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Vitrectomy mechanical

CPT 67042 · negotiated-rate distribution across hospitals in SC

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Hospitals
10
Min
$1,086.53
Median
$3,844.4
Max
$4,950
Range multiplier
4.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid174$637.04$637.04$1,086.531.7×
Blue Cross Blue Shield572$637.04$1,371.66$14,59522.9×
UnitedHealthcare546$760.57$1,247.02$32,45642.7×
Medicare144$1,068.66$1,086.53$1,195.181.1×
no fault [114001]128$3,129.09$3,129.09$3,129.091.0×
Aetna426$29.1$50$3,844.4132.1×
Molina424$1,339.05$1,433.33$6,727.75.0×
univera healthcare [100169]118$934.13$1,483.61$1,483.611.6×
Cigna415$25.2$1,575.47$14,366570.1×
independent health [100165]114$1,298.78$1,298.78$1,298.781.0×
absolute total care414$1,406$3,844.4$6,343.264.5×
select health413$1,339.05$4,036.62$8,611.466.4×
Humana412$1,140.86$1,239.96$3,844.43.4×
WellCare110$1,140.86$1,140.86$1,195.181.0×
clover insurance company36$3,998.18$3,998.18$3,998.181.0×
amerigroup [350102]16$637.04$637.04$637.041.0×
beacon essential [350122]16$977.88$1,303.84$1,303.841.3×
federal workers compensation [500100]16$3,129.09$3,129.09$3,129.091.0×
fidelis essential [100163]16$1,195.18$1,195.18$1,195.181.0×
independent health essential [100166]16$637.04$637.04$637.041.0×
TRICARE16$1,086.53$1,086.53$1,086.531.0×
univera healthcare essential [100170]16$934.13$934.13$934.131.0×
VA Health16$977.88$977.88$977.881.0×
devoted health24$3,844.4$3,844.4$3,844.41.0×
hospice [550001]14$1,086.53$1,086.53$1,086.531.0×
fidelis dual advantage [450120]14$1,140.86$1,140.86$1,140.861.0×
iha first choice [800001]14$1,298.78$1,298.78$1,298.781.0×
phcs33$90$90$901.0×
plotkin health33$60$60$601.0×
Multiplan33$90$90$901.0×
medcost - sc33$50.44$56.53$58.511.2×
fidelis exchange [100164]12$1,303.84$1,303.84$1,303.841.0×
devoted health plan12$3,844.4$3,844.4$3,844.41.0×
upmc health plan [100181]12$1,955.75$1,955.75$1,955.751.0×
crime victims [100176]12$637.04$637.04$637.041.0×
covid19 hrsa [45013]12$1,086.53$1,086.53$1,086.531.0×
champ va [700002]12$1,086.53$1,086.53$1,086.531.0×
mvp healthcare [100168]12$1,409.77$1,409.77$1,409.771.0×
catholic health life pace [400005]12$1,086.53$1,086.53$1,086.531.0×
excellus rochester mcd [350117]12$637.04$637.04$637.041.0×
fallon health [450115]12$1,086.53$1,086.53$1,086.531.0×
beacon health options [100023]12$1,303.84$1,303.84$1,303.841.0×
vna option mltc [350110]12$637.04$637.04$637.041.0×
ghi [100153]12$1,195.18$1,195.18$1,195.181.0×
seneca nation [450119]12$1,086.53$1,086.53$1,086.531.0×
tuscarora nation [550120]12$637.04$637.04$637.041.0×
blue choice12$1,660.42$2,075.53$2,490.631.5×
pruitt health11$4,950$4,950$4,9501.0×
sc state employees11$3,446.02$3,446.02$3,446.021.0×
blue choice health plan11$7,385.63$7,385.63$7,385.631.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
COLLETON MEDICAL CENTERWALTERBOROSC10$1,660.42$4,950$14,595
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$3,614.35$36.9$3,844.4$24,352
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$3,614.35$25.2$3,844.4$32,101
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$3,614.35$32.2$3,844.4$32,456
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC37$3,285.54$3,285.54$637.04$1,086.53$3,129.09
MCLEOD HEALTH CLARENDONMANNINGSC0
MCLEOD REGIONAL MEDICAL CENTERFLORENCESC0
MCLEOD LORIS SEACOAST HOSPITALLORISSC0
MCLEOD HEALTH CHERAWCHERAWSC0
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.