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 969 · SENECA, SC

969 — HIV With Extensive O.r. Procedures With Mcc

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.

$177,973 All-payer median here
21 payer/plan-name variants
← This hospital National rates for 969 →
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 $592,709 233.0% 1
Centene $304,233 70.9% 2
Sc Workers Compensation $245,718 38.1% 1
COVENTRY WELLPATH SELECT $239,362 34.5% 1
Molina Healthcare $185,645 4.3% 2
Windsor Health Plan $183,185 2.9% 1
Aetna $183,185 2.9% 2
Medicare Nhc Advantage $183,185 2.9% 1
ABSOLUTE TOTAL CARE $183,185 2.9% 1
SelectHealth $181,266 1.8% 1
Liberty Advantage $179,556 0.9% 1
Humana $176,339 -0.9% 2
VA / CHAMPVA $174,462 -2.0% 1
Medicare Other $174,462 -2.0% 1
Medicare (Generic) $172,035 -3.3% 1
UnitedHealthcare $165,701 -6.9% 2
Cigna Healthcare $149,859 -15.8% 2
Promise Health Plan $123,324 -30.7% 1
Preferred Care, Inc $122,044 -31.4% 1
Blue Cross State $48,773 -72.6% 1
BCBS of South Carolina $18,780 -89.4% 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.