37/100
#1,695 nationally
Prisma Health Richland Hospital
5 Medical Park, Columbia, SC 29203 · (803) 296-2548
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Prisma Health Richland Hospital billed $4.77 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
- 4.8x
- volume-weighted across all its priced work
- Procedures priced
- 159
- inpatient and outpatient combined
- Rank in SC
- #30
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 30% of U.S. hospitals.
Better than 39% of U.S. hospitals.
Better than 10% 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 |
|---|---|---|---|---|
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
598 | $26,040 | $2,761 | +3% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
368 | $75,637 | $20,336 | +16% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
362 | $18,472 | $2,322 | -5% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
270 | $175,384 | $19,885 | +32% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
224 | $46,680 | $13,346 | +8% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
195 | $55,249 | $7,122 | +46% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
145 | $81,158 | $9,232 | +20% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
130 | $114,356 | $28,958 | -8% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
129 | $15,273 | $1,377 | +52% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
116 | $93,909 | $19,887 | +23% |
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 |
|---|---|---|---|
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
$1,377,632 | $323,776 | +667% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
$25,484 | $2,008 | +76% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
$61,007 | $12,871 | +62% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
$60,798 | $5,881 | +58% |
|
Extracranial Procedures with Complications
MS-DRG 038 · Inpatient stay |
$104,958 | $15,401 | +56% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$78,917 | $9,171 | +53% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$15,273 | $1,377 | +52% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$53,048 | $4,958 | +51% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Lymphoma and Non-acute Leukemia with Major Complications
MS-DRG 840 · Inpatient stay |
$68,552 | $25,282 | -52% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
$37,590 | $16,075 | -41% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
$45,464 | $17,505 | -40% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$19,988 | $9,070 | -36% |
|
Malignancy of Hepatobiliary System or Pancreas with Major Complications
MS-DRG 435 · Inpatient stay |
$53,079 | $18,269 | -35% |
|
Implantation Wireless Pa Pressure Monitor
APC 5200 · Hospital outpatient visit |
$91,454 | $24,906 | -33% |
|
Other Cardiothoracic Procedures without Major Complications
MS-DRG 229 · Inpatient stay |
$102,783 | $28,244 | -32% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
$17,148 | $7,885 | -32% |
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.