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Major joint replacement w/o MCC

MS-DRG 470 · negotiated-rate distribution across hospitals in SC

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Hospitals
16
Min
$12,492
Median
$14,893
Max
$19,079
Range multiplier
1.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield774$95$40,137$74,008779.0×
UnitedHealthcare753$45$17,210$99,4022208.9×
Medicaid136$11,329$12,292$14,7841.3×
Aetna730$29.1$54.4$17,210591.4×
Medicare326$14,030$14,030$15,3021.1×
Cigna724$25.2$15,302$37,9551506.1×
Molina517$12,292$14,523$30,1182.5×
no fault [114001]114$17,347$17,347$17,3471.0×
absolute total care412$2,020$15,409$30,11814.9×
select health410$14,950$18,071$59,5884.0×
Humana710$90$14,134$17,210191.2×
WellCare210$12,741$13,386$14,0301.1×
univera healthcare [100169]19$24,837$35,483$35,4831.4×
clover insurance company36$14,808$15,488$17,8991.2×
devoted health35$12,741$14,238$14,8931.2×
univera healthcare essential [100170]15$12,292$12,292$12,2921.0×
VA Health14$14,030$14,030$17,7171.3×
Multiplan44$90$90$33,747375.0×
regency hospice13$12,492$12,492$12,4921.0×
federal workers compensation [500100]13$14,030$14,030$14,0301.0×
TRICARE13$17,717$17,717$17,7171.0×
plotkin health33$60$60$601.0×
phcs33$90$90$901.0×
fidelis essential [100163]13$12,292$12,292$12,2921.0×
medcost - sc33$50.44$58.51$28,446564.0×
amedisys hospice13$670$670$6701.0×
beacon essential [350122]13$11,329$11,329$11,4431.0×
pai [3082]22$41,937$41,937$41,9371.0×
fidelis dual advantage [450120]12$14,030$14,030$14,0301.0×
medcost12$56.9$65.3$73.71.3×
devoted health plan [4501]22$14,573$14,573$14,5731.0×
first choice vip care plus [4833]22$15,302$15,302$15,3021.0×
devoted health plan12$17,210$17,210$17,2101.0×
sc state employees12$6,639$14,232$21,8253.3×
pruitt health12$995$6,993.16$12,99113.1×
select health of sc [4877]22$14,573$14,573$14,5731.0×
prime health12$85$8,611.77$17,139201.6×
apex health12$995$6,993.16$12,99113.1×
eon health12$995$6,993.16$12,99113.1×
nhc advantage12$995$6,993.16$12,99113.1×
agape hospice12$525$525$5251.0×
hospice care11$12,492$12,492$12,4921.0×
arcadian11$12,492$12,492$12,4921.0×
beacon health options [100023]11$11,329$11,329$11,3291.0×
beacon health options alt [100024]11$11,329$11,329$11,3291.0×
blue choice health plan11$46,881$46,881$46,8811.0×
boldage pace11$12,866$12,866$12,8661.0×
catholic health life pace [400005]11$14,030$14,030$14,0301.0×
champ va [700002]11$17,717$17,717$17,7171.0×
clover11$12,741$12,741$12,7411.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ROPER HOSPITAL INC.CHARLESTONSC10$1,980$19,079$41,937
ROPER ST. FRANCIS HOSPITAL-BERKELEYSUMMERVILLESC10$1,980$19,079$41,937
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$26,077$32.2$17,210$99,402
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$28,606$25.2$14,893$99,118
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$28,085$36.9$14,594$63,895
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC29$76,009$54,605$11,329$14,030$40,137
COLLETON MEDICAL CENTERWALTERBOROSC43$45$12,492$74,008
MCLEOD HEALTH CLARENDONMANNINGSC0
MCLEOD MEDICAL CENTER - DILLONDILLONSC0
EDGEFIELD COUNTY HEALTHCAREEDGEFIELDSC0
CONWAY HOSPITALCONWAYSC0
MCLEOD REGIONAL MEDICAL CENTERFLORENCESC0
SELF REGIONAL HEALTHCAREGREENWOODSC0
AIKEN REGIONAL MEDICAL CENTERAIKENSC0
MCLEOD LORIS SEACOAST HOSPITALLORISSC0
MCLEOD HEALTH CHERAWCHERAWSC0

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.