CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$234 - $873
from 2 insurers · median $553
Typical for a hospital with this service line
Edgefield, SC
7
In-network payers
7
Disclosed rate categories
50
Beds
Edgefield County Hospital is a 50-bed government - local hospital in Edgefield, SC. Below you'll find publicly disclosed negotiated rates and facility details, including 7 in-network payers and 7 disclosed rate categories.
CCN (Medicare provider number)
421304
NPI
1023080439
Type
Critical Access Hospital
Ownership
Government - Local
Beds
50
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.


The 24 services Edgefield County Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$234 - $873
from 2 insurers · median $553
Typical for a hospital with this service line
CT imaging
CPT 70450
$287 - $421
from 2 insurers · median $354
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$162 - $964
from 2 insurers · median $563
Typical for a hospital with this service line
CT imaging
CPT 74176
$275 - $534
from 2 insurers · median $404
Typical for a hospital with this service line
CT imaging
CPT 71275
$462 - $484
from 2 insurers · median $473
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$471 - $833
from 2 insurers · median $652
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$39,558
negotiated rate
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 45385
$471 - $833
from 2 insurers · median $652
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$471 - $833
from 2 insurers · median $652
Typical for a hospital with this service line
Gynecology
CPT 58571
$9,860
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$28 - $110
from 2 insurers · median $69
Typical for a hospital with this service line
MRI imaging
CPT 72148
$395 - $660
from 2 insurers · median $527
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$455 - $833
from 2 insurers · median $644
Typical for a hospital with this service line
Gynecology
CPT 58661
$9,860
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 73721
$399 - $622
from 2 insurers · median $511
Typical for a hospital with this service line
MRI imaging
CPT 72197
$611 - $1,038
from 2 insurers · median $825
Typical for a hospital with this service line
Urology
CPT 50590
$1,057 - $6,900
from 2 insurers · median $3,978
Typical for a hospital with this service line
Ultrasound
CPT 76705
$110 - $145
from 2 insurers · median $128
Typical for a hospital with this service line
Gynecology
CPT 58662
$9,860
negotiated rate
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$540 - $1,772
from 2 insurers · median $1,156
Typical for a hospital with this service line
MRI imaging
CPT 73221
$475 - $622
from 2 insurers · median $549
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$12,766
negotiated rate
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$17 - $36
from 2 insurers · median $26
Typical for a hospital with this service line
Ultrasound
CPT 76536
$107 - $216
from 2 insurers · median $162
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 173% | 1 | 6 |
| Insurer B* | 19 | 100% | 1 | 14 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Edgefield County Hospital.
300 Ridge Medical Plaza, Edgefield, SC 29824
(803) 637-3174
About Edgefield County Hospital's rates and hospital price transparency.
For MRI lumbar spine without contrast (CPT 72148), published negotiated rates at Edgefield County Hospital range from $395 to $660 across 2 insurers. Aetna's rate is $395. The median at nearby comparable hospitals is $802. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Edgefield County Hospital range from $234 to $873 across 2 insurers. Aetna's rate is $234. The median at nearby comparable hospitals is $808. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Edgefield County Hospital range from $471 to $833 across 2 insurers. Blue Cross Blue Shield's rate is $833. The median at nearby comparable hospitals is $927. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Edgefield County Hospital range from $39,558 to $39,558 across 1 insurers. Blue Cross Blue Shield's rate is $39,558. The median at nearby comparable hospitals is $61,251. What a patient pays depends on their plan's deductible, coinsurance and network status.
Edgefield County Hospital has 50 beds. Facility type: Critical Access Hospital.
Edgefield County Hospital is located at 300 Ridge Medical Plaza, Edgefield, SC 29824. Its main phone number is (803) 637-3174.
Edgefield County Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 421304.
The National Provider Identifier (NPI) on file for Edgefield County Hospital is 1023080439.
Edgefield County Hospital lists 7 in-network payers, including Avera Health Plans, Centene, Harvard Pilgrim Health Care (Point32Health), Kaiser Permanente, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
7 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers