55/100
#1,112 nationally
Prisma Health Oconee Memorial Hospital
298 Memorial Dr, Seneca, SC 29672 · (864) 482-3100
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Prisma Health Oconee Memorial Hospital billed $4.27 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
- 4.3x
- volume-weighted across all its priced work
- Procedures priced
- 67
- inpatient and outpatient combined
- Rank in SC
- #13
- 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 64% of U.S. hospitals.
Better than 42% of U.S. hospitals.
Better than 59% of U.S. hospitals.
Better than 51% 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 |
368 | $17,932 | $2,503 | -8% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
289 | $60,552 | $17,149 | -7% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
225 | $77,804 | $11,979 | +25% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
144 | $37,339 | $11,593 | -14% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
89 | $40,566 | $5,227 | +16% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
62 | $12,480 | $1,754 | +6% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
55 | $106,708 | $17,146 | +29% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
53 | $10,085 | $1,450 | about average |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
52 | $25,332 | $7,029 | -15% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
52 | $30,297 | $4,771 | +10% |
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 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$19,372 | $1,878 | +50% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
$176,746 | $38,446 | +36% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$27,322 | $2,889 | +34% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$23,405 | $2,620 | +32% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$106,708 | $17,146 | +29% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$77,804 | $11,979 | +25% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$48,111 | $6,390 | +21% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$71,623 | $9,485 | +20% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$25,066 | $12,217 | -56% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$29,779 | $13,058 | -51% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
$21,859 | $7,637 | -50% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
$18,966 | $8,726 | -50% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
$26,611 | $10,760 | -48% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$93,687 | $40,295 | -47% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$26,924 | $11,232 | -44% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$41,309 | $17,944 | -42% |
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.