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Trident Medical Center

TRIDENT MEDICAL CENTER in Charleston, SC charges 13.0x the Medicare reimbursement rate on average, with 45% of analyzed procedures showing significant price variations.

Charleston, SC 29406 · 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.

130 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 9.1x5.2x20.8x
13.0x
Medicare markup ratio
SC lowestTrident Medical CenterSC highest
13.0x
Avg markup ratio
12.2x
Median markup
130
Procedures
45%
Outlier procedures
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Billing patterns — for-profit

For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.

Pricing grade

F

Very high

Avg markup vs Medicare

12.98x

Charge / Medicare rate

Max markup

27.9x

Worst procedure

Procedures analyzed

130

With pricing data

Outlier procedures

45.4%

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
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$313,131$156,56627.9x
PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC244$309,649$154,82526.4x
TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOU004$1,307,061$653,53025.5x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$279,151$139,57623.5x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$341,824$170,91221.9x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/321$391,296$195,64820.1x
TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC012$546,493$273,24719.9x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC242$451,791$225,89519.7x
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC493$245,839$122,91919.4x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$391,032$195,51619.2x
TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC011$679,163$339,58219x
MAJOR HEAD AND NECK PROCEDURES WITH CC141$243,924$121,96218.4x
FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC563$93,802$46,90117.8x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$101,471$50,73517.1x
GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC390$58,743$29,37216.8x
NERVOUS SYSTEM NEOPLASMS WITH MCC054$143,024$71,51216.6x
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC271$364,201$182,10116.2x
TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC086$135,381$67,69115.9x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC482$153,397$76,69915.6x
RED BLOOD CELL DISORDERS WITHOUT MCC812$90,879$45,44015.6x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$150,315$75,15715.1x
DYSEQUILIBRIUM149$68,420$34,21014.9x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$75,382$37,69114.9x
OTHER VASCULAR PROCEDURES WITH CC253$236,561$118,28114.9x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC273$394,788$197,39414.7x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$176,168$88,08414.7x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC417$241,015$120,50814.5x
DISORDERS OF THE BILIARY TRACT WITH CC445$104,397$52,19814.4x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$252,641$126,32014.4x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC025$399,943$199,97214.3x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC233$702,305$351,15214.3x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$173,493$86,74614.1x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$111,946$55,97314.1x
LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA956$294,593$147,29714.1x
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC516$180,035$90,01814x
EXTRACRANIAL PROCEDURES WITH CC038$140,608$70,30414x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$115,072$57,53613.9x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$56,525$28,26213.9x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$78,479$39,23913.9x
PERIPHERAL VASCULAR DISORDERS WITH MCC299$116,022$58,01113.8x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC235$485,618$242,80913.8x
TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC085$194,521$97,26013.8x
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$101,042$50,52113.7x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$290,397$145,19813.7x
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$297,928$148,96413.6x
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC435$155,273$77,63613.6x
OTHER O.R. PROCEDURES FOR INJURIES WITH MCC907$386,818$193,40913.5x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$69,284$34,64213.5x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$81,262$40,63113.4x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$181,179$90,58913.2x

Showing 50 of 130 procedures

How TRIDENT 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.

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 →

FAQ — for-profit hospital billing

How much do for-profit hospitals typically charge compared to Medicare rates?
Based on data from 628 for-profit hospitals, the average markup is 7.8 times Medicare rates. This means charges are typically set at nearly 8 times what Medicare would pay for the same services.
Why do for-profit hospitals charge more than Medicare rates?
For-profit hospitals operate as businesses with shareholders and must generate revenue to cover operational costs and profit margins. Their pricing structure differs from Medicare's standardized payment rates, which are set by government formula rather than market conditions.
Does insurance typically pay the full hospital charge amount?
Most insurance companies negotiate contracted rates with hospitals that are lower than the posted charges. However, patients may still face significant out-of-pocket costs depending on their insurance coverage and deductible amounts.
What should I know about billing differences between hospital types?
For-profit hospitals generally have different pricing structures than non-profit or government-owned facilities due to their business model. Understanding your hospital's ownership type can provide context for potential billing differences when reviewing medical bills.

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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