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Urine culture bacterial

CPT 87086 · negotiated-rate distribution across hospitals in SC

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Hospitals
16
Min
$8.31
Median
$10.41
Max
$12.13
Range multiplier
1.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield546$8.02$13.49$142.3317.7×
Medicaid136$7.07$8.07$8.721.2×
UnitedHealthcare532$8.07$8.07$10.411.3×
Aetna526$8.07$50$65.58.1×
Medicare122$8.07$8.15$10.081.2×
Molina520$8.23$11.06$24.212.9×
no fault [114001]114$16.32$16.32$16.321.0×
absolute total care414$8.07$9.58$14.121.7×
Cigna513$8.07$9.42$344.2×
select health312$8.47$9.44$18.082.1×
Humana511$6.89$8.47$10.411.5×
WellCare210$8.23$8.29$8.471.0×
univera healthcare [100169]19$8.36$11.94$11.941.4×
independent health [100165]17$6.29$8.31$8.311.3×
clover insurance company36$8.39$8.39$8.391.0×
univera healthcare essential [100170]15$8.07$9.68$9.681.2×
devoted health35$8.07$8.07$8.071.0×
VA Health14$8.07$8.07$8.071.0×
TRICARE13$8.07$8.07$8.071.0×
amerigroup [350102]13$8.07$8.07$8.071.0×
federal workers compensation [500100]13$8.07$8.07$8.071.0×
fidelis essential [100163]13$18.16$18.16$18.161.0×
independent health essential [100166]13$7.07$7.07$7.071.0×
medcost - sc33$50.44$56.53$58.511.2×
Multiplan33$90$90$901.0×
phcs33$90$90$901.0×
plotkin health33$60$60$601.0×
iha first choice [800001]12$6.29$6.29$6.291.0×
hospice [550001]12$8.07$8.07$8.071.0×
fidelis dual advantage [450120]12$8.35$8.35$8.351.0×
devoted health plan12$8.07$8.07$8.071.0×
beacon essential [350122]11$8.23$8.23$8.231.0×
covid19 hrsa [45013]11$8.07$8.07$8.071.0×
medical development11$16.95$16.95$16.951.0×
corvel corporation11$11.07$11.07$11.071.0×
clover11$8.47$8.47$8.471.0×
universal healthcare group11$9.68$9.68$9.681.0×
mvp healthcare [100168]11$10.08$10.08$10.081.0×
naphcare11$16.95$16.95$16.951.0×
champ va [700002]11$8.07$8.07$8.071.0×
odyssey hospice11$8.07$8.07$8.071.0×
arcadian11$8.07$8.07$8.071.0×
align networks11$9.04$9.04$9.041.0×
prime health11$11.07$11.07$11.071.0×
sc state employees11$30.8$30.8$30.81.0×
catholic health life pace [400005]11$8.07$8.07$8.071.0×
seneca nation [450119]11$8.07$8.07$8.071.0×
seven corners11$14.12$14.12$14.121.0×
boldage pace11$8.31$8.31$8.311.0×
employer's health network11$11.07$11.07$11.071.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
COLLETON MEDICAL CENTERWALTERBOROSC26$6.89$8.47$68.34
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC33$22$8.07$6.29$8.31$18.16
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$27.7$8.07$12.13$126.16
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$27.7$8.07$12.13$142.33
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$27.7$8.07$10.41$90
ROPER ST. FRANCIS MT PLEASANT HOSPITMT. PLEASANTSC0$150$97.5
MCLEOD LORIS SEACOAST HOSPITALLORISSC0$144$102.24
MCLEOD HEALTH CHERAWCHERAWSC0$144$102.24
MCLEOD HEALTH CLARENDONMANNINGSC0$144$102.24
ROPER ST. FRANCIS HOSPITAL-BERKELEYSUMMERVILLESC0$150$97.5
MCLEOD MEDICAL CENTER - DILLONDILLONSC0$144$102.24
EDGEFIELD COUNTY HEALTHCAREEDGEFIELDSC0$151.23$90.74
MCLEOD REGIONAL MEDICAL CENTERFLORENCESC0$144$102.24
BON SECOURS ST. FRANCIS XAVIER HOSPICHARLESTONSC0$150$97.5
SELF REGIONAL HEALTHCAREGREENWOODSC0$151.23$90.74
ROPER HOSPITAL INC.CHARLESTONSC0$150$97.5

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.