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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Prisma Health Laurens County Hospital

Greenville Health System ยท Clinton, SC

22725 Highway 76 East, Clinton, SC 29325(864) 833-9100

28

In-network payers

363

Disclosed rate categories

76

Beds

2

Care quality

About this hospital

Prisma Health Laurens County Hospital is a 76-bed voluntary non-profit - private hospital in Clinton, SC, affiliated with Greenville Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 363 disclosed rate categories.

CCN (Medicare provider number)

420038

NPI

1245786367

Type

Short Term Acute Care Hospital

Ownership

Voluntary Non-Profit - Private

Beds

76

Care Quality

2

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
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

Prices for common services

The 24 services Prisma Health Laurens 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

$829 - $3,737

from 4 insurers ยท median $2,860

Aetna$3,737
Insurer A*$829
Insurer B*$2,365
Insurer C*$3,354
Medicare $334Nearby hospitals $1,47694% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT head or brain without contrast

CPT 70450

$240 - $1,697

from 3 insurers ยท median $1,101

Aetna$1,697
Insurer A*$240
Insurer B*$1,101
Medicare $100Nearby hospitals $439151% above nearby hospitals

Common here, based on CMS Medicare volume

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$1,956 - $2,942

from 4 insurers ยท median $2,068

UnitedHealthcare$2,121
Insurer A*$1,956
Insurer B*$2,016
Insurer C*$2,942
Medicare $522Nearby hospitals $1,81314% above nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$2,030 - $6,939

from 4 insurers ยท median $2,969

Blue Cross$3,846
Insurer A*$2,030
Insurer B*$2,091
Insurer C*$6,939
Medicare $867Nearby hospitals $3,2168% below nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$525 - $3,570

from 4 insurers ยท median $2,284

Aetna$3,570
Insurer A*$525
Insurer B*$2,203
Insurer C*$2,365
Medicare $228Nearby hospitals $956139% above nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$2,760 - $6,939

from 4 insurers ยท median $3,023

Blue Cross$3,203
Insurer A*$2,760
Insurer B*$2,844
Insurer C*$6,939
Medicare $1,144Nearby hospitals $3,93423% below nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT angiography of chest blood vessels

CPT 71275

$406 - $2,440

from 4 insurers ยท median $2,144

Aetna$2,440
Insurer A*$406
Insurer B*$1,922
Insurer C*$2,365
Medicare $168Nearby hospitals $807166% above nearby hospitals

Common here, based on CMS Medicare volume

Mammography

Screening mammography, bilateral

CPT 77067

$211 - $448

from 4 insurers ยท median $286

UnitedHealthcare$211
Insurer A*$275
Insurer B*$296
Insurer C*$448
Medicare $87Nearby hospitals $17068% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$14,267 - $25,620

from 4 insurers ยท median $18,420

Aetna$16,240
Insurer A*$14,267
Insurer B*$20,599
Insurer C*$25,620
Medicare $5,780Nearby hospitals $19,193In line with nearby hospitals

Typical for a hospital with this service line

Nuclear imaging

Nuclear imaging of blood flow to the heart, multiple studies

CPT 78452

$2,986 - $6,564

from 4 insurers ยท median $4,417

Aetna$3,972
Insurer A*$2,986
Insurer B*$4,862
Insurer C*$6,564
Medicare $1,238Nearby hospitals $3,62922% above nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$2,604 - $6,939

from 4 insurers ยท median $2,943

Blue Cross$3,203
Insurer A*$2,604
Insurer B*$2,683
Insurer C*$6,939
Medicare $1,144Nearby hospitals $3,98426% below nearby hospitals

Common here, based on CMS Medicare volume

MRI imaging

MRI brain before and after contrast

CPT 70553

$829 - $3,204

from 4 insurers ยท median $2,855

Cigna$2,688
Insurer A*$829
Insurer B*$3,023
Insurer C*$3,204
Medicare $334Nearby hospitals $1,53686% above nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Diagnostic colonoscopy

CPT 45378

$2,455 - $6,939

from 4 insurers ยท median $2,866

Blue Cross$3,203
Insurer A*$2,455
Insurer B*$2,529
Insurer C*$6,939
Medicare $889Nearby hospitals $3,55119% below nearby hospitals

Common here, based on CMS Medicare volume

MRI imaging

MRI lumbar spine without contrast

CPT 72148

$525 - $2,688

from 4 insurers ยท median $2,266

Cigna$2,688
Insurer A*$525
Insurer B*$1,974
Insurer C*$2,558
Medicare $228Nearby hospitals $1,021122% above nearby hospitals

Common here, based on CMS Medicare volume

MRI imaging

MRI of the brain, without contrast

CPT 70551

$525 - $2,887

from 4 insurers ยท median $2,331

Cigna$2,688
Insurer A*$525
Insurer B*$1,974
Insurer C*$2,887
Medicare $228Nearby hospitals $960143% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$3,695 - $12,943

from 4 insurers ยท median $6,176

Aetna$3,807
Insurer A*$3,695
Insurer B*$8,545
Insurer C*$12,943
Medicare $2,358Nearby hospitals $7,25315% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lower-extremity joint without contrast

CPT 73721

$525 - $2,688

from 4 insurers ยท median $2,218

Cigna$2,688
Insurer A*$525
Insurer B*$1,974
Insurer C*$2,462
Medicare $228Nearby hospitals $960131% above nearby hospitals

Common here, based on CMS Medicare volume

X-ray and bone density

Chest X-ray, two views

CPT 71046

$41 - $443

from 4 insurers ยท median $228

Blue Cross$110
Insurer A*$41
Insurer B*$345
Insurer C*$443
Medicare $83Nearby hospitals $20810% above nearby hospitals

Common here, based on CMS Medicare volume

Ultrasound

Limited ultrasound of the abdomen

CPT 76705

$240 - $781

from 4 insurers ยท median $573

Cigna$535
Insurer A*$240
Insurer B*$610
Insurer C*$781
Medicare $100Nearby hospitals $31184% above nearby hospitals

Common here, based on CMS Medicare volume

X-ray and bone density

Bone-density scan of the spine and hip

CPT 77080

$240 - $535

from 4 insurers ยท median $446

Blue Cross$455
Insurer A*$240
Insurer B*$437
Insurer C*$535
Medicare $100Nearby hospitals $28954% above nearby hospitals

Common here, based on CMS Medicare volume

Ultrasound

Limited ultrasound of one breast

CPT 76642

$195 - $551

from 4 insurers ยท median $417

Cigna$443
Insurer A*$195
Insurer B*$392
Insurer C*$551
Medicare $83Nearby hospitals $25266% above nearby hospitals

Common here, based on CMS Medicare volume

Cardiology and vascular testing

Ultrasound of veins in one limb or a limited bilateral study

CPT 93971

$535 - $1,869

from 4 insurers ยท median $761

UnitedHealthcare$1,869
Insurer A*$535
Insurer B*$635
Insurer C*$887
Medicare $100Nearby hospitals $357113% above nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$2,067 - $12,943

from 4 insurers ยท median $6,033

Blue Cross$9,936
Insurer A*$2,067
Insurer B*$2,130
Insurer C*$12,943
Medicare $3,307Nearby hospitals $11,18646% below nearby hospitals

Typical for a hospital with this service line

Lung function and sleep

Attended overnight sleep study

CPT 95810

$1,761 - $5,176

from 4 insurers ยท median $4,787

Cigna$4,547
Insurer A*$1,761
Insurer B*$5,027
Insurer C*$5,176
Medicare $821Nearby hospitals $3,08155% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Prisma Health Laurens 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*23
501%
167
Insurer B*24
500%
183
Insurer C*24
484%
231
Insurer D*24
230%
815

How we chose these services: 0 appear in this hospital's own Medicare claims, 21 are common here based on CMS Medicare volume, and 3 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 Prisma Health Laurens County Hospital.

Location

22725 Highway 76 East, Clinton, SC 29325

(864) 833-9100

Get directions

Frequently asked questions

About Prisma Health Laurens County Hospital's rates and hospital price transparency.

How much does an MRI cost at Prisma Health Laurens County Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Prisma Health Laurens County Hospital range from $829 to $3,204 across 4 insurers. Cigna's rate is $2,688. The median at nearby comparable hospitals is $1,536. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Prisma Health Laurens County Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Prisma Health Laurens County Hospital range from $829 to $3,737 across 4 insurers. Aetna's rate is $3,737. The median at nearby comparable hospitals is $1,476. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Prisma Health Laurens County Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Prisma Health Laurens County Hospital range from $2,760 to $6,939 across 4 insurers. Blue Cross Blue Shield's rate is $3,203. The median at nearby comparable hospitals is $3,934. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Prisma Health Laurens County Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Prisma Health Laurens County Hospital range from $211 to $448 across 4 insurers. UnitedHealthcare's rate is $211. The median at nearby comparable hospitals is $170. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does Prisma Health Laurens County Hospital have?

Prisma Health Laurens County Hospital has 76 beds. Facility type: Short Term Acute Care Hospital.

Where is Prisma Health Laurens County Hospital and what is its phone number?

Prisma Health Laurens County Hospital is located at 22725 Highway 76 East, Clinton, SC 29325. Its main phone number is (864) 833-9100.

What is Prisma Health Laurens County Hospital's CCN (Medicare provider number)?

Prisma Health Laurens County Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 420038.

What is Prisma Health Laurens County Hospital's NPI number?

The National Provider Identifier (NPI) on file for Prisma Health Laurens County Hospital is 1245786367.

What health system is Prisma Health Laurens County Hospital part of?

Prisma Health Laurens County Hospital is affiliated with Greenville Health System.

Which insurance plans are in network at Prisma Health Laurens County Hospital?

Prisma Health Laurens County Hospital lists 28 in-network payers, including Aetna, Ambetter, 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.

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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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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