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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$54,426$65,160685.9×
UnitedHealthcare977$45$38,371$107,9362398.6×
Medicaid136$8,199.58$8,896.55$15,4701.9×
Aetna934$29.1$58.8$18,688642.2×
Cigna934$25.2$16,935$41,2131635.5×
Medicare532$15,470$15,470$16,9351.1×
Molina517$8,896.55$15,770$32,7043.7×
Humana916$90$16,140$18,688207.6×
no fault [114001]114$12,555$12,555$12,5551.0×
absolute total care412$2,020$16,171$32,70416.2×
select health411$2,312$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$90$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$60$601.0×
regency hospice13$13,746$13,746$13,7461.0×
phcs33$90$90$901.0×
federal workers compensation [500100]13$15,470$15,470$15,4701.0×
TRICARE13$23,376$23,376$23,3761.0×
amedisys hospice13$670$670$6701.0×
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$7,645.65$14,29614.4×
apex health12$995$7,645.65$14,29614.4×
agape hospice12$525$525$5251.0×
medcost12$56.9$65.3$73.71.3×
sc state employees12$6,639$17,483$28,3264.3×
pruitt health12$995$7,645.65$14,29614.4×
prime health12$85$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$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$32.2$18,688$107,936
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$33,590$25.2$16,171$107,628
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$32,978$36.9$15,847$69,380
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC29$46,751$42,425$8,199.58$15,470$38,371
COLLETON MEDICAL CENTERWALTERBOROSC43$45$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.