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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$95.00$79,097$158,4711668.1×
UnitedHealthcare977$45.00$83,529$236,8715263.8×
Medicaid135$9,721.61$10,334$11,9091.2×
Aetna934$29.10$58.80$41,0111409.3×
Cigna934$25.20$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$90.00$33,766$41,011455.7×
absolute total care412$2,020.00$35,489$71,77035.5×
select health411$2,312.00$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$90.00$90.00$82,182913.1×
plotkin health33$60.00$60.00$60.001.0×
phcs33$90.00$90.00$90.001.0×
TRICARE13$38,896$38,896$38,8961.0×
medcost - sc33$50.44$58.51$70,9261406.2×
beacon essential [350122]13$9,049.60$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$670.00$670.00$670.001.0×
federal workers compensation [500100]13$33,676$33,676$33,6761.0×
prime health12$85.00$20,911$41,737491.0×
agape hospice12$525.00$525.00$525.001.0×
apex health12$995.00$16,316$31,63731.8×
devoted health plan12$41,011$41,011$41,0111.0×
eon health12$995.00$16,316$31,63731.8×
fidelis dual advantage [450120]12$33,676$33,676$33,6761.0×
medcost12$56.90$65.30$73.701.3×
nhc advantage12$995.00$16,316$31,63731.8×
pruitt health12$995.00$16,316$31,63731.8×
sc state employees12$6,639.00$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$90.00$90.00$90.001.0×
First Health11$90.00$90.00$90.001.0×
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$32.20$41,011$236,871
Coastal Carolina Medical CenterHardeevilleSC14$51,978$25.20$35,489$236,196
East Cooper Regional Medical CenterMt. PleasantSC14$51,030$36.90$34,778$152,259
Colleton Medical CenterWalterboroSC43$45.00$30,421$105,442
Mary Black Memorial HospitalSpartanburgSC28$65,906$62,461$9,049.60$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.