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ACL reconstruction

CPT 29888 · negotiated-rate distribution across hospitals in SC

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Hospitals
14
Min
$933.64
Median
$6,748.84
Max
$9,574.45
Range multiplier
10.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid174$479.98$840.28$933.641.9×
Blue Cross Blue Shield572$479.98$1,362.89$17,23835.9×
UnitedHealthcare962$653.55$2,075.53$24,72937.8×
Medicare144$918.28$933.64$1,042.001.1×
Aetna841$29.10$65.50$12,550431.3×
no fault [114001]128$3,600.98$3,600.98$3,600.981.0×
Humana826$933.64$7,131.59$12,73113.6×
Molina424$1,079.96$2,020.30$11,81010.9×
univera healthcare [100169]118$805.18$1,184.09$1,184.091.5×
Cigna415$25.20$1,353.78$11,043438.2×
independent health [100165]114$1,223.44$1,223.44$1,223.441.0×
absolute total care414$1,406.00$6,748.84$11,1367.9×
select health413$1,339.05$7,086.28$15,11711.3×
WellCare110$980.32$980.32$1,027.001.0×
fidelis essential [100163]16$840.28$1,027.00$1,120.371.3×
amerigroup [350102]16$479.98$688.95$897.911.9×
beacon essential [350122]16$840.28$1,120.37$1,120.371.3×
clover insurance company36$7,018.79$7,018.79$7,018.791.0×
federal workers compensation [500100]16$3,600.98$3,600.98$3,600.981.0×
independent health essential [100166]16$479.98$688.95$897.911.9×
TRICARE16$933.64$933.64$933.641.0×
univera healthcare essential [100170]16$805.18$805.18$805.181.0×
VA Health16$840.28$886.96$933.641.1×
devoted health24$6,748.84$6,748.84$6,748.841.0×
fidelis dual advantage [450120]14$980.32$980.32$980.321.0×
hospice [550001]14$933.64$933.64$933.641.0×
iha first choice [800001]14$1,223.44$1,223.44$1,223.441.0×
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$1,120.37$1,120.37$1,120.371.0×
devoted health plan12$6,748.84$6,748.84$6,748.841.0×
upmc health plan [100181]12$1,361.50$1,521.03$1,680.551.2×
crime victims [100176]12$479.98$688.95$897.911.9×
covid19 hrsa [45013]12$933.64$933.64$933.641.0×
champ va [700002]12$933.64$933.64$933.641.0×
mvp healthcare [100168]12$1,206.74$1,206.74$1,206.741.0×
catholic health life pace [400005]12$933.64$933.64$933.641.0×
tuscarora nation [550120]12$479.98$688.95$897.911.9×
blue choice12$1,660.42$2,075.53$2,490.631.5×
beacon health options [100023]12$1,120.37$1,120.37$1,120.371.0×
fallon health [450115]12$933.64$933.64$933.641.0×
vna option mltc [350110]12$479.98$688.95$897.911.9×
excellus rochester mcd [350117]12$479.98$688.95$897.911.9×
ghi [100153]12$1,027.00$1,027.00$1,027.001.0×
seneca nation [450119]12$933.64$933.64$933.641.0×
nhc advantage11$4,950.00$4,950.00$4,950.001.0×
Meritain Health11$933.64$933.64$933.641.0×
pruitt health11$4,950.00$4,950.00$4,950.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Roper St. Francis Mt Pleasant HospitMt. PleasantSC3$78,681$47,209$6,791.99$9,574.45$12,618
Bon Secours St. Francis Xavier HospiCharlestonSC3$78,681$47,209$6,791.99$9,574.45$12,618
Mary Black Memorial HospitalSpartanburgSC39$3,781.03$3,781.03$479.98$933.64$3,600.98
Roper Hospital Inc.CharlestonSC3$75,580$45,348$6,852.93$7,195.57$12,731
Roper St. Francis Hospital-BerkeleySummervilleSC3$75,580$45,348$6,852.93$7,195.57$12,731
East Cooper Regional Medical CenterMt. PleasantSC14$3,614.35$36.90$6,748.84$19,766
Hilton Head HospitalHilton Head IslandSC14$3,614.35$32.20$6,748.84$24,729
Coastal Carolina Medical CenterHardeevilleSC14$3,614.35$25.20$6,748.84$24,457
Colleton Medical CenterWalterboroSC10$1,660.42$4,950.00$17,238
Mcleod Regional Medical CenterFlorenceSC0
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.