facebook tracking Coronary bypass without cardiac catheterization without major complications cost in South Carolina: 13 hospitals compared (DRG 236)

Coronary bypass without cardiac catheterization without major complications in South Carolina

What 13 hospitals in South Carolina charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236), from 2024 Medicare claims.

DRG 236 Inpatient 2024 Medicare data
Average charge $246,992 Hospital list price billed
Average payment $34,142 Medicare + patient + other payers
Medicare paid $26,250 Average per stay
State rank #17 of 42 1 = lowest average payment

Hospitals in South Carolina billed an average of $246,992 for coronary bypass without cardiac catheterization without major complications, about 7.2 times the average total payment of $34,142. That payment is 10% below the U.S. average of $37,830.

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 $34,142Billed $246,992

About 14¢ 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: coronary bypass without cardiac catheterization 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
Grand Strand Reg Med CenterMyrtle Beach 60 $467,182 $36,629 $26,321
MUSC Health Columbia Medical Center DowntownColumbia 41 $155,403 $30,395 $23,327
Roper HospitalCharleston 38 $160,703 $29,970 $19,554
Lexington Medical CenterWest Columbia 36 $236,291 $26,862 $25,104
St Francis-DowntownGreenville 29 $155,452 $28,400 $21,675
Greenville Memorial HospitalGreenville 27 $253,463 $44,718 $28,100
Spartanburg Regional Medical CenterSpartanburg 24 $185,063 $36,081 $33,571
MUSC Medical CenterCharleston 23 $231,215 $44,025 $35,223
Palmetto Richland Mem HospColumbia 19 $218,668 $34,889 $31,689
McLeod Regional Medical CenterFlorence 19 $223,723 $28,527 $23,257
Piedmont Healthcare SystemRock Hill 15 $284,672 $25,211 $19,365
Self Regional HealthcareGreenwood 14 $180,009 $48,292 $32,758
Anmed HealthAnderson 13 $238,533 $38,786 $32,227
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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

Piedmont Healthcare SystemRock Hill, SC$25,211
Lexington Medical CenterWest Columbia, SC$26,862
St Francis-DowntownGreenville, SC$28,400
McLeod Regional Medical CenterFlorence, SC$28,527
Roper HospitalCharleston, SC$29,970

Highest

Self Regional HealthcareGreenwood, SC$48,292
Greenville Memorial HospitalGreenville, SC$44,718
MUSC Medical CenterCharleston, SC$44,025
Anmed HealthAnderson, SC$38,786
Grand Strand Reg Med CenterMyrtle Beach, SC$36,629

Coronary bypass without cardiac catheterization without major complications in other states

Questions

How much does coronary bypass without cardiac catheterization without major complications cost in South Carolina?

In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236) at 13 hospitals in South Carolina was billed at $246,992 on average, while the average total payment was $34,142, of which Medicare paid $26,250. 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 7.2 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.