CMS certification 420027 · Anderson, SC

Anmed Health: charges and Medicare payments

Anmed Health reported 3,251 Medicare inpatient stays across 84 DRGs in 2024. Across them it charged 5.42 times what it was paid — among the higher ratios in South Carolina, number 12 of 45 hospitals with at least 100 stays (state median 4.13×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 336 stays at an average charge of $85,436, 5% below the national average. It also billed 2,602 outpatient services, charging 9.12 times what Medicare paid.

1Medicare inpatient stays 3,251
2Charge ÷ paid, inpatient 5.42×
3Rank in SC (highest ratio = 1) 12 of 45
4CMS price-transparency actions 0

Average charge per stay at Anmed Health, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 84 DRGs that can be compared with the national average, Anmed Health charged more than the national average in 26 (31%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	336	$85,436	-5%	$18,761
291 Heart Failure and Shock with MCC	234	$53,810	-5%	$12,252
274 Percutaneous and Other Intracardiac Procedures without MCC	181	$336,930	+115%	$33,983
193 Simple Pneumonia and Pleurisy with MCC	125	$54,062	-10%	$12,364
177 Respiratory Infections and Inflammations with MCC	108	$67,049	-5%	$16,037
189 Pulmonary Edema and Respiratory Failure	95	$59,887	+4%	$12,420
690 Kidney and Urinary Tract Infections without MCC	88	$34,476	-9%	$7,711
689 Kidney and Urinary Tract Infections with MCC	81	$42,366	-17%	$10,823
683 Renal Failure with CC	66	$35,455	-13%	$9,515
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	63	$45,048	-8%	$9,655
309 Cardiac Arrhythmia and Conduction Disorders with CC	58	$40,222	+11%	$7,537
194 Simple Pneumonia and Pleurisy with CC	56	$37,999	-1%	$9,070
378 Gastrointestinal Hemorrhage with CC	56	$56,281	+16%	$10,185
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	54	$49,902	-10%	$11,063
308 Cardiac Arrhythmia and Conduction Disorders with MCC	54	$67,354	+19%	$11,720
312 Syncope and Collapse	54	$41,737	-8%	$8,712
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	54	$33,334	-17%	$7,246
190 Chronic Obstructive Pulmonary Disease with MCC	51	$45,472	-10%	$10,368
853 Infectious and Parasitic Diseases with O.R. Procedures with...	47	$154,463	-33%	$44,446
305 Hypertension without MCC	46	$29,888	-25%	$6,927
682 Renal Failure with MCC	45	$62,826	-5%	$14,096
317 Concomitant Left Atrial Appendage Closure and Cardiac...	44	$462,698	+28%	$61,804
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	43	$38,528	+4%	$7,681
178 Respiratory Infections and Inflammations with CC	40	$49,491	+9%	$9,331
322 Percutaneous Cardiovascular Procedures with Intraluminal...	38	$124,779	+9%	$17,459
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	36	$76,548	-23%	$19,140
481 Hip and Femur Procedures except Major Joint with CC	36	$91,292	-9%	$19,062
603 Cellulitis without MCC	36	$33,615	-10%	$8,266
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	35	$97,877	-4%	$19,800
377 Gastrointestinal Hemorrhage with MCC	32	$72,497	-15%	$16,669
191 Chronic Obstructive Pulmonary Disease with CC	29	$36,299	-8%	$8,030
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	29	$25,502	-11%	$5,252
638 Diabetes with CC	29	$42,184	+1%	$8,549
287 Circulatory Disorders except AMI, with Cardiac...	27	$51,040	-20%	$12,242
069 Transient Ischemia without Thrombolytic	25	$36,986	-27%	$7,536
101 Seizures without MCC	25	$37,006	-24%	$8,329
036 Carotid Artery Stent Procedures without CC/MCC	24	$125,313	+42%	$16,843
267 Endovascular Cardiac Valve Replacement and Supplement...	23	$310,688	+40%	$43,683
698 Other Kidney and Urinary Tract Diagnoses with MCC	23	$54,197	-26%	$15,528
713 Transurethral Prostatectomy with CC/MCC	23	$45,227	-41%	$13,353
812 Red Blood Cell Disorders without MCC	23	$32,992	-26%	$8,453
286 Circulatory Disorders except AMI, with Cardiac...	22	$91,085	-19%	$20,178
330 Major Small and Large Bowel Procedures with CC	22	$77,910	-35%	$25,416
321 Percutaneous Cardiovascular Procedures with Intraluminal...	21	$168,247	+3%	$28,746
552 Medical Back Problems without MCC	21	$47,458	-3%	$9,053
811 Red Blood Cell Disorders with MCC	21	$76,832	+13%	$13,424
948 Signs and Symptoms without MCC	21	$38,194	0%	$8,045
304 Hypertension with MCC	19	$61,926	+8%	$12,973
331 Major Small and Large Bowel Procedures without CC/MCC	19	$65,209	-24%	$16,929
389 Gastrointestinal Obstruction with CC	19	$34,196	-12%	$7,588
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	19	$56,343	-7%	$11,730
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	19	$64,005	-5%	$15,358
313 Chest Pain	18	$33,585	-16%	$6,685
314 Other Circulatory System Diagnoses with MCC	18	$86,380	-9%	$20,705
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	18	$52,777	-14%	$11,999
480 Hip and Femur Procedures except Major Joint with MCC	18	$120,575	-13%	$27,089
870 Septicemia or Severe Sepsis with MV >96 Hours	18	$247,307	-24%	$57,001
252 Other Vascular Procedures with MCC	17	$182,000	+7%	$45,951
100 Seizures with MCC	16	$116,392	+23%	$18,115
269 Aortic and Heart Assist Procedures except Pulsation Balloon...	16	$235,094	+22%	$49,603

Showing the 60 most frequent of 84 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	296	$21,534	$2,484
Level 2 Excision/ Biopsy/ Incision and Drainage	172	$10,297	$1,467
Level 1 Endovascular Procedures	164	$25,238	$2,968
Level 5 Urology and Related Services	161	$34,829	$4,654
Level 2 Upper GI Procedures	143	$15,857	$1,697
Level 1 Laparoscopy and Related Services	137	$31,811	$5,077
Level 3 Vascular Procedures	116	$19,844	$2,884
Level 4 Urology and Related Services	107	$22,800	$3,198
Level 5 Musculoskeletal Procedures	93	$69,330	$11,832
Level 3 Endovascular Procedures	92	$80,982	$10,083
Level 3 Urology and Related Services	89	$17,910	$1,850
Level 4 Musculoskeletal Procedures	74	$52,923	$6,211
Level 2 Musculoskeletal Procedures	67	$13,482	$1,474
Level 5 Airway Endoscopy	65	$84,812	$6,278
Level 3 Airway Endoscopy	63	$10,876	$1,498
Level 2 Breast/Lymphatic Surgery and Related Procedures	54	$41,040	$5,982
Level 3 Musculoskeletal Procedures	54	$24,788	$2,925
Level 3 Electrophysiologic Procedures	51	$232,215	$21,730
Level 1 Breast/Lymphatic Surgery and Related Procedures	49	$24,680	$3,440
Level 4 Airway Endoscopy	49	$23,742	$3,435
Level 3 Pacemaker and Similar Procedures	48	$52,897	$9,788
Level 3 Lower GI Procedures	46	$26,420	$2,441
Level 2 Pacemaker and Similar Procedures	40	$38,038	$7,638
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	33	$22,498	$3,093
Level 2 Endovascular Procedures	32	$32,503	$5,243

Against the South Carolina average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Anmed Health charged $85,436 on average, 12% more than the South Carolina average of $76,532, and was paid $18,761 against a state average of $16,014. For Heart Failure and Shock with MCC (DRG 291), Anmed Health charged $53,810 on average, 18% more than the South Carolina average of $45,682, and was paid $12,252 against a state average of $10,696. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Anmed Health charged $336,930 on average, 80% more than the South Carolina average of $186,698, and was paid $33,983 against a state average of $25,978. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Anmed Health charged $54,062 on average, 1% more than the South Carolina average of $53,401, and was paid $12,364 against a state average of $11,120. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,534 was 4% above the state average of $20,764. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,297 was 12% below the state average of $11,718. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $25,238 was 20% below the state average of $31,661. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $34,829 was 10% below the state average of $38,828.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.