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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Spartanburg Medical Center

Spartanburg Regional Healthcare System · Spartanburg, SC

101 East Wood Street, Spartanburg, SC 29303(864) 560-6554

2 of 5

CMS star rating

733

Beds

31,610

Inpatient discharges a year

$1.5B

Net patient revenue a year

35

In-network payers

About this hospital

Spartanburg Medical Center is a 733-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.

  • Sole community hospital
  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
420007
NPI
1609807122
Health system
Spartanburg Regional Healthcare System
Teaching
Teaching hospital
County
Spartanburg County
Metro area
Spartanburg, SC MSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11001)
In Medicare since
1966
Last CMS survey
2022

Prices for common services

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, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$7,713 - $20,334

from 4 insurers · median $12,965

Aetna$7,713
Insurer A*$10,049
Insurer B*$15,881
Insurer C*$20,334

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

Cesarean delivery, hospital stay

MS-DRG 788

$10,320 - $28,917

from 4 insurers · median $18,078

Aetna$15,253
Insurer A*$10,320
Insurer B*$20,903
Insurer C*$28,917

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

Hysteroscopy with sampling of the uterine lining

CPT 58558

$4,947 - $14,170

from 3 insurers · median $13,603

Cigna$14,170
Insurer A*$4,947
Insurer B*$13,603
Medicare $3,244Nearby hospitals $10,14434% above nearby hospitals

53 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$17,130 - $22,852

from 3 insurers · median $21,256

Blue Cross$17,130
Insurer A*$21,256
Insurer B*$22,852
Medicare $6,059Nearby hospitals $17,13424% above nearby hospitals

230 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Spartanburg Medical Center

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*24
465%
52
Insurer B*24
370%
114
Insurer C*24
253%
174
Insurer D*8
82%
05

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, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    2 of 5 stars

    • 179 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.31%)
    See quality ratings
  • Doctors and services

    Accredited by DNV

    • Teaching hospital
    • 44 services, including trauma care
    • 1,276 affiliated clinicians
    See doctors and services
  • Finances

    $1.5B net patient revenue

    • Operating margin on patient care 12.9%
    • $80.8M unreimbursed and uncompensated care
    • $292.1M net income
    See finances
  • Ownership and leadership

    Owned by Spartanburg Regional Health Services District Inc

    • Hospital district or authority
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Spartanburg Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
57-6000934(multi-state) Spartanburg Medical Center62Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 57 more1609807122 Spartanburg Medical Center1194745190 Spartanburg Medical Center1326373697 Spartanburg Medical Centerand 196 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

101 East Wood Street, Spartanburg, SC 29303

(864) 560-6554

Get directions

Frequently asked questions

About Spartanburg Medical Center's rates and hospital price transparency.

How much does a CT scan cost at Spartanburg Medical Center?

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.

How much does a colonoscopy cost at Spartanburg Medical Center?

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.

How much does giving birth cost at Spartanburg Medical Center?

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.

How much does a mammogram cost at Spartanburg Medical Center?

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.

What is Spartanburg Medical Center's CMS star rating?

Spartanburg Medical Center has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Spartanburg Medical Center a teaching hospital?

Yes. CMS counts 0.09 Medicare-funded residents per bed at Spartanburg Medical Center for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Spartanburg Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Spartanburg Medical Center's base inpatient payments by an estimated 0.31% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Spartanburg Medical Center?

In 2024, the most common were heart failure and shock with mcc (315 discharges), septicemia or severe sepsis without mv >96 hours with mcc (301 discharges), simple pneumonia and pleurisy with mcc (158 discharges).

What is Spartanburg Medical Center's case mix index?

Spartanburg Medical Center's Medicare case mix index is 2.00 for fiscal year 2027, higher than 78% of hospitals paid under the inpatient prospective payment system.

How many patients does Spartanburg Medical Center admit?

Spartanburg Medical Center reported 31,610 inpatient discharges and 193,019 inpatient days from Oct 1, 2024 to Sep 30, 2025.

For hospital finance and compliance teams

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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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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
      }
    ]
  }]
}
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