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ED visit level 4

CPT 99284 · negotiated-rate distribution across hospitals in SC

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Hospitals
16
Min
$90
Median
$239.05
Max
$239.05
Range multiplier
2.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield573$14.7$115.62$1,284.1287.4×
Medicaid172$37.88$45.02$115.963.1×
UnitedHealthcare546$45$115.96$5,913131.4×
Medicare144$98.32$115.96$164.41.7×
Aetna532$29.1$58.8$4,513155.1×
no fault [114001]128$241.59$241.59$241.591.0×
Molina520$13.2$395.85$1,835139.0×
Cigna518$25.2$83.14$399.7315.9×
univera healthcare [100169]118$85.27$124.5$146.471.7×
Humana515$13.2$104.36$3,615273.9×
independent health [100165]114$210.21$228.76$247.311.2×
select health413$13.2$407.49$90768.7×
absolute total care413$13.86$388.09$80858.3×
WellCare110$108.42$121.76$127.561.2×
independent health essential [100166]16$37.88$41.45$45.021.2×
amerigroup [350102]16$45.02$241.9$438.789.7×
beacon essential [350122]16$98.57$101.47$139.151.4×
clover insurance company36$403.61$403.61$403.611.0×
federal workers compensation [500100]16$241.59$241.59$241.591.0×
fidelis essential [100163]16$104.37$127.56$139.161.3×
TRICARE16$98.57$107.27$115.961.2×
univera healthcare essential [100170]16$85.27$92.8$100.321.2×
VA Health16$98.57$107.27$115.961.2×
Multiplan44$85$90$901.1×
fidelis dual advantage [450120]14$121.76$121.76$121.761.0×
hospice [550001]14$98.57$107.27$115.961.2×
iha first choice [800001]14$210.21$228.76$247.311.2×
devoted health24$388.09$388.09$388.091.0×
phcs33$90$90$901.0×
medcost - sc33$50.44$56.53$58.511.2×
plotkin health33$60$60$601.0×
mvp essential [100254]13$98.67$98.67$98.671.0×
fidelis exchange [100164]12$139.16$139.16$139.161.0×
ghi [100153]12$127.56$127.56$127.561.0×
medcost12$56.9$65.3$73.71.3×
devoted health plan12$388.09$388.09$388.091.0×
crime victims [100176]12$42.76$43.89$45.021.1×
mvp healthcare [100168]12$110.92$120.71$130.491.2×
covid19 hrsa [45013]12$98.57$107.27$115.961.2×
champ va [700002]12$98.57$107.27$115.961.2×
seneca nation [450119]12$98.57$107.27$115.961.2×
tuscarora nation [550120]12$42.76$43.89$45.021.1×
catholic health life pace [400005]12$115.96$115.96$115.961.0×
upmc health plan [100181]12$140.77$174.75$208.731.5×
fallon health [450115]12$98.57$107.27$115.961.2×
beacon health options [100023]12$98.57$118.86$139.151.4×
excellus rochester mcd [350117]11$45.02$45.02$45.021.0×
healthsmart preferred care11$80$80$801.0×
prime health11$85$85$851.0×
sc state employees11$615.39$615.39$615.391.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
COLLETON MEDICAL CENTERWALTERBOROSC22$2,623$2,623$45$90$4,513
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$702.29$18.8$239.05$4,928
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$702.29$13.2$239.05$5,865
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$702.29$16.9$239.05$5,913
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC41$1,482$1,482$37.88$115.62$438.78
ROPER ST. FRANCIS MT PLEASANT HOSPITMT. PLEASANTSC0$2,334$1,517.1
MCLEOD LORIS SEACOAST HOSPITALLORISSC0$2,119$1,504.49
MCLEOD HEALTH CHERAWCHERAWSC0$2,119$1,504.49
MCLEOD HEALTH CLARENDONMANNINGSC0$2,119$1,504.49
ROPER ST. FRANCIS HOSPITAL-BERKELEYSUMMERVILLESC0$2,334$1,517.1
MCLEOD MEDICAL CENTER - DILLONDILLONSC0$2,119$1,504.49
EDGEFIELD COUNTY HEALTHCAREEDGEFIELDSC0$1,095$657
MCLEOD REGIONAL MEDICAL CENTERFLORENCESC0$2,119$1,504.49
BON SECOURS ST. FRANCIS XAVIER HOSPICHARLESTONSC0$2,334$1,517.1
SELF REGIONAL HEALTHCAREGREENWOODSC0$1,095$657
ROPER HOSPITAL INC.CHARLESTONSC0$2,334$1,517.1

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.