Palmetto Health · Sumter, SC
31
In-network payers
361
Disclosed rate categories
283
Beds
1
Care quality
Palmetto Health Tuomey is a 283-bed voluntary non-profit - private hospital in Sumter, SC, affiliated with Palmetto Health. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 361 disclosed rate categories.
CCN (Medicare provider number)
420070
NPI
1326043548
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
283
Care Quality
1
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 Palmetto Health Tuomey 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.
Childbirth · Inpatient
MS-DRG 807
$11,962 - $15,737
from 3 insurers · median $14,169
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
$18,048 - $21,372
from 3 insurers · median $19,193
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
$2,285 - $15,131
from 4 insurers · median $8,631
22 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74177
$2,230 - $3,121
from 4 insurers · median $2,648
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$11,674 - $27,892
from 3 insurers · median $17,043
79 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$17,178 - $27,892
from 3 insurers · median $23,837
79 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$11,962 - $15,737
from 3 insurers · median $14,169
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
Digestive procedures
CPT 47563
$13,473 - $27,892
from 3 insurers · median $16,059
79 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$1,326 - $3,493
from 4 insurers · median $1,959
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$82,852 - $102,898
from 3 insurers · median $101,727
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 45385
$2,535 - $7,251
from 4 insurers · median $3,217
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,725 - $6,031
from 4 insurers · median $2,733
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$1,525 - $2,258
from 4 insurers · median $2,092
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$17,166 - $48,630
from 3 insurers · median $19,683
15 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Urology
CPT 50590
$8,439 - $23,440
from 3 insurers · median $15,439
79 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Nuclear imaging
CPT 78452
$2,922 - $8,276
from 4 insurers · median $5,082
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$668 - $1,007
from 3 insurers · median $774
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$91 - $434
from 4 insurers · median $257
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$3,675 - $9,141
from 4 insurers · median $5,344
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$2,230 - $2,995
from 4 insurers · median $2,562
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$49,217 - $69,267
from 3 insurers · median $54,936
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery
CPT 29881
$1,319 - $19,522
from 3 insurers · median $10,550
51 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
CT imaging
CPT 71275
$1,121 - $2,258
from 4 insurers · median $1,448
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$42,764 - $52,239
from 3 insurers · median $48,213
Hospital reports orthopedic surgery services to CMS
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 | 626% | 18 | 1 |
| Insurer B* | 17 | 466% | 2 | 1 |
| Insurer C* | 24 | 315% | 21 | 0 |
| Insurer D* | 18 | 263% | 7 | 9 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 6 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 Palmetto Health Tuomey.
129 North Washington Street, Sumter, SC 29150
(803) 296-2548
The nearest hospitals of similar type and size. Their rates are compared with Palmetto Health Tuomey for the same insurers and services above.
Musc Health Florence Medical Center
▼ Rates typically 37% lower than Palmetto Health Tuomey (21 services)
Mcleod Regional Medical Center
▲ Rates typically 14% higher than Palmetto Health Tuomey (21 services)
Providence Hospital
▼ Rates typically 37% lower than Palmetto Health Tuomey (21 services)
Musc Health - Orangeburg
▼ Rates typically 25% lower than Palmetto Health Tuomey (20 services)
Lexington Medical Center
Rates about the same as Palmetto Health Tuomey (21 services)
Trident Medical Center
▼ Rates typically 28% lower than Palmetto Health Tuomey (21 services)
Prisma Health Baptist Easley Hospital
Palmetto Baptist
Palmetto Richland
Palmetto Health Baptist Parkridge
About Palmetto Health Tuomey's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Palmetto Health Tuomey range from $2,230 to $2,995 across 4 insurers. Blue Cross Blue Shield's rate is $2,758. The median at nearby comparable hospitals is $2,234. 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 Palmetto Health Tuomey range from $2,230 to $3,121 across 4 insurers. Aetna's rate is $3,121. The median at nearby comparable hospitals is $1,262. 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 Palmetto Health Tuomey range from $2,535 to $7,251 across 4 insurers. UnitedHealthcare's rate is $7,251. The median at nearby comparable hospitals is $5,228. 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 Palmetto Health Tuomey range from $11,962 to $15,737 across 3 insurers. Cigna's rate is $14,169. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Palmetto Health Tuomey range from $91 to $434 across 4 insurers. Aetna's rate is $265. The median at nearby comparable hospitals is $246. 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 Palmetto Health Tuomey range from $42,764 to $52,239 across 3 insurers. Blue Cross Blue Shield's rate is $48,213. The median at nearby comparable hospitals is $42,239. What a patient pays depends on their plan's deductible, coinsurance and network status.
Palmetto Health Tuomey has 283 beds. Facility type: Short Term Acute Care Hospital.
Palmetto Health Tuomey is located at 129 North Washington Street, Sumter, SC 29150. Its main phone number is (803) 296-2548.
Palmetto Health Tuomey's CMS Certification Number (CCN), also called its Medicare provider number, is 420070.
The National Provider Identifier (NPI) on file for Palmetto Health Tuomey is 1326043548.
Palmetto Health Tuomey is affiliated with Palmetto Health.
Palmetto Health Tuomey lists 31 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
361 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