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Heart failure & shock w/o CC/MCC

MS-DRG 293 · negotiated-rate distribution across hospitals in SC

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Hospitals
16
Min
$3,637.18
Median
$4,369.96
Max
$6,818.58
Range multiplier
1.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield789$95$12,559$24,683259.8×
UnitedHealthcare757$45$5,065$29,168648.2×
Medicaid136$3,350.84$3,635.66$4,564.671.4×
Aetna730$29.1$54.4$5,980.17205.5×
Cigna726$25.2$6,066.84$11,137442.0×
Medicare326$4,186.42$4,186.42$6,066.841.4×
Molina517$3,635.66$4,261.55$8,837.542.4×
no fault [114001]114$5,130.56$5,130.56$5,130.561.0×
absolute total care412$2,020$4,709.99$13,7296.8×
Humana712$90$4,278.19$5,948.6266.1×
select health411$2,312$5,302.52$14,1486.1×
WellCare210$3,709.93$3,948.18$4,186.421.1×
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$4,345.11$4,544.76$5,252.021.2×
devoted health35$3,709.93$4,177.99$4,369.961.2×
univera healthcare essential [100170]15$3,635.66$3,635.66$3,635.661.0×
VA Health14$3,229.31$4,186.42$4,186.421.3×
Multiplan44$90$90$9,826109.2×
independent health essential [100166]13$3,635.66$4,362.79$4,362.791.2×
beacon essential [350122]13$3,350.84$3,350.84$3,384.351.0×
medcost - sc33$50.44$58.51$9,576.85189.9×
TRICARE13$3,229.31$3,229.31$3,229.311.0×
federal workers compensation [500100]13$4,186.42$4,186.42$4,186.421.0×
regency hospice13$3,637.18$3,637.18$3,637.181.0×
plotkin health33$60$60$601.0×
phcs33$90$90$901.0×
amedisys hospice13$670$670$6701.0×
amerigroup [350102]13$3,635.66$3,635.66$3,635.661.0×
fidelis essential [100163]13$3,635.66$3,635.66$3,635.661.0×
pai [3082]22$12,559$12,559$12,5591.0×
agape hospice12$525$525$5251.0×
apex health12$995$2,388.84$3,782.673.8×
devoted health plan12$5,050.02$5,050.02$5,050.021.0×
devoted health plan [4501]22$5,777.94$5,777.94$5,777.941.0×
eon health12$995$2,388.84$3,782.673.8×
fidelis dual advantage [450120]12$4,186.42$4,186.42$4,186.421.0×
first choice vip care plus [4833]22$6,066.84$6,066.84$6,066.841.0×
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$56.9$65.3$73.71.3×
nhc advantage12$995$2,388.84$3,782.673.8×
prime health12$85$2,537.61$4,990.2258.7×
pruitt health12$995$2,388.84$3,782.673.8×
sc state employees12$3,889$4,928$5,9671.5×
select health of sc [4877]22$10,111$10,111$10,1111.0×
umr [3113]22$5,065$5,065$5,0651.0×
blue choice health plan11$13,387$13,387$13,3871.0×
fidelis exchange [100164]11$6,837.6$6,837.6$6,837.61.0×
fallon health [450115]11$4,186.42$4,186.42$4,186.421.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ROPER ST. FRANCIS MT PLEASANT HOSPITMT. PLEASANTSC11$5,065$6,818.58$12,559
BON SECOURS ST. FRANCIS XAVIER HOSPICHARLESTONSC11$5,065$6,818.58$12,559
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$6,085$32.2$5,050.02$29,168
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$6,675.25$25.2$4,369.96$29,084
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$6,553.55$36.9$4,282.44$18,749
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC36$19,834$7,105.45$1,063.88$4,186.42$12,393
COLLETON MEDICAL CENTERWALTERBOROSC43$45$3,637.18$24,683
MCLEOD HEALTH CLARENDONMANNINGSC0
MCLEOD MEDICAL CENTER - DILLONDILLONSC0
EDGEFIELD COUNTY HEALTHCAREEDGEFIELDSC0
CONWAY HOSPITALCONWAYSC0
MCLEOD REGIONAL MEDICAL CENTERFLORENCESC0
SELF REGIONAL HEALTHCAREGREENWOODSC0
AIKEN REGIONAL MEDICAL CENTERAIKENSC0
MCLEOD LORIS SEACOAST HOSPITALLORISSC0
MCLEOD HEALTH CHERAWCHERAWSC0

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.