Payer comparison · OTHER 219 · SIMPSONVILLE, SC

219 — Cardiac Valve And Other Major Cardiothoracic Procedures Without 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.

$136,935 All-payer median here

32 payer/plan-name variants

← This hospital National rates for 219 →

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	$241,946	76.7%	2
Aps Healthcare Bethesda Inc	$155,462	13.5%	1
Atlantic Packaging	$155,462	13.5%	1
Prisma Health Seniorcare Pace-Upstate	$155,462	13.5%	1
MultiPlan	$155,462	13.5%	1
VALUE OPTIONS	$155,462	13.5%	1
Miscellaneous	$155,462	13.5%	1
MBS (Formerly MedCost Benefit Services)	$155,462	13.5%	1
Self Pay	$155,462	13.5%	1
Medcost Preferred	$155,462	13.5%	1
Companion Benefit Alternatives	$155,462	13.5%	1
Aetna	$155,462	13.5%	7
Promise Health Plan	$150,881	10.2%	1
Cigna Healthcare	$147,012	7.4%	3
Preferred Care, Inc	$136,935	0.0%	1
UnitedHealthcare	$129,916	-5.1%	2
Centene	$127,621	-6.8%	2
Sc Workers Compensation	$102,780	-24.9%	1
COVENTRY WELLPATH SELECT	$99,809	-27.1%	1
Blue Cross State	$86,297	-37.0%	1
Molina Healthcare	$77,421	-43.5%	2
BCBS of South Carolina	$76,887	-43.9%	6
Windsor Health Plan	$76,385	-44.2%	1
Medicare Nhc Advantage	$76,385	-44.2%	1
ABSOLUTE TOTAL CARE	$76,385	-44.2%	1
Care Improvement Plus	$76,346	-44.2%	1
SelectHealth	$75,604	-44.8%	1
Liberty Advantage	$74,891	-45.3%	1
Humana	$74,165	-45.8%	3
VA / CHAMPVA	$72,747	-46.9%	1
Medicare Other	$72,747	-46.9%	1
Medicare (Generic)	$71,979	-47.4%	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.