 1.0× |
| prime health | 1 | 2 | $85.00 | $2,873.02 | $5,661.03 | 66.6× |
| pruitt health | 1 | 2 | $995.00 | $2,643.08 | $4,291.16 | 4.3× |
| eon health | 1 | 2 | $995.00 | $2,643.08 | $4,291.16 | 4.3× |
| agape hospice | 1 | 2 | $525.00 | $525.00 | $525.00 | 1.0× |
| sc state employees | 1 | 2 | $3,889.00 | $4,598.00 | $5,307.00 | 1.4× |
| devoted health plan [4501] | 2 | 2 | $6,201.19 | $6,201.19 | $6,201.19 | 1.0× |
| fidelis dual advantage [450120] | 1 | 2 | $4,664.33 | $4,664.33 | $4,664.33 | 1.0× |
| mvp healthcare [100168] | 1 | 1 | $5,323.99 | $5,323.99 | $5,323.99 | 1.0× |
| naphcare | 1 | 1 | $8,045.93 | $8,045.93 | $8,045.93 | 1.0× |
| corvel corporation | 1 | 1 | $5,661.03 | $5,661.03 | $5,661.03 | 1.0× |
| north american administrators | 1 | 1 | $85.00 | $85.00 | $85.00 | 1.0× |
| novanet | 1 | 1 | $90.00 | $90.00 | $90.00 | 1.0× |
| odyssey hospice | 1 | 1 | $4,126.12 | $4,126.12 | $4,126.12 | 1.0× |
| clover | 1 | 1 | $4,208.64 | $4,208.64 | $4,208.64 | 1.0× |
| vocational rehab | 1 | 1 | $47.00 | $47.00 | $47.00 | 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 | — | $5,792.00 | $32.20 | $5,607.66 | $32,388 |
| Coastal Carolina Medical Center | Hardeeville | SC | 14 | — | $6,353.82 | $25.20 | $4,852.50 | $32,296 |
| East Cooper Regional Medical Center | Mt. Pleasant | SC | 14 | — | $6,237.98 | $36.90 | $4,755.33 | $20,819 |
| Mary Black Memorial Hospital | Spartanburg | SC | 28 | $31,674 | $12,768 | $3,127.12 | $4,664.33 | $11,569 |
| Colleton Medical Center | Walterboro | SC | 43 | — | — | $45.00 | $4,126.12 | $38,548 |
| Bon Secours St. Francis Xavier Hospi | Charleston | SC | 11 | — | — | $5,937.41 | $11,168 | $12,367 |
| Roper St. Francis Mt Pleasant Hospit | Mt. Pleasant | SC | 11 | — | — | $5,937.41 | $11,168 | $12,367 |
| Roper Hospital Inc. | Charleston | SC | 7 | — | — | $1,980.00 | $10,197 | $12,367 |
| Roper St. Francis Hospital-Berkeley | Summerville | SC | 7 | — | — | $1,980.00 | $10,197 | $12,367 |
| 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.