Prisma Health Laurens County Hospital is a nonprofit short-term acute care hospital in Clinton, South Carolina. Its CMS Certification Number (CCN) is 420038 and its NPI is 1245786367.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Clinton, SC
Negotiated rates
In-network rates for clinicians billing at this hospital, from each insurer's price transparency files. Median rate, with the range when more than one contract applies.
| Service | Code | Physician rate | vs. South Carolina hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $3422 rates, all the same | 90th percentile · state median $243, mean $253 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $6496 rates, all the same | 100th percentile · state median $480, mean $480 |
| MRI, brain, with and without contrast | 70553 | $7266 rates, all the same | 85th percentile · state median $564, mean $616 |
| Colonoscopy, diagnostic | 45378 | $797$460–$797 · 6 rates | 96th percentile · state median $523, mean $555 |
See UnitedHealthcare rates for every billing code at Prisma Health Laurens County Hospital
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Every billing code
CPT, HCPCS, MS-DRG and revenue codes, not just the four shown here.
Institutional rates
What each insurer pays the hospital itself, its facility fees.
Professional rates
What insurers pay physicians and clinicians billing here.
Inpatient and outpatient
Per-stay rates for admissions and per-visit rates for outpatient care.
The table above shows physician rates: what the insurer pays clinicians for the service. Facility rates are in the full data. Source: insurer Transparency in Coverage files.
From the hospital's Medicare enrollment record.
From CMS Care Compare. Each measure is compared with the national rate.
CMS overall rating
4 out of 5 stars
0 better5 no different0 worsethan national
1 better1 no different0 worsethan national
1 better4 no different0 worsethan national
Same legal entity in Medicare, or billing insurers under the same tax ID.
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Greenville, SC
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Greer, SC
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Travelers Rest, SC
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Seneca, SC
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Greenville, SC
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Gaffney, SC
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Spartanburg, SC
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Spartanburg, SC
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Spartanburg, SC
Union Medical Center
Union, SC
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Prisma Health Laurens County Hospital.
Prisma Health Laurens County Hospital's CMS Certification Number (CCN) is 420038. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Prisma Health Laurens County Hospital bills under National Provider Identifier (NPI) 1245786367.
Prisma Health Laurens County Hospital bills insurers under tax ID (EIN) 81-1723202, held by PRISMA HEALTH - UPSTATE. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Prisma Health Laurens County Hospital is enrolled in Medicare as a short-term acute care hospital with nonprofit ownership. Its legal business name is Prisma Health-Upstate.
Prisma Health Laurens County Hospital is at 22725 Highway 76 E, Clinton, SC 29325.
Prisma Health Laurens County Hospital has a CMS overall star rating of 4 out of 5. CMS bases the rating on mortality, safety, readmission, patient experience and timely care measures.
Yes. Prisma Health Laurens County Hospital reports emergency services to CMS.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.