facebook tracking ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec cost in South Carolina: 6 hospitals compared (DRG 003)

ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in South Carolina

What 6 hospitals in South Carolina charged and were paid for a Medicare hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003), from 2024 Medicare claims.

DRG 003 Inpatient 2024 Medicare data
Average charge $790,021 Hospital list price billed
Average payment $180,925 Medicare + patient + other payers
Medicare paid $154,419 Average per stay
State rank #8 of 29 1 = lowest average payment

Hospitals in South Carolina billed an average of $790,021 for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec, about 4.4 times the average total payment of $180,925. That payment is 27% below the U.S. average of $246,178.

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 $180,925Billed $790,021

About 23¢ was paid for every $1 hospitals in South Carolina billed for this stay.

South Carolina hospitals: ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec

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 40 $768,547 $219,860 $183,974
Greenville Memorial HospitalGreenville 31 $658,463 $168,499 $153,706
Palmetto Richland Mem HospColumbia 22 $717,123 $181,941 $140,698
Trident Medical CenterCharleston 13 $1,170,967 $126,191 $123,989
Spartanburg Regional Medical CenterSpartanburg 12 $516,307 $191,485 $145,532
Grand Strand Reg Med CenterMyrtle Beach 11 $1,233,053 $125,501 $122,054
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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

Grand Strand Reg Med CenterMyrtle Beach, SC$125,501
Trident Medical CenterCharleston, SC$126,191
Greenville Memorial HospitalGreenville, SC$168,499
Palmetto Richland Mem HospColumbia, SC$181,941
Spartanburg Regional Medical CenterSpartanburg, SC$191,485

Highest

MUSC Medical CenterCharleston, SC$219,860
Spartanburg Regional Medical CenterSpartanburg, SC$191,485
Palmetto Richland Mem HospColumbia, SC$181,941
Greenville Memorial HospitalGreenville, SC$168,499
Trident Medical CenterCharleston, SC$126,191

ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in other states

Questions

How much does ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec cost in South Carolina?

In 2024 Medicare data, a hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003) at 6 hospitals in South Carolina was billed at $790,021 on average, while the average total payment was $180,925, of which Medicare paid $154,419. 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 4.4 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.