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Office visit, established patient, 10-19 min

CPT 99212 · negotiated-rate distribution across hospitals in SC

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Hospitals
16
Min
$29.55
Median
$34.10
Max
$59.40
Range multiplier
2.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield5118$12.05$47.47$95.007.9×
Medicaid174$28.83$47.80$54.461.9×
Medicare145$28.83$46.29$57.182.0×
UnitedHealthcare541$10.90$45.00$58.205.3×
Aetna535$24.42$50.00$65.502.7×
no fault [114001]128$55.34$55.34$55.341.0×
univera healthcare [100169]118$37.81$51.81$60.951.6×
Molina415$13.20$113.22$113.228.6×
Cigna515$25.20$54.46$78.963.1×
independent health [100165]114$50.02$54.44$58.851.2×
Humana511$13.20$49.01$90.006.8×
WellCare110$35.62$54.05$59.911.7×
federal workers compensation [500100]19$33.92$55.34$55.341.6×
independent health essential [100166]16$42.77$46.55$50.321.2×
amerigroup [350102]16$12.05$31.19$50.324.2×
beacon essential [350122]16$28.83$29.68$40.701.4×
clover insurance company36$30.00$30.00$30.001.0×
fidelis essential [100163]16$49.01$65.35$65.351.3×
hospice [550001]16$33.92$46.29$54.461.6×
TRICARE16$46.29$50.38$54.461.2×
univera healthcare essential [100170]16$37.81$41.15$44.481.2×
VA Health16$46.29$50.38$54.461.2×
absolute total care45$13.86$18.00$26.611.9×
fidelis dual advantage [450120]14$35.62$46.40$57.181.6×
devoted health24$25.00$25.00$25.001.0×
iha first choice [800001]14$50.02$54.44$58.851.2×
Multiplan44$85.00$90.00$90.001.1×
select health33$13.20$19.84$25.341.9×
plotkin health33$60.00$60.00$60.001.0×
medcost - sc33$50.44$56.53$58.511.2×
phcs33$90.00$90.00$90.001.0×
champ va [700002]12$46.29$50.38$54.461.2×
upmc health plan [100181]12$45.48$45.48$45.481.0×
fidelis exchange [100164]12$65.35$65.35$65.351.0×
ghi [100153]12$59.90$59.90$59.901.0×
devoted health plan12$25.00$25.00$25.001.0×
magnacare [100142]12$54.46$54.46$54.461.0×
medcost12$56.90$65.30$73.701.3×
crime victims [100176]12$47.80$49.06$50.321.1×
covid19 hrsa [45013]12$46.29$50.38$54.461.2×
Meritain Health12$54.46$54.46$54.461.0×
mvp healthcare [100168]12$41.68$45.36$49.031.2×
catholic health life pace [400005]12$54.46$54.46$54.461.0×
seneca nation [450119]12$46.29$50.38$54.461.2×
vna option mltc [350110]12$42.77$46.55$50.321.2×
tuscarora nation [550120]12$47.80$49.06$50.321.1×
beacon health options [100023]12$28.83$34.77$40.701.4×
excellus rochester mcd [350117]12$42.77$46.55$50.321.2×
fallon health [450115]12$46.29$50.38$54.461.2×
prime health11$85.00$85.00$85.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Colleton Medical CenterWalterboroSC24$757.00$757.00$15.20$59.40$172.90
Mary Black Memorial HospitalSpartanburgSC39$235.00$235.00$12.05$50.31$113.22
East Cooper Regional Medical CenterMt. PleasantSC14$81.66$18.80$34.10$90.00
Hilton Head HospitalHilton Head IslandSC14$81.66$13.60$30.60$90.00
Coastal Carolina Medical CenterHardeevilleSC14$81.66$10.90$29.55$90.00
Roper St. Francis Mt Pleasant HospitMt. PleasantSC0$302.00$196.30
Mcleod Loris Seacoast HospitalLorisSC0$364.00$258.44
Mcleod Health CherawCherawSC0$364.00$258.44
Mcleod Health ClarendonManningSC0$364.00$258.44
Roper St. Francis Hospital-BerkeleySummervilleSC0$302.00$196.30
Mcleod Medical Center - DillonDillonSC0$364.00$258.44
Edgefield County HealthcareEdgefieldSC0$173.97$104.38
Mcleod Regional Medical CenterFlorenceSC0$364.00$258.44
Bon Secours St. Francis Xavier HospiCharlestonSC0$302.00$196.30
Self Regional HealthcareGreenwoodSC0$173.97$104.38
Roper Hospital Inc.CharlestonSC0$302.00$196.30

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.