Payer comparison · OTHER 4 · SENECA, SC

4 — Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.r. Procedures

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.

$250,437 All-payer median here

21 payer/plan-name variants

← This hospital National rates for 4 →

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

TRICARE	$759,369	203.2%	1
Centene	$417,927	66.9%	2
Sc Workers Compensation	$338,971	35.4%	1
COVENTRY WELLPATH SELECT	$328,970	31.4%	1
UnitedHealthcare	$292,583	16.8%	2
Promise Health Plan	$275,535	10.0%	1
Preferred Care, Inc	$261,043	4.2%	1
Cigna Healthcare	$257,616	2.9%	2
Molina Healthcare	$255,137	1.9%	2
Windsor Health Plan	$251,762	0.5%	1
Aetna	$251,762	0.5%	2
Medicare Nhc Advantage	$251,762	0.5%	1
ABSOLUTE TOTAL CARE	$251,762	0.5%	1
SelectHealth	$249,112	-0.5%	1
Liberty Advantage	$246,762	-1.5%	1
Humana	$242,189	-3.3%	2
VA / CHAMPVA	$239,774	-4.3%	1
Medicare Other	$239,774	-4.3%	1
Medicare (Generic)	$237,312	-5.2%	1
Blue Cross State	$8,344	-96.7%	1
BCBS of South Carolina	$3,405	-98.6%	4

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.