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Major small/large bowel procedures w/o CC/MCC

MS-DRG 331 · negotiated-rate distribution across hospitals in SC

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Hospitals
18
Min
$10,938
Median
$15,015
Max
$31,627
Range multiplier
2.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield9108$95$38,882$63,786671.4×
UnitedHealthcare965$45$15,015$86,7251927.2×
Medicaid136$9,126.61$9,902.38$12,4661.4×
Aetna932$29.1$58.8$15,015516.0×
Medicare531$12,466$12,466$14,0091.1×
Cigna930$25.2$14,009$33,1141314.1×
Molina517$9,902.38$12,671$26,2772.7×
no fault [114001]114$13,974$13,974$13,9741.0×
absolute total care412$2,020$14,004$26,27713.0×
select health411$2,312$15,766$33,63414.5×
Humana811$90$13,285$15,015166.8×
WellCare210$11,157$11,811$12,4661.1×
univera healthcare [100169]19$20,008$28,584$28,5841.4×
clover insurance company36$12,919$13,513$15,6161.2×
univera healthcare essential [100170]15$9,902.38$9,902.38$9,902.381.0×
devoted health35$11,157$12,423$12,9931.2×
devoted health plan [4501]44$12,910$13,126$13,3421.0×
first choice vip care plus [4833]44$13,556$13,782$14,0091.0×
Multiplan44$90$90$29,550328.3×
VA Health14$12,466$12,466$16,6871.3×
umr [3113]44$31,627$31,627$31,6271.0×
TRICARE13$16,687$16,687$16,6871.0×
amedisys hospice13$670$670$6701.0×
beacon essential [350122]13$9,126.61$9,126.61$9,217.891.0×
federal workers compensation [500100]13$12,466$12,466$12,4661.0×
fidelis essential [100163]13$9,902.38$9,902.38$9,902.381.0×
medcost - sc33$50.44$58.51$22,013436.4×
phcs33$90$90$901.0×
plotkin health33$60$60$601.0×
regency hospice13$10,938$10,938$10,9381.0×
medcost12$56.9$65.3$73.71.3×
pai [3082]22$42,586$42,586$42,5861.0×
apex health12$995$6,185.29$11,37611.4×
devoted health plan12$15,015$15,015$15,0151.0×
prime health12$85$7,546.01$15,007176.6×
pruitt health12$995$6,185.29$11,37611.4×
agape hospice12$525$525$5251.0×
sc state employees12$6,639$13,438$20,2363.0×
nhc advantage12$995$6,185.29$11,37611.4×
select health of sc [4877]22$23,348$23,348$23,3481.0×
fidelis dual advantage [450120]12$12,466$12,466$12,4661.0×
eon health12$995$6,185.29$11,37611.4×
corvel corporation11$15,007$15,007$15,0071.0×
mvp healthcare [100168]11$15,407$15,407$15,4071.0×
naphcare11$21,329$21,329$21,3291.0×
clover11$11,157$11,157$11,1571.0×
north american administrators11$85$85$851.0×
novanet11$90$90$901.0×
odyssey hospice11$10,938$10,938$10,9381.0×
vocational rehab11$47$47$471.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ROPER ST. FRANCIS MT PLEASANT HOSPITMT. PLEASANTSC11$13,342$31,627$42,586
ROPER ST. FRANCIS HOSPITAL-BERKELEYSUMMERVILLESC9$1,980$31,627$38,882
ROPER HOSPITAL INC.CHARLESTONSC9$1,980$31,627$38,882
BON SECOURS ST. FRANCIS XAVIER HOSPICHARLESTONSC11$13,342$31,627$42,586
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$25,526$32.2$15,015$86,725
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$28,002$25.2$12,993$86,478
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$27,492$36.9$12,733$55,746
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC26$60,318$40,928$9,126.61$12,466$32,333
COLLETON MEDICAL CENTERWALTERBOROSC43$45$10,938$63,786
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.