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Hip hemiarthroplasty

CPT 27125 · negotiated-rate distribution across hospitals in SC

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Hospitals
6
Min
$1,081.78
Median
$4,777.5
Max
$8,261.5
Range multiplier
7.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid174$540.25$540.25$1,081.782.0×
Blue Cross Blue Shield572$14.7$1,482.21$17,6491200.6×
Medicare144$1,063.99$1,081.78$1,206.151.1×
UnitedHealthcare544$757.25$1,232.19$24,72932.7×
no fault [114001]128$2,707.83$2,707.83$2,707.831.0×
Aetna426$29.1$50$11,941410.3×
Molina525$13.2$1,215.56$24,0791824.2×
univera healthcare [100169]118$932.03$1,370.63$1,370.631.5×
Cigna516$25.2$1,568.58$12,299488.1×
independent health [100165]114$1,417.56$1,417.56$1,417.561.0×
Humana513$13.2$1,135.87$14,0001060.6×
absolute total care312$13.86$11,941$19,7031421.5×
select health312$13.2$12,538$26,7482026.3×
WellCare110$1,135.87$1,135.87$1,189.961.0×
independent health essential [100166]16$540.25$540.25$540.251.0×
beacon essential [350122]16$973.6$1,298.14$1,298.141.3×
VA Health16$973.6$973.6$973.61.0×
univera healthcare essential [100170]16$932.03$932.03$932.031.0×
clover insurance company36$12,419$12,419$12,4191.0×
TRICARE16$1,081.78$1,081.78$1,081.781.0×
federal workers compensation [500100]16$2,707.83$2,707.83$2,707.831.0×
amerigroup [350102]16$540.25$540.25$540.251.0×
fidelis essential [100163]16$1,189.96$1,189.96$1,189.961.0×
iha first choice [800001]14$1,417.56$1,417.56$1,417.561.0×
devoted health24$11,941$11,941$11,9411.0×
fidelis dual advantage [450120]14$1,135.87$1,135.87$1,135.871.0×
hospice [550001]14$1,081.78$1,081.78$1,081.781.0×
plotkin health33$60$60$601.0×
medcost - sc33$50.44$56.53$58.511.2×
Multiplan33$90$90$901.0×
phcs33$90$90$901.0×
vna option mltc [350110]12$540.25$540.25$540.251.0×
ghi [100153]12$1,189.96$1,189.96$1,189.961.0×
mvp healthcare [100168]12$1,393.01$1,393.01$1,393.011.0×
devoted health plan12$11,941$11,941$11,9411.0×
fallon health [450115]12$1,081.78$1,081.78$1,081.781.0×
excellus rochester mcd [350117]12$540.25$540.25$540.251.0×
crime victims [100176]12$540.25$540.25$540.251.0×
seneca nation [450119]12$1,081.78$1,081.78$1,081.781.0×
covid19 hrsa [45013]12$1,081.78$1,081.78$1,081.781.0×
tuscarora nation [550120]12$540.25$540.25$540.251.0×
catholic health life pace [400005]12$1,081.78$1,081.78$1,081.781.0×
champ va [700002]12$1,081.78$1,081.78$1,081.781.0×
fidelis exchange [100164]12$1,298.13$1,298.13$1,298.131.0×
upmc health plan [100181]12$1,947.2$1,947.2$1,947.21.0×
beacon health options [100023]12$1,298.14$1,298.14$1,298.141.0×
apex health11$2,550$2,550$2,5501.0×
eon health11$12,000$12,000$12,0001.0×
nhc advantage11$2,550$2,550$2,5501.0×
pruitt health11$2,550$2,550$2,5501.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$17,649$18.8$8,261.5$22,807
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$17,649$13.2$4,854.5$24,457
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$17,649$16.9$4,777.5$26,748
COLLETON MEDICAL CENTERWALTERBOROSC11$24.6$2,550$24,079
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC37$2,843.22$2,843.22$540.25$1,081.78$2,707.83
MCLEOD HEALTH CLARENDONMANNINGSC0

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.