Spartanburg Regional Healthcare System · Spartanburg, SC
35
In-network payers
455
Disclosed rate categories
540
Beds
2
Care quality
Spartanburg Medical Center is a 540-bed government - hospital district or authority hospital in Spartanburg, SC, affiliated with Spartanburg Regional Healthcare System. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 455 disclosed rate categories.
CCN (Medicare provider number)
420007
NPI
1609807122
Type
Short Term Acute Care Hospital
Ownership
Government - Hospital District Or Authority
Beds
540
Care Quality
2
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 Spartanburg Medical Center 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
$7,713 - $20,334
from 4 insurers · median $12,965
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
$10,320 - $28,917
from 4 insurers · median $18,078
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
$4,947 - $14,170
from 3 insurers · median $13,603
53 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$17,130 - $22,852
from 3 insurers · median $21,256
230 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$21,186 - $22,852
from 3 insurers · median $21,256
137 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$2,029 - $6,802
from 3 insurers · median $4,404
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,240 - $6,802
from 3 insurers · median $5,029
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$64,628 - $93,276
from 3 insurers · median $81,681
37 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 49650
$15,882 - $22,852
from 3 insurers · median $19,838
230 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$2,240 - $6,802
from 3 insurers · median $5,029
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$275 - $1,797
from 4 insurers · median $957
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$202 - $2,296
from 4 insurers · median $1,813
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$5,799 - $19,838
from 3 insurers · median $15,561
91 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Urology
CPT 52000
$2,075 - $5,102
from 3 insurers · median $3,357
1095 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$7,713 - $20,334
from 4 insurers · median $12,965
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
Medicine & Surgery · Inpatient
MS-DRG 216
$226,767 - $295,049
from 3 insurers · median $248,418
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$62,733 - $73,630
from 3 insurers · median $64,645
15 Medicare discharges for this DRG in CMS hospital data
Mammography
CPT 77067
$87 - $276
from 4 insurers · median $158
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,540 - $4,067
from 3 insurers · median $2,508
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$124 - $598
from 4 insurers · median $384
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$19,864 - $22,852
from 3 insurers · median $21,186
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$1,200 - $7,340
from 4 insurers · median $2,680
Common here, based on CMS Medicare volume
Urology
CPT 50590
$16,109 - $21,256
from 3 insurers · median $16,389
139 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Gynecology
CPT 58661
$19,577 - $22,852
from 3 insurers · median $19,864
230 Medicare claims in Level 1 Laparoscopy and Related Services (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* | 24 | 465% | 5 | 2 |
| Insurer B* | 24 | 370% | 1 | 14 |
| Insurer C* | 24 | 253% | 17 | 4 |
| Insurer D* | 8 | 82% | 0 | 5 |
How we chose these services: 10 appear in this hospital's own Medicare claims, 9 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 Spartanburg Medical Center.
101 East Wood Street, Spartanburg, SC 29303
(864) 560-6554
The nearest hospitals of similar type and size. Their rates are compared with Spartanburg Medical Center for the same insurers and services above.
Atrium Health Cleveland
▲ Rates typically 221% higher than Spartanburg Medical Center (8 services)
Caromont Regional Medical Center
▼ Rates typically 22% lower than Spartanburg Medical Center (21 services)
Piedmont Medical Center
▼ Rates typically 9% lower than Spartanburg Medical Center (21 services)
Anmed Health Medical Center
▲ Rates typically 15% higher than Spartanburg Medical Center (21 services)
Mission Hospital - Memorial Campus
▲ Rates typically 36% higher than Spartanburg Medical Center (21 services)
Unc Health Blue Ridge - Morganton
▲ Rates typically 322% higher than Spartanburg Medical Center (8 services)
Cherokee Medical Center
Pelham Medical Center
Union Medical Center
Prisma Health Greer Memorial Hospital
About Spartanburg Medical Center's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Spartanburg Medical Center range from $275 to $1,797 across 4 insurers. Aetna's rate is $275. The median at nearby comparable hospitals is $1,548. 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 Spartanburg Medical Center range from $2,240 to $6,802 across 3 insurers. UnitedHealthcare's rate is $5,029. The median at nearby comparable hospitals is $3,062. 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 Spartanburg Medical Center range from $7,713 to $20,334 across 4 insurers. Aetna's rate is $7,713. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Spartanburg Medical Center range from $87 to $276 across 4 insurers. Aetna's rate is $87. The median at nearby comparable hospitals is $224. What a patient pays depends on their plan's deductible, coinsurance and network status.
Spartanburg Medical Center has 540 beds. Facility type: Short Term Acute Care Hospital.
Spartanburg Medical Center is located at 101 East Wood Street, Spartanburg, SC 29303. Its main phone number is (864) 560-6554.
Spartanburg Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 420007.
The National Provider Identifier (NPI) on file for Spartanburg Medical Center is 1609807122.
Spartanburg Medical Center is affiliated with Spartanburg Regional Healthcare System.
Spartanburg Medical Center lists 35 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.
455 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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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