How many shoppable procedure prices are published for Colleton Medical Center?

Colleton Medical Center in Walterboro, SC currently has 127 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Colleton Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Colleton Medical Center's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is Colleton Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Colleton Medical Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 102 Beds · rural Updated: 2024-10-01

Colleton Medical Center

501 Robertson Boulevard, Walterboro, SC 29488 · 127 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.27×vs. Fair Market Price

Typical commercial prices here are +27% above the fair benchmark (1.27×) even after accounting for local nurse/doctor wages and patient complexity.

62/100 · Caution

62/100Self-Pay Cash Beats Insurance 1% of the Time

File Completeness33

Price Logic99

Peer Alignment68

Clean Billing94

Real Cash Discount6

Regional Value Leader

4-Star CMS clinical quality rating paired with 1.27× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +71% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Colleton Medical Center prices routine shoppable procedures at 1.8× Medicare (median 1.04× Fair BaseRate) while upper-quartile commercial rates jump +71% to 1.78× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#36 of 52 in SC · 67th State Percentile#2,196 of 3,385 in U.S. · 64th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.89× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 1% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (72/100 safety score) with 67% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 6.6× markup over Medicare rates
Commercial insurance median sits at 1.04× Fair BaseRate (1.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.78×) jump +71% above the median procedure ratio (Q50 1.04×)
Unnegotiated chargemaster list prices average 19.3× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.8× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.56× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+71% Upper Tail

Q25 0.89× · Q50 1.04× · Q75 1.78×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

6.6× MedicareWatchout

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.5× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.4× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

1% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 72/100Fair

Procedure Prices at Colleton Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 127 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$20,853	$30,775	0.7×
Total hip replacement CPT Code: `27130`	—	$14,000	$13,413	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$13,260	$19,087	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$12,866	$19,432	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$12,345	$17,936	0.7×
Total knee replacement CPT Code: `27447`	—	$10,600	$13,523	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$5,325	$8,223	0.6×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,950	$3,372	1.5×
Bunion correction surgery CPT Code: `28296`	—	$4,950	$3,446	1.4×
Inguinal hernia repair CPT Code: `49505`	—	$4,950	$3,629	1.4×
Breast lump removal CPT Code: `19120`	—	$4,950	$3,875	1.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$4,950	$6,109	0.8×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,670	$2,540	1.8×
Trauma team activation HCPCS Code: `G0390`	—	$2,641	$1,453	1.8×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,550	$2,680	1.0×
C-section delivery (full package) CPT Code: `59510`	—	$2,550	$2,975	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,520	$987	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,380	$855	2.8×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,132	$981	2.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$7,483	$2,139	$1,021	2.1×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,132	$1,256	1.7×
Blood transfusion CPT Code: `36430`	$2,237	$1,996	$498	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$10,459	$1,613	$511	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$9,650	$901	$448	2.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$4,701	$844	$583	1.4×
MRI, lower back (no contrast) CPT Code: `72148`	$6,286	$811	$338	unverified
MRI, brain (no contrast) CPT Code: `70551`	$6,222	$726	$343	2.1×
MRI, knee or other leg joint CPT Code: `73721`	$10,744	$726	$369	2.0×
Neurobehavioral status check CPT Code: `96116`	—	$683	$231	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$9,347	$557	$303	1.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$5,193	$525	$258	2.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,403	$512	$272	1.9×
CT scan, head (with contrast) CPT Code: `70460`	$4,954	$483	$242	2.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$5,290	$440	$168	2.6×
Family therapy session CPT Code: `90847`	—	$464	$173	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$4,995	$418	$169	2.5×
CT scan, chest (no contrast) CPT Code: `71250`	$4,655	$410	$167	2.5×
CT scan, pelvis CPT Code: `72192`	$4,739	$418	$163	unverified
CT scan, head (no contrast) CPT Code: `70450`	$4,458	$349	$160	2.2×
Rabies immune globulin HCPCS Code: `90375`	$825	$366	$322	1.1×
CT scan, sinuses CPT Code: `70486`	$5,305	$336	$166	2.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$328	$166	2.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$328	$181	1.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$328	$185	1.8×
Psychological testing by technician CPT Code: `96138`	—	$339	$395	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,915	$245	$132	1.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$3,617	$245	$134	1.8×
Group therapy session CPT Code: `90853`	—	$269	$100	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	—	$229	$151	1.5×
X-ray, lower back CPT Code: `72110`	$1,578	$245	$112	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$2,439	$245	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$2,419	$245	$130	unverified
X-ray, chest (single view) CPT Code: `71045`	$413	$149	$92	1.6×
X-ray, foot CPT Code: `73630`	$1,083	$149	$92	1.6×
X-ray, chest (two views) CPT Code: `71046`	$514	$149	$93	1.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$941	$149	$93	1.6×
X-ray, hand CPT Code: `73130`	$1,063	$149	$93	1.6×
X-ray, hip CPT Code: `73502`	$1,062	$149	$93	1.6×
X-ray, pelvis CPT Code: `72170`	$794	$167	$110	1.5×
New patient office visit (30-44 min) CPT Code: `99203`	$1,153	$144	$110	1.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$2,001	$145	$123	1.2×
Psychological testing evaluation CPT Code: `96136`	—	$141	$128	1.1×
X-ray, shoulder CPT Code: `73030`	$1,268	$149	$92	unverified
X-ray, ankle CPT Code: `73610`	$1,094	$149	$93	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$1,261	$97	$87	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$839	$104	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$616	$86	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$435	$388	$347	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$410	$195	$203	1.0×
Drug screening test HCPCS Code: `G0480`	$544	$117	$116	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$276	$109	$111	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$296	$104	$140	0.7×
Flu vaccine injection HCPCS Code: `G0008`	$96	$78	$48	1.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$96	$78	$49	1.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$496	$75	$64	1.2×
Hepatitis B vaccine HCPCS Code: `90744`	$130	$38	$37	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$147	$50	$49	1.0×
Orthotic fitting and training CPT Code: `97760`	$308	$46	$51	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$135	$50	$56	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$438	$75	$86	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$688	$69	$201	0.3×
Behavioral health living support HCPCS Code: `H2019`	—	$38	$34	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$544	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$595	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$517	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$531	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$214	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$477	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	$212	$31	$31	1.0×
Blood test, calcium CPT Code: `82310`	$316	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$217	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$453	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$360	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$248	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$559	$10	$10	1.0×
Speech therapy (group session) CPT Code: `92508`	$438	$24	$27	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$87	$34	$39	0.9×
Blood test, potassium CPT Code: `84132`	$202	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$551	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$249	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$629	$18	$18	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$422	$35	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$422	$33	$38	0.9×
Blood test, lipase CPT Code: `83690`	$459	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$291	$7	$7	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$357	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$308	$5	$5	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$251	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$360	$15	$15	1.0×
Prosthetic fitting and training CPT Code: `97761`	$309	$40	$45	0.9×
Culture, blood CPT Code: `87040`	$1,040	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$708	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$254	$20	$20	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$27	$27	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$33	$38	0.9×
Physical therapy (gait training) CPT Code: `97116`	$314	$28	$33	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$309	$31	$38	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$20	$25	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$422	$28	$35	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$227	$11	$14	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$455	$26	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$329	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$136	$18	$35	0.5×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$11	$25	0.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$144	$28	$86	0.3×
Blood antibody screen CPT Code: `86850`	$402	$10	$46	0.2×

Showing top 25 high-impact procedures of 127 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Colleton Medical Center (Zero PHI Required)

CMS CCN: 420030

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $20,853

1. Amount on Your Bill or Quote ($) Pre-filled with Colleton Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Colleton Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$19,272 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($50,047) is $19,272 above the denoised Fair BaseRate ($30,775) and 2.1× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 570712623

Public IRS & CMS ownership records classify Colleton Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite72/100

Would Recommend67%

Rated 9 or 10 (HCAHPS)72%

Median ER Wait124 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Colleton Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-08·administrative_or_closure
Met Requirements
Recorded
2025-04-03·administrative_or_closure
Met Requirements
Recorded
2023-11-01·administrative_or_closure
Closure Notice
Recorded
2023-07-12·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (303 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Colleton Medical Center.

Price Index: 0.91× regional baseline

Quality: 71/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Align Networks

-50.2%

Aetna

-46.6%

Cigna

-45.1%

Blue Cross Blue Shield

+93.0%

Median Household Income$48,779U.S. Census ACS

Local Uninsured Share15.5%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 62/100 · Caution CMS CCN 420030 EIN 570712623

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 420030) ↗ Verify IRS Form 990 (EIN 570712623) ↗ CMS HCRIS Cost Reports ↗

Published MRF File57-0712623_colleton-medical-center_standardcharges.json

Publication / Vintage2024-10-01 · 217.78 MB

Validated Rate Rows3,007 (CMS v2.2.0)

File Integrity DigestVerified · CCN 420030

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy