44/100
#1,477 nationally
Prisma Health Tuomey Hospital
129 N Washington St, Sumter, SC 29150 · (803) 774-8900
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Prisma Health Tuomey Hospital billed $5.09 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
- 5.1x
- volume-weighted across all its priced work
- Procedures priced
- 69
- inpatient and outpatient combined
- Rank in SC
- #25
- 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 47% of U.S. hospitals.
Better than 34% of U.S. hospitals.
Better than 51% of U.S. hospitals.
Better than 39% 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 |
231 | $14,779 | $2,304 | -24% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
198 | $9,715 | $1,363 | -4% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
171 | $56,964 | $13,667 | -13% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
153 | $37,977 | $9,560 | -13% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
108 | $79,986 | $11,081 | +28% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
96 | $31,450 | $4,358 | +15% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
81 | $20,650 | $2,730 | +8% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
79 | $40,611 | $4,892 | +16% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
79 | $23,699 | $2,986 | +15% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
74 | $18,558 | $2,434 | +5% |
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 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$20,570 | $1,372 | +140% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$80,144 | $9,141 | +56% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$17,067 | $1,336 | +52% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$34,389 | $2,963 | +48% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$17,030 | $1,721 | +32% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$79,986 | $11,081 | +28% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
$102,333 | $16,538 | +19% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$71,031 | $8,447 | +19% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
$39,891 | $12,269 | -44% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$34,554 | $9,105 | -44% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$17,316 | $7,125 | -43% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$20,570 | $7,297 | -41% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
$23,276 | $8,790 | -40% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$46,693 | $11,402 | -39% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$31,005 | $12,830 | -38% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$36,957 | $9,453 | -34% |
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.