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PCI with drug-eluting stent

CPT 92928 · negotiated-rate distribution across hospitals in SC

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Hospitals
8
Min
$570.91
Median
$10,737
Max
$10,791
Range multiplier
18.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid174$315.25$315.25$543.721.7×
Blue Cross Blue Shield572$274.91$715.22$31,972116.3×
UnitedHealthcare549$380.6$641.96$27,15871.4×
Medicare144$534.78$543.72$637.161.2×
no fault [114001]128$1,097.44$1,097.44$1,097.441.0×
Aetna426$29.1$50$10,737369.0×
Molina525$709.32$1,339.05$18,79026.5×
univera healthcare [100169]118$470.95$803.38$803.381.7×
Cigna415$25.2$788.4$39,7581577.7×
independent health [100165]114$618.25$618.25$618.251.0×
absolute total care414$1,406$10,737$17,71612.6×
select health413$1,339.05$11,274$24,05118.0×
Humana412$570.91$954.98$10,73718.8×
WellCare110$570.91$570.91$598.091.0×
clover insurance company36$11,166$11,166$11,1661.0×
amerigroup [350102]16$315.25$315.25$315.251.0×
beacon essential [350122]16$489.35$652.46$652.461.3×
federal workers compensation [500100]16$1,097.44$1,097.44$1,097.441.0×
fidelis essential [100163]16$598.09$598.09$598.091.0×
independent health essential [100166]16$315.25$315.25$315.251.0×
TRICARE16$543.72$543.72$543.721.0×
univera healthcare essential [100170]16$470.95$470.95$470.951.0×
VA Health16$489.35$489.35$489.351.0×
devoted health24$10,737$10,737$10,7371.0×
hospice [550001]14$543.72$543.72$543.721.0×
fidelis dual advantage [450120]14$570.91$570.91$570.911.0×
iha first choice [800001]14$618.25$618.25$618.251.0×
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$652.47$652.47$652.471.0×
devoted health plan12$10,737$10,737$10,7371.0×
upmc health plan [100181]12$978.7$978.7$978.71.0×
crime victims [100176]12$315.25$315.25$315.251.0×
covid19 hrsa [45013]12$543.72$543.72$543.721.0×
champ va [700002]12$543.72$543.72$543.721.0×
mvp healthcare [100168]12$725.75$725.75$725.751.0×
catholic health life pace [400005]12$543.72$543.72$543.721.0×
tuscarora nation [550120]12$315.25$315.25$315.251.0×
excellus rochester mcd [350117]12$315.25$315.25$315.251.0×
fallon health [450115]12$543.72$543.72$543.721.0×
beacon health options [100023]12$652.46$652.46$652.461.0×
vna option mltc [350110]12$315.25$315.25$315.251.0×
ghi [100153]12$598.09$598.09$598.091.0×
seneca nation [450119]12$543.72$543.72$543.721.0×
pruitt health11$7,950$7,950$7,9501.0×
sc state employees11$15,922$15,922$15,9221.0×
blue choice health plan11$16,179$16,179$16,1791.0×
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$31,972
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC37$20,568$20,568$274.91$570.91$8,724.22
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$18,167$36.9$10,791$39,758
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$18,167$32.2$10,737$28,848
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$18,167$25.2$10,737$26,859
SELF REGIONAL HEALTHCAREGREENWOODSC0$13,888$8,332.97
MCLEOD HEALTH CLARENDONMANNINGSC0
EDGEFIELD COUNTY HEALTHCAREEDGEFIELDSC0$13,888$8,332.97

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.