Simple pneumonia & pleurisy w/o CC/MCC in South Carolina
What South Carolina hospitals charge for simple pneumonia & pleurisy w/o cc/mcc (MS-DRG 195). Rates sourced from federally-mandated machine-readable files.
Hospitals
18
Rate rows
576
Neg. median
$5,039.28
Min
$25.2
Max
$38,548
Cash median
$6,295.9
Across 18 South Carolina hospitals, the negotiated rate for Simple pneumonia & pleurisy w/o CC/MCC ranges from $25.2 to $38,548, with a median of $5,039.28. The interquartile range is $3,889 to $10,197. Cash-pay patients typically pay $6,295.9; gross charges median $15,616.
By payer in South Carolina
Top 30 payers for Simple pneumonia & pleurisy w/o CC/MCC in South Carolina.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Humana | 9 | 14 | $5,230.08 |
| UnitedHealthcare | 9 | 69 | $6,965 |
| Aetna | 9 | 34 | $58.8 |
| Blue Cross Blue Shield | 9 | 118 | $10,197 |
| Cigna | 9 | 32 | $6,291.87 |
| Molina | 5 | 17 | $4,732.13 |
| select health of sc [4877] | 4 | 4 | $8,317.7 |
| absolute total care | 4 | 12 | $5,230.08 |
| Multiplan | 4 | 4 | $90 |
| pai [3082] | 4 | 4 | $10,682 |
| select health | 4 | 10 | $5,888.04 |
| phcs | 3 | 3 | $90 |
| plotkin health | 3 | 3 | $60 |
| devoted health | 3 | 5 | $4,639.34 |
| medcost - sc | 3 | 3 | $58.51 |
| Medicare | 3 | 26 | $4,664.33 |
| clover insurance company | 3 | 6 | $5,046.6 |
| WellCare | 2 | 10 | $4,436.49 |
| umr [3113] | 2 | 2 | $11,811 |
| devoted health plan [4501] | 2 | 2 | $6,201.19 |
| first choice vip care plus [4833] | 2 | 2 | $6,511.25 |
| clover | 1 | 1 | $4,208.64 |
| fallon health [450115] | 1 | 1 | $4,664.33 |
| beacon essential [350122] | 1 | 3 | $3,413.68 |
| excellus rochester mcd [350117] | 1 | 1 | $3,570.98 |
| evernorth | 1 | 1 | $80 |
| champ va [700002] | 1 | 1 | $4,615.62 |
| federal workers compensation [500100] | 1 | 3 | $4,664.33 |
| fidelis dual advantage [450120] | 1 | 2 | $4,664.33 |
| eon health | 1 | 2 | $2,643.08 |
Hospital comparison — Simple pneumonia & pleurisy w/o CC/MCC in South Carolina
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Colleton Medical Center | Walterboro | $4,126.12 | — | — |
| Mary Black Memorial Hospital | Spartanburg | $4,664.33 | $12,768 | $15,616 |
| East Cooper Regional Medical Center | Mt. Pleasant | $4,755.33 | $6,237.98 | — |
| Coastal Carolina Medical Center | Hardeeville | $4,852.5 | $6,353.82 | — |
| Hilton Head Hospital | Hilton Head Island | $5,607.66 | $5,792 | — |
| Roper St. Francis Hospital-Berkeley | Summerville | $10,197 | — | — |
| Roper Hospital Inc. | Charleston | $10,197 | — | — |
| Roper St. Francis Mt Pleasant Hospit | Mt. Pleasant | $11,168 | — | — |
| Bon Secours St. Francis Xavier Hospi | Charleston | $11,168 | — | — |
| Edgefield County Healthcare | Edgefield | — | — | — |
| Conway Hospital | Conway | — | — | — |
| Mcleod Regional Medical Center | Florence | — | — | — |
| Self Regional Healthcare | Greenwood | — | — | — |
| Aiken Regional Medical Center | Aiken | — | — | — |
| Mcleod Loris Seacoast Hospital | Loris | — | — | — |
| Mcleod Health Cheraw | Cheraw | — | — | — |
| Mcleod Health Clarendon | Manning | — | — | — |
| Mcleod Medical Center - Dillon | Dillon | — | — | — |