Prisma Health Richland Hospital: charges and Medicare payments

Prisma Health Richland Hospital reported 3,861 Medicare inpatient stays across 120 DRGs in 2024. Across them it charged 4.11 times what it was paid — mid-range in South Carolina, number 24 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: 368 stays at an average charge of $75,637, 16% below the national average. It also billed 3,003 outpatient services, charging 9.31 times what Medicare paid.

1Medicare inpatient stays 3,861
2Charge ÷ paid, inpatient 4.11×
3Rank in SC (highest ratio = 1) 24 of 45
4CMS price-transparency actions 0

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

Inpatient stays

For the 120 DRGs that can be compared with the national average, Prisma Health Richland Hospital charged more than the national average in 25 (21%). 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	368	$75,637	-16%	$20,336
291 Heart Failure and Shock with MCC	224	$46,680	-17%	$13,346
274 Percutaneous and Other Intracardiac Procedures without MCC	130	$114,356	-27%	$28,958
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	116	$93,909	-6%	$19,887
266 Endovascular Cardiac Valve Replacement and Supplement...	111	$182,722	-36%	$51,179
853 Infectious and Parasitic Diseases with O.R. Procedures with...	86	$197,000	-14%	$49,321
177 Respiratory Infections and Inflammations with MCC	84	$57,243	-19%	$16,001
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	72	$40,939	-27%	$11,186
286 Circulatory Disorders except AMI, with Cardiac...	67	$78,947	-30%	$21,143
280 Acute Myocardial Infarction, Discharged Alive with MCC	65	$57,542	-24%	$15,540
321 Percutaneous Cardiovascular Procedures with Intraluminal...	61	$136,633	-17%	$29,134
025 Craniotomy and Endovascular Intracranial Procedures with MCC	60	$216,201	-7%	$45,948
314 Other Circulatory System Diagnoses with MCC	56	$71,209	-25%	$21,353
481 Hip and Femur Procedures except Major Joint with CC	56	$95,918	-5%	$18,961
189 Pulmonary Edema and Respiratory Failure	53	$49,202	-15%	$12,819
322 Percutaneous Cardiovascular Procedures with Intraluminal...	53	$106,325	-7%	$20,394
023 Craniotomy with Major Device Implant or Acute Complex Cns...	50	$239,127	-15%	$57,612
309 Cardiac Arrhythmia and Conduction Disorders with CC	47	$24,382	-32%	$9,032
312 Syncope and Collapse	46	$28,044	-38%	$9,313
287 Circulatory Disorders except AMI, with Cardiac...	42	$46,659	-27%	$12,217
308 Cardiac Arrhythmia and Conduction Disorders with MCC	41	$44,089	-22%	$13,220
682 Renal Failure with MCC	41	$55,400	-16%	$14,278
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	40	$44,202	-27%	$13,547
100 Seizures with MCC	39	$96,993	+3%	$22,209
811 Red Blood Cell Disorders with MCC	39	$54,738	-20%	$15,689
267 Endovascular Cardiac Valve Replacement and Supplement...	38	$160,573	-27%	$40,505
057 Degenerative Nervous System Disorders without MCC	37	$40,372	-29%	$12,958
082 Traumatic Stupor and Coma >1 Hour with MCC	36	$105,578	-8%	$22,688
552 Medical Back Problems without MCC	36	$45,021	-8%	$10,660
101 Seizures without MCC	35	$39,706	-19%	$10,184
698 Other Kidney and Urinary Tract Diagnoses with MCC	34	$55,764	-24%	$16,041
472 Cervical Spinal Fusion with CC	33	$143,876	+1%	$29,295
480 Hip and Femur Procedures except Major Joint with MCC	33	$117,824	-15%	$28,588
193 Simple Pneumonia and Pleurisy with MCC	31	$45,758	-23%	$12,908
377 Gastrointestinal Hemorrhage with MCC	31	$53,279	-38%	$17,014
683 Renal Failure with CC	31	$34,246	-16%	$10,753
243 Permanent Cardiac Pacemaker Implant with CC	30	$120,649	+9%	$21,248
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	30	$28,222	-24%	$8,993
163 Major Chest Procedures with MCC	29	$188,461	-10%	$43,226
378 Gastrointestinal Hemorrhage with CC	29	$37,368	-23%	$10,637
281 Acute Myocardial Infarction, Discharged Alive with CC	28	$43,285	-14%	$10,753
070 Other Cerebrovascular Disorders with MCC	26	$50,109	-34%	$17,694
208 Respiratory System Diagnosis with Ventilator Support <=96...	25	$100,814	-26%	$25,943
242 Permanent Cardiac Pacemaker Implant with MCC	25	$180,326	+12%	$33,272
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	25	$17,148	-40%	$7,885
690 Kidney and Urinary Tract Infections without MCC	25	$27,553	-27%	$8,907
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	25	$35,140	-28%	$11,429
069 Transient Ischemia without Thrombolytic	24	$35,476	-30%	$9,865
164 Major Chest Procedures with CC	24	$130,098	+2%	$25,257
689 Kidney and Urinary Tract Infections with MCC	24	$40,462	-21%	$12,741
315 Other Circulatory System Diagnoses with CC	23	$33,347	-30%	$10,847
637 Diabetes with MCC	23	$44,417	-33%	$14,127
003 ECMO or Tracheostomy with MV >96 Hours or Principal...	22	$717,123	-32%	$181,941
041 Peripheral, Cranial Nerve and Other Nervous System...	22	$130,741	+13%	$26,809
083 Traumatic Stupor and Coma >1 Hour with CC	22	$58,396	-20%	$13,564
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	22	$106,034	+4%	$21,273
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	22	$166,366	-23%	$39,214
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	21	$439,421	+10%	$87,647
519 Back and Neck Procedures except Spinal Fusion with CC	21	$117,695	+13%	$22,193
091 Other Disorders of Nervous System with MCC	20	$65,457	-21%	$17,159

Showing the 60 most frequent of 120 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Endovascular Procedures	598	$26,040	$2,761
Comprehensive Observation Services	362	$18,472	$2,322
Level 3 Electrophysiologic Procedures	270	$175,384	$19,885
Level 2 Pacemaker and Similar Procedures	195	$55,249	$7,122
Level 3 Endovascular Procedures	145	$81,158	$9,232
Level 2 Excision/ Biopsy/ Incision and Drainage	129	$15,273	$1,377
Level 3 Pacemaker and Similar Procedures	112	$78,917	$9,171
Level 3 Vascular Procedures	106	$19,448	$2,624
Level 2 Upper GI Procedures	73	$12,590	$1,635
Level 2 Vascular Procedures	63	$7,941	$1,376
Level 4 Vascular Procedures	63	$35,908	$4,663
Level 3 Extraocular, Repair, and Plastic Eye Procedures	63	$25,484	$2,008
Level 3 Excision/ Biopsy/ Incision and Drainage	54	$18,946	$2,442
Level 2 ICD and Similar Procedures	52	$216,030	$27,677
Level 4 Musculoskeletal Procedures	50	$41,595	$6,147
Level 4 Pacemaker and Similar Procedures	47	$115,592	$16,708
Level 5 Airway Endoscopy	46	$60,798	$5,881
Level 4 Airway Endoscopy	45	$26,740	$3,161
Level 4 Endovascular Procedures	45	$117,353	$15,039
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	37	$20,428	$2,732
Level 2 Breast/Lymphatic Surgery and Related Procedures	36	$39,573	$5,604
Level 4 Gynecologic Procedures	36	$21,601	$2,686
Cochlear Implant Procedure	33	$130,265	$27,911
Level 1 Laparoscopy and Related Services	33	$53,048	$4,958
Level 2 Laparoscopy and Related Services	32	$59,700	$8,842

Against the South Carolina average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Prisma Health Richland Hospital charged $75,637 on average, 1% less than the South Carolina average of $76,532, and was paid $20,336 against a state average of $16,014. For Heart Failure and Shock with MCC (DRG 291), Prisma Health Richland Hospital charged $46,680 on average, 2% more than the South Carolina average of $45,682, and was paid $13,346 against a state average of $10,696. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Prisma Health Richland Hospital charged $114,356 on average, 39% less than the South Carolina average of $186,698, and was paid $28,958 against a state average of $25,978. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), Prisma Health Richland Hospital charged $93,909 on average, 10% more than the South Carolina average of $85,550, and was paid $19,887 against a state average of $16,486. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $26,040 was 18% below the state average of $31,661. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,472 was 11% below the state average of $20,764. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $175,384 was 20% below the state average of $218,121. For Level 2 Pacemaker and Similar Procedures (outpatient APC 5222), its average charge of $55,249 was 15% above the state average of $48,188.

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.