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Kidney/UTI w MCC

MS-DRG 689 · negotiated-rate distribution across hospitals in SC

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Hospitals
18
Min
$7,754.03
Median
$10,353
Max
$22,418
Range multiplier
2.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield9112$95$20,468$28,586300.9×
UnitedHealthcare961$45$7,754.03$59,7941328.7×
Medicaid136$3,050.59$3,309.9$8,756.062.9×
Aetna730$29.1$54.4$10,353355.8×
Medicare530$8,756.06$8,756.06$9,998.631.1×
Cigna926$25.2$9,846.82$22,831906.0×
Molina517$3,309.9$8,736.18$18,1175.5×
no fault [114001]114$4,670.86$4,670.86$4,670.861.0×
Humana914$90$9,309.12$10,353115.0×
absolute total care412$2,020$9,655.47$18,1179.0×
select health410$8,993.12$10,870$38,5484.3×
WellCare210$7,909.11$8,332.59$8,756.061.1×
univera healthcare [100169]19$6,687.78$9,554.39$9,554.391.4×
clover insurance company36$8,907.48$9,316.75$10,7671.2×
devoted health35$7,909.11$8,564.88$8,958.411.1×
univera healthcare essential [100170]15$3,309.9$3,309.9$3,309.91.0×
Multiplan44$90$90$20,948232.8×
first choice vip care plus [4833]44$9,846.82$10,070$10,2931.0×
devoted health plan [4501]44$9,377.92$9,590.25$9,802.581.0×
VA Health14$8,756.06$8,756.06$9,418.541.1×
select health of sc [4877]44$9,377.92$13,266$17,1551.8×
pai [3082]44$20,468$21,443$22,4181.1×
umr [3113]44$5,738$13,772$21,8063.8×
plotkin health33$60$60$601.0×
regency hospice13$7,754.03$7,754.03$7,754.031.0×
phcs33$90$90$901.0×
federal workers compensation [500100]13$8,756.06$8,756.06$8,756.061.0×
TRICARE13$9,418.54$9,418.54$9,418.541.0×
amedisys hospice13$670$670$6701.0×
fidelis essential [100163]13$3,309.9$3,309.9$3,309.91.0×
beacon essential [350122]13$3,050.59$3,050.59$3,081.11.0×
medcost - sc33$50.44$58.51$16,729331.7×
nhc advantage12$995$4,529.6$8,064.198.1×
apex health12$995$4,529.6$8,064.198.1×
agape hospice12$525$525$5251.0×
medcost12$56.9$65.3$73.71.3×
sc state employees12$3,889$7,270.5$10,6522.7×
pruitt health12$995$4,529.6$8,064.198.1×
prime health12$85$5,361.77$10,639125.2×
devoted health plan12$10,353$10,353$10,3531.0×
fidelis dual advantage [450120]12$8,756.06$8,756.06$8,756.061.0×
eon health12$995$4,529.6$8,064.198.1×
hospice care11$7,754.03$7,754.03$7,754.031.0×
arcadian11$7,754.03$7,754.03$7,754.031.0×
beacon health options [100023]11$3,050.59$3,050.59$3,050.591.0×
beacon health options alt [100024]11$3,050.59$3,050.59$3,050.591.0×
blue choice health plan11$10,360$10,360$10,3601.0×
boldage pace11$7,986.65$7,986.65$7,986.651.0×
catholic health life pace [400005]11$8,756.06$8,756.06$8,756.061.0×
champ va [700002]11$9,418.54$9,418.54$9,418.541.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$12,391$25.2$8,958.41$59,623
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$12,165$36.9$8,779.01$38,435
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC29$36,619$18,071$3,050.59$8,756.06$21,718
COLLETON MEDICAL CENTERWALTERBOROSC43$45$7,754.03$38,548
BON SECOURS ST. FRANCIS XAVIER HOSPICHARLESTONSC10$9,802.58$22,418$22,831
ROPER ST. FRANCIS MT PLEASANT HOSPITMT. PLEASANTSC10$9,802.58$22,418$22,831
ROPER HOSPITAL INC.CHARLESTONSC11$5,738$10,780$22,831
ROPER ST. FRANCIS HOSPITAL-BERKELEYSUMMERVILLESC11$5,738$10,780$22,831
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$11,295$32.2$10,353$59,794
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.