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CPT 90839 · negotiated-rate distribution across hospitals in SC

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Hospitals
5
Min
$133.46
Median
$165.08
Max
$328.42
Range multiplier
2.5×

By payer (43 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield570$85.59$154.61$6497.6×
Medicare144$125.01$127.1$143.841.2×
UnitedHealthcare442$10.9$114.39$166.7315.3×
Medicaid128$85.97$98.74$127.11.5×
no fault [114001]128$234.69$234.69$234.691.0×
Aetna426$29.1$50$165.085.7×
univera healthcare [100169]118$104.91$154.28$154.281.5×
Cigna415$25.2$127.1$184.297.3×
independent health [100165]114$145.4$145.4$145.41.0×
select health312$13.2$173.33$369.7828.0×
absolute total care312$13.86$165.08$272.3819.7×
Humana412$13.2$133.46$165.0812.5×
Molina312$13.2$168.38$288.8921.9×
WellCare110$133.45$133.45$139.811.0×
federal workers compensation [500100]16$234.69$234.69$234.691.0×
fidelis essential [100163]16$139.81$139.81$139.811.0×
independent health essential [100166]16$85.97$85.97$85.971.0×
clover insurance company36$171.68$171.68$171.681.0×
TRICARE16$127.1$127.1$127.11.0×
univera healthcare essential [100170]16$104.91$104.91$104.911.0×
VA Health16$114.39$114.39$114.391.0×
beacon essential [350122]16$114.39$152.52$152.521.3×
hospice [550001]14$127.1$127.1$127.11.0×
fidelis dual advantage [450120]14$133.45$133.45$133.451.0×
iha first choice [800001]14$145.4$145.4$145.41.0×
devoted health24$165.08$165.08$165.081.0×
plotkin health33$60$60$601.0×
medcost - sc33$50.44$56.53$58.511.2×
Multiplan33$90$90$901.0×
phcs33$90$90$901.0×
mvp healthcare [100168]12$163.02$163.02$163.021.0×
fallon health [450115]12$127.1$127.1$127.11.0×
champ va [700002]12$127.1$127.1$127.11.0×
devoted health plan12$165.08$165.08$165.081.0×
catholic health life pace [400005]12$127.1$127.1$127.11.0×
seneca nation [450119]12$127.1$127.1$127.11.0×
beacon health options [100023]12$152.52$152.52$152.521.0×
upmc health plan [100181]12$228.78$228.78$228.781.0×
fidelis exchange [100164]12$152.52$152.52$152.521.0×
ghi [100153]12$139.81$139.81$139.811.0×
covid19 hrsa [45013]12$127.1$127.1$127.11.0×
blue choice health plan11$328.42$328.42$328.421.0×
sc state employees11$304.42$304.42$304.421.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
COLLETON MEDICAL CENTERWALTERBOROSC3$304.42$328.42$649
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$347.82$13.6$165.08$551.5
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$347.82$19.84$165.08$472.56
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$347.82$10.9$165.08$488.94
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC31$246.42$246.42$85.59$133.46$234.69

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.