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SPARTANBURG MEDICAL CENTER

SPARTANBURG, SC 29303 · Acute Care Hospitals

166 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 26, 2026 · Methodology

Procedures Analyzed

166

With CMS pricing data

Avg Charge-to-Medicare Ratio

5.2x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Government - Hospital District or Authority

Above 90th Percentile

0%

Compared to SC hospitals

Understanding Your Costs

When you receive a bill from SPARTANBURG MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, SPARTANBURG MEDICAL CENTER lists chargemaster rates that average 5.2x the corresponding Medicare reimbursement amount across 166 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).

The median hospital in SC has a chargemaster-to-Medicare ratio of 5.2x, with ratios across the state ranging from 1.9x to 13.0x. At 5.2x, this facility’s average ratio is below the state median. 50 hospitals in SC report pricing data to CMS (Source: CMS IPPS Provider Summary).

The procedure with the largest gap between the listed price and Medicare reimbursement at SPARTANBURG MEDICAL CENTER is PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC (DRG 322). The listed chargemaster rate is $123,366, while Medicare reimburses $10,914 for the same procedure — a ratio of 11.3x (Source: CMS IPPS Provider Summary, FY2024).

What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.

SPARTANBURG MEDICAL CENTER is a government - hospital district or authority acute care hospitals facility with a CMS quality rating of 2/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.

Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio

Listed Chargemaster Rate Medicare Reimbursement

Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Procedure Pricing Lookup

Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$123,366$10,91411.3x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$112,857$12,6308.9x
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LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC419$67,200$7,5258.9x
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MAJOR CHEST PROCEDURES WITHOUT CC/MCC165$112,711$13,1488.6x
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CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC074$56,348$6,6828.4x
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TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$40,713$4,8938.3x
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MAJOR CHEST PROCEDURES WITH CC164$171,349$22,6717.6x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$55,316$7,5547.3x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$48,732$6,7647.2x
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AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC617$85,744$12,1177.1x
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POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC857$89,539$12,7187.0x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$31,459$4,5077.0x
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PNEUMOTHORAX WITH CC200$52,882$7,6386.9x
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OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$42,873$6,2166.9x
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FRACTURES OF HIP AND PELVIS WITHOUT MCC536$36,001$5,3146.8x
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CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$49,426$7,3056.8x
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NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC071$51,660$7,6716.7x
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DISORDERS OF THE BILIARY TRACT WITH CC445$51,940$7,8376.6x
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SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC195$26,219$3,9656.6x
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MAJOR CHEST TRAUMA WITH CC184$46,062$6,9786.6x
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LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC494$85,888$13,1396.5x
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RED BLOOD CELL DISORDERS WITHOUT MCC812$41,173$6,3326.5x
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MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$92,052$14,2516.5x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/321$150,484$23,2856.5x
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DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$39,329$6,0986.5x
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PULMONARY EMBOLISM WITHOUT MCC176$38,552$6,0186.4x
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EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC982$100,855$15,9416.3x
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LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$78,109$12,3586.3x
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MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES483$117,666$18,6286.3x
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GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC379$27,561$4,3606.3x
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RENAL FAILURE WITHOUT CC/MCC684$23,630$3,8136.2x
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OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC393$87,013$14,1086.2x
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EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$51,043$8,2966.2x
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DIGESTIVE MALIGNANCY WITH CC375$53,049$8,6876.1x
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ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC897$35,566$5,8876.0x
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ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$244,425$40,7526.0x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$40,331$6,7686.0x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$142,555$24,0415.9x
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STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC327$121,294$20,5195.9x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$55,456$9,4415.9x
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OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC167$86,357$14,7245.9x
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HYPERTENSION WITHOUT MCC305$28,554$4,9005.8x
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SYNCOPE AND COLLAPSE312$32,469$5,5765.8x
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TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC605$38,823$6,6695.8x
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GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC390$23,257$4,0065.8x
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CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC234$222,849$38,4835.8x
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CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$180,888$31,3145.8x
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LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC493$107,302$18,7355.7x
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GASTROINTESTINAL HEMORRHAGE WITH MCC377$77,891$13,7225.7x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$22,288$3,9465.7x
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Showing 50 of 166 procedures

All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Statewide Context

Charge-to-Medicare ratio range across SC hospitals

1.9x
Median: 5.2x
13.0x
5.2x

50 hospitals in SC report pricing data to CMS. This facility's average ratio of 5.2x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).

Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.

Read our methodology·Report a data error

Frequently Asked Questions About SPARTANBURG MEDICAL CENTER

How much does SPARTANBURG MEDICAL CENTER charge compared to Medicare?

According to CMS IPPS data, SPARTANBURG MEDICAL CENTER's listed chargemaster rates average 5.2x the Medicare reimbursement amount across 166 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.

What is the most expensive procedure at SPARTANBURG MEDICAL CENTER?

The procedure with the highest chargemaster-to-Medicare ratio at SPARTANBURG MEDICAL CENTER is PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC (DRG 322), with a listed charge of $123,366 compared to Medicare reimbursement of $10,914 — a ratio of 11.3x. Source: CMS IPPS Provider Summary.

Is SPARTANBURG MEDICAL CENTER expensive compared to other SC hospitals?

SPARTANBURG MEDICAL CENTER's average chargemaster-to-Medicare ratio is 5.2x. Ratios vary significantly across SC hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.

Where does the pricing data for SPARTANBURG MEDICAL CENTER come from?

All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.

How can I check if my bill from SPARTANBURG MEDICAL CENTER is correct?

You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.

Does SPARTANBURG MEDICAL CENTER in SPARTANBURG, SC accept Medicare?

SPARTANBURG MEDICAL CENTER is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact SPARTANBURG MEDICAL CENTER directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.