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CPT 81003 · negotiated-rate distribution across hospitals in SC

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Hospitals
16
Min
$2.05
Median
$3.38
Max
$6.75
Range multiplier
3.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield5100$1.48$2.00$95.0064.2×
Medicaid181$1.97$2.02$2.251.1×
UnitedHealthcare564$1.01$2.16$54.6054.1×
Medicare149$1.83$2.25$2.801.5×
no fault [114001]142$5.23$5.87$5.871.1×
Molina532$2.02$2.30$6.753.3×
Aetna529$2.25$50.00$65.5029.1×
univera healthcare [100169]127$1.91$2.70$3.331.7×
independent health [100165]121$1.76$1.89$2.321.3×
WellCare220$2.29$2.36$2.481.1×
Humana519$1.92$2.25$90.0046.9×
Cigna517$2.25$2.80$67.7030.1×
absolute total care415$2.25$3.05$18.008.0×
select health312$2.36$2.63$5.042.1×
univera healthcare essential [100170]111$1.91$1.91$2.421.3×
VA Health110$1.35$1.35$2.251.7×
federal workers compensation [500100]19$2.17$5.87$5.872.7×
independent health essential [100166]19$1.97$2.02$2.021.0×
fidelis essential [100163]19$2.48$2.48$4.551.8×
iha first choice [800001]16$1.76$1.89$1.891.1×
amerigroup [350102]16$2.02$2.02$2.021.0×
clover insurance company36$2.34$2.34$2.341.0×
fidelis dual advantage [450120]16$2.33$2.36$2.361.0×
devoted health35$2.25$2.25$2.251.0×
hospice [550001]14$2.25$2.25$2.251.0×
Multiplan44$85.00$90.00$90.001.1×
plotkin health33$60.00$60.00$60.001.0×
fidelis exchange [100164]13$2.70$2.70$3.381.3×
TRICARE13$2.25$2.25$2.251.0×
medcost - sc33$50.44$56.53$58.511.2×
phcs33$90.00$90.00$90.001.0×
tuscarora nation [550120]12$2.02$2.02$2.021.0×
crime victims [100176]12$2.02$2.02$2.021.0×
covid19 hrsa [45013]12$2.25$2.25$2.251.0×
excellus rochester mcd [350117]12$2.02$2.02$2.021.0×
medcost12$56.90$65.30$73.701.3×
devoted health plan12$2.25$2.25$2.251.0×
fallon health [450115]12$2.25$2.25$2.251.0×
seneca nation [450119]12$2.25$2.25$2.251.0×
prime health12$3.09$44.05$85.0027.5×
vna option mltc [350110]12$2.02$2.02$2.021.0×
north american administrators11$85.00$85.00$85.001.0×
novanet11$90.00$90.00$90.001.0×
odyssey hospice11$2.25$2.25$2.251.0×
pruitt health11$19.00$19.00$19.001.0×
sc state employees11$12.49$12.49$12.491.0×
blue choice health plan11$11.23$11.23$11.231.0×
seven corners11$3.94$3.94$3.941.0×
blue choice11$2.90$2.90$2.901.0×
beacon essential [350122]11$2.06$2.06$2.061.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Colleton Medical CenterWalterboroSC41$163.00$163.00$1.92$6.75$95.00
Coastal Carolina Medical CenterHardeevilleSC14$10.69$2.25$3.38$90.00
Hilton Head HospitalHilton Head IslandSC14$10.69$2.25$3.38$90.00
East Cooper Regional Medical CenterMt. PleasantSC14$10.69$2.25$2.90$90.00
Mary Black Memorial HospitalSpartanburgSC34$13.92$13.92$1.01$2.05$5.87
Roper St. Francis Mt Pleasant HospitMt. PleasantSC0$96.00$62.40
Mcleod Loris Seacoast HospitalLorisSC0$129.00$91.59
Mcleod Health CherawCherawSC0$129.00$91.59
Mcleod Health ClarendonManningSC0$129.00$91.59
Roper St. Francis Hospital-BerkeleySummervilleSC0$96.00$62.40
Mcleod Medical Center - DillonDillonSC0$129.00$91.59
Edgefield County HealthcareEdgefieldSC0$80.92$48.55
Mcleod Regional Medical CenterFlorenceSC0$129.00$91.59
Bon Secours St. Francis Xavier HospiCharlestonSC0$96.00$62.40
Self Regional HealthcareGreenwoodSC0$80.92$48.55
Roper Hospital Inc.CharlestonSC0$96.00$62.40

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.