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CPT 70470 · negotiated-rate distribution across hospitals in SC
Hospitals
16
Min
$80.00
Median
$166.40
Max
$168.85
Range multiplier
2.1×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Medicaid | 1 | 188 | $47.71 | $106.40 | $200.75 | 4.2× |
| Blue Cross Blue Shield | 5 | 185 | $53.37 | $136.64 | $2,519.91 | 47.2× |
| Medicare | 1 | 141 | $57.24 | $112.00 | $287.16 | 5.0× |
| UnitedHealthcare | 5 | 115 | $40.74 | $111.84 | $458.58 | 11.3× |
| no fault [114001] | 1 | 84 | $139.02 | $417.07 | $556.10 | 4.0× |
| independent health [100165] | 1 | 56 | $63.31 | $153.49 | $475.38 | 7.5× |
| univera healthcare [100169] | 1 | 54 | $50.69 | $139.19 | $210.76 | 4.2× |
| Molina | 4 | 48 | $120.08 | $295.88 | $493.13 | 4.1× |
| Aetna | 5 | 33 | $29.10 | $58.80 | $178.71 | 6.1× |
| WellCare | 1 | 30 | $61.11 | $117.60 | $187.22 | 3.1× |
| Cigna | 5 | 30 | $25.20 | $137.20 | $278.00 | 11.0× |
| Humana | 5 | 26 | $61.11 | $117.60 | $369.82 | 6.1× |
| fidelis essential [100163] | 1 | 24 | $64.02 | $155.21 | $493.13 | 7.7× |
| independent health essential [100166] | 1 | 24 | $53.37 | $148.78 | $237.46 | 4.4× |
| univera healthcare essential [100170] | 1 | 24 | $50.69 | $123.95 | $263.00 | 5.2× |
| TRICARE | 1 | 18 | $58.20 | $112.00 | $170.20 | 2.9× |
| VA Health | 1 | 18 | $49.47 | $95.20 | $144.67 | 2.9× |
| beacon essential [350122] | 1 | 18 | $52.38 | $134.40 | $204.24 | 3.9× |
| federal workers compensation [500100] | 1 | 18 | $139.02 | $417.07 | $556.10 | 4.0× |
| iha first choice [800001] | 1 | 16 | $63.31 | $153.49 | $619.16 | 9.8× |
| absolute total care | 4 | 14 | $18.00 | $216.16 | $388.31 | 21.6× |
| fidelis dual advantage [450120] | 1 | 12 | $61.11 | $117.60 | $178.71 | 2.9× |
| amerigroup [350102] | 1 | 12 | $53.37 | $127.06 | $200.75 | 3.8× |
| select health | 3 | 12 | $171.30 | $241.45 | $369.82 | 2.2× |
| hospice [550001] | 1 | 12 | $58.20 | $112.00 | $170.20 | 2.9× |
| ghi [100153] | 1 | 8 | $55.29 | $109.20 | $170.20 | 3.1× |
| covid19 hrsa [45013] | 1 | 6 | $58.20 | $112.00 | $170.20 | 2.9× |
| clover insurance company | 3 | 6 | $169.67 | $169.67 | $169.67 | 1.0× |
| upmc health plan [100181] | 1 | 6 | $104.76 | $201.60 | $306.36 | 2.9× |
| mvp healthcare [100168] | 1 | 6 | $78.89 | $152.83 | $231.72 | 2.9× |
| fidelis exchange [100164] | 1 | 6 | $69.84 | $134.40 | $204.23 | 2.9× |
| fallon health [450115] | 1 | 6 | $58.20 | $112.00 | $170.20 | 2.9× |
| catholic health life pace [400005] | 1 | 6 | $58.20 | $112.00 | $170.20 | 2.9× |
| seneca nation [450119] | 1 | 6 | $58.20 | $112.00 | $170.20 | 2.9× |
| champ va [700002] | 1 | 6 | $58.20 | $112.00 | $170.20 | 2.9× |
| beacon health options [100023] | 1 | 6 | $69.84 | $134.40 | $204.24 | 2.9× |
| devoted health | 2 | 4 | $163.14 | $163.14 | $163.14 | 1.0× |
| tuscarora nation [550120] | 1 | 4 | $53.37 | $127.06 | $200.75 | 3.8× |
| vna option mltc [350110] | 1 | 4 | $53.37 | $127.06 | $200.75 | 3.8× |
| excellus rochester mcd [350117] | 1 | 4 | $53.37 | $127.06 | $200.75 | 3.8× |
| crime victims [100176] | 1 | 4 | $53.37 | $127.06 | $200.75 | 3.8× |
| Multiplan | 4 | 4 | $85.00 | $90.00 | $90.00 | 1.1× |
| plotkin health | 3 | 3 | $60.00 | $60.00 | $60.00 | 1.0× |
| medcost - sc | 3 | 3 | $50.44 | $56.53 | $58.51 | 1.2× |
| phcs | 3 | 3 | $90.00 | $90.00 | $90.00 | 1.0× |
| medcost | 1 | 2 | $56.90 | $65.30 | $73.70 | 1.3× |
| devoted health plan | 1 | 2 | $163.14 | $163.14 | $163.14 | 1.0× |
| prime health | 1 | 1 | $85.00 | $85.00 | $85.00 | 1.0× |
| pruitt health | 1 | 1 | $19.00 | $19.00 | $19.00 | 1.0× |
| sc state employees | 1 | 1 | $591.01 | $591.01 | $591.01 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Colleton Medical Center | Walterboro | SC | 24 | $5,193.00 | $5,193.00 | $18.00 | $80.00 | $1,881.69 |
| East Cooper Regional Medical Center | Mt. Pleasant | SC | 14 | — | $597.30 | $36.90 | $168.85 | $1,660.91 |
| Coastal Carolina Medical Center | Hardeeville | SC | 14 | — | $597.30 | $25.20 | $166.40 | $2,234.13 |
| Hilton Head Hospital | Hilton Head Island | SC | 14 | — | $597.30 | $32.20 | $166.40 | $2,519.91 |
| Mary Black Memorial Hospital | Spartanburg | SC | 37 | $828.00 | $583.90 | $40.74 | $136.64 | $619.16 |
| Roper St. Francis Mt Pleasant Hospit | Mt. Pleasant | SC | 0 | $1,973.00 | $1,282.45 | — | — | — |
| Mcleod Loris Seacoast Hospital | Loris | SC | 0 | $3,510.00 | $2,492.10 | — | — | — |
| Mcleod Health Cheraw | Cheraw | SC | 0 | $3,510.00 | $2,492.10 | — | — | — |
| Mcleod Health Clarendon | Manning | SC | 0 | $3,510.00 | $2,492.10 | — | — | — |
| Roper St. Francis Hospital-Berkeley | Summerville | SC | 0 | $1,973.00 | $1,282.45 | — | — | — |
| Mcleod Medical Center - Dillon | Dillon | SC | 0 | $3,510.00 | $2,492.10 | — | — | — |
| Edgefield County Healthcare | Edgefield | SC | 0 | $2,800.00 | $1,680.00 | — | — | — |
| Mcleod Regional Medical Center | Florence | SC | 0 | $3,510.00 | $2,492.10 | — | — | — |
| Bon Secours St. Francis Xavier Hospi | Charleston | SC | 0 | $1,973.00 | $1,282.45 | — | — | — |
| Self Regional Healthcare | Greenwood | SC | 0 | $2,800.00 | $1,680.00 | — | — | — |
| Roper Hospital Inc. | Charleston | SC | 0 | $1,973.00 | $1,282.45 | — | — | — |
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.