Tenet Healthcare Corporation · Hilton Head Island, SC
19
In-network payers
257
Disclosed rate categories
109
Beds
2
Care quality
Hilton Head Hospital is a 109-bed voluntary non-profit - other hospital in Hilton Head Island, SC, affiliated with Tenet Healthcare Corporation. Below you'll find publicly disclosed negotiated rates and facility details, including 19 in-network payers and 257 disclosed rate categories.
CCN (Medicare provider number)
420080
NPI
1912937624
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Other
Beds
109
Care Quality
2
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 Hilton Head 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.
Medicine & Surgery · Inpatient
MS-DRG 460
$99,625 - $174,223
from 2 insurers · median $136,924
33 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$6,196 - $14,273
from 3 insurers · median $8,821
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$8,811 - $22,938
from 3 insurers · median $14,932
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Gynecology
CPT 58558
$3,101 - $16,901
from 3 insurers · median $8,271
14 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$89,904 - $446,908
from 3 insurers · median $239,851
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery
CPT 47562
$5,791 - $19,627
from 3 insurers · median $13,404
49 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$275 - $4,550
from 4 insurers · median $852
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,146 - $9,951
from 3 insurers · median $2,638
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$5,791 - $19,627
from 3 insurers · median $13,404
49 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$301 - $9,951
from 4 insurers · median $2,059
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$17,727 - $87,932
from 3 insurers · median $29,149
11 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 45378
$891 - $9,951
from 3 insurers · median $3,085
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$6,951 - $16,429
from 3 insurers · median $15,899
127 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58571
$10,183 - $19,627
from 3 insurers · median $15,658
Typical for a hospital with this service line
Medicine & Surgery
CPT 49505
$3,430 - $23,893
from 3 insurers · median $6,023
31 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Urology
CPT 50590
$3,377 - $19,627
from 3 insurers · median $13,930
49 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$6,196 - $14,273
from 3 insurers · median $8,821
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Mammography
CPT 77067
$97 - $560
from 4 insurers · median $123
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$109 - $1,123
from 4 insurers · median $324
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$197 - $2,207
from 4 insurers · median $564
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,306 - $2,105
from 3 insurers · median $1,769
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$5,791 - $19,627
from 3 insurers · median $17,397
Typical for a hospital with this service line
Gynecology
CPT 58661
$5,791 - $19,627
from 3 insurers · median $13,404
Typical for a hospital with this service line
MRI imaging
CPT 70553
$368 - $3,063
from 4 insurers · median $849
Common here, based on CMS Medicare volume
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 | 318% | 14 | 6 |
| Insurer B* | 24 | 236% | 12 | 7 |
| Insurer C* | 23 | 94% | 1 | 5 |
| Insurer D* | 6 | 93% | 0 | 6 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 7 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 Hilton Head Hospital.
25 Hospital Center Boulevard, Hilton Head Island, SC 29926
(843) 681-6122
The nearest hospitals of similar type and size. Their rates are compared with Hilton Head Hospital for the same insurers and services above.
Beaufort Memorial
▲ Rates typically 36% higher than Hilton Head Hospital (21 services)
Colleton Medical Center
Rates about the same as Hilton Head Hospital (21 services)
Bon Secours St Francis Hospital (Roper St Francis)
▼ Rates typically 9% lower than Hilton Head Hospital (21 services)
East Georgia Regional Medical Center
▲ Rates typically 47% higher than Hilton Head Hospital (21 services)
Roper St Francis Mt Pleasant Hospital
▼ Rates typically 20% lower than Hilton Head Hospital (21 services)
Wayne Memorial Hospital
▲ Rates typically 24% higher than Hilton Head Hospital (10 services)
Piedmont Medical Center
Coastal Carolina Medical Center
East Cooper Regional Medical Center
Roper St. Francis Berkeley Hospital
About Hilton Head Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Hilton Head Hospital range from $368 to $3,063 across 4 insurers. Cigna's rate is $1,308. The median at nearby comparable hospitals is $2,826. 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 Hilton Head Hospital range from $275 to $4,550 across 4 insurers. Aetna's rate is $275. The median at nearby comparable hospitals is $2,584. 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 Hilton Head Hospital range from $1,146 to $9,951 across 3 insurers. UnitedHealthcare's rate is $9,951. The median at nearby comparable hospitals is $4,458. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Hilton Head Hospital range from $6,196 to $14,273 across 3 insurers. Blue Cross Blue Shield's rate is $8,821. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Hilton Head Hospital range from $97 to $560 across 4 insurers. Aetna's rate is $104. The median at nearby comparable hospitals is $243. 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 Hilton Head Hospital range from $17,727 to $87,932 across 3 insurers. Blue Cross Blue Shield's rate is $29,149. The median at nearby comparable hospitals is $30,049. What a patient pays depends on their plan's deductible, coinsurance and network status.
Hilton Head Hospital has 109 beds. Facility type: Short Term Acute Care Hospital.
Hilton Head Hospital is located at 25 Hospital Center Boulevard, Hilton Head Island, SC 29926. Its main phone number is (843) 681-6122.
Hilton Head Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 420080.
The National Provider Identifier (NPI) on file for Hilton Head Hospital is 1912937624.
Hilton Head Hospital is affiliated with Tenet Healthcare Corporation.
Hilton Head Hospital lists 19 in-network payers, including Aetna, Ameri Health, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
257 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.
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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.
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{
"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