Payer comparison · OTHER 957 · SIMPSONVILLE, SC

957 — Other O.r. Procedures For Multiple Significant Trauma 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.

$116,395 All-payer median here

32 payer/plan-name variants

← This hospital National rates for 957 →

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	$145,552	25.0%	1
TRICARE	$143,573	23.3%	2
Preferred Care, Inc	$128,435	10.3%	1
UnitedHealthcare	$117,637	1.1%	2
Aps Healthcare Bethesda Inc	$116,395	0.0%	1
MBS (Formerly MedCost Benefit Services)	$116,395	0.0%	1
Medcost Preferred	$116,395	0.0%	1
Self Pay	$116,395	0.0%	1
Aetna	$116,395	0.0%	7
Miscellaneous	$116,395	0.0%	1
MultiPlan	$116,395	0.0%	1
VALUE OPTIONS	$116,395	0.0%	1
Cigna Healthcare	$116,395	0.0%	3
Companion Benefit Alternatives	$116,395	0.0%	1
Prisma Health Seniorcare Pace-Upstate	$116,395	0.0%	1
Atlantic Packaging	$116,395	0.0%	1
Centene	$97,038	-16.6%	2
Blue Cross State	$86,953	-25.3%	1
Sc Workers Compensation	$78,346	-32.7%	1
COVENTRY WELLPATH SELECT	$75,896	-34.8%	1
BCBS of South Carolina	$61,049	-47.6%	6
Molina Healthcare	$58,876	-49.4%	2
Windsor Health Plan	$58,083	-50.1%	1
Medicare Nhc Advantage	$58,083	-50.1%	1
ABSOLUTE TOTAL CARE	$58,083	-50.1%	1
Care Improvement Plus	$58,046	-50.1%	1
SelectHealth	$57,498	-50.6%	1
Liberty Advantage	$56,956	-51.1%	1
Humana	$56,388	-51.6%	3
VA / CHAMPVA	$55,317	-52.5%	1
Medicare Other	$55,317	-52.5%	1
Medicare (Generic)	$54,875	-52.9%	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.