▸ Compare · PriceTransparency
Initial hospital care, low complexity
CPT 99221 · negotiated-rate distribution across hospitals in SC
Hospitals
4
Min
$33.60
Median
$42.80
Max
$79.18
Range multiplier
2.4×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Medicaid | 1 | 72 | $29.67 | $35.25 | $83.98 | 2.8× |
| Blue Cross Blue Shield | 4 | 56 | $28.49 | $99.71 | $124.64 | 4.4× |
| Medicare | 1 | 44 | $66.20 | $77.88 | $102.89 | 1.6× |
| UnitedHealthcare | 4 | 39 | $13.10 | $67.30 | $110.40 | 8.4× |
| Aetna | 4 | 29 | $29.10 | $50.00 | $96.66 | 3.3× |
| no fault [114001] | 1 | 28 | $170.99 | $170.99 | $170.99 | 1.0× |
| univera healthcare [100169] | 1 | 18 | $58.33 | $85.16 | $100.19 | 1.7× |
| independent health [100165] | 1 | 14 | $72.73 | $79.15 | $85.56 | 1.2× |
| Cigna | 4 | 12 | $25.20 | $50.90 | $114.81 | 4.6× |
| WellCare | 1 | 10 | $74.03 | $83.14 | $87.10 | 1.2× |
| Humana | 4 | 9 | $13.20 | $71.26 | $83.14 | 6.3× |
| Molina | 4 | 9 | $13.20 | $79.31 | $79.31 | 6.0× |
| independent health essential [100166] | 1 | 6 | $29.67 | $32.46 | $35.25 | 1.2× |
| beacon essential [350122] | 1 | 6 | $67.30 | $69.28 | $95.02 | 1.4× |
| clover insurance company | 3 | 6 | $30.00 | $30.00 | $30.00 | 1.0× |
| federal workers compensation [500100] | 1 | 6 | $170.99 | $170.99 | $170.99 | 1.0× |
| fidelis essential [100163] | 1 | 6 | $71.26 | $87.10 | $95.01 | 1.3× |
| TRICARE | 1 | 6 | $67.30 | $73.24 | $79.18 | 1.2× |
| univera healthcare essential [100170] | 1 | 6 | $58.33 | $63.48 | $68.62 | 1.2× |
| VA Health | 1 | 6 | $67.30 | $73.24 | $79.18 | 1.2× |
| fidelis dual advantage [450120] | 1 | 4 | $83.14 | $83.14 | $83.14 | 1.0× |
| hospice [550001] | 1 | 4 | $67.30 | $73.24 | $79.18 | 1.2× |
| iha first choice [800001] | 1 | 4 | $72.73 | $79.15 | $85.56 | 1.2× |
| devoted health | 2 | 4 | $25.00 | $25.00 | $25.00 | 1.0× |
| plotkin health | 3 | 3 | $60.00 | $60.00 | $60.00 | 1.0× |
| amerigroup [350102] | 1 | 3 | $35.25 | $35.25 | $35.25 | 1.0× |
| medcost - sc | 3 | 3 | $50.44 | $56.53 | $58.51 | 1.2× |
| Self-Pay (Cash) | 3 | 3 | $50.00 | $50.00 | $50.00 | 1.0× |
| mvp essential [100254] | 1 | 3 | $83.98 | $83.98 | $83.98 | 1.0× |
| Multiplan | 3 | 3 | $90.00 | $90.00 | $90.00 | 1.0× |
| select health | 3 | 3 | $13.20 | $19.84 | $25.34 | 1.9× |
| absolute total care | 3 | 3 | $13.86 | $20.83 | $26.61 | 1.9× |
| phcs | 3 | 3 | $90.00 | $90.00 | $90.00 | 1.0× |
| ghi [100153] | 1 | 2 | $87.10 | $87.10 | $87.10 | 1.0× |
| devoted health plan | 1 | 2 | $25.00 | $25.00 | $25.00 | 1.0× |
| crime victims [100176] | 1 | 2 | $33.49 | $34.37 | $35.25 | 1.1× |
| covid19 hrsa [45013] | 1 | 2 | $67.30 | $73.24 | $79.18 | 1.2× |
| mvp healthcare [100168] | 1 | 2 | $94.41 | $102.74 | $111.07 | 1.2× |
| champ va [700002] | 1 | 2 | $67.30 | $73.24 | $79.18 | 1.2× |
| catholic health life pace [400005] | 1 | 2 | $79.18 | $79.18 | $79.18 | 1.0× |
| beacon health options [100023] | 1 | 2 | $67.30 | $81.16 | $95.02 | 1.4× |
| fallon health [450115] | 1 | 2 | $67.30 | $73.24 | $79.18 | 1.2× |
| upmc health plan [100181] | 1 | 2 | $101.83 | $122.18 | $142.52 | 1.4× |
| fidelis exchange [100164] | 1 | 2 | $95.01 | $95.01 | $95.01 | 1.0× |
| seneca nation [450119] | 1 | 2 | $67.30 | $73.24 | $79.18 | 1.2× |
| tuscarora nation [550120] | 1 | 2 | $33.49 | $34.37 | $35.25 | 1.1× |
| mvp mcd [350114] | 1 | 1 | $83.98 | $83.98 | $83.98 | 1.0× |
| Meritain Health | 1 | 1 | $79.18 | $79.18 | $79.18 | 1.0× |
| excellus rochester mcd [350117] | 1 | 1 | $35.25 | $35.25 | $35.25 | 1.0× |
| magnacare [100142] | 1 | 1 | $79.18 | $79.18 | $79.18 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Mary Black Memorial Hospital | Spartanburg | SC | 41 | $181.36 | $181.36 | $28.49 | $79.18 | $170.99 |
| Hilton Head Hospital | Hilton Head Island | SC | 15 | — | — | $16.30 | $42.80 | $96.66 |
| East Cooper Regional Medical Center | Mt. Pleasant | SC | 15 | — | — | $18.72 | $36.90 | $96.66 |
| Coastal Carolina Medical Center | Hardeeville | SC | 15 | — | — | $13.10 | $33.60 | $96.66 |
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.