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Critical Access HospitalGovernment - Local

Edgefield County Hospital

Edgefield, SC

300 Ridge Medical Plaza, Edgefield, SC 29824(803) 637-3174

7

In-network payers

7

Disclosed rate categories

50

Beds

About this hospital

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 Accepted

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.

Medicare
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Avera Health PlansCenteneHarvard Pilgrim Health Care (Point32Health)Kaiser PermanenteMass General Brigham (formerly AllWays Health Partners)Medica

Prices for common services

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

CT abdomen and pelvis with contrast

CPT 74177

$234 - $873

from 2 insurers · median $553

Aetna$234
Insurer A*$873
Medicare $356Nearby hospitals $80832% below nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$287 - $421

from 2 insurers · median $354

Aetna$287
Insurer A*$421
Medicare $107Nearby hospitals $48527% below nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$162 - $964

from 2 insurers · median $563

Aetna$162
Insurer A*$964
Medicare $558Nearby hospitals $595In line with nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$275 - $534

from 2 insurers · median $404

Aetna$275
Insurer A*$534
Medicare $244Nearby hospitals $45010% below nearby hospitals

Typical for a hospital with this service line

CT imaging

CT angiography of chest blood vessels

CPT 71275

$462 - $484

from 2 insurers · median $473

Aetna$462
Insurer A*$484
Medicare $179Nearby hospitals $57718% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$471 - $833

from 2 insurers · median $652

Blue Cross$833
Insurer A*$471
Medicare $927Nearby hospitals $96432% below nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$39,558

negotiated rate

Blue Cross$39,558
Medicare $12,855Nearby hospitals $61,25135% below nearby hospitals

Hospital reports orthopedic surgery services to CMS

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$471 - $833

from 2 insurers · median $652

Blue Cross$833
Insurer A*$471
Medicare $1,223Nearby hospitals $92730% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$471 - $833

from 2 insurers · median $652

Blue Cross$833
Insurer A*$471
Medicare $1,223Nearby hospitals $90228% below nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$9,860

negotiated rate

Blue Cross$9,860
Medicare $10,860

Typical for a hospital with this service line

X-ray and bone density

Chest X-ray, two views

CPT 71046

$28 - $110

from 2 insurers · median $69

Blue Cross$110
Insurer A*$28
Medicare $89Nearby hospitals $8115% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lumbar spine without contrast

CPT 72148

$395 - $660

from 2 insurers · median $527

Aetna$395
Insurer A*$660
Medicare $244Nearby hospitals $80234% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Diagnostic colonoscopy

CPT 45378

$455 - $833

from 2 insurers · median $644

Blue Cross$833
Insurer A*$455
Medicare $950Nearby hospitals $1,20246% below nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic removal of an ovary or fallopian tube

CPT 58661

$9,860

negotiated rate

Blue Cross$9,860
Medicare $6,176

Typical for a hospital with this service line

MRI imaging

MRI lower-extremity joint without contrast

CPT 73721

$399 - $622

from 2 insurers · median $511

Aetna$399
Insurer A*$622
Medicare $244Nearby hospitals $77534% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the pelvis, before and after contrast

CPT 72197

$611 - $1,038

from 2 insurers · median $825

Aetna$611
Insurer A*$1,038
Medicare $356Nearby hospitals $8938% below nearby hospitals

Typical for a hospital with this service line

Urology

Shock-wave treatment of kidney stones

CPT 50590

$1,057 - $6,900

from 2 insurers · median $3,978

Aetna$1,057
Insurer A*$6,900
Medicare $3,601Nearby hospitals $6,90042% below nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of the abdomen

CPT 76705

$110 - $145

from 2 insurers · median $128

Aetna$110
Insurer A*$145
Medicare $107Nearby hospitals $15719% below nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic removal of pelvic lesions

CPT 58662

$9,860

negotiated rate

Blue Cross$9,860
Medicare $6,176Nearby hospitals $9,860In line with nearby hospitals

Typical for a hospital with this service line

Ear, nose and throat

Ear-tube insertion under general anesthesia

CPT 69436

$540 - $1,772

from 2 insurers · median $1,156

Blue Cross$1,772
Insurer A*$540
Medicare $1,585

Typical for a hospital with this service line

MRI imaging

MRI of an upper-extremity joint, without contrast

CPT 73221

$475 - $622

from 2 insurers · median $549

Aetna$475
Insurer A*$622
Medicare $244Nearby hospitals $80932% below nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic radical prostatectomy

CPT 55866

$12,766

negotiated rate

Blue Cross$12,766
Medicare $10,860Nearby hospitals $12,766In line with nearby hospitals

Typical for a hospital with this service line

Laboratory and pathology

Comprehensive metabolic panel

CPT 80053

$17 - $36

from 2 insurers · median $26

Insurer A*$17
Insurer B*$36
Medicare $11Nearby hospitals $4845% below nearby hospitals

Typical for a hospital with this service line

Ultrasound

Ultrasound of head or neck soft tissues

CPT 76536

$107 - $216

from 2 insurers · median $162

Aetna$107
Insurer A*$216
Medicare $107Nearby hospitals $166In line with nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Edgefield County Hospital

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
173%
16
Insurer B*19
100%
114

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.

Location

300 Ridge Medical Plaza, Edgefield, SC 29824

(803) 637-3174

Get directions

Frequently asked questions

About Edgefield County Hospital's rates and hospital price transparency.

How much does an MRI cost at Edgefield County Hospital?

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.

How much does a CT scan cost at Edgefield County Hospital?

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.

How much does a colonoscopy cost at Edgefield County Hospital?

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.

How much does hip or knee replacement cost at Edgefield County Hospital?

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.

How many beds does Edgefield County Hospital have?

Edgefield County Hospital has 50 beds. Facility type: Critical Access Hospital.

Where is Edgefield County Hospital and what is its phone number?

Edgefield County Hospital is located at 300 Ridge Medical Plaza, Edgefield, SC 29824. Its main phone number is (803) 637-3174.

What is Edgefield County Hospital's CCN (Medicare provider number)?

Edgefield County Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 421304.

What is Edgefield County Hospital's NPI number?

The National Provider Identifier (NPI) on file for Edgefield County Hospital is 1023080439.

Which insurance plans are in network at Edgefield County Hospital?

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.

What price transparency data is available for Edgefield County Hospital?

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.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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