Payer comparison · OTHER 219 · COLUMBIA, SC

219 — Cardiac Valve And Other Major Cardiothoracic Procedures Without 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.

$101,568 All-payer median here

21 payer/plan-name variants

← This hospital National rates for 219 →

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	$150,881	48.6%	1
UnitedHealthcare	$143,721	41.5%	2
Prisma Health	$142,227	40.0%	1
Commercial Other	$142,227	40.0%	1
Medcost Llc	$142,227	40.0%	2
Aetna	$142,227	40.0%	5
MultiPlan	$142,227	40.0%	1
Preferred Care, Inc	$137,394	35.3%	1
Bluechoice	$120,091	18.2%	2
Blue Cross Blue Shield Association	$120,091	18.2%	2
Cigna Healthcare	$115,100	13.3%	2
Humana	$98,051	-3.5%	2
State Health Plan	$90,520	-10.9%	2
Sc Workers Comp	$76,918	-24.3%	1
WellCare Health Plans	$57,688	-43.2%	1
Molina Healthcare	$57,688	-43.2%	1
Centene	$56,589	-44.3%	3
VA / CHAMPVA	$54,941	-45.9%	1
BCBS of South Carolina	$54,941	-45.9%	1
Medicare (Generic)	$54,020	-46.8%	1
TRICARE	$13,880	-86.3%	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.