How many shoppable procedure prices are published for Prisma Health Laurens County Hospital?

Prisma Health Laurens County Hospital in Clinton, SC currently has 118 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Prisma Health Laurens County Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Prisma Health Laurens County Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Prisma Health Laurens County Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Prisma Health Laurens County Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 46 Beds · rural Updated: 2026-03-01

Prisma Health Laurens County Hospital

22725 Highway 76 East, Clinton, SC 29325 · 118 Priced Procedures · 63% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

83/100 · Corroborated

83/100Self-Pay Cash Beats Insurance 42% of the Time

File Completeness66

Price Logic89

Peer Alignment81

Clean Billing83

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Prisma Health Laurens County Hospital prices shoppable and inpatient services (1.2× to 1.1× Medicare, divergence 0.92×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#21 of 52 in SC · 38th State Percentile#1,299 of 3,385 in U.S. · 38th 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 42% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 63% patient recommendation (74/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (23.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.00× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.00× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.00× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Consolidated metro market (HHI 3,779) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.2× Medicare

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

Back-Door Captive & ER0.92× Divergence

1.1× Medicare

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

Quantile Tail Spread+8% Upper Tail

Q25 0.89× · Q50 1.00× · Q75 1.08×

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

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.7× MedicareFair

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

1.0× MedicareGood

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

42% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 74/100Fair

Procedure Prices at Prisma Health Laurens County Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 118 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Gallbladder removal (laparoscopic) CPT Code: `47562`	$13,362	$20,599	$6,109	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$33,467	$16,995	$19,087	0.9×
Breast lump removal CPT Code: `19120`	$7,110	$10,885	$3,875	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$16,989	$8,998	$8,223	1.1×
Trauma team activation HCPCS Code: `G0390`	$7,242	$7,242	$1,453	unverified
Cataract surgery with lens implant CPT Code: `66984`	$3,461	$2,461	$2,540	unverified
Vaginal delivery (full package) CPT Code: `59400`	$2,343	$2,343	$2,680	0.9×
Colonoscopy with biopsy CPT Code: `45380`	$2,439	$1,276	$1,256	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$1,901	$967	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$2,299	$992	$981	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$4,259	$916	$1,021	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$1,801	$756	$855	0.9×
Rabies immune globulin HCPCS Code: `90375`	$1,246	$643	$322	2.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,832	$583	$583	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$480	$480	$151	3.2×
Blood transfusion CPT Code: `36430`	$1,531	$470	$498	0.9×
Psychological testing by technician CPT Code: `96138`	$649	$388	$395	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,397	$390	$448	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,913	$390	$511	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$273	$348	$166	2.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$309	$348	$181	1.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$355	$348	$185	1.9×
Neurobehavioral status check CPT Code: `96116`	$288	$288	$231	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,145	$256	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,937	$267	$303	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$2,325	$267	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$2,375	$267	$343	0.8×
MRI, knee or other leg joint CPT Code: `73721`	$2,239	$267	$369	0.7×
Family therapy session CPT Code: `90847`	$239	$239	$173	unverified
Group therapy session CPT Code: `90853`	$176	$208	$100	2.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$306	$222	$201	1.1×
Review of medical records for care CPT Code: `90889`	$122	$188	$114	1.6×
CT scan, head (with contrast) CPT Code: `70460`	$1,723	$196	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,969	$196	$258	0.8×
Psychological testing evaluation CPT Code: `96136`	$155	$161	$128	1.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$677	$157	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,009	$172	$134	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$113	$136	$110	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$124	$138	$123	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$710	$145	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$760	$149	$130	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$92	$109	$87	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$377	$93	$93	1.0×
X-ray, ankle CPT Code: `73610`	$368	$93	$93	1.0×
X-ray, lower back CPT Code: `72110`	$614	$111	$112	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,396	$117	$160	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$306	$107	$148	0.7×
CT scan, pelvis CPT Code: `72192`	$1,543	$117	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$1,379	$117	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,513	$117	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,790	$117	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,722	$117	$169	0.7×
X-ray, shoulder CPT Code: `73030`	$387	$80	$92	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$342	$89	$123	0.7×
X-ray, chest (single view) CPT Code: `71045`	$263	$95	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$314	$88	$93	unverified
X-ray, pelvis CPT Code: `72170`	$255	$111	$110	unverified
X-ray, hand CPT Code: `73130`	$355	$93	$93	unverified
X-ray, hip CPT Code: `73502`	$281	$90	$93	unverified
X-ray, foot CPT Code: `73630`	$365	$93	$92	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$93	$93	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$2,324	$334	$347	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$343	$270	$111	2.4×
Pneumococcal vaccine HCPCS Code: `90732`	$172	$253	$140	1.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$267	$267	$203	1.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$207	$139	$56	2.5×
Drug screening test HCPCS Code: `G0480`	$202	$118	$116	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$122	$66	$37	1.8×
Extended office visit (prolonged) HCPCS Code: `G2212`	$49	$49	$33	1.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$293	$60	$64	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$242	$77	$86	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$64	$32	$25	1.3×
Flu vaccine injection HCPCS Code: `G0008`	$91	$50	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$83	$50	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$83	$50	$49	1.0×
Orthotic fitting and training CPT Code: `97760`	$114	$46	$51	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$80	$34	$38	0.9×
Prosthetic fitting and training CPT Code: `97761`	$78	$40	$45	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$113	$32	$38	0.8×
Blood antibody screen CPT Code: `86850`	$96	$54	$46	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$109	$76	$39	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$96	$12	$10	1.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$121	$35	$40	0.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$82	$9	$8	1.1×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$84	$28	$27	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$118	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$150	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$87	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$102	$9	$9	1.0×
Blood test, vitamin D CPT Code: `82306`	$146	$31	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$63	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$101	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$42	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$41	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$125	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$114	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$36	$4	$4	1.0×
Blood test, lipase CPT Code: `83690`	$122	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$82	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$46	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$129	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$45	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$140	$18	$18	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$49	$4	$4	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$61	$5	$5	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$77	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$132	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$215	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$158	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$131	$20	$20	1.0×
Speech therapy (group session) CPT Code: `92508`	$118	$24	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$96	$29	$33	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$114	$33	$38	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$136	$12	$14	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$111	$29	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$140	$28	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$47	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$80	$12	$35	0.3×

Showing top 25 high-impact procedures of 118 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 23.2%

Audit a Bill or Quote at Prisma Health Laurens County Hospital (Zero PHI Required)

CMS CCN: 420038

CPT 47562

Select Procedure to Audit:

Fair BaseRate™ $6,109

Medicare Rate $6,176

Self-Pay Cash $13,362

Insurer Median $20,599

1. Amount on Your Bill or Quote ($) Pre-filled with Prisma Health Laurens County Hospital’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 501(r) AGB Cap: $4,767 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $4,767

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (23.2% of gross = $4,767).

Step 2 · Cash vs. Insurance Arbitrage Save $7,195 Paying Cash

Self-Pay Cash Rate ($13,362) Beats Your Bill

Prisma Health Laurens County Hospital's published 45 CFR § 180 self-pay cash rate is $13,362 (vs. $20,599 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$14,448 Above Fair BaseRate

Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)

Your bill ($20,557) is $14,448 above the denoised Fair BaseRate ($6,109) and 3.3× the $6,176 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) 501(c)(3) Nonprofit Hospital

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

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (23.2% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

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 Composite74/100

Would Recommend63%

Rated 9 or 10 (HCAHPS)72%

Median ER Wait142 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (255 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 Prisma Health Laurens County Hospital.

Price Index: 1.00× regional baseline

Quality: 71/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Molina

-40.8%

Median Household Income$55,517U.S. Census ACS

Local Uninsured Share12.7%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 83/100 · Corroborated CMS CCN 420038

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 420038) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-01

Validated Rate Rows9,392 (CMS v3.0.0)

File Integrity DigestVerified · CCN 420038

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