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Spinal fusion (non-cervical) w MCC

MS-DRG 459 · negotiated-rate distribution across hospitals in SC

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Hospitals
4
Min
$49,449
Median
$49,449
Max
$49,449
Range multiplier
1.0×

By payer (29 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid136$18,824$20,424$49,4492.6×
Blue Cross Blue Shield126$20,424$58,018$66,6873.3×
Medicare120$49,449$49,449$49,4491.0×
UnitedHealthcare115$20,424$49,449$122,6516.0×
no fault [114001]114$28,821$28,821$28,8211.0×
univera healthcare [100169]19$41,267$58,955$58,9551.4×
Molina16$20,424$20,424$20,4241.0×
univera healthcare essential [100170]15$20,424$20,424$20,4241.0×
WellCare15$49,449$49,449$49,4491.0×
VA Health14$43,621$49,449$49,4491.1×
fidelis essential [100163]13$20,424$20,424$20,4241.0×
beacon essential [350122]13$18,824$18,824$19,0121.0×
federal workers compensation [500100]13$49,449$49,449$49,4491.0×
Humana13$49,449$49,449$49,4491.0×
TRICARE13$43,621$43,621$43,6211.0×
fidelis dual advantage [450120]12$49,449$49,449$49,4491.0×
fallon health [450115]11$49,449$49,449$49,4491.0×
excellus rochester mcd [350117]11$20,424$20,424$20,4241.0×
crime victims [100176]11$20,424$20,424$20,4241.0×
mvp healthcare [100168]11$31,777$31,777$31,7771.0×
covid19 hrsa [45013]11$49,449$49,449$49,4491.0×
seneca nation [450119]11$49,449$49,449$49,4491.0×
beacon health options [100023]11$18,824$18,824$18,8241.0×
Cigna11$49,449$49,449$49,4491.0×
champ va [700002]11$43,621$43,621$43,6211.0×
catholic health life pace [400005]11$49,449$49,449$49,4491.0×
upmc health plan [100181]11$115,622$115,622$115,6221.0×
beacon health options alt [100024]11$18,824$18,824$18,8241.0×
Aetna11$49,449$49,449$49,4491.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC29$94,632$75,297$18,824$49,449$122,651
CONWAY HOSPITALCONWAYSC0
SELF REGIONAL HEALTHCAREGREENWOODSC0
EDGEFIELD COUNTY HEALTHCAREEDGEFIELDSC0

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.