facebook tracking Digestive malignancy with major complications cost in South Carolina: 4 hospitals compared (DRG 374)

Digestive malignancy with major complications in South Carolina

What 4 hospitals in South Carolina charged and were paid for a Medicare hospital stay for digestive malignancy with major complications (DRG 374), from 2024 Medicare claims.

DRG 374 Inpatient 2024 Medicare data
Average charge $82,489 Hospital list price billed
Average payment $16,401 Medicare + patient + other payers
Medicare paid $13,912 Average per stay
State rank #1 of 28 1 = lowest average payment

Hospitals in South Carolina billed an average of $82,489 for digestive malignancy with major complications, about 5.0 times the average total payment of $16,401. That payment is 29% below the U.S. average of $23,203.

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 $16,401Billed $82,489

About 20¢ 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: digestive malignancy 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 20 $80,300 $14,698 $13,097
Greenville Memorial HospitalGreenville 18 $52,962 $17,281 $14,211
Beaufort County Memorial HospitalBeaufort 11 $40,168 $17,002 $16,112
Trident Medical CenterCharleston 11 $177,109 $17,457 $12,706
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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

Lexington Medical CenterWest Columbia, SC$14,698
Beaufort County Memorial HospitalBeaufort, SC$17,002
Greenville Memorial HospitalGreenville, SC$17,281
Trident Medical CenterCharleston, SC$17,457

Highest

Trident Medical CenterCharleston, SC$17,457
Greenville Memorial HospitalGreenville, SC$17,281
Beaufort County Memorial HospitalBeaufort, SC$17,002
Lexington Medical CenterWest Columbia, SC$14,698

Digestive malignancy with major complications in other states

Questions

How much does digestive malignancy with major complications cost in South Carolina?

In 2024 Medicare data, a hospital stay for digestive malignancy with major complications (DRG 374) at 4 hospitals in South Carolina was billed at $82,489 on average, while the average total payment was $16,401, of which Medicare paid $13,912. 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 5.0 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.