Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · OTHER 212 · SENECA, SC

212 — Hip & Femur Procedures Except Major Joint Age 0-17

What each payer pays PRISMA HEALTH OCONEE MEMORIAL HOSPITAL (CCN 420009) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$146,303 All-payer median here
30 payer/plan-name variants
← This hospital National rates for 212 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
Promise Health Plan $212,431 45.2% 1
Preferred Care, Inc $191,266 30.7% 1
UnitedHealthcare $177,868 21.6% 2
MultiPlan $168,580 15.2% 1
Self Pay $168,580 15.2% 1
Aetna $168,580 15.2% 7
Miscellaneous $168,580 15.2% 1
Prisma Health Seniorcare Pace-Upstate $168,580 15.2% 1
VALUE OPTIONS $168,580 15.2% 1
Cigna Healthcare $168,580 15.2% 3
Companion Benefit Alternatives $168,580 15.2% 1
Atlantic Packaging $168,580 15.2% 1
MBS (Formerly MedCost Benefit Services) $168,580 15.2% 1
Medcost Preferred $168,580 15.2% 1
Blue Cross State $166,811 14.0% 1
Centene $158,400 8.3% 2
Sc Workers Compensation $127,324 -13.0% 1
COVENTRY WELLPATH SELECT $122,293 -16.4% 1
TRICARE $119,094 -18.6% 1
ABSOLUTE TOTAL CARE $97,306 -33.5% 1
Windsor Health Plan $97,306 -33.5% 1
Molina Healthcare $96,715 -33.9% 2
Medicare Nhc Advantage $95,405 -34.8% 1
Liberty Advantage $93,531 -36.1% 1
VA / CHAMPVA $92,673 -36.7% 1
SelectHealth $92,628 -36.7% 1
Humana $90,685 -38.0% 3
Medicare (Generic) $89,159 -39.1% 1
Medicare Other $89,135 -39.1% 1
BCBS of South Carolina $72,845 -50.2% 6

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.