Prisma Health Oconee Memorial Hospital is a nonprofit short-term acute care hospital in Seneca, South Carolina. Its CMS Certification Number (CCN) is 420009 and its NPI is 1063968196.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Seneca, 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 Oconee Memorial 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 better7 no different0 worsethan national
1 better6 no different0 worsethan national
0 better6 no different1 worsethan national
Same legal entity in Medicare, or billing insurers under the same tax ID.
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Greer, SC
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Greenville, 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 Oconee Memorial Hospital.
Prisma Health Oconee Memorial Hospital's CMS Certification Number (CCN) is 420009. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Prisma Health Oconee Memorial Hospital bills under National Provider Identifier (NPI) 1063968196.
Prisma Health Oconee Memorial 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 Oconee Memorial 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 Oconee Memorial Hospital is at 298 Memorial Dr, Seneca, SC 29672.
Prisma Health Oconee Memorial 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 Oconee Memorial Hospital reports emergency services to CMS.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.