Payer comparison · OTHER 275 · SIMPSONVILLE, SC

275 — Cardiac Defibrillator Implant With Cardiac Catheterization And 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.

$108,581 All-payer median here

32 payer/plan-name variants

← This hospital National rates for 275 →

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

Promise Health Plan	$137,806	26.9%	1
Preferred Care, Inc	$124,942	15.1%	1
TRICARE	$119,217	9.8%	2
UnitedHealthcare	$109,613	1.0%	2
Aps Healthcare Bethesda Inc	$108,581	0.0%	1
MBS (Formerly MedCost Benefit Services)	$108,581	0.0%	1
Medcost Preferred	$108,581	0.0%	1
Self Pay	$108,581	0.0%	1
Aetna	$108,581	0.0%	7
Miscellaneous	$108,581	0.0%	1
MultiPlan	$108,581	0.0%	1
VALUE OPTIONS	$108,581	0.0%	1
Cigna Healthcare	$108,581	0.0%	3
Companion Benefit Alternatives	$108,581	0.0%	1
Prisma Health Seniorcare Pace-Upstate	$108,581	0.0%	1
Atlantic Packaging	$108,581	0.0%	1
Blue Cross State	$86,030	-20.8%	1
Centene	$85,893	-20.9%	2
BCBS of South Carolina	$76,946	-29.1%	6
Sc Workers Compensation	$69,403	-36.1%	1
COVENTRY WELLPATH SELECT	$67,179	-38.1%	1
Molina Healthcare	$52,116	-52.0%	2
Windsor Health Plan	$51,412	-52.7%	1
Medicare Nhc Advantage	$51,412	-52.7%	1
ABSOLUTE TOTAL CARE	$51,412	-52.7%	1
Care Improvement Plus	$51,377	-52.7%	1
SelectHealth	$50,899	-53.1%	1
Liberty Advantage	$50,419	-53.6%	1
Humana	$49,909	-54.0%	3
VA / CHAMPVA	$48,964	-54.9%	1
Medicare Other	$48,964	-54.9%	1
Medicare (Generic)	$48,615	-55.2%	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.