Aiken Regional Medical Center
AIKEN REGIONAL MEDICAL CENTER in Aiken, SC charges 9.2x the Medicare reimbursement rate across 54 analyzed procedures at this for-profit hospital.
Aiken, SC 29801 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
F
Very high
Avg markup vs Medicare
9.25x
Charge / Medicare rate
Max markup
14.32x
Worst procedure
Procedures analyzed
54
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $51,432 | $25,716 | — | 14.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $66,476 | $33,238 | — | 13.1x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $61,705 | $30,853 | — | 11.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $170,706 | $85,353 | — | 11.5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $59,583 | $29,791 | — | 11.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $50,700 | $25,350 | — | 11.3x |
| CELLULITIS WITHOUT MCC | 603 | $58,783 | $29,392 | — | 11.3x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $54,898 | $27,449 | — | 11.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $132,347 | $66,174 | — | 11x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $32,313 | $16,156 | — | 10.7x |
| SYNCOPE AND COLLAPSE | 312 | $51,009 | $25,505 | — | 10.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $50,040 | $25,020 | — | 10.6x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $46,311 | $23,155 | — | 10.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $318,677 | $159,339 | — | 10.5x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $51,580 | $25,790 | — | 10.4x |
| SEIZURES WITHOUT MCC | 101 | $53,936 | $26,968 | — | 10.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $66,392 | $33,196 | — | 10.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $67,000 | $33,500 | — | 10x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $44,848 | $22,424 | — | 9.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $56,473 | $28,236 | — | 9.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $42,070 | $21,035 | — | 9.7x |
| RENAL FAILURE WITH CC | 683 | $52,106 | $26,053 | — | 9.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $68,630 | $34,315 | — | 9.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $129,521 | $64,760 | — | 9.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $175,421 | $87,710 | — | 9.4x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $85,816 | $42,908 | — | 9.4x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $148,519 | $74,260 | — | 8.9x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $70,179 | $35,089 | — | 8.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $60,337 | $30,169 | — | 8.7x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $48,732 | $24,366 | — | 8.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $35,896 | $17,948 | — | 8.7x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $45,545 | $22,772 | — | 8.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $111,792 | $55,896 | — | 8.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $105,528 | $52,764 | — | 8.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $105,360 | $52,680 | — | 8.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $72,956 | $36,478 | — | 8.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $61,910 | $30,955 | — | 8.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $46,559 | $23,280 | — | 8.3x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $82,945 | $41,473 | — | 8.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $259,895 | $129,948 | — | 8.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $57,503 | $28,751 | — | 8.1x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $36,911 | $18,456 | — | 8.1x |
| DIABETES WITH CC | 638 | $38,116 | $19,058 | — | 8x |
| RENAL FAILURE WITH MCC | 682 | $70,559 | $35,279 | — | 7.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $61,402 | $30,701 | — | 7.7x |
| COAGULATION DISORDERS | 813 | $67,878 | $33,939 | — | 7.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $79,534 | $39,767 | — | 7.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $81,636 | $40,818 | — | 7.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $83,056 | $41,528 | — | 7.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $53,799 | $26,899 | — | 6.9x |
Showing 50 of 54 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use