South Carolina / Prisma Health Baptist Parkridge

CMS certification 420106 · Columbia, SC · 1 entry in CMS's price-transparency list

Prisma Health Baptist Parkridge: charges and Medicare payments

Prisma Health Baptist Parkridge reported 766 Medicare inpatient stays across 25 DRGs in 2024. Across them it charged 4.02 times what it was paid — mid-range in South Carolina, number 27 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: 134 stays at an average charge of $53,648, 41% below the national average. It also billed 2,103 outpatient services, charging 8.86 times what Medicare paid.

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  1. 1Medicare inpatient stays 766
  2. 2Charge ÷ paid, inpatient 4.02×
  3. 3Rank in SC (highest ratio = 1) 27 of 45
  4. 4CMS price-transparency actions 1
DRG 871$53,648DRG 291$34,480DRG 177$46,604DRG 392$22,914DRG 460$149,706DRG 872$30,895DRG 683$24,012DRG 640$30,074DRG 641$24,681DRG 178$32,485
Average charge per stay at Prisma Health Baptist Parkridge, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 25 DRGs that can be compared with the national average, Prisma Health Baptist Parkridge charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC134$53,648-41%$13,576
291 Heart Failure and Shock with MCC111$34,480-39%$9,855
177 Respiratory Infections and Inflammations with MCC46$46,604-34%$11,445
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...34$22,914-43%$6,235
460 Spinal Fusion except Cervical without MCC33$149,706-12%$29,853
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC32$30,895-37%$7,805
683 Renal Failure with CC30$24,012-41%$8,041
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...26$30,074-50%$10,055
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...26$24,681-33%$6,416
178 Respiratory Infections and Inflammations with CC24$32,485-28%$7,460
454 Combined Anterior and Posterior Spinal Fusion with CC24$232,732-17%$52,465
682 Renal Failure with MCC23$34,388-48%$9,611
481 Hip and Femur Procedures except Major Joint with CC22$72,871-28%$16,718
689 Kidney and Urinary Tract Infections with MCC22$25,784-50%$10,870
812 Red Blood Cell Disorders without MCC22$22,396-50%$6,821
312 Syncope and Collapse20$23,311-49%$6,739
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC20$156,034-23%$38,892
472 Cervical Spinal Fusion with CC19$111,769-22%$21,664
309 Cardiac Arrhythmia and Conduction Disorders with CC17$22,918-37%$5,941
690 Kidney and Urinary Tract Infections without MCC17$28,492-25%$6,397
603 Cellulitis without MCC15$21,095-43%$6,980
698 Other Kidney and Urinary Tract Diagnoses with MCC14$46,884-36%$16,250
193 Simple Pneumonia and Pleurisy with MCC12$50,536-15%$9,134
699 Other Kidney and Urinary Tract Diagnoses with CC12$22,534-53%$7,323
194 Simple Pneumonia and Pleurisy with CC11$32,337-16%$6,816

Outpatient services

Against the South Carolina average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Prisma Health Baptist Parkridge charged $53,648 on average, 30% less than the South Carolina average of $76,532, and was paid $13,576 against a state average of $16,014. For Heart Failure and Shock with MCC (DRG 291), Prisma Health Baptist Parkridge charged $34,480 on average, 25% less than the South Carolina average of $45,682, and was paid $9,855 against a state average of $10,696. For Respiratory Infections and Inflammations with MCC (DRG 177), Prisma Health Baptist Parkridge charged $46,604 on average, 25% less than the South Carolina average of $62,241, and was paid $11,445 against a state average of $13,455. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Prisma Health Baptist Parkridge charged $22,914 on average, 35% less than the South Carolina average of $35,320, and was paid $6,235 against a state average of $7,048. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $17,347 was 23% above the state average of $14,119. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $43,294 was 16% below the state average of $51,243. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,528 was 25% below the state average of $20,764. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,012 was 23% below the state average of $11,718.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Prisma Health Baptist Parkridge in Columbia, SC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

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.