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Major joint replacement w MCC

MS-DRG 469 · negotiated-rate distribution across hospitals in SC

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Hospitals
14
Min
$21,654
Median
$23,419
Max
$27,063
Range multiplier
1.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield546$95.00$37,740$86,430909.8×
UnitedHealthcare537$45.00$24,826$156,3103473.6×
Medicaid135$12,068$12,828$14,7841.2×
Aetna526$29.10$50.00$27,063930.0×
Medicare120$24,826$24,826$24,8261.0×
Molina517$12,068$22,838$47,3603.9×
no fault [114001]114$18,103$18,103$18,1031.0×
Cigna514$25.20$11,402$57,6332287.0×
absolute total care412$2,020.00$23,419$47,36023.4×
select health411$2,312.00$24,590$60,62126.2×
WellCare210$22,087$23,457$24,8261.1×
univera healthcare [100169]19$24,837$35,483$35,4831.4×
Humana58$90.00$24,122$27,063300.7×
clover insurance company36$23,286$24,355$28,1461.2×
univera healthcare essential [100170]15$12,068$12,068$12,0681.0×
devoted health35$22,087$22,390$23,4191.1×
Multiplan44$90.00$90.00$58,500650.0×
VA Health14$24,826$24,826$28,2471.1×
regency hospice13$21,654$21,654$21,6541.0×
medcost - sc33$50.44$58.51$45,929910.6×
federal workers compensation [500100]13$24,826$24,826$24,8261.0×
beacon essential [350122]13$11,234$12,263$12,2631.1×
TRICARE13$28,247$28,247$28,2471.0×
amedisys hospice13$670.00$670.00$670.001.0×
plotkin health33$60.00$60.00$60.001.0×
fidelis essential [100163]13$12,068$12,828$12,8281.1×
phcs33$90.00$90.00$90.001.0×
devoted health plan12$27,063$27,063$27,0631.0×
eon health12$995.00$11,758$22,52022.6×
nhc advantage12$995.00$11,758$22,52022.6×
agape hospice12$525.00$525.00$525.001.0×
prime health12$85.00$14,897$29,710349.5×
pruitt health12$995.00$11,758$22,52022.6×
sc state employees12$6,639.00$22,015$37,3905.6×
fidelis dual advantage [450120]12$24,826$24,826$24,8261.0×
apex health12$995.00$11,758$22,52022.6×
medcost12$56.90$65.30$73.701.3×
hospice care11$21,654$21,654$21,6541.0×
arcadian11$21,654$21,654$21,6541.0×
beacon health options [100023]11$12,263$12,263$12,2631.0×
beacon health options alt [100024]11$12,263$12,263$12,2631.0×
blue choice health plan11$46,881$46,881$46,8811.0×
boldage pace11$22,304$22,304$22,3041.0×
champ va [700002]11$28,247$28,247$28,2471.0×
clover11$22,087$22,087$22,0871.0×
corvel corporation11$29,710$29,710$29,7101.0×
covid19 hrsa [45013]11$24,826$24,826$24,8261.0×
crime victims [100176]11$12,828$12,828$12,8281.0×
employer's health network11$29,710$29,710$29,7101.0×
employers health network11$45.00$45.00$45.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Hilton Head HospitalHilton Head IslandSC14$39,471$32.20$27,063$156,310
Mary Black Memorial HospitalSpartanburgSC28$59,545$58,522$11,234$24,826$61,578
Coastal Carolina Medical CenterHardeevilleSC14$43,300$25.20$23,419$155,864
East Cooper Regional Medical CenterMt. PleasantSC14$42,510$36.90$22,950$100,475
Colleton Medical CenterWalterboroSC43$45.00$21,654$86,430
Mcleod Loris Seacoast HospitalLorisSC0
Mcleod Health CherawCherawSC0
Mcleod Health ClarendonManningSC0
Mcleod Medical Center - DillonDillonSC0
Edgefield County HealthcareEdgefieldSC0
Conway HospitalConwaySC0
Mcleod Regional Medical CenterFlorenceSC0
Self Regional HealthcareGreenwoodSC0
Aiken Regional Medical CenterAikenSC0

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.