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Critical care, first hour

CPT 99291 · negotiated-rate distribution across hospitals in SC

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Hospitals
16
Min
$85.00
Median
$429.14
Max
$429.14
Range multiplier
5.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield574$14.70$338.91$3,238.87220.3×
Medicaid174$84.68$84.68$203.942.4×
UnitedHealthcare546$45.00$203.94$8,017.00178.2×
Medicare144$203.74$203.94$289.111.4×
Aetna529$29.10$50.00$768.2726.4×
no fault [114001]128$409.56$409.56$409.561.0×
Molina525$13.20$190.53$2,468.00187.0×
univera healthcare [100169]118$176.71$258.00$258.001.5×
Cigna518$25.20$135.82$791.3231.4×
independent health [100165]114$434.92$434.92$434.921.0×
Humana514$13.20$214.14$768.2758.2×
select health413$13.20$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$799.00$799.00$799.001.0×
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$85.00$90.00$90.001.1×
medcost - sc33$50.44$56.53$58.511.2×
plotkin health33$60.00$60.00$60.001.0×
phcs33$90.00$90.00$90.001.0×
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$56.90$65.30$73.701.3×
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$50.00$50.00$50.001.0×
evernorth11$80.00$80.00$80.001.0×
vocational rehab11$54.00$54.00$54.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Colleton Medical CenterWalterboroSC22$4,336.00$4,336.00$45.00$85.00$4,530.00
East Cooper Regional Medical CenterMt. PleasantSC14$1,564.10$18.80$429.14$8,017.00
Coastal Carolina Medical CenterHardeevilleSC14$1,564.10$13.20$429.14$6,710.00
Hilton Head HospitalHilton Head IslandSC14$1,564.10$16.90$429.14$6,762.00
Mary Black Memorial HospitalSpartanburgSC37$2,700.00$2,700.00$84.68$203.94$517.57
Roper St. Francis Mt Pleasant HospitMt. PleasantSC0$4,946.00$3,214.90
Mcleod Loris Seacoast HospitalLorisSC0$4,521.00$3,209.91
Mcleod Health CherawCherawSC0$4,521.00$3,209.91
Mcleod Health ClarendonManningSC0$4,521.00$3,209.91
Roper St. Francis Hospital-BerkeleySummervilleSC0$4,946.00$3,214.90
Mcleod Medical Center - DillonDillonSC0$4,521.00$3,209.91
Edgefield County HealthcareEdgefieldSC0$3,168.54$1,901.12
Mcleod Regional Medical CenterFlorenceSC0$4,521.00$3,209.91
Bon Secours St. Francis Xavier HospiCharlestonSC0$4,946.00$3,214.90
Self Regional HealthcareGreenwoodSC0$3,168.54$1,901.12
Roper Hospital Inc.CharlestonSC0$4,946.00$3,214.90

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.