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Hip & femur procedures except major joint w CC

MS-DRG 481 · negotiated-rate distribution across hospitals in SC

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Hospitals
18
Min
$13,746
Median
$18,688
Max
$39,362
Range multiplier
2.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield9130$95.00$54,426$65,160685.9×
UnitedHealthcare977$45.00$38,371$107,9362398.6×
Medicaid136$8,199.58$8,896.55$15,4701.9×
Aetna934$29.10$58.80$18,688642.2×
Cigna934$25.20$16,935$41,2131635.5×
Medicare532$15,470$15,470$16,9351.1×
Molina517$8,896.55$15,770$32,7043.7×
Humana916$90.00$16,140$18,688207.6×
no fault [114001]114$12,555$12,555$12,5551.0×
absolute total care412$2,020.00$16,171$32,70416.2×
select health411$2,312.00$16,980$41,86118.1×
WellCare210$14,021$14,746$15,4701.1×
univera healthcare [100169]19$17,976$25,681$25,6811.4×
clover insurance company36$16,079$16,818$19,4351.2×
devoted health35$14,021$15,461$16,1711.2×
univera healthcare essential [100170]15$8,896.55$8,896.55$8,896.551.0×
Multiplan44$90.00$90.00$37,137412.6×
first choice vip care plus [4833]44$16,477$16,706$16,9351.0×
devoted health plan [4501]44$15,692$15,911$16,1291.0×
VA Health14$15,470$15,470$23,3761.5×
select health of sc [4877]44$15,692$21,959$28,2261.8×
pai [3082]44$54,426$57,018$59,6101.1×
umr [3113]44$39,362$39,362$39,3621.0×
plotkin health33$60.00$60.00$60.001.0×
regency hospice13$13,746$13,746$13,7461.0×
phcs33$90.00$90.00$90.001.0×
federal workers compensation [500100]13$15,470$15,470$15,4701.0×
TRICARE13$23,376$23,376$23,3761.0×
amedisys hospice13$670.00$670.00$670.001.0×
fidelis essential [100163]13$8,896.55$8,896.55$8,896.551.0×
beacon essential [350122]13$8,199.58$8,199.58$8,281.591.0×
medcost - sc33$50.44$58.51$25,354502.7×
nhc advantage12$995.00$7,645.65$14,29614.4×
apex health12$995.00$7,645.65$14,29614.4×
agape hospice12$525.00$525.00$525.001.0×
medcost12$56.90$65.30$73.701.3×
sc state employees12$6,639.00$17,483$28,3264.3×
pruitt health12$995.00$7,645.65$14,29614.4×
prime health12$85.00$9,472.56$18,860221.9×
devoted health plan12$18,688$18,688$18,6881.0×
fidelis dual advantage [450120]12$15,470$15,470$15,4701.0×
eon health12$995.00$7,645.65$14,29614.4×
hospice care11$13,746$13,746$13,7461.0×
arcadian11$13,746$13,746$13,7461.0×
beacon health options [100023]11$8,199.58$8,199.58$8,199.581.0×
beacon health options alt [100024]11$8,199.58$8,199.58$8,199.581.0×
blue choice health plan11$33,062$33,062$33,0621.0×
boldage pace11$14,159$14,159$14,1591.0×
catholic health life pace [400005]11$15,470$15,470$15,4701.0×
champ va [700002]11$23,376$23,376$23,3761.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Roper St. Francis Mt Pleasant HospitMt. PleasantSC11$16,129$39,362$59,610
Roper St. Francis Hospital-BerkeleySummervilleSC11$12,085$39,362$54,426
Roper Hospital Inc.CharlestonSC11$12,085$39,362$54,426
Bon Secours St. Francis Xavier HospiCharlestonSC11$16,129$39,362$59,610
Hilton Head HospitalHilton Head IslandSC14$30,620$32.20$18,688$107,936
Coastal Carolina Medical CenterHardeevilleSC14$33,590$25.20$16,171$107,628
East Cooper Regional Medical CenterMt. PleasantSC14$32,978$36.90$15,847$69,380
Mary Black Memorial HospitalSpartanburgSC29$46,751$42,425$8,199.58$15,470$38,371
Colleton Medical CenterWalterboroSC43$45.00$13,746$60,952
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.