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Prisma Health Richland Hospital

PRISMA HEALTH RICHLAND HOSPITAL in Columbia, SC charges 5.2x the Medicare reimbursement rate across 117 analyzed procedures, representing a significant markup for this nonprofit facility.

Columbia, SC 29203 · Acute Care Hospitals · CMS Rating: 3/5

By Kevin Nyk , Medical Billing Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.

117 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 3.7x2.1x15.0x
5.2x
Medicare markup ratio
SC lowestPrisma Health Richland...SC highest
5.2x
Avg markup ratio
5.1x
Median markup
117
Procedures
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Pricing grade

D

High

Avg markup vs Medicare

5.23x

Charge / Medicare rate

Max markup

10.05x

Worst procedure

Procedures analyzed

117

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.

ProcedureCodeGross chargeCash priceMedicareMarkup
MAJOR CHEST TRAUMA WITH CC184$72,214$36,10710.1x
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC964$69,948$34,9749.4x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$102,612$51,3067.9x
MAJOR CHEST PROCEDURES WITH CC164$148,208$74,1047.8x
BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC519$104,146$52,0737.6x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION220$321,161$160,5817.4x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC234$231,387$115,6947.3x
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$64,559$32,2797x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$94,676$47,3387x
PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC244$96,659$48,3296.7x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$113,249$56,6246.6x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$178,177$89,0886.6x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC454$274,627$137,3146.5x
EXTRACRANIAL PROCEDURES WITH CC038$82,590$41,2956.5x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$149,250$74,6256.5x
DISORDERS OF THE BILIARY TRACT WITH CC445$56,222$28,1116.4x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC025$205,575$102,7886.3x
CERVICAL SPINAL FUSION WITH MCC471$227,855$113,9286.3x
NERVOUS SYSTEM NEOPLASMS WITH MCC054$62,856$31,4286.2x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$40,680$20,3406.2x
CERVICAL SPINAL FUSION WITH CC472$117,739$58,8706.2x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$97,021$48,5106.2x
MEDICAL BACK PROBLEMS WITHOUT MCC552$44,482$22,2416.2x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$44,038$22,0196.1x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$33,814$16,9076.1x
TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC082$102,727$51,3636x
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC981$192,896$96,4486x
PNEUMOTHORAX WITH CC200$47,823$23,9126x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$31,363$15,6816x
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O023$278,469$139,2345.9x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION219$492,739$246,3705.9x
PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUR041$90,843$45,4225.9x
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$162,309$81,1555.9x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$41,756$20,8785.8x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$95,686$47,8435.8x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC178$59,484$29,7425.7x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC233$287,310$143,6555.7x
SEIZURES WITHOUT MCC101$42,025$21,0135.7x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$84,817$42,4095.6x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC242$171,388$85,6945.6x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$40,207$20,1045.6x
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES264$126,095$63,0475.6x
TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC083$58,373$29,1865.5x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC071$46,141$23,0715.5x
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC068$39,570$19,7855.5x
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC271$105,052$52,5265.4x
TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC086$52,722$26,3615.4x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$130,662$65,3315.4x
MAJOR CHEST PROCEDURES WITH MCC163$237,143$118,5725.3x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$34,919$17,4605.3x

Showing 50 of 117 procedures

How PRISMA HEALTH RICHLAND HOSPITAL 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.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

Related pricing data

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

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