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Heart failure & shock w CC

MS-DRG 292 · negotiated-rate distribution across hospitals in SC

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Hospitals
18
Min
$5,706.21
Median
$7,575.02
Max
$15,550
Range multiplier
2.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield9109$95$14,198$26,587279.9×
UnitedHealthcare967$45$5,502$43,752972.3×
Medicaid136$3,350.84$3,635.66$6,385.871.9×
Aetna932$29.1$58.8$7,963.74273.7×
Cigna928$25.2$7,850.14$16,706662.9×
Medicare526$6,385.87$6,385.87$7,848.321.2×
Molina517$3,635.66$6,392.33$13,2563.6×
no fault [114001]114$5,130.56$5,130.56$5,130.561.0×
Humana914$90$7,027.77$7,901.8387.8×
absolute total care412$2,020$7,064.98$13,7296.8×
select health411$2,312$7,953.77$16,9687.3×
WellCare210$5,820.33$6,103.1$6,385.871.1×
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$6,517.67$6,817.13$7,878.021.2×
devoted health35$5,820.33$6,266.99$6,554.931.1×
univera healthcare essential [100170]15$3,635.66$3,635.66$3,635.661.0×
select health of sc [4877]44$7,273.74$10,369$13,4651.9×
pai [3082]44$14,198$14,874$15,5501.1×
VA Health14$6,385.87$6,385.87$6,776.761.1×
devoted health plan [4501]44$7,273.74$7,484.09$7,694.431.1×
Multiplan44$90$90$15,416171.3×
federal workers compensation [500100]13$6,385.87$6,385.87$6,385.871.0×
amedisys hospice13$670$670$6701.0×
amerigroup [350102]13$3,635.66$3,635.66$3,635.661.0×
beacon essential [350122]13$3,350.84$3,350.84$3,384.351.0×
fidelis essential [100163]13$3,635.66$3,635.66$3,635.661.0×
independent health essential [100166]13$3,635.66$4,362.79$4,362.791.2×
medcost - sc33$50.44$58.51$13,441266.5×
phcs33$90$90$901.0×
plotkin health33$60$60$601.0×
regency hospice13$5,706.21$5,706.21$5,706.211.0×
TRICARE13$6,776.76$6,776.76$6,776.761.0×
medcost12$56.9$65.3$73.71.3×
nhc advantage12$995$3,464.73$5,934.466.0×
devoted health plan12$7,575.02$7,575.02$7,575.021.0×
agape hospice12$525$525$5251.0×
umr [3113]22$5,502$5,502$5,5021.0×
apex health12$995$3,464.73$5,934.466.0×
eon health12$995$3,464.73$5,934.466.0×
prime health12$85$3,956.96$7,828.9292.1×
pruitt health12$995$3,464.73$5,934.466.0×
hospice [550001]12$1,063.88$1,063.88$1,063.881.0×
sc state employees12$3,889$5,639$7,3891.9×
fidelis dual advantage [450120]12$6,385.87$6,385.87$6,385.871.0×
iha first choice [800001]12$9,162.95$9,162.95$9,162.951.0×
covid19 hrsa [45013]11$6,385.87$6,385.87$6,385.871.0×
corvel corporation11$7,828.92$7,828.92$7,828.921.0×
clover11$5,820.33$5,820.33$5,820.331.0×
mvp healthcare [100168]11$7,898$7,898$7,8981.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ROPER HOSPITAL INC.CHARLESTONSC10$4,898.73$7,881.7$16,706
ROPER ST. FRANCIS HOSPITAL-BERKELEYSUMMERVILLESC10$4,898.73$7,881.7$16,706
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$7,933$32.2$7,575.02$43,752
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$8,702.5$25.2$6,554.93$43,627
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$8,543.84$36.9$6,423.67$28,123
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC36$29,920$17,721$1,063.88$6,385.87$15,839
COLLETON MEDICAL CENTERWALTERBOROSC43$45$5,706.21$24,683
BON SECOURS ST. FRANCIS XAVIER HOSPICHARLESTONSC9$5,502$15,550$16,706
ROPER ST. FRANCIS MT PLEASANT HOSPITMT. PLEASANTSC9$5,502$15,550$16,706
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.