▸ Compare · PriceTransparency
Initial hospital care, moderate complexity
CPT 99222 · negotiated-rate distribution across hospitals in SC
Hospitals
4
Min
$33.6
Median
$42.8
Max
$125.32
Range multiplier
3.7×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 4 | 56 | $48.55 | $169 | $169 | 3.5× |
| Medicaid | 1 | 55 | $48.07 | $48.55 | $125.32 | 2.6× |
| Medicare | 1 | 44 | $123.26 | $125.32 | $139.38 | 1.1× |
| UnitedHealthcare | 4 | 39 | $13.1 | $125.32 | $149.56 | 11.4× |
| Aetna | 4 | 29 | $29.1 | $50 | $131.59 | 4.5× |
| no fault [114001] | 1 | 28 | $230.33 | $230.33 | $230.33 | 1.0× |
| univera healthcare [100169] | 1 | 18 | $107.84 | $157.44 | $157.44 | 1.5× |
| independent health [100165] | 1 | 14 | $135.42 | $135.42 | $135.42 | 1.0× |
| Cigna | 4 | 12 | $25.2 | $79.91 | $181.72 | 7.2× |
| WellCare | 1 | 10 | $131.59 | $131.59 | $137.85 | 1.0× |
| Humana | 4 | 9 | $13.2 | $125.32 | $131.59 | 10.0× |
| Molina | 4 | 9 | $13.2 | $109.24 | $109.24 | 8.3× |
| independent health essential [100166] | 1 | 6 | $48.07 | $48.31 | $48.55 | 1.0× |
| beacon essential [350122] | 1 | 6 | $112.79 | $150.38 | $150.38 | 1.3× |
| clover insurance company | 3 | 6 | $30 | $30 | $30 | 1.0× |
| federal workers compensation [500100] | 1 | 6 | $230.33 | $230.33 | $230.33 | 1.0× |
| fidelis essential [100163] | 1 | 6 | $112.79 | $137.85 | $150.39 | 1.3× |
| TRICARE | 1 | 6 | $125.32 | $125.32 | $125.32 | 1.0× |
| univera healthcare essential [100170] | 1 | 6 | $107.84 | $107.84 | $107.84 | 1.0× |
| VA Health | 1 | 6 | $125.32 | $125.32 | $125.32 | 1.0× |
| iha first choice [800001] | 1 | 4 | $135.42 | $135.42 | $135.42 | 1.0× |
| hospice [550001] | 1 | 4 | $125.32 | $125.32 | $125.32 | 1.0× |
| fidelis dual advantage [450120] | 1 | 4 | $131.59 | $131.59 | $131.59 | 1.0× |
| devoted health | 2 | 4 | $25 | $25 | $25 | 1.0× |
| amerigroup [350102] | 1 | 3 | $48.55 | $48.55 | $48.55 | 1.0× |
| medcost - sc | 3 | 3 | $50.44 | $56.53 | $58.51 | 1.2× |
| Self-Pay (Cash) | 3 | 3 | $50 | $50 | $50 | 1.0× |
| select health | 3 | 3 | $13.2 | $19.84 | $25.34 | 1.9× |
| mvp essential [100254] | 1 | 3 | $113.77 | $113.77 | $113.77 | 1.0× |
| Multiplan | 3 | 3 | $90 | $90 | $90 | 1.0× |
| plotkin health | 3 | 3 | $60 | $60 | $60 | 1.0× |
| phcs | 3 | 3 | $90 | $90 | $90 | 1.0× |
| absolute total care | 3 | 3 | $13.86 | $20.83 | $26.61 | 1.9× |
| ghi [100153] | 1 | 2 | $137.85 | $137.85 | $137.85 | 1.0× |
| devoted health plan | 1 | 2 | $25 | $25 | $25 | 1.0× |
| covid19 hrsa [45013] | 1 | 2 | $125.32 | $125.32 | $125.32 | 1.0× |
| mvp healthcare [100168] | 1 | 2 | $150.46 | $150.46 | $150.46 | 1.0× |
| champ va [700002] | 1 | 2 | $125.32 | $125.32 | $125.32 | 1.0× |
| seneca nation [450119] | 1 | 2 | $125.32 | $125.32 | $125.32 | 1.0× |
| catholic health life pace [400005] | 1 | 2 | $125.32 | $125.32 | $125.32 | 1.0× |
| beacon health options [100023] | 1 | 2 | $150.38 | $150.38 | $150.38 | 1.0× |
| fallon health [450115] | 1 | 2 | $125.32 | $125.32 | $125.32 | 1.0× |
| upmc health plan [100181] | 1 | 2 | $131.89 | $178.74 | $225.58 | 1.7× |
| fidelis exchange [100164] | 1 | 2 | $150.39 | $150.39 | $150.39 | 1.0× |
| excellus rochester mcd [350117] | 1 | 1 | $48.55 | $48.55 | $48.55 | 1.0× |
| mvp mcd [350114] | 1 | 1 | $113.77 | $113.77 | $113.77 | 1.0× |
| Meritain Health | 1 | 1 | $125.32 | $125.32 | $125.32 | 1.0× |
| crime victims [100176] | 1 | 1 | $48.55 | $48.55 | $48.55 | 1.0× |
| vna option mltc [350110] | 1 | 1 | $48.55 | $48.55 | $48.55 | 1.0× |
| magnacare [100142] | 1 | 1 | $125.32 | $125.32 | $125.32 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| HILTON HEAD HOSPITAL | HILTON HEAD ISLAND | SC | 15 | — | — | $16.3 | $42.8 | $131.11 |
| EAST COOPER REGIONAL MEDICAL CENTER | MT. PLEASANT | SC | 15 | — | — | $18.72 | $36.9 | $131.11 |
| COASTAL CAROLINA MEDICAL CENTER | HARDEEVILLE | SC | 15 | — | — | $13.1 | $33.6 | $131.11 |
| MARY BLACK MEMORIAL HOSPITAL | SPARTANBURG | SC | 41 | $245.84 | $245.84 | $48.07 | $125.32 | $230.33 |
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.