South Carolina / Prisma Health Laurens County Hospital
CMS certification 420038 · Clinton, SC
Prisma Health Laurens County Hospital: charges and Medicare payments
Prisma Health Laurens County Hospital reported 428 Medicare inpatient stays across 16 DRGs in 2024. Across them it charged 3.38 times what it was paid — among the lower ratios in South Carolina, number 37 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 $56,025, 38% below the national average. It also billed 140 outpatient services, charging 9.71 times what Medicare paid.
- 1Medicare inpatient stays 428
- 2Charge ÷ paid, inpatient 3.38×
- 3Rank in SC (highest ratio = 1) 37 of 45
- 4CMS price-transparency actions 0
Inpatient stays
For the 16 DRGs that can be compared with the national average, Prisma Health Laurens County Hospital charged more than the national average in 1 (6%). 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 | 134 | $56,025 | -38% | $17,005 |
| 291 Heart Failure and Shock with MCC | 66 | $33,063 | -41% | $11,212 |
| 683 Renal Failure with CC | 22 | $25,526 | -37% | $7,774 |
| 177 Respiratory Infections and Inflammations with MCC | 19 | $53,935 | -24% | $14,403 |
| 189 Pulmonary Edema and Respiratory Failure | 19 | $42,225 | -27% | $10,583 |
| 690 Kidney and Urinary Tract Infections without MCC | 19 | $30,620 | -19% | $7,186 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 19 | $45,863 | -38% | $14,240 |
| 312 Syncope and Collapse | 17 | $27,658 | -39% | $7,641 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 16 | $37,958 | -32% | $8,623 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $26,380 | -34% | $7,420 |
| 193 Simple Pneumonia and Pleurisy with MCC | 15 | $45,250 | -24% | $12,180 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 15 | $25,406 | -48% | $8,834 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $37,401 | +1% | $8,133 |
| 682 Renal Failure with MCC | 14 | $42,642 | -35% | $12,698 |
| 689 Kidney and Urinary Tract Infections with MCC | 12 | $33,155 | -35% | $10,050 |
| 638 Diabetes with CC | 11 | $21,069 | -49% | $8,011 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 91 | $16,542 | $2,457 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 17 | $13,484 | $1,428 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 17 | $29,014 | $2,502 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 15 | $24,892 | $3,196 |
Against the South Carolina average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Prisma Health Laurens County Hospital charged $56,025 on average, 27% less than the South Carolina average of $76,532, and was paid $17,005 against a state average of $16,014. For Heart Failure and Shock with MCC (DRG 291), Prisma Health Laurens County Hospital charged $33,063 on average, 28% less than the South Carolina average of $45,682, and was paid $11,212 against a state average of $10,696. For Renal Failure with CC (DRG 683), Prisma Health Laurens County Hospital charged $25,526 on average, 29% less than the South Carolina average of $35,766, and was paid $7,774 against a state average of $8,014. For Respiratory Infections and Inflammations with MCC (DRG 177), Prisma Health Laurens County Hospital charged $53,935 on average, 13% less than the South Carolina average of $62,241, and was paid $14,403 against a state average of $13,455. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,542 was 20% below the state average of $20,764. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,484 was 15% above the state average of $11,718. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $29,014 was 30% above the state average of $22,250. For Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (outpatient APC 5341), its average charge of $24,892 was 20% below the state average of $31,272.
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.