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CPT 73130 · negotiated-rate distribution across hospitals in SC
Hospitals
16
Min
$27.41
Median
$80.94
Max
$80.94
Range multiplier
3.0×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Medicaid | 1 | 223 | $6.62 | $22.14 | $108.51 | 16.4× |
| Blue Cross Blue Shield | 5 | 189 | $6.47 | $25.14 | $280.35 | 43.3× |
| Medicare | 1 | 146 | $7.98 | $27.41 | $157.48 | 19.7× |
| UnitedHealthcare | 5 | 119 | $5.68 | $23.30 | $182.03 | 32.0× |
| no fault [114001] | 1 | 98 | $24.88 | $37.32 | $62.20 | 2.5× |
| independent health [100165] | 1 | 63 | $8.83 | $38.64 | $260.70 | 29.5× |
| univera healthcare [100169] | 1 | 54 | $7.03 | $33.21 | $43.13 | 6.1× |
| Molina | 4 | 54 | $16.72 | $28.16 | $141.65 | 8.5× |
| Aetna | 5 | 51 | $8.11 | $36.00 | $80.94 | 10.0× |
| WellCare | 1 | 30 | $8.40 | $28.37 | $39.07 | 4.7× |
| Cigna | 5 | 30 | $8.11 | $35.52 | $83.37 | 10.3× |
| univera healthcare essential [100170] | 1 | 29 | $7.03 | $21.82 | $30.55 | 4.3× |
| independent health essential [100166] | 1 | 27 | $7.43 | $33.28 | $130.22 | 17.5× |
| fidelis essential [100163] | 1 | 27 | $7.30 | $28.41 | $42.63 | 5.8× |
| Humana | 5 | 26 | $8.11 | $27.91 | $90.00 | 11.1× |
| beacon essential [350122] | 1 | 19 | $7.30 | $31.97 | $42.62 | 5.8× |
| federal workers compensation [500100] | 1 | 18 | $24.88 | $37.32 | $62.20 | 2.5× |
| iha first choice [800001] | 1 | 18 | $8.83 | $38.64 | $169.88 | 19.2× |
| VA Health | 1 | 18 | $8.11 | $27.41 | $35.52 | 4.4× |
| TRICARE | 1 | 18 | $8.11 | $27.41 | $35.52 | 4.4× |
| absolute total care | 4 | 15 | $15.20 | $80.94 | $152.04 | 10.0× |
| amerigroup [350102] | 1 | 15 | $7.43 | $18.18 | $33.28 | 4.5× |
| hospice [550001] | 1 | 14 | $8.11 | $27.41 | $41.12 | 5.1× |
| fidelis dual advantage [450120] | 1 | 12 | $8.40 | $28.37 | $36.77 | 4.4× |
| select health | 3 | 12 | $27.91 | $84.99 | $181.31 | 6.5× |
| mvp healthcare [100168] | 1 | 6 | $10.92 | $31.06 | $41.98 | 3.8× |
| catholic health life pace [400005] | 1 | 6 | $8.11 | $27.41 | $35.52 | 4.4× |
| champ va [700002] | 1 | 6 | $8.11 | $27.41 | $35.52 | 4.4× |
| Meritain Health | 1 | 6 | $8.11 | $27.41 | $35.52 | 4.4× |
| upmc health plan [100181] | 1 | 6 | $9.50 | $20.58 | $30.08 | 3.2× |
| covid19 hrsa [45013] | 1 | 6 | $8.11 | $27.41 | $35.52 | 4.4× |
| fallon health [450115] | 1 | 6 | $8.11 | $27.41 | $35.52 | 4.4× |
| fidelis exchange [100164] | 1 | 6 | $9.74 | $32.89 | $42.63 | 4.4× |
| beacon health options [100023] | 1 | 6 | $9.73 | $32.89 | $42.62 | 4.4× |
| ghi [100153] | 1 | 6 | $7.71 | $26.04 | $33.75 | 4.4× |
| seneca nation [450119] | 1 | 6 | $8.11 | $27.41 | $35.52 | 4.4× |
| clover insurance company | 3 | 6 | $84.18 | $84.18 | $84.18 | 1.0× |
| magnacare [100142] | 1 | 6 | $8.11 | $27.41 | $35.52 | 4.4× |
| crime victims [100176] | 1 | 5 | $7.43 | $18.18 | $33.28 | 4.5× |
| excellus rochester mcd [350117] | 1 | 5 | $7.43 | $18.18 | $33.28 | 4.5× |
| tuscarora nation [550120] | 1 | 5 | $7.43 | $18.18 | $33.28 | 4.5× |
| vna option mltc [350110] | 1 | 4 | $7.43 | $20.36 | $33.28 | 4.5× |
| Multiplan | 4 | 4 | $85.00 | $90.00 | $90.00 | 1.1× |
| devoted health | 2 | 4 | $80.94 | $80.94 | $80.94 | 1.0× |
| medcost - sc | 3 | 3 | $50.44 | $56.53 | $58.51 | 1.2× |
| plotkin health | 3 | 3 | $60.00 | $60.00 | $60.00 | 1.0× |
| 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 | $80.94 | $80.94 | $80.94 | 1.0× |
| healthsmart preferred care | 1 | 1 | $80.00 | $80.00 | $80.00 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| East Cooper Regional Medical Center | Mt. Pleasant | SC | 14 | — | $62.71 | $27.91 | $80.94 | $217.73 |
| Coastal Carolina Medical Center | Hardeeville | SC | 14 | — | $62.71 | $25.20 | $80.94 | $225.32 |
| Hilton Head Hospital | Hilton Head Island | SC | 14 | — | $62.71 | $27.91 | $80.94 | $254.14 |
| Colleton Medical Center | Walterboro | SC | 25 | $1,354.00 | $1,354.00 | $15.20 | $68.63 | $280.35 |
| Mary Black Memorial Hospital | Spartanburg | SC | 39 | $303.15 | $303.15 | $5.68 | $27.41 | $260.70 |
| Roper St. Francis Mt Pleasant Hospit | Mt. Pleasant | SC | 0 | $623.00 | $404.95 | — | — | — |
| Mcleod Loris Seacoast Hospital | Loris | SC | 0 | $684.00 | $485.64 | — | — | — |
| Mcleod Health Cheraw | Cheraw | SC | 0 | $684.00 | $485.64 | — | — | — |
| Mcleod Health Clarendon | Manning | SC | 0 | $684.00 | $485.64 | — | — | — |
| Roper St. Francis Hospital-Berkeley | Summerville | SC | 0 | $623.00 | $404.95 | — | — | — |
| Mcleod Medical Center - Dillon | Dillon | SC | 0 | $684.00 | $485.64 | — | — | — |
| Edgefield County Healthcare | Edgefield | SC | 0 | $368.72 | $221.23 | — | — | — |
| Mcleod Regional Medical Center | Florence | SC | 0 | $684.00 | $485.64 | — | — | — |
| Bon Secours St. Francis Xavier Hospi | Charleston | SC | 0 | $623.00 | $404.95 | — | — | — |
| Self Regional Healthcare | Greenwood | SC | 0 | $368.72 | $221.23 | — | — | — |
| Roper Hospital Inc. | Charleston | SC | 0 | $623.00 | $404.95 | — | — | — |
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.