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 969 · COLUMBIA, SC

969 — HIV With Extensive O.r. Procedures 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.

$156,101 All-payer median here
21 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
   
Aetna $212,040 35.8% 5
MultiPlan $212,040 35.8% 1
Blue Cross Blue Shield Association $212,040 35.8% 2
Bluechoice $212,040 35.8% 2
Commercial Other $212,040 35.8% 1
Medcost Llc $212,040 35.8% 2
Prisma Health $212,040 35.8% 1
Sc Workers Comp $208,134 33.3% 1
Humana $178,884 14.6% 2
UnitedHealthcare $171,167 9.7% 2
WellCare Health Plans $156,101 0.0% 1
Molina Healthcare $156,101 0.0% 1
Centene $153,128 -1.9% 3
BCBS of South Carolina $148,667 -4.8% 1
VA / CHAMPVA $148,667 -4.8% 1
Cigna Healthcare $147,466 -5.5% 2
Medicare (Generic) $145,846 -6.6% 1
Promise Health Plan $123,324 -21.0% 1
Preferred Care, Inc $112,300 -28.1% 1
State Health Plan $65,305 -58.2% 2
TRICARE $19,129 -87.7% 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.