Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in South Carolina
What 5 hospitals in South Carolina charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219), from 2024 Medicare claims.
Average charge
$368,749
Hospital list price billed
Average payment
$78,445
Medicare + patient + other payers
Medicare paid
$67,044
Average per stay
State rank
#20 of 37
1 = lowest average payment
Hospitals in South Carolina billed an average of $368,749 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 4.7 times the average total payment of $78,445. That payment is 6% below the U.S. average of $83,705.
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 $78,445Billed $368,749
About 21¢ was paid for every $1 hospitals in South Carolina billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in South Carolina:
South Carolina hospitals: cardiac valve and other major cardiothoracic procedures without cardiac catheterization
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 | 51 | $362,783 | $87,744 | $69,355 |
| Greenville Memorial HospitalGreenville | 22 | $348,983 | $76,062 | $61,189 |
| Palmetto Richland Mem HospColumbia | 21 | $439,421 | $87,647 | $83,620 |
| Roper HospitalCharleston | 16 | $303,674 | $56,865 | $55,518 |
| Lexington Medical CenterWest Columbia | 12 | $393,435 | $55,961 | $54,321 |
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
| Lexington Medical CenterWest Columbia, SC | $55,961 |
|---|---|
| Roper HospitalCharleston, SC | $56,865 |
| Greenville Memorial HospitalGreenville, SC | $76,062 |
| Palmetto Richland Mem HospColumbia, SC | $87,647 |
| MUSC Medical CenterCharleston, SC | $87,744 |
Highest
| MUSC Medical CenterCharleston, SC | $87,744 |
|---|---|
| Palmetto Richland Mem HospColumbia, SC | $87,647 |
| Greenville Memorial HospitalGreenville, SC | $76,062 |
| Roper HospitalCharleston, SC | $56,865 |
| Lexington Medical CenterWest Columbia, SC | $55,961 |
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states
Questions
How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in South Carolina?
In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219) at 5 hospitals in South Carolina was billed at $368,749 on average, while the average total payment was $78,445, of which Medicare paid $67,044. 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 4.7 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.