Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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PRISMA HEALTH TUOMEY HOSPITAL

Sumter, SC · CCN 420070 · Rates published

You selected 29806 (CPT)

This hospital’s price: $6,095 across 27 payers · range $1,660-$50,000

Source: https://prismahealth.org/getmedia/47f1a066-e254-4aae-8c68-c231045696da/47-4914917_tuomeyhospital_standardcharges.xlsx · observed 2026-07-05

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

13,797 distinct procedures filed
108 distinct payers
725,711 rate rows
2026-07-05 last MRF observed

695,186 of 725,711 rate rows are consumer-grade (95.8%)

30,525 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
exceeds 10× this hospital's gross charge — excluded from medians 13,829
per-diem day rate — not a per-procedure price 9,334
professional (physician) fee — not the facility price 3,406
template filing: same amount across many unrelated codes — excluded 2,200
placeholder amount (≤ $0.02) — excluded from medians 735
percent-of-charges filed in the dollar field — excluded from medians 340
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 294
exceeds 3× this hospital's gross charge for a DRG stay — excluded 196
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 126
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 65
↓ Download audit trail (JSON)
Source MRF file https://www.prismahealth.org/getmedia/88054115-f6e3-43d9-b038-0c51582676d3/474914917_prisma-health-tuomey-hospital_standardcharges.zip
Found on page https://www.prismahealth.org/patients-and-guests/billing-and-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-11-02
Content fingerprint 09d16a927d12e3b8… · 13,428,224 bytes · first seen 2026-05-05

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
5893
APR_DRG
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $2,646.00 $2,122,383.58 $2,122,383.58 nat. median
$71,594

outlier · 29.6×
5913
APR_DRG
Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $2,646.00 $1,373,512.00 $1,373,512.00 nat. median
$103,993

outlier · 13.2×
5914
APR_DRG
Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $2,646.00 $1,230,086.10 $1,230,086.10 nat. median
$165,334

outlier · 7.4×
6114
APR_DRG
Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 $2,646.00 $1,202,950.39 $1,202,950.39 nat. median
$76,467

outlier · 15.7×
6094
APR_DRG
Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $2,646.00 $1,010,433.56 $1,010,433.56 nat. median
$165,846

outlier · 6.1×
5884
APR_DRG
Neonate Birth Weight < 1500 Grams With Major Procedure 3 $2,646.00 $986,468.69 $986,468.69 nat. median
$249,123

outlier · 4.0×
5883
APR_DRG
Neonate Birth Weight < 1500 Grams With Major Procedure 3 $2,646.00 $955,796.81 $955,796.81 nat. median
$177,531

outlier · 5.4×
18
MS_DRG
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $16,398.00 $2,459,652.46 $854,203.01 nat. median
$360,195

outlier · 2.4×
5882
APR_DRG
Neonate Birth Weight < 1500 Grams With Major Procedure 3 $2,646.00 $759,617.57 $759,617.57 nat. median
$145,336

outlier · 5.2×
7
MS_DRG
Lung Transplant 13 $284,869.87 $1,860,048.59 $629,903.09 nat. median
$117,943

outlier · 5.3×
6123
APR_DRG
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 $2,646.00 $621,106.54 $621,106.54 nat. median
$46,896

outlier · 13.2×
6083
APR_DRG
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 $2,646.00 $619,040.03 $619,040.03 nat. median
$51,292

outlier · 12.1×
6074
APR_DRG
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 $2,646.00 $1,120,044.49 $542,229.20 nat. median
$96,980

outlier · 5.6×
6214
APR_DRG
Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 $2,646.00 $1,091,999.53 $529,076.88 nat. median
$68,185

outlier · 7.8×
6124
APR_DRG
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 $2,646.00 $513,114.11 $513,114.11 nat. median
$67,068

outlier · 7.7×
5912
APR_DRG
Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $2,646.00 $482,969.35 $482,969.35 nat. median
$83,372

outlier · 5.8×
6081
APR_DRG
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 $2,646.00 $406,126.32 $406,126.32 nat. median
$16,579

outlier · 24.5×
5934
APR_DRG
Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $2,646.00 $812,524.88 $383,010.21 nat. median
$152,569

outlier · 2.5×
104
MS_DRG
Cardiac Valve & Oth Major Cardiothoracic Proc W Card Cath 7 $40,271.13 $515,621.25 $359,735.75 nat. median
$73,288

outlier · 4.9×
6314
APR_DRG
Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $2,646.00 $331,761.95 $331,761.95 nat. median
$138,094

outlier · 2.4×
6024
APR_DRG
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $2,646.00 $706,407.04 $328,439.94 nat. median
$119,800

outlier · 2.7×
6224
APR_DRG
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 $2,646.00 $630,613.01 $293,055.09 nat. median
$41,445

outlier · 7.1×
6084
APR_DRG
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 $2,646.00 $292,568.62 $292,568.62 nat. median
$63,123

outlier · 4.6×
6122
APR_DRG
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 $2,646.00 $288,468.62 $288,468.62 nat. median
$33,495

outlier · 8.6×
5832
APR_DRG
Neonate With Ecmo 6 $2,646.00 $618,231.29 $282,790.28 nat. median
$159,829

1.8× median
5933
APR_DRG
Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $2,646.00 $617,302.56 $281,566.97 nat. median
$109,393

outlier · 2.6×
6121
APR_DRG
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 $2,646.00 $274,829.56 $274,829.56 nat. median
$23,452

outlier · 11.7×
6022
APR_DRG
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $2,646.00 $585,138.06 $265,425.02 nat. median
$70,228

outlier · 3.8×
6073
APR_DRG
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 $2,646.00 $586,532.06 $265,000.52 nat. median
$69,311

outlier · 3.8×
1
MS_DRG
Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $197,399.52 $728,069.15 $262,642.67 nat. median
$247,805

1.1× median
6034
APR_DRG
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 $2,646.00 $568,549.71 $255,703.29 nat. median
$107,562

outlier · 2.4×
6111
APR_DRG
Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 $2,646.00 $252,297.60 $252,297.60 nat. median
$13,659

outlier · 18.5×
6082
APR_DRG
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 $2,646.00 $248,815.06 $248,815.06 nat. median
$36,442

outlier · 6.8×
213
MS_DRG
Amputation For Musculoskeletal System & Conn Tissue Disorders 7 $49,645.95 $328,886.02 $229,455.36 nat. median
$48,569

outlier · 4.7×
6301
APR_DRG
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $2,646.00 $507,660.61 $225,090.28 nat. median
$24,196

outlier · 9.3×
105
MS_DRG
Cardiac Valve & Oth Major Cardiothoracic Proc Without Card Cath 7 $22,649.82 $320,277.13 $223,449.16 nat. median
$51,191

outlier · 4.4×
6093
APR_DRG
Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $2,646.00 $221,047.08 $221,047.08 nat. median
$70,199

outlier · 3.1×
2
MS_DRG
Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $48,739.93 $647,482.75 $217,178.18 nat. median
$103,911

outlier · 2.1×
6032
APR_DRG
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 $2,646.00 $484,843.21 $212,206.95 nat. median
$38,853

outlier · 5.5×
3
MS_DRG
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $10,051.64 $554,785.49 $206,922.74 nat. median
$190,274

1.1× median
969
MS_DRG
HIV With Extensive O.r. Procedures With Mcc 16 $34,864.00 $637,161.65 $199,982.03 nat. median
$58,315

outlier · 3.4×
237
MS_DRG
Major Cardiovasc Procedures W Mcc 15 $76,111.22 $615,350.17 $194,466.50 nat. median
$2,024

outlier · 96.1×
6312
APR_DRG
Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $2,646.00 $185,630.29 $185,630.29 nat. median
$29,455

outlier · 6.3×
6143
APR_DRG
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 $2,646.00 $427,352.02 $185,171.01 nat. median
$38,363

outlier · 4.8×
5891
APR_DRG
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $2,646.00 $170,183.62 $170,183.62 nat. median
$95,269

1.8× median
6072
APR_DRG
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 $2,646.00 $393,685.28 $164,791.68 nat. median
$52,316

outlier · 3.1×
6
MS_DRG
Liver Transplant Without Mcc 13 $64,551.35 $527,185.55 $163,708.86 nat. median
$44,113

outlier · 3.7×
6364
APR_DRG
Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 3 $2,646.00 $158,461.29 $158,461.29 nat. median
$25,780

outlier · 6.1×
8
MS_DRG
Simultaneous Pancreas And Kidney Transplant 13 $62,091.08 $509,068.74 $158,352.40 nat. median
$50,730

outlier · 3.1×
6033
APR_DRG
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 $2,646.00 $380,413.30 $157,942.10 nat. median
$59,320

outlier · 2.7×

Other procedures at this hospital

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Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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