Based on public Medicaid payment data.
Prisma Health-Midlands
Medicaid Provider in Sumter, SC
Type
Organization
Address
129 N. Washington Street
Sumter, SC 291504949
Phone
8037749000
NPI
1326043548
Procedures
27
Total Claims
634.7K
Patients Served
503.1K
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Blood Work & Lab Tests | $17.12 | 189,846 | 157,935 |
| Emergency Room Visit | $29.96 | 131,125 | 111,649 |
| Urinalysis & Urine Tests | $43.72 | 59,467 | 53,610 |
| Physical Therapy | $30.87 | 52,495 | 20,424 |
| X-Ray | $24.84 | 46,600 | 42,514 |
| CT Scan (Computed Tomography) | $27.64 | 26,766 | 25,140 |
| EKG / ECG (Electrocardiogram) | $5.83 | 23,151 | 19,672 |
| Prescription Medications | $0.84 | 22,345 | 14,162 |
| Speech Therapy | $51.34 | 18,276 | 6,023 |
| Culture & Microbiology Tests | $50.54 | 13,799 | 12,840 |
| Ultrasound | $83.67 | 11,702 | 10,243 |
| Pulmonary Function Test | $16.37 | 7,236 | 5,363 |
| Mammogram | $15.02 | 5,415 | 5,218 |
| Pathology & Lab Services | $122.23 | 4,963 | 4,701 |
| Office Visit | $22.57 | 4,568 | 4,112 |
| Root Canal | $2.07 | 4,164 | 1,110 |
| Dental Filling | $4.54 | 3,829 | 1,479 |
| Vaccines & Immunizations | $0.13 | 2,356 | 2,221 |
| Dental Cleaning & Exam | $68.58 | 2,302 | 1,738 |
| Tooth Extraction | $1.19 | 1,333 | 493 |
| Echocardiogram | $70.04 | 1,272 | 1,208 |
| MRI (Magnetic Resonance Imaging) | $427.61 | 774 | 733 |
| Upper Endoscopy (EGD) | $13.00 | 338 | 305 |
| Radiation Therapy | $43.62 | 302 | 12 |
| Wound Care | $36.20 | 104 | 61 |
| Cardiac Stress Test | $195.40 | 96 | 94 |
| Colonoscopy | $0.00 | 93 | 88 |
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