Payer comparison · OTHER 215 · SENECA, SC

215 — Other Heart Assist System Implant

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.

$214,690 All-payer median here

30 payer/plan-name variants

← This hospital National rates for 215 →

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

Self Pay	$283,672	32.1%	1
Aetna	$283,672	32.1%	7
Atlantic Packaging	$283,672	32.1%	1
BCBS of South Carolina	$283,672	32.1%	6
Prisma Health Seniorcare Pace-Upstate	$283,672	32.1%	1
MultiPlan	$283,672	32.1%	1
Miscellaneous	$283,672	32.1%	1
MBS (Formerly MedCost Benefit Services)	$283,672	32.1%	1
Medcost Preferred	$283,672	32.1%	1
Companion Benefit Alternatives	$283,672	32.1%	1
VALUE OPTIONS	$283,672	32.1%	1
TRICARE	$268,103	24.9%	1
Promise Health Plan	$206,599	-3.8%	1
Cigna Healthcare	$201,301	-6.2%	3
Preferred Care, Inc	$181,394	-15.5%	1
UnitedHealthcare	$173,456	-19.2%	2
Centene	$155,607	-27.5%	2
Sc Workers Compensation	$125,069	-41.7%	1
Blue Cross State	$124,135	-42.2%	1
COVENTRY WELLPATH SELECT	$120,152	-44.0%	1
ABSOLUTE TOTAL CARE	$95,592	-55.5%	1
Windsor Health Plan	$95,592	-55.5%	1
Molina Healthcare	$95,017	-55.7%	2
Medicare Nhc Advantage	$93,744	-56.3%	1
Liberty Advantage	$91,903	-57.2%	1
VA / CHAMPVA	$91,040	-57.6%	1
SelectHealth	$91,007	-57.6%	1
Humana	$89,099	-58.5%	3
Medicare (Generic)	$87,581	-59.2%	1
Medicare Other	$87,574	-59.2%	1

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.