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Price Transparency

What is price transparency?

People deserve meaningful information about the price of their hospital care. We use the term “price transparency” to describe our ongoing effort to make the necessary information available and easy to understand, so consumers can compare provider costs and anticipate their own expenses. Edgefield County Healthcare is committed to sharing information that will help you make important decisions about your healthcare plans.

Can I get an estimate?

Please contact our facility at 803-637-3174 for an estimate of the care that you may require, based on the specific services ordered by your doctor and your insurance coverage.

Chargemaster vs. what you actually pay

As required by federal regulation, we have posted our Chargemaster (a complete list of our hospital charges) here as a downloadable file. This file includes charges for all items and services provided by our facility.  Providing meaningful information to our patients about their healthcare costs has long been a goal of our hospital.  This report provides the public average charges by hospital that best compares to the amounts on the bill you will receive from us.  This program also allows users the opportunity to compare our hospital prices side-by-side with others in the state.

Unfortunately, understanding what you will actually have to pay for healthcare services is complicated, and not as simple as referencing the charges listed in the above Chargemaster file.

The amount of money you will be responsible for paying is generally determined by your insurance coverage or managed care company, not by the hospital.  Also, all doctors, hospitals or services may not be covered by your plan. Unfortunately, we do not have this information available to us before you receive care from our hospital.  The best source of information about what you will have to pay will come from your insurance company as they are already aware of what services are covered and who they will pay to deliver the care and the amount they will hold you responsible for. To shop our services, please click here.

Medicare, Medicaid and the uninsured

Medicare and Medicaid pay hospitals according to a set fee schedule. It represents a significant discount from a hospital’s billed charges. Numerous factors, such as co-insurance and deductibles, affect your own financial responsibility.  A summary of Medicare patient payment requirements is provided at Medicare.gov.

Multiple physician billing

During your stay, you may receive services from individuals or companies not employed or owned by our Self Regional Healthcare.  For example, the law requires that a licensed radiologist review your radiology exams and advise your physician of their findings.  Radiologists are not employed by our facility; therefore, you will receive a bill directly from their office for their services and these charges will not be included in your bill from our hospital.  Even if our hospital is in your insurer’s network, it is possible that individual doctors or other providers are out-of-network. Independent providers contract with insurance companies directly, apart from our hospital’s contracts. . Your insurance carrier can also inform you which providers are in-network on your plan and will be able to provide estimations of their coverage for these services.

It is our goal to make you aware of any charges that will be billed to you separately by other providers.  If your doctor orders services such as radiology testing, lab testing, physical therapy or any service that may require specifically trained individuals to perform, feel free to ask our staff for assistance in determining cost.

Disclaimer

The information on this page is intended to meet the requirements of The Centers for Medicare & Medicaid Services (CMS) final inpatient prospective payment system (IPPS). The IPPS rule contains a transparency provision that will be effective Jan. 1, 2021. The prices included on this website may not reflect the most current charge items or charge amounts of this facility as additions and changes are frequently made to the listing. Therefore, these charges may not be representative of the charges you will receive on your bill for services provided by our facility. CMS requires that hospitals update the charge transparency data at least annually. This data was last updated January 2021.

The detailed chargemaster information on this site is intended only to meet federal requirements and for informational purposes only and should not be used solely when making healthcare decisions.

The information on this page contains only charges on Edgefield County Healthcare’s chargemaster and may not include all related charges for physician office fees, clinic charges, radiologists, pathologists and other services provided in conjunction with our hospital services.