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Major small/large bowel procedures w MCC

MS-DRG 329 · negotiated-rate distribution across hospitals in SC

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Hospitals
18
Min
$28,130
Median
$41,011
Max
$86,382
Range multiplier
3.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield9130$95$79,097$158,4711668.1×
UnitedHealthcare977$45$83,529$236,8715263.8×
Medicaid135$9,721.61$10,334$11,9091.2×
Aetna934$29.1$58.8$41,0111409.3×
Cigna934$25.2$34,837$90,4453589.1×
Medicare531$33,256$33,676$34,7261.0×
Molina517$9,721.61$34,608$71,7707.4×
no fault [114001]114$14,583$14,583$14,5831.0×
Humana813$90$33,766$41,011455.7×
absolute total care412$2,020$35,489$71,77035.5×
select health411$2,312$37,263$91,86539.7×
WellCare210$31,029$32,353$33,6761.1×
univera healthcare [100169]19$20,008$28,584$28,5841.4×
clover insurance company36$35,287$36,908$42,6521.2×
univera healthcare essential [100170]15$9,721.61$9,721.61$9,721.611.0×
devoted health35$31,029$33,930$35,4891.1×
first choice vip care plus [4833]44$34,234$34,480$34,7261.0×
VA Health14$33,676$33,676$38,8961.2×
umr [3113]44$86,382$86,382$86,3821.0×
devoted health plan [4501]44$32,604$32,839$33,0731.0×
pai [3082]44$79,097$82,864$86,6321.1×
Multiplan44$90$90$82,182913.1×
plotkin health33$60$60$601.0×
phcs33$90$90$901.0×
TRICARE13$38,896$38,896$38,8961.0×
medcost - sc33$50.44$58.51$70,9261406.2×
beacon essential [350122]13$9,049.6$9,878.87$9,878.871.1×
fidelis essential [100163]13$9,721.61$10,334$10,3341.1×
regency hospice13$30,421$30,421$30,4211.0×
amedisys hospice13$670$670$6701.0×
federal workers compensation [500100]13$33,676$33,676$33,6761.0×
prime health12$85$20,911$41,737491.0×
agape hospice12$525$525$5251.0×
apex health12$995$16,316$31,63731.8×
devoted health plan12$41,011$41,011$41,0111.0×
eon health12$995$16,316$31,63731.8×
fidelis dual advantage [450120]12$33,676$33,676$33,6761.0×
medcost12$56.9$65.3$73.71.3×
nhc advantage12$995$16,316$31,63731.8×
pruitt health12$995$16,316$31,63731.8×
sc state employees12$6,639$23,902$41,1656.2×
select health of sc [4877]22$32,604$32,604$32,6041.0×
medical development11$45,631$45,631$45,6311.0×
galaxy health network11$90$90$901.0×
First Health11$90$90$901.0×
fallon health [450115]11$33,676$33,676$33,6761.0×
mvp healthcare [100168]11$15,407$15,407$15,4071.0×
naphcare11$59,320$59,320$59,3201.0×
upmc health plan [100181]11$78,742$78,742$78,7421.0×
excellus rochester mcd [350117]11$10,334$10,334$10,3341.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ROPER ST. FRANCIS MT PLEASANT HOSPITMT. PLEASANTSC10$33,073$86,382$90,445
BON SECOURS ST. FRANCIS XAVIER HOSPICHARLESTONSC10$33,073$86,382$90,445
ROPER ST. FRANCIS HOSPITAL-BERKELEYSUMMERVILLESC11$26,522$79,097$90,445
ROPER HOSPITAL INC.CHARLESTONSC11$26,522$79,097$90,445
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$47,382$32.2$41,011$236,871
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$51,978$25.2$35,489$236,196
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$51,030$36.9$34,778$152,259
COLLETON MEDICAL CENTERWALTERBOROSC43$45$30,421$105,442
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC28$65,906$62,461$9,049.6$28,130$83,529
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.