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Kidney/UTI w/o MCC

MS-DRG 690 · negotiated-rate distribution across hospitals in SC

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Hospitals
18
Min
$5,317.31
Median
$7,222.59
Max
$14,626
Range multiplier
2.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield9131$95.00$13,353$20,740218.3×
UnitedHealthcare977$45.00$6,035.16$41,716927.0×
Cigna936$25.20$7,618.78$15,929632.1×
Medicaid136$2,922.13$3,170.52$6,016.062.1×
Aetna934$29.10$58.80$7,686.88264.2×
Medicare532$6,016.06$6,016.06$7,798.291.3×
Molina517$3,170.52$6,094.92$12,6404.0×
Humana916$90.00$7,224.61$7,629.2284.8×
no fault [114001]114$4,474.16$4,474.16$4,474.161.0×
absolute total care412$2,020.00$6,736.28$13,7296.8×
select health410$6,274.18$7,583.72$21,9623.5×
WellCare210$5,423.66$5,719.86$6,016.061.1×
univera healthcare [100169]19$6,687.78$9,554.39$9,554.391.4×
independent health [100165]17$6,485.54$9,514.64$10,1181.6×
clover insurance company36$6,214.43$6,499.96$7,511.491.2×
univera healthcare essential [100170]15$3,170.52$3,170.52$3,170.521.0×
devoted health35$5,423.66$5,975.41$6,249.961.2×
umr [3113]44$5,433.00$10,323$15,2132.8×
first choice vip care plus [4833]44$7,357.09$7,577.69$7,798.291.1×
select health of sc [4877]44$7,006.75$10,002$12,9971.9×
devoted health plan [4501]44$7,006.75$7,216.85$7,426.941.1×
pai [3082]44$13,353$13,990$14,6261.1×
VA Health14$5,145.86$6,016.06$6,016.061.2×
Multiplan44$90.00$90.00$14,365159.6×
phcs33$90.00$90.00$90.001.0×
fidelis essential [100163]13$3,170.52$3,170.52$3,170.521.0×
amerigroup [350102]13$3,170.52$3,170.52$3,170.521.0×
medcost - sc33$50.44$58.51$10,638210.9×
TRICARE13$5,145.86$5,145.86$5,145.861.0×
beacon essential [350122]13$2,922.13$2,922.13$2,951.361.0×
federal workers compensation [500100]13$6,016.06$6,016.06$6,016.061.0×
plotkin health33$60.00$60.00$60.001.0×
regency hospice13$5,317.31$5,317.31$5,317.311.0×
amedisys hospice13$670.00$670.00$670.001.0×
independent health essential [100166]13$3,170.52$3,804.62$3,804.621.2×
fidelis dual advantage [450120]12$6,016.06$6,016.06$6,016.061.0×
agape hospice12$525.00$525.00$525.001.0×
apex health12$995.00$3,262.51$5,530.015.6×
devoted health plan12$7,222.59$7,222.59$7,222.591.0×
eon health12$995.00$3,262.51$5,530.015.6×
hospice [550001]12$1,063.88$1,063.88$1,063.881.0×
iha first choice [800001]12$7,990.65$7,990.65$7,990.651.0×
medcost12$56.90$65.30$73.701.3×
nhc advantage12$995.00$3,262.51$5,530.015.6×
prime health12$85.00$3,690.18$7,295.3585.8×
pruitt health12$995.00$3,262.51$5,530.015.6×
sc state employees12$3,889.00$5,419.50$6,950.001.8×
universal healthcare group11$5,742.70$5,742.70$5,742.701.0×
galaxy health network11$90.00$90.00$90.001.0×
First Health11$90.00$90.00$90.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Roper Hospital Inc.CharlestonSC11$4,670.82$7,499.85$15,929
Roper St. Francis Hospital-BerkeleySummervilleSC11$4,670.82$7,499.85$15,929
Hilton Head HospitalHilton Head IslandSC14$7,957.00$32.20$7,222.59$41,716
Coastal Carolina Medical CenterHardeevilleSC14$8,728.83$25.20$6,249.96$41,597
East Cooper Regional Medical CenterMt. PleasantSC14$8,569.69$36.90$6,124.80$26,815
Mary Black Memorial HospitalSpartanburgSC36$25,512$13,651$1,063.88$6,016.06$14,922
Colleton Medical CenterWalterboroSC43$45.00$5,317.31$21,962
Bon Secours St. Francis Xavier HospiCharlestonSC11$7,426.94$14,626$15,929
Roper St. Francis Mt Pleasant HospitMt. PleasantSC11$7,426.94$14,626$15,929
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.