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ED visit level 5

CPT 99285 · negotiated-rate distribution across hospitals in SC

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Hospitals
16
Min
$90
Median
$321.95
Max
$321.95
Range multiplier
3.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield573$14.7$212.74$1,800.88122.5×
Medicaid155$66.52$67.19$168.022.5×
UnitedHealthcare546$45$168.02$5,913131.4×
Medicare144$168.02$168.02$238.21.4×
Aetna532$29.1$58.8$4,513155.1×
no fault [114001]128$360.39$360.39$360.391.0×
Molina520$13.2$564.97$2,468187.0×
Cigna518$25.2$117.86$570.5122.6×
univera healthcare [100169]118$145.86$212.95$212.951.5×
Humana515$13.2$168.02$3,615273.9×
independent health [100165]114$358.33$358.33$358.331.0×
select health413$13.2$581.58$1,240.7194.0×
absolute total care413$13.86$553.89$913.9265.9×
WellCare110$176.43$176.43$184.821.0×
independent health essential [100166]16$66.52$66.86$67.191.0×
amerigroup [350102]16$67.19$292.38$517.577.7×
beacon essential [350122]16$151.22$201.62$201.621.3×
clover insurance company36$576.05$576.05$576.051.0×
federal workers compensation [500100]16$360.39$360.39$360.391.0×
fidelis essential [100163]16$151.22$184.83$201.631.3×
TRICARE16$168.02$168.02$168.021.0×
univera healthcare essential [100170]16$145.86$145.86$145.861.0×
VA Health16$168.02$168.02$168.021.0×
Multiplan44$85$90$901.1×
fidelis dual advantage [450120]14$176.43$176.43$176.431.0×
hospice [550001]14$168.02$168.02$168.021.0×
iha first choice [800001]14$358.33$358.33$358.331.0×
devoted health24$553.89$553.89$553.891.0×
phcs33$90$90$901.0×
medcost - sc33$50.44$56.53$58.511.2×
plotkin health33$60$60$601.0×
mvp essential [100254]13$143.3$143.3$143.31.0×
fidelis exchange [100164]12$201.63$201.63$201.631.0×
ghi [100153]12$184.83$184.83$184.831.0×
medcost12$56.9$65.3$73.71.3×
devoted health plan12$553.89$553.89$553.891.0×
mvp healthcare [100168]12$189.52$189.52$189.521.0×
covid19 hrsa [45013]12$168.02$168.02$168.021.0×
champ va [700002]12$168.02$168.02$168.021.0×
seneca nation [450119]12$168.02$168.02$168.021.0×
catholic health life pace [400005]12$168.02$168.02$168.021.0×
upmc health plan [100181]12$203.16$252.8$302.441.5×
fallon health [450115]12$168.02$168.02$168.021.0×
beacon health options [100023]12$201.62$201.62$201.621.0×
north american administrators11$85$85$851.0×
novanet11$90$90$901.0×
excellus rochester mcd [350117]11$67.19$67.19$67.191.0×
healthsmart preferred care11$80$80$801.0×
prime health11$85$85$851.0×
sc state employees11$914.7$914.7$914.71.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
COLLETON MEDICAL CENTERWALTERBOROSC22$4,031$4,031$45$90$4,530
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$1,043.47$18.8$321.95$4,928
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$1,043.47$13.2$321.95$5,865
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$1,043.47$16.9$321.95$5,913
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC41$1,900$1,900$66.52$168.16$517.57
ROPER ST. FRANCIS MT PLEASANT HOSPITMT. PLEASANTSC0$3,911$2,542.15
MCLEOD LORIS SEACOAST HOSPITALLORISSC0$3,292$2,337.32
MCLEOD HEALTH CHERAWCHERAWSC0$3,292$2,337.32
MCLEOD HEALTH CLARENDONMANNINGSC0$3,292$2,337.32
ROPER ST. FRANCIS HOSPITAL-BERKELEYSUMMERVILLESC0$3,911$2,542.15
MCLEOD MEDICAL CENTER - DILLONDILLONSC0$3,292$2,337.32
EDGEFIELD COUNTY HEALTHCAREEDGEFIELDSC0$2,036.64$1,221.98
MCLEOD REGIONAL MEDICAL CENTERFLORENCESC0$3,292$2,337.32
BON SECOURS ST. FRANCIS XAVIER HOSPICHARLESTONSC0$3,911$2,542.15
SELF REGIONAL HEALTHCAREGREENWOODSC0$2,036.64$1,221.98
ROPER HOSPITAL INC.CHARLESTONSC0$3,911$2,542.15

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.