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 7 · SENECA, SC

7 — Lung Transplant

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.

$974,052 All-payer median here
27 payer/plan-name variants
← This hospital National rates for 7 →
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 $1,730,278 77.6% 1
Centene $991,743 1.8% 2
Atlantic Packaging $974,052 0.0% 1
BCBS of South Carolina $974,052 0.0% 6
Cigna Healthcare $974,052 0.0% 3
Companion Benefit Alternatives $974,052 0.0% 1
Humana $974,052 0.0% 1
VALUE OPTIONS $974,052 0.0% 1
MBS (Formerly MedCost Benefit Services) $974,052 0.0% 1
Medcost Preferred $974,052 0.0% 1
MultiPlan $974,052 0.0% 1
Prisma Health Seniorcare Pace-Upstate $974,052 0.0% 1
Aetna $974,052 0.0% 7
Self Pay $974,052 0.0% 1
Miscellaneous $974,052 0.0% 1
Sc Workers Compensation $796,449 -18.2% 1
COVENTRY WELLPATH SELECT $777,540 -20.2% 1
Molina Healthcare $603,008 -38.1% 2
Windsor Health Plan $595,056 -38.9% 1
Medicare Nhc Advantage $595,056 -38.9% 1
ABSOLUTE TOTAL CARE $595,056 -38.9% 1
SelectHealth $588,743 -39.6% 1
Liberty Advantage $583,189 -40.1% 1
Medicare Other $566,720 -41.8% 1
Medicare (Generic) $557,547 -42.8% 1
Promise Health Plan $254,842 -73.8% 1
Preferred Care, Inc $217,827 -77.6% 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.