Payer comparison · OTHER 216 · SIMPSONVILLE, SC

216 — Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization 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.

$163,479 All-payer median here

32 payer/plan-name variants

← This hospital National rates for 216 →

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	$243,047	48.7%	2
Promise Health Plan	$188,196	15.1%	1
Preferred Care, Inc	$172,347	5.4%	1
VALUE OPTIONS	$163,479	0.0%	1
Prisma Health Seniorcare Pace-Upstate	$163,479	0.0%	1
Aps Healthcare Bethesda Inc	$163,479	0.0%	1
Atlantic Packaging	$163,479	0.0%	1
Companion Benefit Alternatives	$163,479	0.0%	1
MBS (Formerly MedCost Benefit Services)	$163,479	0.0%	1
Medcost Preferred	$163,479	0.0%	1
Self Pay	$163,479	0.0%	1
Aetna	$163,479	0.0%	7
Miscellaneous	$163,479	0.0%	1
MultiPlan	$163,479	0.0%	1
Cigna Healthcare	$163,479	0.0%	3
UnitedHealthcare	$158,951	-2.8%	2
Centene	$148,684	-9.1%	2
Sc Workers Compensation	$119,826	-26.7%	1
COVENTRY WELLPATH SELECT	$116,287	-28.9%	1
Blue Cross State	$107,658	-34.1%	1
BCBS of South Carolina	$98,819	-39.6%	6
Molina Healthcare	$90,200	-44.8%	2
Windsor Health Plan	$88,995	-45.6%	1
Medicare Nhc Advantage	$88,995	-45.6%	1
ABSOLUTE TOTAL CARE	$88,995	-45.6%	1
Care Improvement Plus	$88,947	-45.6%	1
SelectHealth	$88,081	-46.1%	1
Liberty Advantage	$87,250	-46.6%	1
Humana	$86,406	-47.1%	3
VA / CHAMPVA	$84,757	-48.2%	1
Medicare Other	$84,757	-48.2%	1
Medicare (Generic)	$83,911	-48.7%	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.