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Heart failure & shock w MCC

MS-DRG 291 · negotiated-rate distribution across hospitals in SC

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Hospitals
18
Min
$8,645.10
Median
$11,454
Max
$21,855
Range multiplier
2.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield9131$95.00$19,954$35,382372.4×
UnitedHealthcare977$45.00$23,743$66,1581470.2×
Cigna936$25.20$11,171$25,2611002.4×
Medicaid136$3,350.84$3,635.66$9,572.472.9×
Aetna934$29.10$58.80$11,454393.6×
Medicare531$9,572.47$9,572.47$11,1711.2×
Molina517$3,635.66$9,666.04$20,0455.5×
no fault [114001]114$5,130.56$5,130.56$5,130.561.0×
Humana813$90.00$10,516$11,454127.3×
absolute total care412$2,020.00$10,683$20,0459.9×
select health411$2,312.00$12,027$25,65811.1×
WellCare210$8,818.01$9,195.24$9,572.471.1×
univera healthcare [100169]19$7,668.94$10,956$10,9561.4×
independent health [100165]17$7,437.03$10,911$11,6031.6×
clover insurance company36$9,855.57$10,308$11,9131.2×
univera healthcare essential [100170]15$3,635.66$3,635.66$3,635.661.0×
devoted health35$8,818.01$9,476.51$9,911.921.1×
umr [3113]44$24,126$24,126$24,1261.0×
first choice vip care plus [4833]44$10,723$10,947$11,1711.0×
select health of sc [4877]44$10,213$14,415$18,6181.8×
devoted health plan [4501]44$10,213$10,426$10,6391.0×
pai [3082]44$19,954$20,905$21,8551.1×
VA Health14$9,120.92$9,572.47$9,572.471.0×
Multiplan44$90.00$90.00$23,355259.5×
phcs33$90.00$90.00$90.001.0×
fidelis essential [100163]13$3,635.66$3,635.66$3,635.661.0×
amerigroup [350102]13$3,635.66$3,635.66$3,635.661.0×
medcost - sc33$50.44$58.51$20,161399.7×
TRICARE13$9,120.92$9,120.92$9,120.921.0×
beacon essential [350122]13$3,350.84$3,350.84$3,384.351.0×
federal workers compensation [500100]13$9,572.47$9,572.47$9,572.471.0×
plotkin health33$60.00$60.00$60.001.0×
regency hospice13$8,645.10$8,645.10$8,645.101.0×
amedisys hospice13$670.00$670.00$670.001.0×
independent health essential [100166]13$3,635.66$4,362.79$4,362.791.2×
fidelis dual advantage [450120]12$9,572.47$9,572.47$9,572.471.0×
agape hospice12$525.00$525.00$525.001.0×
apex health12$995.00$4,992.96$8,990.919.0×
devoted health plan12$11,454$11,454$11,4541.0×
eon health12$995.00$4,992.96$8,990.919.0×
hospice [550001]12$1,063.88$1,063.88$1,063.881.0×
iha first choice [800001]12$9,162.95$9,162.95$9,162.951.0×
medcost12$56.90$65.30$73.701.3×
nhc advantage12$995.00$4,992.96$8,990.919.0×
prime health12$85.00$5,973.04$11,861139.5×
pruitt health12$995.00$4,992.96$8,990.919.0×
sc state employees12$3,889.00$7,137.00$10,3852.7×
universal healthcare group11$9,336.71$9,336.71$9,336.711.0×
galaxy health network11$90.00$90.00$90.001.0×
First Health11$90.00$90.00$90.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Coastal Carolina Medical CenterHardeevilleSC14$11,723$25.20$9,911.92$65,969
East Cooper Regional Medical CenterMt. PleasantSC14$11,509$36.90$9,713.43$42,526
Mary Black Memorial HospitalSpartanburgSC36$36,045$27,091$1,063.88$9,120.92$23,743
Colleton Medical CenterWalterboroSC43$45.00$8,645.10$24,683
Bon Secours St. Francis Xavier HospiCharlestonSC11$10,639$21,855$25,261
Roper St. Francis Mt Pleasant HospitMt. PleasantSC11$10,639$21,855$25,261
Roper Hospital Inc.CharlestonSC11$7,407.53$19,954$25,261
Roper St. Francis Hospital-BerkeleySummervilleSC11$7,407.53$19,954$25,261
Hilton Head HospitalHilton Head IslandSC14$10,686$32.20$11,454$66,158
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.