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ED visit level 3

CPT 99283 · negotiated-rate distribution across hospitals in SC

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Hospitals
16
Min
$68.39
Median
$171.95
Max
$253.89
Range multiplier
3.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield573$14.70$82.17$829.1756.4×
Medicaid155$24.17$24.41$68.142.8×
UnitedHealthcare546$45.00$68.14$4,989.00110.9×
Medicare144$65.99$68.14$96.601.5×
Aetna532$29.10$58.80$1,242.0042.7×
no fault [114001]128$161.79$161.79$161.791.0×
Molina520$13.20$258.97$903.0068.4×
Cigna518$25.20$83.48$2,127.0084.4×
univera healthcare [100169]118$59.53$86.92$86.921.5×
Humana515$13.20$71.55$3,615.00273.9×
independent health [100165]114$145.32$145.32$145.321.0×
select health413$13.20$266.58$907.0068.7×
absolute total care413$13.86$253.89$808.0058.3×
WellCare110$71.55$71.55$74.951.0×
independent health essential [100166]16$24.17$24.29$24.411.0×
amerigroup [350102]16$24.41$180.42$336.4213.8×
beacon essential [350122]16$61.33$81.77$81.771.3×
clover insurance company36$264.05$264.05$264.051.0×
federal workers compensation [500100]16$161.79$161.79$161.791.0×
fidelis essential [100163]16$61.33$74.96$81.771.3×
TRICARE16$68.14$68.14$68.141.0×
univera healthcare essential [100170]16$59.53$59.53$59.531.0×
VA Health16$68.14$68.14$68.141.0×
Multiplan44$85.00$90.00$90.001.1×
fidelis dual advantage [450120]14$71.55$71.55$71.551.0×
hospice [550001]14$68.14$68.14$68.141.0×
iha first choice [800001]14$145.32$145.32$145.321.0×
devoted health24$253.89$253.89$253.891.0×
phcs33$90.00$90.00$90.001.0×
medcost - sc33$50.44$56.53$58.511.2×
plotkin health33$60.00$60.00$60.001.0×
mvp essential [100254]13$53.86$53.86$53.861.0×
fidelis exchange [100164]12$81.77$81.77$81.771.0×
ghi [100153]12$74.96$74.96$74.961.0×
medcost12$56.90$65.30$73.701.3×
devoted health plan12$253.89$253.89$253.891.0×
mvp healthcare [100168]12$71.23$71.23$71.231.0×
covid19 hrsa [45013]12$68.14$68.14$68.141.0×
champ va [700002]12$68.14$68.14$68.141.0×
seneca nation [450119]12$68.14$68.14$68.141.0×
catholic health life pace [400005]12$68.14$68.14$68.141.0×
upmc health plan [100181]12$86.47$104.56$122.651.4×
fallon health [450115]12$68.14$68.14$68.141.0×
beacon health options [100023]12$81.77$81.77$81.771.0×
north american administrators11$85.00$85.00$85.001.0×
novanet11$90.00$90.00$90.001.0×
excellus rochester mcd [350117]11$24.41$24.41$24.411.0×
healthsmart preferred care11$80.00$80.00$80.001.0×
prime health11$85.00$85.00$85.001.0×
sc state employees11$386.05$386.05$386.051.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Colleton Medical CenterWalterboroSC22$1,869.00$1,869.00$45.00$90.00$3,615.00
Mary Black Memorial HospitalSpartanburgSC41$951.00$951.00$24.17$68.39$336.42
East Cooper Regional Medical CenterMt. PleasantSC14$440.87$18.80$253.89$3,034.00
Coastal Carolina Medical CenterHardeevilleSC14$440.87$13.20$171.95$4,950.00
Hilton Head HospitalHilton Head IslandSC14$440.87$16.90$171.95$4,989.00
Roper St. Francis Mt Pleasant HospitMt. PleasantSC0$1,556.00$1,011.40
Mcleod Loris Seacoast HospitalLorisSC0$1,431.00$1,016.01
Mcleod Health CherawCherawSC0$1,431.00$1,016.01
Mcleod Health ClarendonManningSC0$1,431.00$1,016.01
Roper St. Francis Hospital-BerkeleySummervilleSC0$1,556.00$1,011.40
Mcleod Medical Center - DillonDillonSC0$1,431.00$1,016.01
Edgefield County HealthcareEdgefieldSC0$588.69$353.21
Mcleod Regional Medical CenterFlorenceSC0$1,431.00$1,016.01
Bon Secours St. Francis Xavier HospiCharlestonSC0$1,556.00$1,011.40
Self Regional HealthcareGreenwoodSC0$588.69$353.21
Roper Hospital Inc.CharlestonSC0$1,556.00$1,011.40

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.