Musc Health Columbia Medical Center Downtown
MUSC Health Columbia Medical Center Downtown in Columbia, SC charges 6.2x the Medicare reimbursement rate across 66 analyzed procedures, reflecting significant pricing variations in South Carolina healthcare.
Columbia, SC 29204 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
D
High
Avg markup vs Medicare
6.18x
Charge / Medicare rate
Max markup
11.06x
Worst procedure
Procedures analyzed
66
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 |
|---|---|---|---|---|---|
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $122,534 | $61,267 | — | 11.1x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $37,982 | $18,991 | — | 10.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $119,807 | $59,904 | — | 9.9x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $14,239 | $7,120 | — | 9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $23,183 | $11,592 | — | 8.7x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $114,906 | $57,453 | — | 8.4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $83,429 | $41,714 | — | 7.9x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $159,801 | $79,900 | — | 7.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $95,978 | $47,989 | — | 7.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $24,094 | $12,047 | — | 7.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $75,307 | $37,654 | — | 7.7x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $126,958 | $63,479 | — | 7.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $34,842 | $17,421 | — | 7.6x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $185,878 | $92,939 | — | 7.5x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $107,789 | $53,894 | — | 7.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $83,069 | $41,534 | — | 7.2x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $256,758 | $128,379 | — | 7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $23,699 | $11,849 | — | 6.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $23,261 | $11,631 | — | 6.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $143,315 | $71,658 | — | 6.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $14,112 | $7,056 | — | 6.7x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $136,745 | $68,372 | — | 6.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $22,852 | $11,426 | — | 6.5x |
| RENAL FAILURE WITH MCC | 682 | $48,149 | $24,074 | — | 6.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $23,522 | $11,761 | — | 6.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $28,120 | $14,060 | — | 6.4x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $42,198 | $21,099 | — | 6.4x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $123,816 | $61,908 | — | 6.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $50,208 | $25,104 | — | 6.3x |
| HYPERTENSION WITHOUT MCC | 305 | $20,129 | $10,064 | — | 6.2x |
| CELLULITIS WITHOUT MCC | 603 | $26,094 | $13,047 | — | 6x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $187,427 | $93,713 | — | 6x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | 273 | $134,449 | $67,224 | — | 5.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $104,357 | $52,178 | — | 5.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $41,823 | $20,911 | — | 5.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $31,209 | $15,604 | — | 5.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $31,408 | $15,704 | — | 5.8x |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $150,985 | $75,492 | — | 5.8x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $179,289 | $89,644 | — | 5.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $76,028 | $38,014 | — | 5.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $225,687 | $112,844 | — | 5.4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $110,901 | $55,450 | — | 5.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $57,447 | $28,724 | — | 5.3x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $17,517 | $8,758 | — | 5.3x |
| SYNCOPE AND COLLAPSE | 312 | $23,509 | $11,754 | — | 5.2x |
| RENAL FAILURE WITH CC | 683 | $22,855 | $11,427 | — | 5.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $25,608 | $12,804 | — | 5.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $31,961 | $15,980 | — | 5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $33,343 | $16,671 | — | 4.9x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $195,959 | $97,980 | — | 4.9x |
Showing 50 of 66 procedures
How MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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