Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

231 — Coronary Bypass With Ptca 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.

$120,768 All-payer median here
32 payer/plan-name variants
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 $250,048 107.0% 2
Promise Health Plan $165,241 36.8% 1
Aps Healthcare Bethesda Inc $158,404 31.2% 1
Atlantic Packaging $158,404 31.2% 1
VALUE OPTIONS $158,404 31.2% 1
MultiPlan $158,404 31.2% 1
Miscellaneous $158,404 31.2% 1
Cigna Healthcare $158,404 31.2% 3
Companion Benefit Alternatives $158,404 31.2% 1
Aetna $158,404 31.2% 7
Self Pay $158,404 31.2% 1
Medcost Preferred $158,404 31.2% 1
MBS (Formerly MedCost Benefit Services) $158,404 31.2% 1
Prisma Health Seniorcare Pace-Upstate $158,404 31.2% 1
Preferred Care, Inc $144,110 19.3% 1
UnitedHealthcare $141,726 17.4% 2
Centene $137,882 14.2% 2
Blue Cross State $114,270 -5.4% 1
Sc Workers Compensation $111,060 -8.0% 1
COVENTRY WELLPATH SELECT $107,836 -10.7% 1
Molina Healthcare $83,646 -30.7% 2
Windsor Health Plan $82,528 -31.7% 1
Medicare Nhc Advantage $82,528 -31.7% 1
ABSOLUTE TOTAL CARE $82,528 -31.7% 1
Care Improvement Plus $82,485 -31.7% 1
SelectHealth $81,682 -32.4% 1
Liberty Advantage $80,911 -33.0% 1
Humana $80,129 -33.7% 3
Medicare Other $78,598 -34.9% 1
VA / CHAMPVA $78,598 -34.9% 1
Medicare (Generic) $77,774 -35.6% 1
BCBS of South Carolina $77,292 -36.0% 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.