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Office visit, established patient, 40-54 min

CPT 99215 · negotiated-rate distribution across hospitals in SC

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Hospitals
16
Min
$30
Median
$35.7
Max
$163.85
Range multiplier
5.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield596$14.7$160.63$231.8715.8×
Medicaid174$124.81$158.93$174.381.4×
Medicare145$138.68$174.38$183.11.3×
UnitedHealthcare541$10.9$157.69$174.3816.0×
Aetna535$29.1$58.8$174.386.0×
no fault [114001]128$163.85$163.85$163.851.0×
univera healthcare [100169]118$141.29$193.62$193.621.4×
Molina415$13.2$357.59$357.5927.1×
Cigna515$25.2$67.7$252.8510.0×
independent health [100165]114$188.43$188.43$188.431.0×
Humana511$13.2$174.38$174.3813.2×
WellCare110$183.1$183.1$191.821.0×
federal workers compensation [500100]19$138.68$163.85$163.851.2×
independent health essential [100166]16$158.93$158.93$158.931.0×
amerigroup [350102]16$158.93$158.93$158.931.0×
beacon essential [350122]16$124.81$166.42$166.421.3×
clover insurance company36$30$30$301.0×
fidelis essential [100163]16$156.94$209.26$209.261.3×
hospice [550001]16$138.68$174.38$174.381.3×
TRICARE16$174.38$174.38$174.381.0×
univera healthcare essential [100170]16$141.29$141.29$141.291.0×
VA Health16$174.38$174.38$174.381.0×
absolute total care45$13.86$18$26.611.9×
fidelis dual advantage [450120]14$183.1$183.1$183.11.0×
devoted health24$25$25$251.0×
iha first choice [800001]14$188.43$188.43$188.431.0×
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$174.38$174.38$174.381.0×
upmc health plan [100181]12$139.9$139.9$139.91.0×
fidelis exchange [100164]12$209.26$209.26$209.261.0×
ghi [100153]12$191.82$191.82$191.821.0×
devoted health plan12$25$25$251.0×
magnacare [100142]12$174.38$174.38$174.381.0×
medcost12$56.9$65.3$73.71.3×
crime victims [100176]12$158.93$158.93$158.931.0×
covid19 hrsa [45013]12$174.38$174.38$174.381.0×
Meritain Health12$174.38$174.38$174.381.0×
mvp healthcare [100168]12$158.65$158.65$158.651.0×
catholic health life pace [400005]12$174.38$174.38$174.381.0×
seneca nation [450119]12$174.38$174.38$174.381.0×
vna option mltc [350110]12$158.93$158.93$158.931.0×
tuscarora nation [550120]12$158.93$158.93$158.931.0×
beacon health options [100023]12$166.42$166.42$166.421.0×
excellus rochester mcd [350117]12$158.93$158.93$158.931.0×
fallon health [450115]12$174.38$174.38$174.381.0×
prime health11$85$85$851.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
COLLETON MEDICAL CENTERWALTERBOROSC24$3,335$3,335$15.2$67.7$292.63
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$198.55$18.8$35.7$198.55
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$198.55$13.6$31.4$198.55
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$198.55$10.9$30$198.55
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC39$376$376$75.8$163.85$357.59
ROPER ST. FRANCIS MT PLEASANT HOSPITMT. PLEASANTSC0$672$436.8
MCLEOD LORIS SEACOAST HOSPITALLORISSC0$697$494.87
MCLEOD HEALTH CHERAWCHERAWSC0$697$494.87
MCLEOD HEALTH CLARENDONMANNINGSC0$697$494.87
ROPER ST. FRANCIS HOSPITAL-BERKELEYSUMMERVILLESC0$369$239.85
MCLEOD MEDICAL CENTER - DILLONDILLONSC0$697$494.87
EDGEFIELD COUNTY HEALTHCAREEDGEFIELDSC0$289.82$173.89
MCLEOD REGIONAL MEDICAL CENTERFLORENCESC0$697$494.87
BON SECOURS ST. FRANCIS XAVIER HOSPICHARLESTONSC0$672$436.8
SELF REGIONAL HEALTHCAREGREENWOODSC0$289.82$173.89
ROPER HOSPITAL INC.CHARLESTONSC0$369$239.85

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.