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

Spartanburg Medical Center in Spartanburg, SC currently has 122 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Spartanburg Medical Center's median negotiated commercial rate is 1.6× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Spartanburg Medical Center an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 626 Beds · rural Updated: 2026-04-01

Spartanburg Medical Center

101 E Wood St, Spartanburg, SC 29303 · 122 Priced Procedures · 69% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

1.58×vs. Fair Market Price

Typical commercial prices here are +58% above the fair benchmark (1.58×) even after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 12% of the Time

File Completeness51

Price Logic95

Peer Alignment68

Clean Billing84

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.58× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 6,206), Spartanburg Medical Center commands a 1.58× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#50 of 52 in SC · 94th State Percentile#2,747 of 3,385 in U.S. · 81st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.12× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 12% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 69% patient recommendation (62/100 safety score)
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 1.2× markup over Medicare rates
Captive ER (2.5×) & laboratory (3.1×) services average 1.12× higher multiples than routine shoppable care (1.7×)
Upper-quartile procedures (Q75 1.92×) jump +26% above the median procedure ratio (Q50 1.52×)
Consolidated metro market (HHI 6,206) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.7× Medicare

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

Back-Door Captive & ER1.12× Divergence

1.9× Medicare

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

Quantile Tail Spread+26% Upper Tail

Q25 1.12× · Q50 1.52× · Q75 1.92×

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

1.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.5× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

3.1× MedicareFair

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

0.5× MedicareGood

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

12% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 62/100Elevated

Procedure Prices at Spartanburg Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 122 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`	—	$51,664	$30,775	1.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$30,849	$19,432	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$28,196	$17,936	1.6×
Total hip replacement CPT Code: `27130`	—	$27,052	$13,413	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$25,814	$19,087	1.4×
Total knee replacement CPT Code: `27447`	—	$21,564	$13,523	1.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$11,344	$8,223	1.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$9,680	$6,109	1.6×
Breast lump removal CPT Code: `19120`	—	$5,838	$3,875	1.5×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$5,079	$3,372	1.5×
Inguinal hernia repair CPT Code: `49505`	—	$3,624	$3,629	1.0×
Bunion correction surgery CPT Code: `28296`	—	$3,312	$3,446	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,156	$2,540	1.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,311	$2,430	$1,021	2.4×
Trauma team activation HCPCS Code: `G0390`	—	$2,194	$1,453	1.5×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,991	$1,205	$981	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	$2,738	$1,205	$987	1.2×
Colonoscopy with biopsy CPT Code: `45380`	$4,174	$1,211	$1,256	1.0×
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,116	$855	1.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,916	$1,132	$511	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,889	$964	$583	1.7×
Blood transfusion CPT Code: `36430`	$1,335	$911	$498	1.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,180	$873	$448	1.9×
MRI, brain (no contrast) CPT Code: `70551`	$1,982	$622	$343	1.8×
MRI, knee or other leg joint CPT Code: `73721`	$1,765	$622	$369	1.7×
CT scan, head (with contrast) CPT Code: `70460`	$1,717	$608	$242	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,855	$572	$338	1.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,181	$597	$258	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,705	$534	$303	1.8×
CT scan, chest (no contrast) CPT Code: `71250`	$1,165	$475	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$1,478	$491	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,729	$504	$168	unverified
Neurobehavioral status check CPT Code: `96116`	—	$520	$231	unverified
Psychological testing by technician CPT Code: `96138`	—	$457	$395	1.2×
CT scan, head (no contrast) CPT Code: `70450`	$1,165	$421	$160	unverified
CT scan, sinuses CPT Code: `70486`	$1,220	$365	$166	2.2×
Family therapy session CPT Code: `90847`	—	$356	$173	2.1×
Rabies immune globulin HCPCS Code: `90375`	—	$381	$322	1.2×
CT scan, pelvis CPT Code: `72192`	$1,165	$352	$163	2.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$221	$265	$181	1.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	$308	$265	$185	1.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,657	$274	$272	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$312	$216	$132	1.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$537	$213	$134	1.6×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$206	$151	1.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$293	$213	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$455	$213	$130	unverified
Group therapy session CPT Code: `90853`	—	$157	$100	1.6×
Screening mammogram (both breasts) CPT Code: `77067`	$345	$164	$123	1.3×
X-ray, hip CPT Code: `73502`	$199	$135	$93	1.5×
X-ray, chest (single view) CPT Code: `71045`	$182	$122	$92	1.3×
X-ray, chest (two views) CPT Code: `71046`	$193	$122	$93	1.3×
X-ray, lower back CPT Code: `72110`	$500	$140	$112	1.3×
Psychological testing evaluation CPT Code: `96136`	—	$149	$128	1.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	$148	$148	$166	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$163	$163	$110	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$165	$165	$123	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$115	$115	$87	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$231	$84	$64	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	$398	$104	$86	1.2×
X-ray, shoulder CPT Code: `73030`	$311	$103	$92	1.1×
X-ray, foot CPT Code: `73630`	$285	$101	$92	1.1×
X-ray, hand CPT Code: `73130`	$293	$101	$93	1.1×
X-ray, ankle CPT Code: `73610`	$286	$101	$93	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$318	$97	$93	1.0×
X-ray, pelvis CPT Code: `72170`	$206	$108	$110	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$443	$107	$148	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$99	$99	$201	0.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$293	$371	$203	unverified
Typhoid vaccine HCPCS Code: `90675`	—	$316	$347	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$142	$156	$111	1.4×
Drug screening test HCPCS Code: `G0480`	—	$122	$116	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$81	$81	$10	8.1×
Physical therapy (manual therapy) CPT Code: `97140`	$185	$52	$34	1.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$151	$56	$38	1.5×
Flu vaccine injection HCPCS Code: `G0008`	—	$64	$48	1.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$64	$49	1.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$57	$64	$56	1.1×
Pneumococcal vaccine HCPCS Code: `90732`	$130	$80	$140	0.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$125	$37	$19	1.9×
Blood test, vitamin D CPT Code: `82306`	$151	$60	$31	1.9×
Speech therapy (group session) CPT Code: `92508`	$192	$38	$27	1.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$34	$49	$39	1.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$148	$38	$35	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	—	$53	$49	1.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$38	$6	$3	2.0×
Blood test, calcium CPT Code: `82310`	$44	$10	$5	2.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$44	$10	$5	2.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$34	$8	$4	2.0×
Blood test, lipase CPT Code: `83690`	$71	$14	$7	2.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$22	$20	1.1×
Hepatitis B vaccine HCPCS Code: `90744`	$31	$38	$37	1.0×
Blood test, potassium CPT Code: `84132`	$56	$10	$5	2.0×
Blood test, sodium CPT Code: `84295`	$39	$10	$5	2.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$70	$16	$8	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$37	$12	$6	2.0×
Culture, blood CPT Code: `87040`	$154	$21	$11	1.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$169	$34	$18	1.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$102	$37	$40	0.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$35	$8	$4	2.0×
Hepatitis C antibody test CPT Code: `86803`	$95	$29	$15	1.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$76	$27	$14	1.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$99	$27	$14	1.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$70	$21	$11	1.9×
Blood test, basic metabolic panel CPT Code: `80048`	$58	$17	$9	1.9×
Culture, bacterial CPT Code: `87070`	$98	$17	$9	1.9×
Blood test, vitamin B12 CPT Code: `82607`	$100	$30	$16	1.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$34	$9	$5	1.8×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$30	$27	1.1×
Physical therapy (gait training) CPT Code: `97116`	$95	$34	$33	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$139	$36	$38	0.9×
Orthotic fitting and training CPT Code: `97760`	$141	$46	$51	0.9×
Blood test, amylase CPT Code: `82150`	$150	$13	$7	1.9×
Blood test, magnesium CPT Code: `83735`	$56	$13	$7	1.9×
Blood test, liver function panel CPT Code: `80076`	$76	$16	$9	1.8×
Prosthetic fitting and training CPT Code: `97761`	$65	$40	$45	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$13	$14	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$95	$32	$38	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$22	$18	$25	0.7×
Blood antibody screen CPT Code: `86850`	$92	$27	$46	0.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$12	$35	0.3×
Blood test, hemoglobin CPT Code: `85018`	$30	$5	$3	unverified

Showing top 25 high-impact procedures of 122 total

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

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

CMS CCN: 420007

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $51,664

1. Amount on Your Bill or Quote ($) Pre-filled with Spartanburg 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 Spartanburg 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 +$93,219 Above Fair BaseRate

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

Your bill ($123,994) is $93,219 above the denoised Fair BaseRate ($30,775) and 5.3× 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)

Public IRS & CMS ownership records classify Spartanburg 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 Overall3/5 Stars (3/5)

Safety Composite62/100

Would Recommend69%

Rated 9 or 10 (HCAHPS)68%

Median ER Wait180 min

Left ER Before Seen3%

30-Day Mortality vs U.S.worse

Unplanned Readmissionsame

Hip/Knee Complication Rate5.7%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

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 Spartanburg Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2024-03-27·administrative_or_closure
Met Requirements
Recorded
2022-10-18·administrative_or_closure
Closure Notice
Recorded
2022-05-04·cap_corrective_action
CAP Request
Recorded
2021-08-25·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (877 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 Quality & Price Benchmark

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

Price Index: 0.99× regional baseline

Quality: 46/100 CMS composite

Median Household Income$64,195U.S. Census ACS

Local Uninsured Share10.9%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 79/100 · Corroborated CMS CCN 420007

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 420007) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows1,664 (CMS v3.0.0)

File Integrity DigestVerified · CCN 420007

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