Payer comparison · OTHER 653 · SIMPSONVILLE, SC

653 — Major Bladder Procedures 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.

$115,989 All-payer median here

32 payer/plan-name variants

← This hospital National rates for 653 →

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	$346,102	198.4%	2
Miscellaneous	$198,347	71.0%	1
Aps Healthcare Bethesda Inc	$198,347	71.0%	1
Atlantic Packaging	$198,347	71.0%	1
VALUE OPTIONS	$198,347	71.0%	1
Aetna	$198,347	71.0%	7
Companion Benefit Alternatives	$198,347	71.0%	1
Prisma Health Seniorcare Pace-Upstate	$198,347	71.0%	1
MBS (Formerly MedCost Benefit Services)	$198,347	71.0%	1
Medcost Preferred	$198,347	71.0%	1
MultiPlan	$198,347	71.0%	1
Self Pay	$198,347	71.0%	1
Centene	$188,725	62.7%	2
Sc Workers Compensation	$151,261	30.4%	1
COVENTRY WELLPATH SELECT	$147,576	27.2%	1
UnitedHealthcare	$122,141	5.3%	2
Molina Healthcare	$114,465	-1.3%	2
Windsor Health Plan	$112,941	-2.6%	1
Medicare Nhc Advantage	$112,941	-2.6%	1
ABSOLUTE TOTAL CARE	$112,941	-2.6%	1
Care Improvement Plus	$112,913	-2.7%	1
SelectHealth	$111,771	-3.6%	1
Cigna Healthcare	$110,717	-4.5%	3
Liberty Advantage	$110,717	-4.5%	1
Humana	$109,687	-5.4%	3
Promise Health Plan	$108,705	-6.3%	1
Medicare Other	$107,563	-7.3%	1
VA / CHAMPVA	$107,563	-7.3%	1
Medicare (Generic)	$105,916	-8.7%	1
Preferred Care, Inc	$96,135	-17.1%	1
BCBS of South Carolina	$83,054	-28.4%	6
Blue Cross State	$59,560	-48.7%	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.