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 →

Payer comparison · OTHER 456 · SIMPSONVILLE, SC

456 — Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions 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.

$149,689 All-payer median here
32 payer/plan-name variants
← This hospital National rates for 456 →
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 $260,402 74.0% 2
Aps Healthcare Bethesda Inc $168,201 12.4% 1
Atlantic Packaging $168,201 12.4% 1
Prisma Health Seniorcare Pace-Upstate $168,201 12.4% 1
MultiPlan $168,201 12.4% 1
VALUE OPTIONS $168,201 12.4% 1
Miscellaneous $168,201 12.4% 1
MBS (Formerly MedCost Benefit Services) $168,201 12.4% 1
Self Pay $168,201 12.4% 1
Medcost Preferred $168,201 12.4% 1
Companion Benefit Alternatives $168,201 12.4% 1
Aetna $168,201 12.4% 7
Promise Health Plan $165,149 10.3% 1
Cigna Healthcare $160,915 7.5% 3
Preferred Care, Inc $149,689 0.0% 1
UnitedHealthcare $142,512 -4.8% 2
Centene $140,738 -6.0% 2
Sc Workers Compensation $113,338 -24.3% 1
COVENTRY WELLPATH SELECT $110,069 -26.5% 1
Blue Cross State $96,039 -35.8% 1
Molina Healthcare $85,378 -43.0% 2
BCBS of South Carolina $84,714 -43.4% 6
Windsor Health Plan $84,236 -43.7% 1
Medicare Nhc Advantage $84,236 -43.7% 1
ABSOLUTE TOTAL CARE $84,236 -43.7% 1
Care Improvement Plus $84,194 -43.8% 1
SelectHealth $83,373 -44.3% 1
Liberty Advantage $82,586 -44.8% 1
Humana $81,789 -45.4% 3
VA / CHAMPVA $80,225 -46.4% 1
Medicare Other $80,225 -46.4% 1
Medicare (Generic) $79,369 -47.0% 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.