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Critical care, first hour

CPT 99291 · negotiated-rate distribution across hospitals in SC

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Hospitals
16
Min
$85
Median
$429.14
Max
$429.14
Range multiplier
5.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield574$14.7$338.91$3,238.87220.3×
Medicaid174$84.68$84.68$203.942.4×
UnitedHealthcare546$45$203.94$8,017178.2×
Medicare144$203.74$203.94$289.111.4×
Aetna529$29.1$50$768.2726.4×
no fault [114001]128$409.56$409.56$409.561.0×
Molina525$13.2$190.53$2,468187.0×
univera healthcare [100169]118$176.71$258$2581.5×
Cigna518$25.2$135.82$791.3231.4×
independent health [100165]114$434.92$434.92$434.921.0×
Humana514$13.2$214.14$768.2758.2×
select health413$13.2$806.68$1,720.92130.4×
absolute total care413$13.86$768.27$1,267.6591.5×
WellCare110$214.13$214.13$224.331.0×
amerigroup [350102]19$84.68$84.68$517.576.1×
beacon essential [350122]16$183.55$244.73$244.731.3×
federal workers compensation [500100]16$409.56$409.56$409.561.0×
fidelis essential [100163]16$224.33$224.33$224.331.0×
clover insurance company36$799$799$7991.0×
independent health essential [100166]16$84.68$84.68$84.681.0×
TRICARE16$203.94$203.94$203.941.0×
univera healthcare essential [100170]16$176.71$176.71$176.711.0×
VA Health16$203.94$203.94$203.941.0×
iha first choice [800001]14$434.92$434.92$434.921.0×
devoted health24$768.27$768.27$768.271.0×
fidelis dual advantage [450120]14$214.13$214.13$214.131.0×
hospice [550001]14$203.94$203.94$203.941.0×
Multiplan44$85$90$901.1×
medcost - sc33$50.44$56.53$58.511.2×
plotkin health33$60$60$601.0×
phcs33$90$90$901.0×
fallon health [450115]12$203.94$203.94$203.941.0×
excellus rochester mcd [350117]12$84.68$84.68$84.681.0×
ghi [100153]12$224.33$224.33$224.331.0×
fidelis exchange [100164]12$244.73$244.73$244.731.0×
medcost12$56.9$65.3$73.71.3×
beacon health options [100023]12$244.73$244.73$244.731.0×
mvp healthcare [100168]12$242.95$242.95$242.951.0×
devoted health plan12$768.27$768.27$768.271.0×
seneca nation [450119]12$203.94$203.94$203.941.0×
crime victims [100176]12$84.68$84.68$84.681.0×
tuscarora nation [550120]12$84.68$84.68$84.681.0×
covid19 hrsa [45013]12$203.94$203.94$203.941.0×
champ va [700002]12$203.94$203.94$203.941.0×
catholic health life pace [400005]12$203.94$203.94$203.941.0×
upmc health plan [100181]12$367.09$367.09$367.091.0×
vna option mltc [350110]12$84.68$84.68$84.681.0×
value option11$50$50$501.0×
evernorth11$80$80$801.0×
vocational rehab11$54$54$541.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
COLLETON MEDICAL CENTERWALTERBOROSC22$4,336$4,336$45$85$4,530
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$1,564.1$18.8$429.14$8,017
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$1,564.1$13.2$429.14$6,710
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$1,564.1$16.9$429.14$6,762
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC37$2,700$2,700$84.68$203.94$517.57
ROPER ST. FRANCIS MT PLEASANT HOSPITMT. PLEASANTSC0$4,946$3,214.9
MCLEOD LORIS SEACOAST HOSPITALLORISSC0$4,521$3,209.91
MCLEOD HEALTH CHERAWCHERAWSC0$4,521$3,209.91
MCLEOD HEALTH CLARENDONMANNINGSC0$4,521$3,209.91
ROPER ST. FRANCIS HOSPITAL-BERKELEYSUMMERVILLESC0$4,946$3,214.9
MCLEOD MEDICAL CENTER - DILLONDILLONSC0$4,521$3,209.91
EDGEFIELD COUNTY HEALTHCAREEDGEFIELDSC0$3,168.54$1,901.12
MCLEOD REGIONAL MEDICAL CENTERFLORENCESC0$4,521$3,209.91
BON SECOURS ST. FRANCIS XAVIER HOSPICHARLESTONSC0$4,946$3,214.9
SELF REGIONAL HEALTHCAREGREENWOODSC0$3,168.54$1,901.12
ROPER HOSPITAL INC.CHARLESTONSC0$4,946$3,214.9

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.