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Shoulder arthroscopy with decompression

CPT 29826 · negotiated-rate distribution across hospitals in SC

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Hospitals
14
Min
$60.00
Median
$4,950.00
Max
$7,092.78
Range multiplier
118.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield5121$29.67$185.46$16,634560.6×
UnitedHealthcare981$18.15$145.81$6,852.93377.6×
Medicaid180$52.30$326.86$392.227.5×
Medicare172$25.92$160.68$182.167.0×
Aetna837$29.10$65.50$7,092.78243.7×
univera healthcare [100169]136$22.52$86.94$207.019.2×
no fault [114001]128$398.98$398.98$398.981.0×
Humana817$162.01$1,585.73$7,195.5744.4×
Molina415$735.43$882.50$1,585.732.2×
Cigna414$25.20$162.01$11,043438.2×
independent health [100165]114$212.30$212.30$212.301.0×
VA Health112$25.92$85.87$162.016.3×
univera healthcare essential [100170]112$22.52$81.64$140.766.3×
TRICARE112$25.92$93.97$162.016.3×
WellCare110$170.11$170.11$178.211.0×
hospice [550001]18$25.92$93.97$162.016.3×
fidelis essential [100163]16$145.81$178.21$194.411.3×
amerigroup [350102]16$326.86$359.54$392.221.2×
beacon essential [350122]16$145.81$194.41$194.411.3×
clover insurance company36$30.00$30.00$30.001.0×
federal workers compensation [500100]16$398.98$398.98$398.981.0×
independent health essential [100166]16$326.86$359.54$392.221.2×
absolute total care45$1,665.02$1,665.02$5,492.003.3×
fidelis dual advantage [450120]14$170.11$170.11$170.111.0×
fallon health [450115]14$25.92$93.97$162.016.3×
iha first choice [800001]14$212.30$212.30$212.301.0×
covid19 hrsa [45013]14$25.92$93.97$162.016.3×
devoted health24$25.00$25.00$25.001.0×
select health44$1,585.73$1,585.73$5,843.003.7×
seneca nation [450119]14$25.92$93.97$162.016.3×
champ va [700002]14$25.92$93.97$162.016.3×
medcost - sc33$50.44$56.53$58.511.2×
plotkin health33$60.00$60.00$60.001.0×
Multiplan33$90.00$90.00$90.001.0×
phcs33$90.00$90.00$90.001.0×
fidelis exchange [100164]12$194.41$194.41$194.411.0×
devoted health plan12$25.00$25.00$25.001.0×
upmc health plan [100181]12$291.62$595.94$900.263.1×
crime victims [100176]12$326.86$359.54$392.221.2×
mvp healthcare [100168]12$215.09$215.09$215.091.0×
beacon health options [100023]12$194.41$194.41$194.411.0×
vna option mltc [350110]12$326.86$359.54$392.221.2×
ghi [100153]12$178.21$178.21$178.211.0×
tuscarora nation [550120]12$326.86$359.54$392.221.2×
catholic health life pace [400005]12$162.01$162.01$162.011.0×
blue choice12$1,966.31$2,457.89$2,949.461.5×
excellus rochester mcd [350117]12$326.86$359.54$392.221.2×
nhc advantage11$4,950.00$4,950.00$4,950.001.0×
pruitt health11$4,950.00$4,950.00$4,950.001.0×
sc state employees11$3,659.62$3,659.62$3,659.621.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
East Cooper Regional Medical CenterMt. PleasantSC14$25.00$90.00$15,837
Roper St. Francis Hospital-BerkeleySummervilleSC3$46,126$27,675$6,852.93$7,092.78$7,195.57
Roper Hospital Inc.CharlestonSC3$46,126$27,675$6,852.93$7,092.78$7,195.57
Roper St. Francis Mt Pleasant HospitMt. PleasantSC3$52,629$31,577$6,791.99$7,029.71$7,131.59
Bon Secours St. Francis Xavier HospiCharlestonSC3$52,629$31,577$6,791.99$7,029.71$7,131.59
Coastal Carolina Medical CenterHardeevilleSC14$25.00$60.00$14,748
Hilton Head HospitalHilton Head IslandSC14$25.00$60.00$16,634
Colleton Medical CenterWalterboroSC10$1,966.31$4,950.00$11,109
Mary Black Memorial HospitalSpartanburgSC39$3,086.99$3,086.99$18.15$162.01$900.26
Mcleod Health CherawCherawSC0
Mcleod Health ClarendonManningSC0
Mcleod Regional Medical CenterFlorenceSC0
Mcleod Loris Seacoast HospitalLorisSC0
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.