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Office visit, new patient, 15-29 min
CPT 99202 · negotiated-rate distribution across hospitals in SC
Hospitals
16
Min
$30.00
Median
$35.70
Max
$67.70
Range multiplier
2.3×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 5 | 96 | $14.70 | $73.50 | $99.43 | 6.8× |
| Medicaid | 1 | 74 | $38.71 | $61.57 | $69.55 | 1.8× |
| Medicare | 1 | 45 | $38.71 | $63.98 | $76.10 | 2.0× |
| UnitedHealthcare | 5 | 41 | $10.90 | $59.12 | $81.65 | 7.5× |
| Aetna | 5 | 35 | $29.10 | $50.00 | $69.55 | 2.4× |
| no fault [114001] | 1 | 28 | $88.04 | $88.04 | $88.04 | 1.0× |
| univera healthcare [100169] | 1 | 18 | $48.41 | $66.33 | $78.04 | 1.6× |
| Molina | 4 | 15 | $13.20 | $145.82 | $145.82 | 11.0× |
| Cigna | 5 | 15 | $25.20 | $67.70 | $100.85 | 4.0× |
| independent health [100165] | 1 | 14 | $63.89 | $69.53 | $75.16 | 1.2× |
| Humana | 5 | 11 | $13.20 | $62.60 | $90.00 | 6.8× |
| WellCare | 1 | 10 | $47.82 | $69.03 | $76.51 | 1.6× |
| federal workers compensation [500100] | 1 | 9 | $45.54 | $88.04 | $88.04 | 1.9× |
| independent health essential [100166] | 1 | 6 | $55.09 | $59.95 | $64.81 | 1.2× |
| amerigroup [350102] | 1 | 6 | $64.81 | $64.81 | $64.81 | 1.0× |
| beacon essential [350122] | 1 | 6 | $38.71 | $39.85 | $54.65 | 1.4× |
| clover insurance company | 3 | 6 | $30.00 | $30.00 | $30.00 | 1.0× |
| fidelis essential [100163] | 1 | 6 | $62.60 | $83.46 | $83.46 | 1.3× |
| hospice [550001] | 1 | 6 | $45.54 | $59.12 | $69.55 | 1.5× |
| TRICARE | 1 | 6 | $59.12 | $64.34 | $69.55 | 1.2× |
| univera healthcare essential [100170] | 1 | 6 | $48.41 | $52.68 | $56.95 | 1.2× |
| VA Health | 1 | 6 | $59.12 | $64.34 | $69.55 | 1.2× |
| absolute total care | 4 | 5 | $13.86 | $18.00 | $26.61 | 1.9× |
| fidelis dual advantage [450120] | 1 | 4 | $47.82 | $60.43 | $73.03 | 1.5× |
| devoted health | 2 | 4 | $25.00 | $25.00 | $25.00 | 1.0× |
| iha first choice [800001] | 1 | 4 | $63.89 | $69.53 | $75.16 | 1.2× |
| Multiplan | 4 | 4 | $85.00 | $90.00 | $90.00 | 1.1× |
| select health | 3 | 3 | $13.20 | $19.84 | $25.34 | 1.9× |
| plotkin health | 3 | 3 | $60.00 | $60.00 | $60.00 | 1.0× |
| medcost - sc | 3 | 3 | $50.44 | $56.53 | $58.51 | 1.2× |
| phcs | 3 | 3 | $90.00 | $90.00 | $90.00 | 1.0× |
| champ va [700002] | 1 | 2 | $59.12 | $64.34 | $69.55 | 1.2× |
| upmc health plan [100181] | 1 | 2 | $74.18 | $74.18 | $74.18 | 1.0× |
| fidelis exchange [100164] | 1 | 2 | $83.46 | $83.46 | $83.46 | 1.0× |
| ghi [100153] | 1 | 2 | $76.51 | $76.51 | $76.51 | 1.0× |
| devoted health plan | 1 | 2 | $25.00 | $25.00 | $25.00 | 1.0× |
| magnacare [100142] | 1 | 2 | $69.55 | $69.55 | $69.55 | 1.0× |
| medcost | 1 | 2 | $56.90 | $65.30 | $73.70 | 1.3× |
| crime victims [100176] | 1 | 2 | $61.57 | $63.19 | $64.81 | 1.1× |
| covid19 hrsa [45013] | 1 | 2 | $59.12 | $64.34 | $69.55 | 1.2× |
| Meritain Health | 1 | 2 | $69.55 | $69.55 | $69.55 | 1.0× |
| mvp healthcare [100168] | 1 | 2 | $69.82 | $75.98 | $82.14 | 1.2× |
| catholic health life pace [400005] | 1 | 2 | $69.55 | $69.55 | $69.55 | 1.0× |
| seneca nation [450119] | 1 | 2 | $59.12 | $64.34 | $69.55 | 1.2× |
| vna option mltc [350110] | 1 | 2 | $55.09 | $59.95 | $64.81 | 1.2× |
| tuscarora nation [550120] | 1 | 2 | $61.57 | $63.19 | $64.81 | 1.1× |
| beacon health options [100023] | 1 | 2 | $38.71 | $46.68 | $54.65 | 1.4× |
| excellus rochester mcd [350117] | 1 | 2 | $55.09 | $59.95 | $64.81 | 1.2× |
| fallon health [450115] | 1 | 2 | $59.12 | $64.34 | $69.55 | 1.2× |
| prime health | 1 | 1 | $85.00 | $85.00 | $85.00 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Colleton Medical Center | Walterboro | SC | 24 | $757.00 | $757.00 | $15.20 | $67.70 | $174.98 |
| Mary Black Memorial Hospital | Spartanburg | SC | 39 | $235.00 | $235.00 | $31.12 | $66.24 | $145.82 |
| East Cooper Regional Medical Center | Mt. Pleasant | SC | 14 | — | $93.65 | $18.80 | $35.70 | $93.65 |
| Hilton Head Hospital | Hilton Head Island | SC | 14 | — | $93.65 | $13.60 | $31.40 | $93.65 |
| Coastal Carolina Medical Center | Hardeeville | SC | 14 | — | $93.65 | $10.90 | $30.00 | $93.65 |
| Roper St. Francis Mt Pleasant Hospit | Mt. Pleasant | SC | 0 | $365.00 | $237.25 | — | — | — |
| Mcleod Loris Seacoast Hospital | Loris | SC | 0 | $426.00 | $302.46 | — | — | — |
| Mcleod Health Cheraw | Cheraw | SC | 0 | $426.00 | $302.46 | — | — | — |
| Mcleod Health Clarendon | Manning | SC | 0 | $426.00 | $302.46 | — | — | — |
| Roper St. Francis Hospital-Berkeley | Summerville | SC | 0 | $363.00 | $235.95 | — | — | — |
| Mcleod Medical Center - Dillon | Dillon | SC | 0 | $426.00 | $302.46 | — | — | — |
| Edgefield County Healthcare | Edgefield | SC | 0 | $260.96 | $156.58 | — | — | — |
| Mcleod Regional Medical Center | Florence | SC | 0 | $426.00 | $302.46 | — | — | — |
| Bon Secours St. Francis Xavier Hospi | Charleston | SC | 0 | $365.00 | $237.25 | — | — | — |
| Self Regional Healthcare | Greenwood | SC | 0 | $260.96 | $156.58 | — | — | — |
| Roper Hospital Inc. | Charleston | SC | 0 | $363.00 | $235.95 | — | — | — |
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.