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Knee revision arthroplasty single component

CPT 27486 · negotiated-rate distribution across hospitals in SC

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Hospitals
8
Min
$1,338.93
Median
$8,738
Max
$12,550
Range multiplier
9.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid174$683.36$683.36$1,338.932.0×
Blue Cross Blue Shield572$14.7$1,839.22$52,9173599.8×
UnitedHealthcare544$937.25$1,531.59$30,05232.1×
Medicare144$1,316.91$1,338.93$1,493.781.1×
Aetna630$29.1$54.4$12,550431.3×
no fault [114001]128$3,106.81$3,106.81$3,106.811.0×
Molina424$13.2$1,537.55$20,8971583.1×
univera healthcare [100169]118$1,154.28$1,697.47$1,697.471.5×
Cigna516$25.2$1,941.45$12,299488.1×
independent health [100165]114$1,754.54$1,754.54$1,754.541.0×
select health413$13.2$12,538$26,7482026.3×
Humana513$13.2$1,405.88$14,0001060.6×
absolute total care312$13.86$11,941$19,7031421.5×
WellCare110$1,405.88$1,405.88$1,472.821.0×
clover insurance company36$12,419$12,419$12,4191.0×
amerigroup [350102]16$683.36$683.36$683.361.0×
beacon essential [350122]16$1,205.04$1,606.72$1,606.721.3×
federal workers compensation [500100]16$3,106.81$3,106.81$3,106.811.0×
fidelis essential [100163]16$1,472.83$1,472.83$1,472.831.0×
independent health essential [100166]16$683.36$683.36$683.361.0×
TRICARE16$1,338.93$1,338.93$1,338.931.0×
univera healthcare essential [100170]16$1,154.28$1,154.28$1,154.281.0×
VA Health16$1,205.04$1,205.04$1,205.041.0×
devoted health24$11,941$11,941$11,9411.0×
fidelis dual advantage [450120]14$1,405.88$1,405.88$1,405.881.0×
hospice [550001]14$1,338.93$1,338.93$1,338.931.0×
iha first choice [800001]14$1,754.54$1,754.54$1,754.541.0×
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×
fidelis exchange [100164]12$1,606.72$1,606.72$1,606.721.0×
devoted health plan12$11,941$11,941$11,9411.0×
upmc health plan [100181]12$2,410.07$2,410.07$2,410.071.0×
crime victims [100176]12$683.36$683.36$683.361.0×
covid19 hrsa [45013]12$1,338.93$1,338.93$1,338.931.0×
mvp healthcare [100168]12$1,731.49$1,731.49$1,731.491.0×
champ va [700002]12$1,338.93$1,338.93$1,338.931.0×
tuscarora nation [550120]12$683.36$683.36$683.361.0×
excellus rochester mcd [350117]12$683.36$683.36$683.361.0×
fallon health [450115]12$1,338.93$1,338.93$1,338.931.0×
beacon health options [100023]12$1,606.72$1,606.72$1,606.721.0×
vna option mltc [350110]12$683.36$683.36$683.361.0×
ghi [100153]12$1,472.83$1,472.83$1,472.831.0×
catholic health life pace [400005]12$1,338.93$1,338.93$1,338.931.0×
seneca nation [450119]12$1,338.93$1,338.93$1,338.931.0×
nhc advantage11$2,550$2,550$2,5501.0×
pruitt health11$2,550$2,550$2,5501.0×
sc state employees11$20,462$20,462$20,4621.0×
clover11$10,600$10,600$10,6001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$23,346$18.8$8,738$23,346
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$23,346$13.2$4,925.5$24,820
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$23,346$16.9$4,846.5$26,748
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC37$3,262.15$3,262.15$683.36$1,338.93$3,106.81
ROPER ST. FRANCIS HOSPITAL-BERKELEYSUMMERVILLESC1$55,750$33,450$12,550$12,550$12,550
ROPER HOSPITAL INC.CHARLESTONSC1$55,750$33,450$12,550$12,550$12,550
COLLETON MEDICAL CENTERWALTERBOROSC11$24.6$12,300$52,917
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.