MUSC Health · Columbia, SC
16
In-network payers
93
Disclosed rate categories
258
Beds
4
Care quality
Providence Hospital is a 258-bed voluntary non-profit - private hospital in Columbia, SC, affiliated with MUSC Health. Below you'll find publicly disclosed negotiated rates and facility details, including 16 in-network payers and 93 disclosed rate categories.
CCN (Medicare provider number)
420026
NPI
1003811290
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
258
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 Providence 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
$29,676 - $45,620
from 4 insurers · median $32,895
62 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 460
$51,429 - $71,742
from 4 insurers · median $61,516
20 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 43239
$1,022 - $6,573
from 3 insurers · median $4,579
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$268 - $2,920
from 3 insurers · median $1,262
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$960 - $6,109
from 3 insurers · median $4,579
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$8,402 - $19,258
from 3 insurers · median $17,003
55 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$1,017 - $5,268
from 3 insurers · median $4,579
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$143,802 - $212,668
from 4 insurers · median $164,206
Hospital reports cardiac thoracic surgery services to CMS
Digestive procedures
CPT 45378
$860 - $5,497
from 3 insurers · median $4,579
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,093 - $1,234
from 2 insurers · median $1,163
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$3,411 - $10,147
from 3 insurers · median $9,923
Typical for a hospital with this service line
Gynecology
CPT 58571
$10,048 - $31,341
from 3 insurers · median $19,258
Typical for a hospital with this service line
CT imaging
CPT 70450
$80 - $901
from 3 insurers · median $478
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$84 - $411
from 3 insurers · median $148
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$184 - $2,044
from 3 insurers · median $898
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$5,779 - $26,318
from 3 insurers · median $19,258
99 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
MRI imaging
CPT 70553
$268 - $2,453
from 3 insurers · median $1,580
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$9,860 - $22,851
from 3 insurers · median $19,258
Typical for a hospital with this service line
CT imaging
CPT 71275
$135 - $925
from 3 insurers · median $899
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$996 - $2,389
from 3 insurers · median $1,973
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$9,860 - $20,393
from 3 insurers · median $19,258
Typical for a hospital with this service line
Gynecology
CPT 58558
$2,309 - $10,147
from 3 insurers · median $8,769
Typical for a hospital with this service line
Urology
CPT 50590
$6,983 - $19,258
from 3 insurers · median $13,594
41 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Orthopedics and pain
CPT 29888
$5,600 - $20,033
from 3 insurers · median $19,258
Typical for a hospital with this service line
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 | 421% | 20 | 1 |
| Insurer B* | 23 | 283% | 1 | 22 |
| Insurer C* | 24 | 149% | 0 | 23 |
| Insurer D* | 3 | - | 0 | 3 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 12 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 Providence Hospital.
2435 Forest Drive, Columbia, SC 29204
(803) 256-5300
The nearest hospitals of similar type and size. Their rates are compared with Providence Hospital for the same insurers and services above.
Palmetto Baptist
▲ Rates typically 47% higher than Providence Hospital (24 services)
Lexington Medical Center
▲ Rates typically 44% higher than Providence Hospital (24 services)
Musc Health - Orangeburg
▲ Rates typically 50% higher than Providence Hospital (23 services)
Palmetto Health Tuomey
▲ Rates typically 47% higher than Providence Hospital (24 services)
Aiken Regional Medical Centers
▲ Rates typically 11% higher than Providence Hospital (24 services)
Piedmont Medical Center
▲ Rates typically 21% higher than Providence Hospital (24 services)
Palmetto Richland
Palmetto Health Baptist Parkridge
Musc Health Florence Medical Center
About Providence Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Providence Hospital range from $268 to $2,453 across 3 insurers. Blue Cross Blue Shield's rate is $1,580. The median at nearby comparable hospitals is $2,230. 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 Providence Hospital range from $268 to $2,920 across 3 insurers. UnitedHealthcare's rate is $268. The median at nearby comparable hospitals is $2,230. 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 Providence Hospital range from $960 to $6,109 across 3 insurers. Blue Cross Blue Shield's rate is $960. The median at nearby comparable hospitals is $2,535. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Providence Hospital range from $84 to $411 across 3 insurers. UnitedHealthcare's rate is $84. The median at nearby comparable hospitals is $191. 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 Providence Hospital range from $29,676 to $45,620 across 4 insurers. Aetna's rate is $33,324. The median at nearby comparable hospitals is $42,764. What a patient pays depends on their plan's deductible, coinsurance and network status.
Providence Hospital has 258 beds. Facility type: Short Term Acute Care Hospital.
Providence Hospital is located at 2435 Forest Drive, Columbia, SC 29204. Its main phone number is (803) 256-5300.
Providence Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 420026.
The National Provider Identifier (NPI) on file for Providence Hospital is 1003811290.
Providence Hospital is affiliated with MUSC Health.
Providence Hospital lists 16 in-network payers, including Avera Health Plans, BCBS, Centene, Harvard Pilgrim Health Care (Point32Health), and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
93 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