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Laparoscopic cholecystectomy w/o CDE w MCC

MS-DRG 418 · negotiated-rate distribution across hospitals in SC

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Hospitals
18
Min
$10,988
Median
$15,093
Max
$31,790
Range multiplier
2.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield9112$95.00$36,416$54,932578.2×
UnitedHealthcare965$45.00$15,093$87,1731937.2×
Medicaid135$5,784.83$6,149.28$7,086.531.2×
Aetna934$29.10$58.80$15,093518.7×
Cigna930$25.20$13,844$33,2861320.9×
Medicare529$12,188$12,188$14,0711.2×
Molina517$5,784.83$12,736$26,4134.6×
no fault [114001]114$8,677.73$8,677.73$8,677.731.0×
absolute total care412$2,020.00$14,077$26,41313.1×
select health411$2,312.00$15,848$33,80814.6×
Humana811$90.00$13,345$15,093167.7×
WellCare210$11,207$11,698$12,1881.1×
univera healthcare [100169]19$11,906$17,009$17,0091.4×
clover insurance company36$12,986$13,583$15,6971.2×
univera healthcare essential [100170]15$5,784.83$5,784.83$5,784.831.0×
devoted health35$11,207$12,487$13,0601.2×
pai [3082]44$36,416$38,150$39,8851.1×
first choice vip care plus [4833]44$13,618$13,844$14,0711.0×
Multiplan44$90.00$90.00$29,684329.8×
select health of sc [4877]44$12,969$18,210$23,4511.8×
VA Health14$12,188$12,188$15,1601.2×
beacon essential [350122]13$5,384.96$5,878.41$5,878.411.1×
medcost - sc33$50.44$58.51$22,569447.4×
TRICARE13$15,160$15,160$15,1601.0×
regency hospice13$10,988$10,988$10,9881.0×
amedisys hospice13$670.00$670.00$670.001.0×
plotkin health33$60.00$60.00$60.001.0×
phcs33$90.00$90.00$90.001.0×
federal workers compensation [500100]13$12,188$12,188$12,1881.0×
fidelis essential [100163]13$5,784.83$6,149.28$6,149.281.1×
prime health12$85.00$7,580.09$15,075177.4×
agape hospice12$525.00$525.00$525.001.0×
apex health12$995.00$6,211.13$11,42711.5×
devoted health plan12$15,093$15,093$15,0931.0×
devoted health plan [4501]22$12,969$12,969$12,9691.0×
eon health12$995.00$6,211.13$11,42711.5×
fidelis dual advantage [450120]12$12,188$12,188$12,1881.0×
medcost12$56.90$65.30$73.701.3×
nhc advantage12$995.00$6,211.13$11,42711.5×
pruitt health12$995.00$6,211.13$11,42711.5×
sc state employees12$6,639.00$12,796$18,9522.9×
umr [3113]22$31,790$31,790$31,7901.0×
medical development11$16,482$16,482$16,4821.0×
galaxy health network11$90.00$90.00$90.001.0×
First Health11$90.00$90.00$90.001.0×
fallon health [450115]11$12,188$12,188$12,1881.0×
mvp healthcare [100168]11$9,167.99$9,167.99$9,167.991.0×
naphcare11$21,426$21,426$21,4261.0×
upmc health plan [100181]11$28,498$28,498$28,4981.0×
excellus rochester mcd [350117]11$6,149.28$6,149.28$6,149.281.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Roper St. Francis Mt Pleasant HospitMt. PleasantSC9$13,401$31,790$39,885
Roper St. Francis Hospital-BerkeleySummervilleSC11$1,980.00$31,790$36,416
Roper Hospital Inc.CharlestonSC11$1,980.00$31,790$36,416
Bon Secours St. Francis Xavier HospiCharlestonSC9$13,401$31,790$39,885
Hilton Head HospitalHilton Head IslandSC14$24,700$32.20$15,093$87,173
Coastal Carolina Medical CenterHardeevilleSC14$27,096$25.20$13,060$86,925
East Cooper Regional Medical CenterMt. PleasantSC14$26,602$36.90$12,799$56,034
Mary Black Memorial HospitalSpartanburgSC28$63,614$40,981$5,384.96$12,188$30,231
Colleton Medical CenterWalterboroSC43$45.00$10,988$54,932
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.