Payer comparison · OTHER 4 · SIMPSONVILLE, SC

4 — Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.r. Procedures

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.

$287,598 All-payer median here

22 payer/plan-name variants

← This hospital National rates for 4 →

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	$759,369	164.0%	2
Centene	$488,904	70.0%	2
Sc Workers Compensation	$391,835	36.2%	1
COVENTRY WELLPATH SELECT	$382,327	32.9%	1
UnitedHealthcare	$312,709	8.7%	2
Molina Healthcare	$296,516	3.1%	2
Windsor Health Plan	$292,597	1.7%	1
Aetna	$292,597	1.7%	2
Medicare Nhc Advantage	$292,597	1.7%	1
ABSOLUTE TOTAL CARE	$292,597	1.7%	1
Care Improvement Plus	$292,527	1.7%	1
SelectHealth	$289,510	0.7%	1
Liberty Advantage	$286,779	-0.3%	1
Humana	$284,074	-1.2%	2
Medicare Other	$278,664	-3.1%	1
VA / CHAMPVA	$278,664	-3.1%	1
Cigna Healthcare	$277,625	-3.5%	2
Promise Health Plan	$275,535	-4.2%	1
Medicare (Generic)	$274,317	-4.6%	1
Preferred Care, Inc	$261,043	-9.2%	1
BCBS of South Carolina	$108,486	-62.3%	4
Blue Cross State	$7,798	-97.3%	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.