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Office visit, established patient, 30-39 minutes

CPT 99214 · negotiated-rate distribution across hospitals in SC

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Hospitals
16
Min
$30
Median
$35.7
Max
$119.27
Range multiplier
4.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield596$14.7$119.27$156.410.6×
Medicaid174$84.19$112.37$123.871.5×
Medicare145$93.54$123.87$130.061.4×
UnitedHealthcare541$10.9$117.28$123.8711.4×
Aetna535$29.1$58.8$123.874.3×
no fault [114001]128$102.45$102.45$102.451.0×
univera healthcare [100169]118$100.76$138.08$138.081.4×
Molina415$13.2$252.83$252.8319.2×
Cigna515$25.2$67.7$179.617.1×
independent health [100165]114$133.85$133.85$133.851.0×
Humana511$13.2$123.87$123.879.4×
WellCare110$130.06$130.06$136.261.0×
federal workers compensation [500100]19$93.54$102.45$102.451.1×
independent health essential [100166]16$112.37$112.37$112.371.0×
amerigroup [350102]16$112.37$112.37$112.371.0×
beacon essential [350122]16$84.19$112.25$112.251.3×
clover insurance company36$30$30$301.0×
fidelis essential [100163]16$111.48$148.64$148.641.3×
hospice [550001]16$93.54$123.87$123.871.3×
TRICARE16$123.87$123.87$123.871.0×
univera healthcare essential [100170]16$100.76$100.76$100.761.0×
VA Health16$123.87$123.87$123.871.0×
absolute total care45$13.86$18$26.611.9×
fidelis dual advantage [450120]14$130.06$130.06$130.061.0×
devoted health24$25$25$251.0×
iha first choice [800001]14$133.85$133.85$133.851.0×
Multiplan44$85$90$901.1×
select health33$13.2$19.84$25.341.9×
plotkin health33$60$60$601.0×
medcost - sc33$50.44$56.53$58.511.2×
phcs33$90$90$901.0×
champ va [700002]12$123.87$123.87$123.871.0×
upmc health plan [100181]12$104.86$104.86$104.861.0×
fidelis exchange [100164]12$148.64$148.64$148.641.0×
ghi [100153]12$136.26$136.26$136.261.0×
devoted health plan12$25$25$251.0×
magnacare [100142]12$123.87$123.87$123.871.0×
medcost12$56.9$65.3$73.71.3×
crime victims [100176]12$112.37$112.37$112.371.0×
covid19 hrsa [45013]12$123.87$123.87$123.871.0×
Meritain Health12$123.87$123.87$123.871.0×
mvp healthcare [100168]12$118$118$1181.0×
catholic health life pace [400005]12$123.87$123.87$123.871.0×
seneca nation [450119]12$123.87$123.87$123.871.0×
vna option mltc [350110]12$112.37$112.37$112.371.0×
tuscarora nation [550120]12$112.37$112.37$112.371.0×
beacon health options [100023]12$112.25$112.25$112.251.0×
excellus rochester mcd [350117]12$112.37$112.37$112.371.0×
fallon health [450115]12$123.87$123.87$123.871.0×
prime health11$85$85$851.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
COLLETON MEDICAL CENTERWALTERBOROSC24$2,173$2,173$15.2$67.7$230.15
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$145.87$18.8$35.7$145.87
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$145.87$13.6$31.4$145.87
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$145.87$10.9$30$145.87
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC39$266$266$56.18$119.27$252.83
ROPER ST. FRANCIS MT PLEASANT HOSPITMT. PLEASANTSC0$522$339.3
MCLEOD LORIS SEACOAST HOSPITALLORISSC0$552$391.92
MCLEOD HEALTH CHERAWCHERAWSC0$552$391.92
MCLEOD HEALTH CLARENDONMANNINGSC0$552$391.92
ROPER ST. FRANCIS HOSPITAL-BERKELEYSUMMERVILLESC0$313$203.45
MCLEOD MEDICAL CENTER - DILLONDILLONSC0$552$391.92
EDGEFIELD COUNTY HEALTHCAREEDGEFIELDSC0$221.55$132.93
MCLEOD REGIONAL MEDICAL CENTERFLORENCESC0$552$391.92
BON SECOURS ST. FRANCIS XAVIER HOSPICHARLESTONSC0$522$339.3
SELF REGIONAL HEALTHCAREGREENWOODSC0$221.55$132.93
ROPER HOSPITAL INC.CHARLESTONSC0$313$203.45

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.