Prisma Health Tuomey Hospital

129 N Washington St · Sumter, SC 29150

🤖AI Overview

⚠️ This hospital charges 4.5x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$87.9M

Medicare Payments

$19.3M

Discharges

2,131

Avg Length of Stay

5.1 days

Markup Ratio

4.5x

Risk Score

2.42

Fairness Grade: D

Poor — charges 4–5x what Medicare pays

Prisma Health Tuomey Hospital charges an average of $41,254 per discharge, but Medicare only pays $9,079 — a markup of 4.5x. 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

4.5x

State Avg

6.3x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$41,254

State Avg

$81,384

National Avg

$69,838

Avg Length of Stay

This Hospital

5.1 days

State Avg

5.0 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

12.7%

65–74

28.0%

75–84

34.2%

85+

25.1%

Gender

56.3%

Female

43.7%

Male

Dual Eligibility

22.1%

Dual Eligible

77.9%

Non-Dual

Race & Ethnicity

White

61.6%

Black

36.1%

Other

1.3%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Arthritis

56.5%

Chronic Kidney Disease

55.5%

Diabetes

51.4%

Heart Failure

49.7%

Ischemic Heart Disease

43.9%

COPD

39.4%

Mood Disorders

35.7%

Anxiety

33.7%

Atrial Fibrillation

33.3%

Depression

33.3%

Alzheimer's/Dementia

31.4%

Stroke/TIA

20.8%

Cancer

19.6%

Tobacco Use

17.2%

Osteoporosis

13.1%

Substance Use

11.9%

Asthma

11.4%

Bipolar Disorder

5.3%

Schizophrenia/Psychosis

5.3%

Parkinson's

3.5%

PTSD

2.7%

Personality Disorders

1.6%

ADHD/Conduct Disorders

1.6%

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.