Payer comparison · OTHER 461 · COLUMBIA, SC

461 — Bilateral Or Multiple Major Joint Procedures Of Lower Extremity 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.

$120,648 All-payer median here

21 payer/plan-name variants

← This hospital National rates for 461 →

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

Bluechoice	$151,918	25.9%	2
Blue Cross Blue Shield Association	$151,707	25.7%	2
UnitedHealthcare	$123,884	2.7%	2
Commercial Other	$122,176	1.3%	1
Medcost Llc	$122,176	1.3%	2
Aetna	$122,176	1.3%	5
Prisma Health	$122,176	1.3%	1
MultiPlan	$122,176	1.3%	1
Promise Health Plan	$119,666	-0.8%	1
Preferred Care, Inc	$108,976	-9.7%	1
Cigna Healthcare	$101,130	-16.2%	2
State Health Plan	$95,601	-20.8%	2
Humana	$91,827	-23.9%	2
Sc Workers Comp	$87,779	-27.2%	1
WellCare Health Plans	$65,834	-45.4%	1
Molina Healthcare	$65,834	-45.4%	1
Centene	$64,580	-46.5%	3
VA / CHAMPVA	$62,699	-48.0%	1
BCBS of South Carolina	$62,699	-48.0%	1
Medicare (Generic)	$61,593	-48.9%	1
TRICARE	$11,486	-90.5%	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.