Spartanburg Medical Center
SPARTANBURG MEDICAL CENTER, a government-owned hospital in Spartanburg, SC, charges 5.2x the Medicare reimbursement rate across 166 analyzed procedures.
Spartanburg, SC 29303 · Acute Care Hospitals · CMS Rating: 2/5
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 — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
D
High
Avg markup vs Medicare
5.18x
Charge / Medicare rate
Max markup
11.3x
Worst procedure
Procedures analyzed
166
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 |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $123,366 | $61,683 | — | 11.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $112,857 | $56,428 | — | 8.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $67,200 | $33,600 | — | 8.9x |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $112,711 | $56,355 | — | 8.6x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $56,348 | $28,174 | — | 8.4x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $40,713 | $20,357 | — | 8.3x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $171,349 | $85,674 | — | 7.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $55,316 | $27,658 | — | 7.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $48,732 | $24,366 | — | 7.2x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $85,744 | $42,872 | — | 7.1x |
| POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | 857 | $89,539 | $44,770 | — | 7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $31,459 | $15,729 | — | 7x |
| PNEUMOTHORAX WITH CC | 200 | $52,882 | $26,441 | — | 6.9x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $42,873 | $21,437 | — | 6.9x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $36,001 | $18,000 | — | 6.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $49,426 | $24,713 | — | 6.8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $51,660 | $25,830 | — | 6.7x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $51,940 | $25,970 | — | 6.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 195 | $26,219 | $13,110 | — | 6.6x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $46,062 | $23,031 | — | 6.6x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | 494 | $85,888 | $42,944 | — | 6.5x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $41,173 | $20,587 | — | 6.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $150,484 | $75,242 | — | 6.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $92,052 | $46,026 | — | 6.5x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $39,329 | $19,664 | — | 6.5x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $38,552 | $19,276 | — | 6.4x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $100,855 | $50,427 | — | 6.3x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $117,666 | $58,833 | — | 6.3x |
| GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | 379 | $27,561 | $13,780 | — | 6.3x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $78,109 | $39,055 | — | 6.3x |
| RENAL FAILURE WITHOUT CC/MCC | 684 | $23,630 | $11,815 | — | 6.2x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $87,013 | $43,506 | — | 6.2x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $51,043 | $25,521 | — | 6.2x |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $53,049 | $26,524 | — | 6.1x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $35,566 | $17,783 | — | 6x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $244,425 | $122,212 | — | 6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $40,331 | $20,166 | — | 6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $142,555 | $71,278 | — | 5.9x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $121,294 | $60,647 | — | 5.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $55,456 | $27,728 | — | 5.9x |
| OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | 167 | $86,357 | $43,179 | — | 5.9x |
| HYPERTENSION WITHOUT MCC | 305 | $28,554 | $14,277 | — | 5.8x |
| SYNCOPE AND COLLAPSE | 312 | $32,469 | $16,234 | — | 5.8x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $38,823 | $19,412 | — | 5.8x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $23,257 | $11,629 | — | 5.8x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $222,849 | $111,424 | — | 5.8x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $180,888 | $90,444 | — | 5.8x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $107,302 | $53,651 | — | 5.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $77,891 | $38,946 | — | 5.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $22,288 | $11,144 | — | 5.7x |
Showing 50 of 166 procedures
How SPARTANBURG MEDICAL CENTER 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