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Hip & femur procedures except major joint w MCC

MS-DRG 480 · negotiated-rate distribution across hospitals in SC

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Hospitals
18
Min
$19,484
Median
$25,984
Max
$54,731
Range multiplier
2.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield9130$95.00$74,433$118,2411244.6×
UnitedHealthcare977$45.00$21,712$150,0803335.1×
Medicaid136$8,427.33$9,376.81$21,9862.6×
Cigna934$25.20$22,751$57,3052274.0×
Aetna934$29.10$58.80$25,984892.9×
Medicare532$21,645$21,986$22,7511.1×
Molina517$9,143.65$21,927$45,4735.0×
Humana916$90.00$21,986$25,984288.7×
no fault [114001]114$13,232$13,232$13,2321.0×
absolute total care412$2,020.00$22,485$45,47322.5×
select health411$2,312.00$23,609$58,20525.2×
WellCare210$19,874$20,930$21,9861.1×
univera healthcare [100169]19$17,976$25,681$25,6811.4×
independent health [100165]17$17,432$25,574$27,1971.6×
clover insurance company36$22,357$23,385$27,0241.2×
univera healthcare essential [100170]15$9,143.65$9,143.65$9,143.651.0×
devoted health35$19,874$21,497$22,4851.1×
first choice vip care plus [4833]44$22,281$22,516$22,7511.0×
umr [3113]44$8,972.00$31,851$54,7316.1×
devoted health plan [4501]44$21,220$21,444$21,6671.0×
pai [3082]44$74,433$77,979$81,5241.1×
VA Health14$21,986$21,986$34,8291.6×
Multiplan44$90.00$90.00$52,638584.9×
medcost - sc33$50.44$58.51$39,677786.6×
regency hospice13$19,484$19,484$19,4841.0×
fidelis essential [100163]13$9,143.65$9,376.81$9,376.811.0×
TRICARE13$34,829$34,829$34,8291.0×
beacon essential [350122]13$8,427.33$8,427.33$8,511.611.0×
independent health essential [100166]13$9,143.65$11,206$11,2061.2×
phcs33$90.00$90.00$90.001.0×
plotkin health33$60.00$60.00$60.001.0×
amedisys hospice13$670.00$670.00$670.001.0×
federal workers compensation [500100]13$21,986$21,986$21,9861.0×
iha first choice [800001]12$21,478$21,478$21,4781.0×
agape hospice12$525.00$525.00$525.001.0×
apex health12$995.00$10,629$20,26420.4×
devoted health plan12$25,984$25,984$25,9841.0×
eon health12$995.00$10,629$20,26420.4×
fidelis dual advantage [450120]12$21,986$21,986$21,9861.0×
medcost12$56.90$65.30$73.701.3×
nhc advantage12$995.00$10,629$20,26420.4×
prime health12$85.00$13,409$26,733314.5×
pruitt health12$995.00$10,629$20,26420.4×
sc state employees12$6,639.00$22,689$38,7395.8×
select health of sc [4877]22$37,918$37,918$37,9181.0×
First Health11$90.00$90.00$90.001.0×
medical development11$29,227$29,227$29,2271.0×
fallon health [450115]11$21,986$21,986$21,9861.0×
excellus rochester mcd [350117]11$9,376.81$9,376.81$9,376.811.0×
evernorth11$80.00$80.00$80.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Roper St. Francis Hospital-BerkeleySummervilleSC10$16,804$54,731$74,433
Roper Hospital Inc.CharlestonSC10$16,804$54,731$74,433
Roper St. Francis Mt Pleasant HospitMt. PleasantSC11$8,972.00$40,630$81,524
Bon Secours St. Francis Xavier HospiCharlestonSC11$8,972.00$40,630$81,524
Hilton Head HospitalHilton Head IslandSC14$40,801$32.20$25,984$150,080
Coastal Carolina Medical CenterHardeevilleSC14$44,759$25.20$22,485$149,651
East Cooper Regional Medical CenterMt. PleasantSC14$43,943$36.90$22,035$96,470
Mary Black Memorial HospitalSpartanburgSC32$58,142$55,350$8,427.33$21,986$54,534
Colleton Medical CenterWalterboroSC43$45.00$19,484$65,129
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.