County Price & Affordability Audit
1 of 3 Hospitals Priced
Pop. 300,370
$75,014 Median Income
Lexington County, SC Hospital Rates
Compare hospital price transparency compliance, fair price benchmarks, and local household charity-care eligibility across all 3 mapped hospitals in Lexington County.
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.High Markup · Shop Alternatives
1.52×vs. Fair Market Price
Position vs. 1.00× Fair Price+52% Above Fair Price
1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.
Typical commercial prices here are +52% above the fair benchmark (1.52×) even after accounting for local nurse/doctor wages and patient complexity.
Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Lexington County Affordability & CoverageSummarizes local hospital price disclosure compliance in Lexington County, U.S. Census median household income, local uninsured rate, and federal 200%–400% FPL charity-care income thresholds.1 of 3 Hospitals Priced
Hospitals Priced1 of 3Number of CMS-certified hospitals located inside Lexington County that have published machine-readable price files out of all 3 local facilities.
Median Income$75.0k / yrU.S. Census ACS median annual household income in Lexington County ($75,014/yr), used to measure medical bill burden and charity-care eligibility.
Uninsured Rate9.0%Percentage of Lexington County residents without health insurance who rely on self-pay cash discounts and 501(r) nonprofit hospital financial assistance.
Local charity-care income cutoffs (200%–400% FPL): up to $31,920 (single) and $128,600 (family of 4) qualify for free or discounted hospital care.
County Hospital Pricing & Affordability Audit1 of 3 Local Hospitals Priced
Lexington County, SC Hospital Price & Affordability Summary
Lexington County, South Carolina (pop. 300,370) has 3 CMS-certified hospitals (1 publishing verified machine-readable price files) with a local price index of 1.52× the U.S. fair price benchmark and a $75,014 median household income.
County Price Index: 1.52× Fair MarketMedian Income: $75,014/yr
Advantage
Best Value & Patient Protections in Lexington County
- 1 of 3 hospitals in Lexington County publish verified 45 CFR § 180 price files (Lexington Medical Center).
- High-rated local clinical care: Prisma Health Baptist Parkridge (4/5 CMS Stars).
- Under federal 26 U.S.C. § 501(r), nonprofit hospitals must provide discounted Financial Assistance Policy (FAP) rates for Lexington County families earning up to $128,600/yr (400% FPL).
Watchout
Where Lexington County Patients Get Burned (Billing Watchouts)
- 2 facilities in Lexington County (Three Rivers Behavioral Health, Prisma Health Baptist Parkridge) lack an indexed MRF price schedule — always demand a written Good Faith Estimate before scheduling.
- With a 9.0% local uninsured rate and $75,014 median household income, an unnegotiated $5,000 hospital bill equals 3.5 weeks of typical Lexington County family take-home pay.
- Emergency department and inpatient ancillary charges vary significantly across South Carolina counties — inspect each hospital's profile below before paying a full chargemaster bill.
County MRF Price Coverage33% Published
1 of 3 Hospitals
Includes Lexington Medical Center.
Free Care Income Cutoff (200% FPL)Nonprofit 501(r) Rule
$31,920 – $64,300
Single ($31,920) to Family of 4 ($64,300) threshold for 100% free charity care.
Discounted Care Cutoff (400% FPL)AGB Billing Cap
Up to $128,600/yr
4-person household income cap qualifying for statutory AGB billing limits in Lexington County.
South Carolina County Price & Affordability Heatmap
31 of 46 Counties with MRF Hospital Data
South Carolina County-Level Hospital Price & Affordability Heatmap
Hospital price index, Medicare markup, and household affordability burden across 46 counties in South Carolina
<0.94× Affordable
0.94–1.06× Near Avg
1.06–1.20× Elevated
>1.20× High-Markup
Charleston County6hosps
1.11× Fair
Income $84k
Greenville County4hosps
0.96× Fair
Income $75k
Richland County3hosps
1.09× Fair
Income $62k
Horry County3hosps
1.11× Fair
Income $65k
Spartanburg County3hosps
1.36× Fair
Income $64k
Beaufort County2hosps
0.90× Fair
Income $85k
Florence County2hosps
1.33× Fair
Income $57k
Anderson County1hosp
0.65× Fair
Income $65k
Pickens County1hosp
0.67× Fair
Income $59k
Chesterfield County1hosp
0.90× Fair
Income $48k
Jasper County1hosp
0.90× Fair
Income $64k
Hampton County1hosp
0.91× Fair
Income $43k
Oconee County1hosp
0.98× Fair
Income $60k
Greenwood County1hosp
0.98× Fair
Income $51k
Abbeville County1hosp
0.98× Fair
Income $52k
Allendale County1hosp
0.98× Fair
Income $32k
Laurens County1hosp
1.00× Fair
Income $56k
Sumter County1hosp
1.01× Fair
Income $56k
Dorchester County1hosp
1.02× Fair
Income $77k
Newberry County1hosp
1.06× Fair
Income $60k
Kershaw County1hosp
1.07× Fair
Income $64k
Clarendon County1hosp
1.13× Fair
Income $49k
Aiken County1hosp
1.19× Fair
Income $68k
York County1hosp
1.26× Fair
Income $83k
Showing top 24 counties with hospital price filings of 46 total in South Carolina
All Hospitals in Lexington County (3)
Select any published hospital below to inspect its procedure price list, insurer discounts, and official MRF verification links.
- Three Rivers Behavioral Health · West Columbia CMS CCN 424008 · Specialty / Outpatient CareNot Rated No MRF Indexed
- Prisma Health Baptist Parkridge · Columbia CMS CCN 420106 · 24/7 Emergency Services4/5 CMS Stars No MRF Indexed
- Lexington Medical Center · West Columbia CMS CCN 420073 · 24/7 Emergency Services
Compare Procedure Prices Across All South Carolina Hospitals
View statewide surgical, imaging, colonoscopy, and ER price rankings across all South Carolina facilities.