Prisma Health Oconee Memorial Hospital
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL in Seneca, SC charges 4.5x the Medicare reimbursement rate across 46 analyzed procedures, reflecting typical pricing patterns for nonprofit hospitals in South Carolina.
Seneca, SC 29672 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
C
Average
Avg markup vs Medicare
4.45x
Charge / Medicare rate
Max markup
7.38x
Worst procedure
Procedures analyzed
46
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 | $26,465 | $13,232 | — | 7.4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $89,812 | $44,906 | — | 6.7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $29,161 | $14,581 | — | 6.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $52,216 | $26,108 | — | 6.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $32,163 | $16,081 | — | 5.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $25,945 | $12,972 | — | 5.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $36,567 | $18,284 | — | 5.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $27,647 | $13,824 | — | 5.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $83,723 | $41,861 | — | 5.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $22,582 | $11,291 | — | 5.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $34,495 | $17,248 | — | 5.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $24,259 | $12,130 | — | 5.1x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $27,034 | $13,517 | — | 5x |
| SYNCOPE AND COLLAPSE | 312 | $27,849 | $13,925 | — | 5x |
| CELLULITIS WITHOUT MCC | 603 | $27,535 | $13,767 | — | 4.8x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $27,725 | $13,863 | — | 4.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $35,774 | $17,887 | — | 4.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $22,483 | $11,242 | — | 4.5x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $86,936 | $43,468 | — | 4.5x |
| DIABETES WITH CC | 638 | $23,883 | $11,941 | — | 4.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $21,315 | $10,658 | — | 4.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $53,173 | $26,587 | — | 4.4x |
| RENAL FAILURE WITH CC | 683 | $24,224 | $12,112 | — | 4.3x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $39,925 | $19,962 | — | 4.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $24,439 | $12,219 | — | 4.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $40,189 | $20,095 | — | 4.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $64,887 | $32,444 | — | 4.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $35,995 | $17,998 | — | 4.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $28,001 | $14,000 | — | 4x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $28,566 | $14,283 | — | 4x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $32,346 | $16,173 | — | 4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $81,727 | $40,863 | — | 4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $35,463 | $17,732 | — | 3.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $54,833 | $27,416 | — | 3.8x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $48,568 | $24,284 | — | 3.7x |
| RENAL FAILURE WITH MCC | 682 | $40,848 | $20,424 | — | 3.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $29,210 | $14,605 | — | 3.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $49,927 | $24,964 | — | 3.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $46,306 | $23,153 | — | 3.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $114,072 | $57,036 | — | 3.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $123,167 | $61,583 | — | 3.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $25,918 | $12,959 | — | 3.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $35,109 | $17,554 | — | 3.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $36,202 | $18,101 | — | 3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $38,863 | $19,431 | — | 2.6x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $28,664 | $14,332 | — | 2.4x |
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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