▸ Compare · PriceTransparency
Initial hospital care, high complexity
CPT 99223 · negotiated-rate distribution across hospitals in SC
Hospitals
4
Min
$33.60
Median
$42.80
Max
$166.44
Range multiplier
5.0×
By payer (49 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Medicaid | 1 | 76 | $71.33 | $71.33 | $167.40 | 2.3× |
| Blue Cross Blue Shield | 4 | 57 | $50.00 | $250.05 | $250.05 | 5.0× |
| Medicare | 1 | 44 | $163.70 | $166.44 | $205.09 | 1.3× |
| UnitedHealthcare | 4 | 39 | $13.10 | $166.44 | $220.06 | 16.8× |
| no fault [114001] | 1 | 28 | $282.65 | $282.65 | $282.65 | 1.0× |
| Aetna | 4 | 26 | $29.10 | $50.00 | $194.01 | 6.7× |
| univera healthcare [100169] | 1 | 18 | $143.94 | $210.15 | $210.15 | 1.5× |
| Molina | 4 | 15 | $13.20 | $160.48 | $160.48 | 12.2× |
| independent health [100165] | 1 | 14 | $179.85 | $179.85 | $179.85 | 1.0× |
| Cigna | 4 | 12 | $25.20 | $100.47 | $241.33 | 9.6× |
| WellCare | 1 | 10 | $174.76 | $174.76 | $183.08 | 1.0× |
| Humana | 4 | 9 | $13.20 | $174.76 | $174.76 | 13.2× |
| fidelis essential [100163] | 1 | 6 | $183.08 | $183.08 | $183.08 | 1.0× |
| amerigroup [350102] | 1 | 6 | $71.33 | $71.33 | $71.33 | 1.0× |
| beacon essential [350122] | 1 | 6 | $149.80 | $199.73 | $199.73 | 1.3× |
| clover insurance company | 3 | 6 | $30.00 | $30.00 | $30.00 | 1.0× |
| federal workers compensation [500100] | 1 | 6 | $282.65 | $282.65 | $282.65 | 1.0× |
| independent health essential [100166] | 1 | 6 | $71.33 | $71.33 | $71.33 | 1.0× |
| mvp essential [100254] | 1 | 6 | $167.40 | $167.40 | $167.40 | 1.0× |
| TRICARE | 1 | 6 | $166.44 | $166.44 | $166.44 | 1.0× |
| univera healthcare essential [100170] | 1 | 6 | $143.94 | $143.94 | $143.94 | 1.0× |
| VA Health | 1 | 6 | $166.44 | $166.44 | $166.44 | 1.0× |
| iha first choice [800001] | 1 | 4 | $179.85 | $179.85 | $179.85 | 1.0× |
| devoted health | 2 | 4 | $25.00 | $25.00 | $25.00 | 1.0× |
| hospice [550001] | 1 | 4 | $166.44 | $166.44 | $166.44 | 1.0× |
| fidelis dual advantage [450120] | 1 | 4 | $174.76 | $174.76 | $174.76 | 1.0× |
| phcs | 3 | 3 | $90.00 | $90.00 | $90.00 | 1.0× |
| medcost - sc | 3 | 3 | $50.44 | $56.53 | $58.51 | 1.2× |
| Multiplan | 3 | 3 | $90.00 | $90.00 | $90.00 | 1.0× |
| plotkin health | 3 | 3 | $60.00 | $60.00 | $60.00 | 1.0× |
| select health | 3 | 3 | $13.20 | $19.84 | $25.34 | 1.9× |
| Self-Pay (Cash) | 3 | 3 | $50.00 | $50.00 | $50.00 | 1.0× |
| absolute total care | 3 | 3 | $13.86 | $20.83 | $26.61 | 1.9× |
| mvp mcd [350114] | 1 | 2 | $167.40 | $167.40 | $167.40 | 1.0× |
| covid19 hrsa [45013] | 1 | 2 | $166.44 | $166.44 | $166.44 | 1.0× |
| fallon health [450115] | 1 | 2 | $166.44 | $166.44 | $166.44 | 1.0× |
| excellus rochester mcd [350117] | 1 | 2 | $71.33 | $71.33 | $71.33 | 1.0× |
| fidelis exchange [100164] | 1 | 2 | $199.72 | $199.72 | $199.72 | 1.0× |
| ghi [100153] | 1 | 2 | $183.08 | $183.08 | $183.08 | 1.0× |
| seneca nation [450119] | 1 | 2 | $166.44 | $166.44 | $166.44 | 1.0× |
| beacon health options [100023] | 1 | 2 | $199.73 | $199.73 | $199.73 | 1.0× |
| tuscarora nation [550120] | 1 | 2 | $71.33 | $71.33 | $71.33 | 1.0× |
| champ va [700002] | 1 | 2 | $166.44 | $166.44 | $166.44 | 1.0× |
| catholic health life pace [400005] | 1 | 2 | $166.44 | $166.44 | $166.44 | 1.0× |
| devoted health plan | 1 | 2 | $25.00 | $25.00 | $25.00 | 1.0× |
| crime victims [100176] | 1 | 2 | $71.33 | $71.33 | $71.33 | 1.0× |
| vna option mltc [350110] | 1 | 2 | $71.33 | $71.33 | $71.33 | 1.0× |
| upmc health plan [100181] | 1 | 2 | $299.59 | $299.59 | $299.59 | 1.0× |
| mvp healthcare [100168] | 1 | 2 | $221.39 | $221.39 | $221.39 | 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 | — | — | $16.30 | $42.80 | $194.01 |
| East Cooper Regional Medical Center | Mt. Pleasant | SC | 15 | — | — | $18.72 | $36.90 | $194.01 |
| Coastal Carolina Medical Center | Hardeeville | SC | 15 | — | — | $13.10 | $33.60 | $194.01 |
| Mary Black Memorial Hospital | Spartanburg | SC | 39 | $451.77 | $451.77 | $71.33 | $166.44 | $299.59 |
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.