46/100
#1,392 nationally
Prisma Health Hillcrest Hospital
741 South East Main Street, Simpsonville, SC 29681 · (864) 454-6100
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Prisma Health Hillcrest Hospital billed $5.64 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 5.6x
- volume-weighted across all its priced work
- Procedures priced
- 27
- inpatient and outpatient combined
- Rank in SC
- #21
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 48% of U.S. hospitals.
Better than 33% of U.S. hospitals.
Better than 54% of U.S. hospitals.
Better than 46% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
194 | $17,883 | $2,303 | -8% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
98 | $39,260 | $4,977 | +12% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
96 | $42,728 | $10,979 | -35% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
86 | $15,949 | $1,641 | +36% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
66 | $59,386 | $8,766 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
59 | $34,819 | $7,839 | -20% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
45 | $27,684 | $2,931 | +19% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
37 | $47,481 | $5,772 | +19% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
28 | $23,860 | $2,792 | +17% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
26 | $24,922 | $6,025 | -16% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$16,665 | $1,398 | +65% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$15,949 | $1,641 | +36% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$14,524 | $1,386 | +29% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$47,481 | $5,772 | +19% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$27,684 | $2,931 | +19% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$23,860 | $2,792 | +17% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$39,260 | $4,977 | +12% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$65,197 | $11,339 | +4% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$23,715 | $6,794 | -42% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$30,087 | $9,242 | -38% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$42,728 | $10,979 | -35% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$37,656 | $9,629 | -34% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$28,279 | $6,733 | -32% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$22,634 | $6,315 | -31% |
|
Hernia Procedures Except Inguinal and Femoral without Complications/mcc
MS-DRG 355 · Inpatient stay |
$47,703 | $11,035 | -28% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$23,478 | $5,294 | -27% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.