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Emergency Room Visit Cost in South Carolina (2026 Price Guide)

What does a emergency room visit cost in South Carolina?

You could pay $229 or $301 for the same emergency room visit in South Carolina — depending entirely on which facility you choose. The median cash price across 25 reporting hospitals is $294. This data comes directly from hospital price transparency files published under federal law.

How prices are distributed across South Carolina hospitals:
  • Bottom 25% of hospitals: under $169
  • Median: $294
  • Above median (top 30%): $301+

That's a 2× spread for the same procedure — driven entirely by which facility you choose, not by clinical complexity.

Example — two patients in Columbia:
  • Patient A (high-cost facility): ~$301
  • Patient B (lower-cost facility): ~$229
Same procedure. Same week. $72 difference.

Cheapest Emergency Room Visit Providers in South Carolina

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs Median
4 HCA Healthcare Colleton Hospital Walterboro, SC $169 -$125
5 East Cooper Medical Center Mt Pleasant, SC $169 -$125
6 Coastal Carolina Hospital Hardeeville, SC $169 -$125
7 Hilton Head Hospital Hilton Head Island, SC $169 -$125
8 Conway Medical Center Conway, SC $222 -$72
9 Cherokee Medical Center Gaffney, SC $258 -$36
10 Pelham Medical Center Greer, SC $260 -$34
11 Union Medical Center Union, SC $262 -$32

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.

Compare all procedure costs   → Emergency Room Visit costs nationwide

Check YOUR hospital's pricing → Estimate YOUR exact cost →

Worth knowing: Declared gross charges vary significantly across South Carolina hospitals — the same procedure can look very different on a hospital's price list versus what you actually owe. Cash and negotiated prices are a more practical guide.
Every hospital in this dataset offers a cash price — with a median of $294. If your deductible hasn't been met, always ask for the self-pay rate before scheduling.

What you'll actually pay — example scenarios

Your situation Estimated out-of-pocket
Deductible not yet met (pay in full) ~$294
Deductible met — 20% coinsurance ~$59
Out-of-network provider $647+

Based on the state median of $294. Your actual cost depends on your plan deductible, coinsurance rate, and network tier. Get YOUR personalized estimate →

What this means for you

If you haven't met your deductible, you are effectively a cash-pay patient.

That means:

  • You should shop prices directly — the same way you'd compare any major purchase
  • Insurance may not get you a better deal than the cash price
  • The cheapest facility can save you $143+ vs. the median.

This is the single biggest lever most patients have to reduce their cost.

Lower-cost options in South Carolina start around $169 or below. Most hospitals cluster between $169 and $301. A smaller group reports prices above that — often academic medical centers or high-cost markets.

If you're comparing specific hospitals, the lowest self-pay rates reported in this dataset include: Waccamaw Community Hospital in Murrells Inlet (cash price from $151); Georgetown Memorial Hospital in Georgetown (cash price from $151); Beaufort Memorial Hospital in Beaufort (cash price from $160). These are declared cash prices — contact each facility for a formal quote before scheduling.

Where emergency room visit costs vary in South Carolina

Each pin represents a hospital that filed price transparency data. Green pins are below the state cash-price average; red are above. Click any pin for facility name and price details.

Below state avg Above state avg Click a pin for facility details.

Estimate YOUR exact out-of-pocket cost →

Quick decision guide:
  • Best value hospitals (lowest prices): Waccamaw Community Hospital: $151; Georgetown Memorial Hospital: $151; Beaufort Memorial Hospital: $160
  • Most expensive: PRISMA HEALTH BAPTIST EASLEY HOSPITAL: ~$301; PRISMA HEALTH GREER MEMORIAL HOSPITAL: ~$301

→ Choosing the right facility can save $143+ vs. the state median.

South Carolina Emergency Room Visit prices by facility

All prices below come from hospital chargemasters — the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.

How we calculate "Your Price" — We prioritize the most actionable price in this order:
  1. Cash price — the self-pay rate you can actually negotiate and pay
  2. Negotiated rate — if reported by the hospital across insurance contracts
  3. Gross charge — fallback only; this is the inflated list price few people pay

This reflects the real prices patients encounter — not inflated chargemaster rates.

# Facility City Your Price vs Median Gross Charge
#1 Waccamaw Community Hospital Murrells Inlet, SC $151 -$143 $157–$2,016
#2 Georgetown Memorial Hospital Georgetown, SC $151 -$143 $157–$2,016
#3 Beaufort Memorial Hospital Beaufort, SC $160 -$134 $56–$8,796
#4 HCA Healthcare Colleton Hospital Walterboro, SC $169 -$125 $169
#5 East Cooper Medical Center Mt Pleasant, SC $169 -$125 $78–$3,706
#6 Coastal Carolina Hospital Hardeeville, SC $169 -$125 $78–$2,827
#7 Hilton Head Hospital Hilton Head Island, SC $169 -$125 $78–$2,839
#8 Conway Medical Center Conway, SC $222 -$72 $353–$2,904
#9 Cherokee Medical Center Gaffney, SC $258 -$36 $79–$3,635
#10 Pelham Medical Center Greer, SC $260 -$34 $80–$3,635
#11 Union Medical Center Union, SC $262 -$32 $81–$3,635
#12 Spartanburg Medical Center Spartanburg, SC $263 -$31 $81–$3,635
#13 Lexington Medical Center West Columbia, SC $294 +$0 $294–$5,723
#14 Newberry County Memorial Hospital Newberry, SC $296 +$2 $296–$2,744
#15 PRISMA HEALTH BAPTIST EASLEY HOSPITAL Easley, SC $301 +$7 $464–$2,527
▼ Show 10 more South Carolina hospitals
#16 PRISMA HEALTH GREER MEMORIAL HOSPITAL Greer, SC $301 +$7 $464–$2,527
#17 PRISMA HEALTH NORTH GREENVILLE LONG TERM ACUTE CARE HOSPITAL SC $301 +$7 $464–$2,527
#18 PRISMA HEALTH LAURENS COUNTY HOSPITAL Clinton, SC $301 +$7 $464–$2,527
#19 PRISMA HEALTH HILLCREST HOSPITAL Simpsonville, SC $301 +$7 $464–$2,527
#20 PRISMA HEALTH RICHLAND Columbia, SC $301 +$7 $464–$2,527
#21 PRISMA HEALTH BAPTIST PARKRIDGE Columbia, SC $301 +$7 $464–$2,527
#22 PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Greenville, SC $301 +$7 $464–$2,527
#23 PRISMA HEALTH BAPTIST Columbia, SC $301 +$7 $464–$2,527
#24 PRISMA HEALTH TUOMEY HOSPITAL Sumter, SC $301 +$7 $464–$2,527
#25 PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Seneca, SC $301 +$7 $464–$2,527

Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.

Received a bill? Check it for errors → Estimate YOUR cost before you go →

Compare other procedures in South Carolina:

Where you can save the most on emergency room visit in South Carolina

These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.

Facility City Your Price vs Median
Waccamaw Community Hospital Murrells Inlet, SC $151 -$143
Georgetown Memorial Hospital Georgetown, SC $151 -$143
Beaufort Memorial Hospital Beaufort, SC $160 -$134
HCA Healthcare Colleton Hospital Walterboro, SC $169 -$125
East Cooper Medical Center Mt Pleasant, SC $169 -$125

How to choose a lower-cost facility

  • Choose independent outpatient centers when possible — freestanding ASCs (ambulatory surgical centers) consistently charge less than hospital outpatient departments for identical procedures.
  • Ask for the cash price if your deductible isn't met — self-pay rates are often lower than what insurance pays before your deductible is satisfied, especially at facilities that have a high cash-price discount.
  • Avoid hospital outpatient departments for routine cases — hospital-owned locations add a facility fee that freestanding centers don't charge, often adding $500–$1,500 to the same procedure.
Important: Many procedures are done at ambulatory surgical centers (ASCs) that are often 30–60% cheaper than hospital outpatient departments with the same clinical quality. Most ASCs are not in this hospital dataset — meaning your cheapest option may not even appear here. Ask your doctor if the procedure can be done at a freestanding ASC.

Most expensive emergency room visit providers in South Carolina

These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.

Facility City Price vs Median
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Easley, SC $301 +$7
PRISMA HEALTH GREER MEMORIAL HOSPITAL Greer, SC $301 +$7
PRISMA HEALTH NORTH GREENVILLE LONG TERM ACUTE CARE HOSPITAL SC $301 +$7
PRISMA HEALTH LAURENS COUNTY HOSPITAL Clinton, SC $301 +$7
PRISMA HEALTH HILLCREST HOSPITAL Simpsonville, SC $301 +$7

Why prices vary this much

Among the cities with the most reporting hospitals, Columbia has a median reported price of $301 across 3 facilities, while facilities in Greer tend to report lower prices (median: $280). City-level variation within a state often reflects local market structure, not procedure complexity.

The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.

Learn more:
Allowed amount vs negotiated rate — what your EOB is really saying
How to read your medical bill
Why hospital prices are so hard to find — and what to do about it

How insurance changes what you actually pay

Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.

Understand your cost before you go:
Deductible vs out-of-pocket max
EOB vs medical bill — complete guide
How to stop medical bill problems before they start (in-network vs out-of-network)

Compare emergency room visit costs in nearby states

Explore all emergency room visit cost data

See emergency room visit costs across all states


CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
Analyze your medical bill for errors
How to negotiate your medical bills
Track and manage your healthcare costs (free account)

Other Procedure Costs in South Carolina

Interested in understanding healthcare costs and managing your medical expenses?

About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

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Published May 10, 2026 · Updated May 10, 2026

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