Estimated Hospital Charges
Price Estimates for RMC Services
To better serve the community, the Regional Medical Center (RMC) has established a process to give estimated hospital costs to individuals upon request before services are provided.
Individuals can call the RMC Price Line to speak to a representative who will collect information about the service requested, the individual’s health insurance carrier, deductible and other information to estimate how much the individual will be responsible for paying.
RMC Price Line: 803-395-3000
Toll free in SC: 800-476-3377, ext. 3000
Monday – Friday from 8:30 am to 4:30 pm
South Carolina PricePoint
In conjunction with price estimates, RMC has voluntarily participated in the South Carolina Hospital Association’s (SCHA) new web-based guide, www.SCPricePoint.org, which lists and compares hospital charges for specific hospital procedures and services at hospitals throughout the state. The data reflects charges from April 2013 to March 2014.
However, what hospitals charge and what most patients and insurers pay are two different things.
Hospitals are required to make available to the public a list of the hospital’s standard charges. Insurers have contractual arrangements with hospitals which determine the amount the insurer will pay for various services. Also, each patient (consumer) has a certain potential financial responsibility for the services they received based on the terms of their plan. Examples of the patient’s financial responsibility would be deductible, coinsurance or co-pays which vary by insurance plan.
SC PricePoint advises insured patients to talk with their insurance companies up front to find out what their out-of-pocket costs will be. What patients ultimately pay will depend on whether they have insurance as well as the type of coverage. Private insurers negotiate discounts with some providers, and government programs such as Medicare and Medicaid mandate hospital reimbursement payment rates.
What is the Transparency of Hospital Charges Rule and what does it mean to me as a patient?
Below are links to the hospital charge master as required by Medicare under the Requirement for Transparency of Hospital Charges Rule and the standard charges for each diagnosis-related group (DRG) as established under section 1886(d)(4) of the Social Security Act. The intention of the rule is to help patients understand their potential cost estimate and comparisons across facilities.
Hospital charge masters are complex. We do not recommend trying to interpret the lengthy and complicated hospital charge master to determine your out-of-pocket costs. What patients ultimately pay will depend on whether they have insurance as well as type of coverage. Each situation is different. Please call our Price Line at 803-395-3000 or 800-476-3377 ext. 3000 Monday through Friday from 8:30 a.m. to 4:30 p.m.
RMC Hospital Chargemaster Listing
RMC Hospital Charges by DRG