Payer comparison · OTHER 1 · SIMPSONVILLE, SC

1 — Heart Transplant Or Implant Of Heart Assist System With Mcc

What each payer pays PRISMA HEALTH HILLCREST HOSPITAL (CCN 420037) 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.

$446,686 All-payer median here

29 payer/plan-name variants

← This hospital National rates for 1 →

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	$677,274	51.6%	2
Promise Health Plan	$549,282	23.0%	1
Preferred Care, Inc	$481,217	7.7%	1
Centene	$471,419	5.5%	2
VALUE OPTIONS	$446,686	0.0%	1
Cigna Healthcare	$446,686	0.0%	3
Companion Benefit Alternatives	$446,686	0.0%	1
Self Pay	$446,686	0.0%	1
MBS (Formerly MedCost Benefit Services)	$446,686	0.0%	1
Medcost Preferred	$446,686	0.0%	1
MultiPlan	$446,686	0.0%	1
Prisma Health Seniorcare Pace-Upstate	$446,686	0.0%	1
Aps Healthcare Bethesda Inc	$446,686	0.0%	1
Atlantic Packaging	$446,686	0.0%	1
Aetna	$446,686	0.0%	7
Miscellaneous	$446,686	0.0%	1
Sc Workers Compensation	$379,645	-15.0%	1
COVENTRY WELLPATH SELECT	$368,720	-17.5%	1
Humana	$360,245	-19.4%	2
Molina Healthcare	$285,964	-36.0%	2
ABSOLUTE TOTAL CARE	$282,184	-36.8%	1
Medicare Nhc Advantage	$282,184	-36.8%	1
Windsor Health Plan	$282,184	-36.8%	1
Care Improvement Plus	$282,044	-36.9%	1
SelectHealth	$279,208	-37.5%	1
Liberty Advantage	$276,574	-38.1%	1
Medicare Other	$268,746	-39.8%	1
Medicare (Generic)	$265,784	-40.5%	1
BCBS of South Carolina	$257,498	-42.4%	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.