facebook tracking Aortic and heart assist procedures except pulsation balloon without major complications cost in South Carolina: 9 hospitals compared (DRG 269)

Aortic and heart assist procedures except pulsation balloon without major complications in South Carolina

What 9 hospitals in South Carolina charged and were paid for a Medicare hospital stay for aortic and heart assist procedures except pulsation balloon without major complications (DRG 269), from 2024 Medicare claims.

DRG 269 Inpatient 2024 Medicare data
Average charge $230,809 Hospital list price billed
Average payment $38,841 Medicare + patient + other payers
Medicare paid $32,216 Average per stay
State rank #26 of 35 1 = lowest average payment

Hospitals in South Carolina billed an average of $230,809 for aortic and heart assist procedures except pulsation balloon without major complications, about 5.9 times the average total payment of $38,841. That payment is 2% below the U.S. average of $39,522.

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 $38,841Billed $230,809

About 17¢ 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: aortic and heart assist procedures except pulsation balloon without 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
MUSC Medical CenterCharleston 41 $248,756 $45,070 $38,258
Greenville Memorial HospitalGreenville 20 $197,628 $39,880 $32,425
Anmed HealthAnderson 16 $235,094 $49,603 $34,030
Grand Strand Reg Med CenterMyrtle Beach 15 $330,489 $32,670 $30,856
Roper HospitalCharleston 14 $180,933 $29,600 $28,046
Spartanburg Regional Medical CenterSpartanburg 13 $150,600 $36,421 $34,521
McLeod Regional Medical CenterFlorence 13 $203,587 $28,930 $27,178
Trident Medical CenterCharleston 13 $348,076 $45,721 $26,244
McLeod Loris HospitalLoris 13 $148,844 $26,877 $25,370
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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 Loris HospitalLoris, SC$26,877
McLeod Regional Medical CenterFlorence, SC$28,930
Roper HospitalCharleston, SC$29,600
Grand Strand Reg Med CenterMyrtle Beach, SC$32,670
Spartanburg Regional Medical CenterSpartanburg, SC$36,421

Highest

Anmed HealthAnderson, SC$49,603
Trident Medical CenterCharleston, SC$45,721
MUSC Medical CenterCharleston, SC$45,070
Greenville Memorial HospitalGreenville, SC$39,880
Spartanburg Regional Medical CenterSpartanburg, SC$36,421

Aortic and heart assist procedures except pulsation balloon without major complications in other states

Questions

How much does aortic and heart assist procedures except pulsation balloon without major complications cost in South Carolina?

In 2024 Medicare data, a hospital stay for aortic and heart assist procedures except pulsation balloon without major complications (DRG 269) at 9 hospitals in South Carolina was billed at $230,809 on average, while the average total payment was $38,841, of which Medicare paid $32,216. 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 5.9 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.