facebook tracking Combined anterior and posterior spinal fusion without complications cost in South Carolina: 14 hospitals compared (DRG 455)

Combined anterior and posterior spinal fusion without complications in South Carolina

What 14 hospitals in South Carolina charged and were paid for a Medicare hospital stay for combined anterior and posterior spinal fusion without complications (DRG 455), from 2024 Medicare claims.

DRG 455 Inpatient 2024 Medicare data
Average charge $226,902 Hospital list price billed
Average payment $37,378 Medicare + patient + other payers
Medicare paid $30,365 Average per stay
State rank #13 of 35 1 = lowest average payment

Hospitals in South Carolina billed an average of $226,902 for combined anterior and posterior spinal fusion without complications, about 6.1 times the average total payment of $37,378. That payment is 8% below the U.S. average of $40,610.

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 $37,378Billed $226,902

About 16¢ 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: combined anterior and posterior spinal fusion without 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
Bon Secours-St Francis Xavier HospitalCharleston 45 $122,080 $35,388 $28,003
Grand Strand Reg Med CenterMyrtle Beach 43 $393,531 $39,984 $30,877
Conway Medical CenterConway 39 $122,896 $37,417 $29,299
Trident Medical CenterCharleston 35 $350,112 $36,571 $28,516
East Cooper Reg Med CenterMt Pleasant 31 $403,189 $39,670 $31,453
Prisma Health Baptist ParkridgeColumbia 20 $156,034 $38,892 $25,451
Pelham Medical CenterGreer 19 $179,851 $32,248 $30,618
St Francis-DowntownGreenville 15 $227,028 $30,625 $28,972
Beaufort County Memorial HospitalBeaufort 15 $68,350 $36,959 $35,327
MUSC Medical CenterCharleston 14 $223,362 $45,436 $40,783
Greenville Memorial HospitalGreenville 14 $161,518 $35,437 $33,214
Spartanburg Regional Medical CenterSpartanburg 13 $148,538 $49,277 $32,157
MUSC Health Columbia Medical Center DowntownColumbia 12 $194,285 $31,078 $29,446
Waccamaw Community HospitalMurrells Inlet 11 $126,327 $32,229 $30,260
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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

St Francis-DowntownGreenville, SC$30,625
MUSC Health Columbia Medical Center DowntownColumbia, SC$31,078
Waccamaw Community HospitalMurrells Inlet, SC$32,229
Pelham Medical CenterGreer, SC$32,248
Bon Secours-St Francis Xavier HospitalCharleston, SC$35,388

Highest

Spartanburg Regional Medical CenterSpartanburg, SC$49,277
MUSC Medical CenterCharleston, SC$45,436
Grand Strand Reg Med CenterMyrtle Beach, SC$39,984
East Cooper Reg Med CenterMt Pleasant, SC$39,670
Prisma Health Baptist ParkridgeColumbia, SC$38,892

Combined anterior and posterior spinal fusion without complications in other states

Questions

How much does combined anterior and posterior spinal fusion without complications cost in South Carolina?

In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion without complications (DRG 455) at 14 hospitals in South Carolina was billed at $226,902 on average, while the average total payment was $37,378, of which Medicare paid $30,365. 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 6.1 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.