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Major small/large bowel procedures w CC

MS-DRG 330 · negotiated-rate distribution across hospitals in SC

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Hospitals
18
Min
$15,660
Median
$21,389
Max
$45,051
Range multiplier
2.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield9130$95$50,001$103,1391085.7×
UnitedHealthcare977$45$43,867$123,5352745.2×
Medicaid135$9,721.61$10,334$11,9091.2×
Cigna934$25.2$19,088$47,1701871.8×
Aetna934$29.1$58.8$21,389735.0×
Medicare531$17,686$17,686$19,0881.1×
Molina517$9,721.61$18,049$37,4303.9×
no fault [114001]114$14,583$14,583$14,5831.0×
Humana813$90$18,239$21,389237.7×
absolute total care412$2,020$18,508$37,43018.5×
select health411$2,312$19,434$47,91020.7×
WellCare210$15,973$16,829$17,6861.1×
univera healthcare [100169]19$20,008$28,584$28,5841.4×
clover insurance company36$18,403$19,249$22,2441.2×
univera healthcare essential [100170]15$9,721.61$9,721.61$9,721.611.0×
devoted health35$15,973$17,695$18,5081.2×
Multiplan44$90$90$42,306470.1×
VA Health14$17,686$17,686$19,6661.1×
umr [3113]44$45,051$45,051$45,0511.0×
select health of sc [4877]44$17,739$24,776$31,8131.8×
devoted health plan [4501]44$17,739$17,959$18,1791.0×
pai [3082]44$50,001$52,383$54,7641.1×
first choice vip care plus [4833]44$18,625$18,857$19,0881.0×
plotkin health33$60$60$601.0×
phcs33$90$90$901.0×
beacon essential [350122]13$9,049.6$9,878.87$9,878.871.1×
federal workers compensation [500100]13$17,686$17,686$17,6861.0×
TRICARE13$19,666$19,666$19,6661.0×
fidelis essential [100163]13$9,721.61$10,334$10,3341.1×
medcost - sc33$50.44$58.51$34,474683.5×
regency hospice13$15,660$15,660$15,6601.0×
amedisys hospice13$670$670$6701.0×
devoted health plan12$21,389$21,389$21,3891.0×
agape hospice12$525$525$5251.0×
apex health12$995$8,640.58$16,28616.4×
eon health12$995$8,640.58$16,28616.4×
fidelis dual advantage [450120]12$17,686$17,686$17,6861.0×
medcost12$56.9$65.3$73.71.3×
nhc advantage12$995$8,640.58$16,28616.4×
prime health12$85$10,785$21,485252.8×
pruitt health12$995$8,640.58$16,28616.4×
sc state employees12$6,639$16,331$26,0233.9×
healthsmart preferred care11$80$80$801.0×
galaxy health network11$90$90$901.0×
mvp healthcare [100168]11$15,407$15,407$15,4071.0×
naphcare11$30,537$30,537$30,5371.0×
upmc health plan [100181]11$41,353$41,353$41,3531.0×
First Health11$90$90$901.0×
north american administrators11$85$85$851.0×
novanet11$90$90$901.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ROPER ST. FRANCIS MT PLEASANT HOSPITMT. PLEASANTSC11$18,179$45,051$54,764
ROPER ST. FRANCIS HOSPITAL-BERKELEYSUMMERVILLESC11$13,832$45,051$50,001
ROPER HOSPITAL INC.CHARLESTONSC11$13,832$45,051$50,001
BON SECOURS ST. FRANCIS XAVIER HOSPICHARLESTONSC11$18,179$45,051$54,764
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$31,561$32.2$21,389$123,535
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$34,622$25.2$18,508$123,183
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$33,991$36.9$18,138$79,407
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC25$114,021$53,945$9,049.6$17,686$43,867
COLLETON MEDICAL CENTERWALTERBOROSC43$45$15,660$103,139
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.