Payer comparison · OTHER 2 · SIMPSONVILLE, SC

2 — Heart Transplant Or Implant Of Heart Assist System Without 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.

$326,462 All-payer median here

29 payer/plan-name variants

← This hospital National rates for 2 →

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	$602,310	84.5%	2
Centene	$375,133	14.9%	2
Aps Healthcare Bethesda Inc	$352,252	7.9%	1
Atlantic Packaging	$352,252	7.9%	1
VALUE OPTIONS	$352,252	7.9%	1
Cigna Healthcare	$352,252	7.9%	3
Companion Benefit Alternatives	$352,252	7.9%	1
Miscellaneous	$352,252	7.9%	1
Prisma Health Seniorcare Pace-Upstate	$352,252	7.9%	1
Self Pay	$352,252	7.9%	1
MBS (Formerly MedCost Benefit Services)	$352,252	7.9%	1
Medcost Preferred	$352,252	7.9%	1
Aetna	$352,252	7.9%	7
MultiPlan	$352,252	7.9%	1
Sc Workers Compensation	$300,672	-7.9%	1
COVENTRY WELLPATH SELECT	$293,355	-10.1%	1
Humana	$285,077	-12.7%	2
Molina Healthcare	$227,517	-30.3%	2
ABSOLUTE TOTAL CARE	$224,506	-31.2%	1
Medicare Nhc Advantage	$224,506	-31.2%	1
Windsor Health Plan	$224,506	-31.2%	1
Care Improvement Plus	$224,451	-31.2%	1
SelectHealth	$222,146	-32.0%	1
Liberty Advantage	$220,050	-32.6%	1
Preferred Care, Inc	$217,431	-33.4%	1
Promise Health Plan	$214,884	-34.2%	1
Medicare Other	$213,815	-34.5%	1
Medicare (Generic)	$210,503	-35.5%	1
BCBS of South Carolina	$166,002	-49.2%	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.