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Fractures of femur w/o MCC

MS-DRG 533 · negotiated-rate distribution across hospitals in SC

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Hospitals
18
Min
$10,004
Median
$13,987
Max
$24,147
Range multiplier
2.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield9130$95.00$45,186$49,490520.9×
UnitedHealthcare975$45.00$6,852.00$80,7881795.3×
Medicaid136$3,245.82$3,521.72$12,1633.7×
Aetna934$29.10$58.80$13,987480.7×
Cigna934$25.20$13,190$30,8481224.1×
Medicare532$12,163$12,163$13,1901.1×
Molina517$3,521.72$11,804$24,4787.0×
Humana916$90.00$12,486$13,987155.4×
no fault [114001]114$4,969.77$4,969.77$4,969.771.0×
absolute total care412$2,020.00$12,916$24,47812.1×
select health411$2,312.00$14,148$31,33213.6×
WellCare210$10,304$11,234$12,1631.2×
univera healthcare [100169]19$7,115.77$10,166$10,1661.4×
clover insurance company36$12,035$12,588$14,5471.2×
devoted health35$10,304$11,572$12,1041.2×
univera healthcare essential [100170]15$3,521.72$3,521.72$3,521.721.0×
Multiplan44$90.00$90.00$27,291303.2×
first choice vip care plus [4833]44$12,738$12,964$13,1901.0×
devoted health plan [4501]44$12,132$12,347$12,5621.0×
VA Health14$12,163$12,163$15,4871.3×
select health of sc [4877]44$12,132$17,057$21,9831.8×
pai [3082]44$45,186$47,338$49,4901.1×
umr [3113]44$6,852.00$6,852.00$6,852.001.0×
plotkin health33$60.00$60.00$60.001.0×
regency hospice13$10,102$10,102$10,1021.0×
phcs33$90.00$90.00$90.001.0×
federal workers compensation [500100]13$12,163$12,163$12,1631.0×
TRICARE13$15,487$15,487$15,4871.0×
amedisys hospice13$670.00$670.00$670.001.0×
fidelis essential [100163]13$3,521.72$3,521.72$3,521.721.0×
beacon essential [350122]13$3,245.82$3,245.82$3,278.281.0×
medcost - sc33$50.44$58.51$21,572427.7×
nhc advantage12$995.00$5,750.53$10,50610.6×
apex health12$995.00$5,750.53$10,50610.6×
agape hospice12$525.00$525.00$525.001.0×
medcost12$56.90$65.30$73.701.3×
sc state employees12$3,889.00$13,703$23,5176.0×
pruitt health12$995.00$5,750.53$10,50610.6×
prime health12$85.00$6,972.45$13,860163.1×
devoted health plan12$13,987$13,987$13,9871.0×
fidelis dual advantage [450120]12$12,163$12,163$12,1631.0×
eon health12$995.00$5,750.53$10,50610.6×
hospice care11$10,102$10,102$10,1021.0×
arcadian11$10,102$10,102$10,1021.0×
beacon health options [100023]11$3,245.82$3,245.82$3,245.821.0×
beacon health options alt [100024]11$3,245.82$3,245.82$3,245.821.0×
blue choice health plan11$8,468.68$8,468.68$8,468.681.0×
boldage pace11$10,405$10,405$10,4051.0×
catholic health life pace [400005]11$12,163$12,163$12,1631.0×
champ va [700002]11$15,487$15,487$15,4871.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Roper St. Francis Mt Pleasant HospitMt. PleasantSC11$6,852.00$24,147$49,490
Bon Secours St. Francis Xavier HospiCharlestonSC11$6,852.00$24,147$49,490
Roper St. Francis Hospital-BerkeleySummervilleSC11$1,980.00$19,301$45,186
Roper Hospital Inc.CharlestonSC11$1,980.00$19,301$45,186
Hilton Head HospitalHilton Head IslandSC14$26,265$32.20$13,987$80,788
Coastal Carolina Medical CenterHardeevilleSC14$28,813$25.20$12,104$80,558
East Cooper Regional Medical CenterMt. PleasantSC14$28,287$36.90$11,861$51,930
Colleton Medical CenterWalterboroSC43$45.00$10,102$27,291
Mary Black Memorial HospitalSpartanburgSC29$10,528$9,320.05$3,245.82$10,004$30,169
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.