Payer comparison · OTHER 969 · CLINTON, SC

969 — HIV With Extensive O.r. Procedures With Mcc

What each payer pays PRISMA HEALTH LAURENS COUNTY HOSPITAL (CCN 420038) 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.

$263,274 All-payer median here

30 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	125.1%	2
Centene	$326,419	24.0%	4
BCBS of South Carolina	$321,880	22.3%	12
VALUE OPTIONS	$321,880	22.3%	2
Miscellaneous	$321,880	22.3%	2
Atlantic Packaging	$321,880	22.3%	2
Prisma Health Seniorcare Pace-Upstate	$321,880	22.3%	2
Aetna	$321,880	22.3%	14
MultiPlan	$321,880	22.3%	2
Companion Benefit Alternatives	$321,880	22.3%	2
Self Pay	$321,880	22.3%	2
MBS (Formerly MedCost Benefit Services)	$321,880	22.3%	2
Medcost Preferred	$321,880	22.3%	2
Sc Workers Compensation	$265,934	1.0%	2
COVENTRY WELLPATH SELECT	$260,615	-1.0%	2
Molina Healthcare	$202,151	-23.2%	4
ABSOLUTE TOTAL CARE	$199,496	-24.2%	2
Medicare Nhc Advantage	$199,496	-24.2%	2
Windsor Health Plan	$199,496	-24.2%	2
SelectHealth	$197,357	-25.0%	2
UnitedHealthcare	$196,646	-25.3%	2
Liberty Advantage	$195,541	-25.7%	2
Cigna Healthcare	$195,541	-25.7%	6
VA / CHAMPVA	$189,996	-27.8%	2
Medicare Other	$189,953	-27.8%	2
Medicare (Generic)	$188,091	-28.6%	4
Humana	$188,071	-28.6%	6
Promise Health Plan	$123,324	-53.2%	2
Preferred Care, Inc	$122,044	-53.6%	2
Blue Cross State	$51,052	-80.6%	2

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.