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Lower Florence County Hospital

Lake City, SC

Lake City, SC

26

Beds

129

Inpatient discharges a year

$4M

Net patient revenue a year

16

In-network payers

About this hospital

Lower Florence County Hospital is a 26-bed hospital in Lake City, SC. Below you'll find publicly disclosed negotiated rates and facility details, including 16 in-network payers and 139 disclosed rate categories.

CCN
420066
NPI
1295719789
Medicare contractor
Jurisdiction M, Palmetto GBA (11001)

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

Aetna

Outpatient

HCPCS Coronavirus Diagnostic Panel

Range: U0001 - U0005

Negotiated

Average

BCBS

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very Low

BCBS

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

BCBS

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

BCBS

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Negotiated

Very Low

BCBS

Outpatient

HCPCS Administrative, Miscellaneous and Investigational

Range: A9150 - A9999

Negotiated

Very Low

BCBS

Outpatient

HCPCS Drugs Administered Other than Oral Method

Range: J0120 - J8999

Negotiated

Very Low

BCBS

Outpatient

HCPCS Pathology and Laboratory Services

Range: P2028 - P9615

Negotiated

Very Low

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
EMI HealthHarvard Pilgrim Health Care (Point32Health)Johns Hopkins Health PlansKaiser PermanenteMVP Health CareMedCost

More about this hospital

  • Finances

    $4M net patient revenue

    • Operating margin on patient care -120.8%
    • $1.8M unreimbursed and uncompensated care
    • -$4.6M net income
    See finances

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Lower Florence County Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
57-0427724Lower Florence County Hospital38Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 33 more1295719789 Lower Florence County Hospital1437256757 Lower Florence County Hospital1316953649 Lower Florence County Hosptialand 5 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

Lake City, SC

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Frequently asked questions

About Lower Florence County Hospital's rates and hospital price transparency.

How many patients does Lower Florence County Hospital admit?

Lower Florence County Hospital reported 129 inpatient discharges and 659 inpatient days from Jul 1, 2022 to Dec 30, 2022.

How many employees does Lower Florence County Hospital have?

Lower Florence County Hospital reported 140 full-time-equivalent employees on payroll from Jul 1, 2022 to Dec 30, 2022.

How much revenue does Lower Florence County Hospital make?

Lower Florence County Hospital reported $4M in net patient revenue on $17.5M of gross charges for Jul 1, 2022 to Dec 30, 2022, an operating margin of -120.8%, and net income of -$4.6M.

How much charity and uncompensated care does Lower Florence County Hospital provide?

Lower Florence County Hospital reported $1.8M of unreimbursed and uncompensated care for Jul 1, 2022 to Dec 30, 2022, including $25,643 of charity care at cost.

What is Lower Florence County Hospital's tax ID (EIN)?

Insurers' price transparency files list Lower Florence County Hospital under employer identification number 57-0427724 (Lower Florence County Hospital). 38 health plans and networks list 57-0427724 for it.

How many beds does Lower Florence County Hospital have?

Lower Florence County Hospital has 26 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report.

Where is Lower Florence County Hospital and what is its phone number?

Lower Florence County Hospital is located at Lake City, SC.

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

Lower Florence County Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 420066.

What is Lower Florence County Hospital's NPI number?

The National Provider Identifier (NPI) on file for Lower Florence County Hospital is 1295719789.

Which insurance plans are in network at Lower Florence County Hospital?

Lower Florence County Hospital lists 16 in-network payers, including Aetna, BCBS, Cigna, EMI Health, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

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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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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