Payer comparison · OTHER 163 · SIMPSONVILLE, SC

163 — Major Chest Procedures 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.

$120,590 All-payer median here

32 payer/plan-name variants

← This hospital National rates for 163 →

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	$368,003	205.2%	2
Miscellaneous	$204,491	69.6%	1
Aps Healthcare Bethesda Inc	$204,491	69.6%	1
Atlantic Packaging	$204,491	69.6%	1
VALUE OPTIONS	$204,491	69.6%	1
Self Pay	$204,491	69.6%	1
MultiPlan	$204,491	69.6%	1
MBS (Formerly MedCost Benefit Services)	$204,491	69.6%	1
Aetna	$204,491	69.6%	7
Companion Benefit Alternatives	$204,491	69.6%	1
Medcost Preferred	$204,491	69.6%	1
Prisma Health Seniorcare Pace-Upstate	$204,491	69.6%	1
Centene	$201,512	67.1%	2
Sc Workers Compensation	$161,343	33.8%	1
COVENTRY WELLPATH SELECT	$157,570	30.7%	1
Molina Healthcare	$122,215	1.3%	2
Windsor Health Plan	$120,590	0.0%	1
Medicare Nhc Advantage	$120,590	0.0%	1
ABSOLUTE TOTAL CARE	$120,590	0.0%	1
Care Improvement Plus	$120,567	-0.0%	1
SelectHealth	$119,338	-1.0%	1
Cigna Healthcare	$118,212	-2.0%	3
Liberty Advantage	$118,212	-2.0%	1
Humana	$117,122	-2.9%	3
Medicare Other	$114,847	-4.8%	1
VA / CHAMPVA	$114,847	-4.8%	1
UnitedHealthcare	$114,398	-5.1%	2
Medicare (Generic)	$112,972	-6.3%	1
Promise Health Plan	$89,879	-25.5%	1
Preferred Care, Inc	$83,704	-30.6%	1
BCBS of South Carolina	$70,238	-41.8%	6
Blue Cross State	$40,978	-66.0%	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.