Newberry, SC
27
In-network payers
256
Disclosed rate categories
110
Beds
4
Care quality
Newberry County Memorial Hospital is a 110-bed voluntary non-profit - other hospital in Newberry, SC. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 256 disclosed rate categories.
CCN (Medicare provider number)
420053
NPI
1316030083
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Other
Beds
110
Care Quality
4
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 Newberry County Memorial 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 470
$10,440 - $31,972
from 2 insurers · median $21,206
146 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$3,649 - $8,745
from 2 insurers · median $6,197
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 obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$5,190 - $10,771
from 2 insurers · median $7,980
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 obstetrics / child birth services to CMS
CT imaging
CPT 74177
$328 - $3,059
from 4 insurers · median $1,482
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$3,649 - $8,745
from 2 insurers · median $6,197
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 obstetrics / child birth services to CMS
CT imaging
CPT 70450
$205 - $1,087
from 3 insurers · median $666
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$13,214 - $34,024
from 2 insurers · median $23,619
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery
CPT 47562
$12,223
negotiated rate
16 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$176 - $2,101
from 4 insurers · median $835
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$254 - $2,188
from 4 insurers · median $1,061
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$323 - $2,266
from 2 insurers · median $1,295
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$315 - $3,473
from 4 insurers · median $1,202
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$442 - $2,376
from 2 insurers · median $1,409
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$397 - $4,500
from 4 insurers · median $1,656
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$79 - $332
from 4 insurers · median $140
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$447 - $3,991
from 4 insurers · median $2,364
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$559 - $2,359
from 2 insurers · median $1,459
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$10,698
negotiated rate
16 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 72148
$239 - $3,858
from 4 insurers · median $1,347
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$244 - $3,988
from 4 insurers · median $1,425
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$6,715 - $10,258
from 2 insurers · median $8,487
Hospital reports inpatient surgical services to CMS
X-ray and bone density
CPT 71046
$35 - $493
from 4 insurers · median $180
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$253 - $3,730
from 4 insurers · median $1,416
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 27446
$31,213
negotiated rate
206 Medicare claims in Level 5 Musculoskeletal Procedures (CMS 2024)
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* | 17 | 898% | 9 | 5 |
| Insurer B* | 12 | 477% | 1 | 11 |
| Insurer C* | 24 | 252% | 3 | 17 |
| Insurer D* | 15 | 98% | 0 | 15 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 5 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 Newberry County Memorial Hospital.
2669 Kinard Street, Newberry, SC 29108
(803) 405-7145
The nearest hospitals of similar type and size. Their rates are compared with Newberry County Memorial Hospital for the same insurers and services above.
Prisma Health Laurens County Hospital
â–² Rates typically 98% higher than Newberry County Memorial Hospital (16 services)
Palmetto Health Baptist Parkridge
â–² Rates typically 100% higher than Newberry County Memorial Hospital (21 services)
Union Medical Center
Rates about the same as Newberry County Memorial Hospital (21 services)
Musc Health Chester Medical Center
Rates about the same as Newberry County Memorial Hospital (21 services)
Cherokee Medical Center
â–¼ Rates typically 6% lower than Newberry County Memorial Hospital (21 services)
Ghs Patewood Memorial Hospital
â–² Rates typically 105% higher than Newberry County Memorial Hospital (18 services)
Roper Hospital
Grand Strand Regional Center
Bon Secours St Francis Hospital (Roper St Francis)
About Newberry County Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Newberry County Memorial Hospital range from $397 to $4,500 across 4 insurers. Cigna's rate is $1,968. The median at nearby comparable hospitals is $2,280. 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 Newberry County Memorial Hospital range from $328 to $3,059 across 4 insurers. Aetna's rate is $328. The median at nearby comparable hospitals is $2,254. 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 Newberry County Memorial Hospital range from $442 to $2,376 across 2 insurers. Blue Cross Blue Shield's rate is $2,376. The median at nearby comparable hospitals is $2,542. 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 Newberry County Memorial Hospital range from $3,649 to $8,745 across 2 insurers. UnitedHealthcare's rate is $3,649. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Newberry County Memorial Hospital range from $79 to $332 across 4 insurers. Cigna's rate is $79. The median at nearby comparable hospitals is $236. 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 Newberry County Memorial Hospital range from $10,440 to $31,972 across 2 insurers. Blue Cross Blue Shield's rate is $31,972. The median at nearby comparable hospitals is $43,998. What a patient pays depends on their plan's deductible, coinsurance and network status.
Newberry County Memorial Hospital has 110 beds. Facility type: Short Term Acute Care Hospital.
Newberry County Memorial Hospital is located at 2669 Kinard Street, Newberry, SC 29108. Its main phone number is (803) 405-7145.
Newberry County Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 420053.
The National Provider Identifier (NPI) on file for Newberry County Memorial Hospital is 1316030083.
Newberry County Memorial Hospital lists 27 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
256 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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{
"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