Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · OTHER 1 · SUMTER, SC

1 — Heart Transplant Or Implant Of Heart Assist System With Mcc

What each payer pays PRISMA HEALTH TUOMEY HOSPITAL (CCN 420070) 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.

$416,782 All-payer median here
24 payer/plan-name variants
← This hospital National rates for 1 →
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 $549,282 31.8% 1
Preferred Care, Inc $481,217 15.5% 1
Centene $423,607 1.6% 2
Blue Cross Blue Shield Association $416,782 0.0% 1
Bluechoice $416,782 0.0% 2
Commercial Other $416,782 0.0% 1
Prisma Health Seniorcare Pace-Midlands $416,782 0.0% 1
Aetna $416,782 0.0% 7
Atlantic Packaging $416,782 0.0% 1
State Health Plan $416,782 0.0% 1
MBS (Formerly MedCost Benefit Services) $416,782 0.0% 2
MultiPlan $416,782 0.0% 1
Prisma Health $416,782 0.0% 1
Cigna Healthcare $334,443 -19.8% 2
BCBS of South Carolina $330,874 -20.6% 2
Sc Workers Comp $280,788 -32.6% 1
Medicare Nhc Advantage $257,215 -38.3% 1
Molina Healthcare $257,215 -38.3% 1
WellCare Health Plans $257,215 -38.3% 1
ABSOLUTE TOTAL CARE $254,660 -38.9% 2
Liberty Advantage $252,105 -39.5% 1
SelectHealth $247,303 -40.7% 1
Medicare (Generic) $243,565 -41.6% 1
Humana $40,198 -90.4% 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.