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PCI single major coronary artery

CPT 92920 · negotiated-rate distribution across hospitals in SC

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Hospitals
12
Min
$513.11
Median
$5,293.6
Max
$8,170.5
Range multiplier
15.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid174$283.83$283.83$488.681.7×
Blue Cross Blue Shield572$247.63$642.86$21,87688.3×
UnitedHealthcare549$342.08$577.24$28,41283.1×
Medicare145$480.64$488.68$571.711.2×
no fault [114001]128$986.52$986.52$986.521.0×
Aetna426$29.1$50$5,293.6181.9×
Molina525$638.62$1,339.05$9,263.814.5×
univera healthcare [100169]118$422.57$720.85$720.851.7×
Cigna415$25.2$708.58$39,7581577.7×
independent health [100165]114$555.66$555.66$555.661.0×
absolute total care414$1,406$5,293.6$8,734.446.2×
select health413$1,339.05$5,558.28$11,8588.9×
Humana412$513.11$926.08$5,293.610.3×
WellCare110$513.11$513.11$537.551.0×
clover insurance company36$5,505.34$5,505.34$5,505.341.0×
amerigroup [350102]16$283.83$283.83$283.831.0×
beacon essential [350122]16$439.81$586.42$586.421.3×
federal workers compensation [500100]16$986.52$986.52$986.521.0×
fidelis essential [100163]16$537.54$537.54$537.541.0×
independent health essential [100166]16$283.83$283.83$283.831.0×
TRICARE16$488.68$488.68$488.681.0×
univera healthcare essential [100170]16$422.57$422.57$422.571.0×
VA Health16$439.81$439.81$439.811.0×
devoted health24$5,293.6$5,293.6$5,293.61.0×
hospice [550001]14$488.68$488.68$488.681.0×
fidelis dual advantage [450120]14$513.11$513.11$513.111.0×
iha first choice [800001]14$555.66$555.66$555.661.0×
phcs33$90$90$901.0×
plotkin health33$60$60$601.0×
Multiplan33$90$90$901.0×
medcost - sc33$50.44$56.53$58.511.2×
fidelis exchange [100164]12$586.41$586.41$586.411.0×
devoted health plan12$5,293.6$5,293.6$5,293.61.0×
upmc health plan [100181]12$879.62$879.62$879.621.0×
crime victims [100176]12$283.83$283.83$283.831.0×
covid19 hrsa [45013]12$488.68$488.68$488.681.0×
champ va [700002]12$488.68$488.68$488.681.0×
mvp healthcare [100168]12$652.57$652.57$652.571.0×
catholic health life pace [400005]12$488.68$488.68$488.681.0×
tuscarora nation [550120]12$283.83$283.83$283.831.0×
excellus rochester mcd [350117]12$283.83$283.83$283.831.0×
fallon health [450115]12$488.68$488.68$488.681.0×
beacon health options [100023]12$586.42$586.42$586.421.0×
vna option mltc [350110]12$283.83$283.83$283.831.0×
ghi [100153]12$537.54$537.54$537.541.0×
seneca nation [450119]12$488.68$488.68$488.681.0×
pruitt health11$7,950$7,950$7,9501.0×
sc state employees11$9,021.36$9,021.36$9,021.361.0×
blue choice health plan11$11,070$11,070$11,0701.0×
blue choice11$1,660.42$1,660.42$1,660.421.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
COLLETON MEDICAL CENTERWALTERBOROSC11$1,660.42$8,170.5$21,876
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$10,293$36.9$5,320.07$39,758
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$10,293$25.2$5,293.6$24,277
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$10,293$32.2$5,293.6$24,543
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC37$10,149$10,149$247.63$513.11$4,532.68
MCLEOD HEALTH CLARENDONMANNINGSC0$24,276$17,236
MCLEOD MEDICAL CENTER - DILLONDILLONSC0$24,276$17,236
EDGEFIELD COUNTY HEALTHCAREEDGEFIELDSC0$9,159.88$5,495.93
MCLEOD REGIONAL MEDICAL CENTERFLORENCESC0$24,276$17,236
SELF REGIONAL HEALTHCAREGREENWOODSC0$9,159.88$5,495.93
MCLEOD LORIS SEACOAST HOSPITALLORISSC0$24,276$17,236
MCLEOD HEALTH CHERAWCHERAWSC0$24,276$17,236

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.