facebook tracking Amputation for circulatory system disorders except upper limb and toe with major complications cost in South Carolina: 6 hospitals compared (DRG 239)

Amputation for circulatory system disorders except upper limb and toe with major complications in South Carolina

What 6 hospitals in South Carolina charged and were paid for a Medicare hospital stay for amputation for circulatory system disorders except upper limb and toe with major complications (DRG 239), from 2024 Medicare claims.

DRG 239 Inpatient 2024 Medicare data
Average charge $157,806 Hospital list price billed
Average payment $35,630 Medicare + patient + other payers
Medicare paid $30,776 Average per stay
State rank #2 of 12 1 = lowest average payment

Hospitals in South Carolina billed an average of $157,806 for amputation for circulatory system disorders except upper limb and toe with major complications, about 4.4 times the average total payment of $35,630. That payment is 30% below the U.S. average of $50,891.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $35,630Billed $157,806

About 23¢ was paid for every $1 hospitals in South Carolina billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in South Carolina:

South Carolina hospitals: amputation for circulatory system disorders except upper limb and toe with major complications

Every South Carolina hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Lexington Medical CenterWest Columbia 19 $162,381 $31,751 $29,784
MUSC Medical CenterCharleston 15 $113,934 $45,360 $34,340
McLeod Regional Medical CenterFlorence 14 $163,690 $28,323 $27,220
Greenville Memorial HospitalGreenville 13 $170,066 $34,153 $29,463
Roper HospitalCharleston 12 $186,146 $37,371 $30,354
Palmetto Richland Mem HospColumbia 11 $156,839 $38,209 $34,168
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Lowest and highest payments in South Carolina

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

McLeod Regional Medical CenterFlorence, SC$28,323
Lexington Medical CenterWest Columbia, SC$31,751
Greenville Memorial HospitalGreenville, SC$34,153
Roper HospitalCharleston, SC$37,371
Palmetto Richland Mem HospColumbia, SC$38,209

Highest

MUSC Medical CenterCharleston, SC$45,360
Palmetto Richland Mem HospColumbia, SC$38,209
Roper HospitalCharleston, SC$37,371
Greenville Memorial HospitalGreenville, SC$34,153
Lexington Medical CenterWest Columbia, SC$31,751

Amputation for circulatory system disorders except upper limb and toe with major complications in other states

Questions

How much does amputation for circulatory system disorders except upper limb and toe with major complications cost in South Carolina?

In 2024 Medicare data, a hospital stay for amputation for circulatory system disorders except upper limb and toe with major complications (DRG 239) at 6 hospitals in South Carolina was billed at $157,806 on average, while the average total payment was $35,630, of which Medicare paid $30,776. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in South Carolina, average charges were 4.4 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.