Payer comparison · OTHER 216 · COLUMBIA, SC

216 — Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc

What each payer pays PRISMA HEALTH BAPTIST (CCN 420086) 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.

$137,829 All-payer median here

21 payer/plan-name variants

← This hospital National rates for 216 →

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	$188,196	36.5%	1
UnitedHealthcare	$179,050	29.9%	2
Prisma Health	$177,193	28.6%	1
Commercial Other	$177,193	28.6%	1
Medcost Llc	$177,193	28.6%	2
Aetna	$177,193	28.6%	5
MultiPlan	$177,193	28.6%	1
Preferred Care, Inc	$171,372	24.3%	1
Bluechoice	$157,511	14.3%	2
Blue Cross Blue Shield Association	$157,511	14.3%	2
Cigna Healthcare	$143,347	4.0%	2
Humana	$121,989	-11.5%	2
State Health Plan	$109,056	-20.9%	2
Sc Workers Comp	$95,358	-30.8%	1
WellCare Health Plans	$71,519	-48.1%	1
Molina Healthcare	$71,519	-48.1%	1
Centene	$70,156	-49.1%	3
VA / CHAMPVA	$68,113	-50.6%	1
BCBS of South Carolina	$68,113	-50.6%	1
Medicare (Generic)	$66,964	-51.4%	1
TRICARE	$12,787	-90.7%	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.