Payer comparison · OTHER 461 · SIMPSONVILLE, SC

461 — Bilateral Or Multiple Major Joint Procedures Of Lower Extremity 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.

$116,597 All-payer median here

32 payer/plan-name variants

← This hospital National rates for 461 →

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	$299,185	156.6%	2
Prisma Health Seniorcare Pace-Upstate	$169,422	45.3%	1
Aps Healthcare Bethesda Inc	$169,422	45.3%	1
Atlantic Packaging	$169,422	45.3%	1
VALUE OPTIONS	$169,422	45.3%	1
MultiPlan	$169,422	45.3%	1
Miscellaneous	$169,422	45.3%	1
Aetna	$169,422	45.3%	7
Companion Benefit Alternatives	$169,422	45.3%	1
Medcost Preferred	$169,422	45.3%	1
Self Pay	$169,422	45.3%	1
MBS (Formerly MedCost Benefit Services)	$169,422	45.3%	1
Centene	$158,019	35.5%	2
Sc Workers Compensation	$126,833	8.8%	1
COVENTRY WELLPATH SELECT	$123,570	6.0%	1
Preferred Care, Inc	$121,083	3.8%	1
UnitedHealthcare	$119,789	2.7%	2
Promise Health Plan	$119,666	2.6%	1
Cigna Healthcare	$116,597	0.0%	3
Blue Cross State	$99,794	-14.4%	1
Molina Healthcare	$95,848	-17.8%	2
Windsor Health Plan	$94,569	-18.9%	1
Medicare Nhc Advantage	$94,569	-18.9%	1
ABSOLUTE TOTAL CARE	$94,569	-18.9%	1
Care Improvement Plus	$94,538	-18.9%	1
SelectHealth	$93,595	-19.7%	1
Liberty Advantage	$92,712	-20.5%	1
Humana	$91,837	-21.2%	3
Medicare Other	$90,066	-22.8%	1
VA / CHAMPVA	$90,066	-22.8%	1
Medicare (Generic)	$88,816	-23.8%	1
BCBS of South Carolina	$57,974	-50.3%	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.