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Prisma Health Hillcrest Hospital

741 South East Main Street · Simpsonville, SC 29681

🤖AI Overview

⚠️ This hospital charges 5.8x what Medicare pays — significantly above the national average of 5.5x.

Total Charges
$33.6M
Medicare Payments
$5.8M
Discharges
836
Avg Length of Stay
3.7 days
Markup Ratio
5.8x
Risk Score
1.84

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Prisma Health Hillcrest Hospital charges an average of $40,171 per discharge, but Medicare only pays $6,947 — a markup of 5.8x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio
This Hospital
5.8x
State Avg
6.3x
National Avg
5.3x
Avg Charge per Discharge
This Hospital
$40,171
State Avg
$81,384
National Avg
$69,838
Avg Length of Stay
This Hospital
3.7 days
State Avg
5.0 days
National Avg
4.8 days

Patient Demographics

Age Distribution

Under 65
11.8%
65–74
32.2%
75–84
35.6%
85+
20.5%

Gender

55.6%
Female
44.4%
Male

Dual Eligibility

11.6%
Dual Eligible
88.4%
Non-Dual

Race & Ethnicity

White
86.2%
Black
9.3%
Hispanic
1.6%
Other
2.2%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension
75.0%
High Cholesterol
75.0%
Arthritis
55.3%
Chronic Kidney Disease
43.8%
Mood Disorders
43.3%
Anxiety
41.5%
Diabetes
41.2%
Ischemic Heart Disease
41.2%
Depression
40.2%
Heart Failure
39.6%
Atrial Fibrillation
33.0%
COPD
32.4%
Alzheimer's/Dementia
26.0%
Osteoporosis
21.9%
Cancer
21.6%
Stroke/TIA
15.8%
Asthma
14.5%
Tobacco Use
13.9%
Substance Use
13.2%
Bipolar Disorder
6.8%
Parkinson's
3.9%
Schizophrenia/Psychosis
3.6%
ADHD/Conduct Disorders
2.9%
PTSD
2.5%
Personality Disorders
1.7%
Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.