Prisma Health Oconee Memorial Hospital
Seneca, South Carolina 29672
CCN: 420009 Acute Care Hospitals Emergency Services
3/5
CMS Star Rating
Average
46
DRG Categories
1,422
Total Discharges
$42,308
Avg Charges
$12,088
Avg Payment
$10,193
Avg Medicare
3.5x
Charge-to-Payment
Quality Ratings — CMS Hospital Compare
Based on CMS measures of mortality, safety of care, readmissions, patient experience, and timeliness
Mortality
Same as Average Safety of Care
Above Average Readmissions
Same as Average Patient Experience
Reported South Carolina Average Rating
3.27 / 5 This hospital is below average
8 five-star hospitals of rated in South Carolina
National Average Rating
3.08 / 5
288 five-star hospitals of 2866 rated nationally
Type: Acute Care Hospitals Ownership: Voluntary non-profit - Private
Compared to South Carolina Average
How this hospital compares to the average of 51 hospitals in South Carolina
Average Charges
$42,308 -50%
State avg: $85,382
Average Payment
$12,088 -26%
State avg: $16,431
Charge-to-Payment Ratio
3.5x Below avg
State avg: 5.29x
Top 20 DRGs by Volume
Most common diagnosis groups at this hospital, sorted by number of discharges
| DRG | Description | Discharges | Avg Charges | Avg Payment | Markup |
|---|---|---|---|---|---|
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 252 | $54,833 | $16,247 | 3.37x |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 131 | $35,463 | $10,528 | 3.37x |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 71 | $49,927 | $15,444 | 3.23x |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 59 | $34,495 | $8,433 | 4.09x |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 56 | $35,995 | $10,191 | 3.53x |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 40 | $64,887 | $16,903 | 3.84x |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 39 | $27,647 | $6,843 | 4.04x |
| 682 | RENAL FAILURE WITH MCC | 37 | $40,848 | $12,478 | 3.27x |
| 603 | CELLULITIS WITHOUT MCC | 36 | $27,535 | $7,203 | 3.82x |
| 683 | RENAL FAILURE WITH CC | 35 | $24,224 | $7,406 | 3.27x |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | 34 | $35,774 | $10,168 | 3.52x |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 30 | $24,259 | $6,370 | 3.81x |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 30 | $29,210 | $9,300 | 3.14x |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 29 | $35,109 | $12,350 | 2.84x |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 28 | $83,723 | $17,659 | 4.74x |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 27 | $123,167 | $44,973 | 2.74x |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 26 | $36,567 | $7,864 | 4.65x |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 24 | $46,306 | $15,979 | 2.9x |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | 24 | $32,163 | $8,118 | 3.96x |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 24 | $40,189 | $10,398 | 3.87x |
Showing top 20 of 46 DRG categories at this hospital.
About This Data
Hospital charges and payment data are from the CMS Medicare Inpatient Prospective Payment System (IPPS) Provider Summary. Quality star ratings (1-5) are from CMS Hospital Compare, based on measures of mortality, safety of care, readmissions, patient experience, and timeliness. Negotiated insurance rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule.