Payer comparison · OTHER 969 · SIMPSONVILLE, SC

969 — HIV With Extensive O.r. 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.

$214,398 All-payer median here

32 payer/plan-name variants

← This hospital National rates for 969 →

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	$592,709	176.5%	2
Centene	$358,269	67.1%	2
Aps Healthcare Bethesda Inc	$319,145	48.9%	1
Atlantic Packaging	$319,145	48.9%	1
VALUE OPTIONS	$319,145	48.9%	1
Self Pay	$319,145	48.9%	1
Aetna	$319,145	48.9%	7
Companion Benefit Alternatives	$319,145	48.9%	1
Medcost Preferred	$319,145	48.9%	1
Prisma Health Seniorcare Pace-Upstate	$319,145	48.9%	1
MBS (Formerly MedCost Benefit Services)	$319,145	48.9%	1
MultiPlan	$319,145	48.9%	1
Miscellaneous	$319,145	48.9%	1
Sc Workers Compensation	$286,627	33.7%	1
COVENTRY WELLPATH SELECT	$280,147	30.7%	1
Molina Healthcare	$217,275	1.3%	2
Windsor Health Plan	$214,398	0.0%	1
Medicare Nhc Advantage	$214,398	0.0%	1
ABSOLUTE TOTAL CARE	$214,398	0.0%	1
Care Improvement Plus	$214,367	-0.0%	1
SelectHealth	$212,146	-1.1%	1
Cigna Healthcare	$210,144	-2.0%	3
Liberty Advantage	$210,144	-2.0%	1
Humana	$208,242	-2.9%	3
Medicare Other	$204,189	-4.8%	1
VA / CHAMPVA	$204,189	-4.8%	1
Medicare (Generic)	$200,672	-6.4%	1
UnitedHealthcare	$181,085	-15.5%	2
BCBS of South Carolina	$130,823	-39.0%	6
Promise Health Plan	$123,324	-42.5%	1
Preferred Care, Inc	$122,044	-43.1%	1
Blue Cross State	$45,582	-78.7%	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.