facebook tracking Extracranial procedures with complications cost in South Carolina: 4 hospitals compared (DRG 038)

Extracranial procedures with complications in South Carolina

What 4 hospitals in South Carolina charged and were paid for a Medicare hospital stay for extracranial procedures with complications (DRG 038), from 2024 Medicare claims.

DRG 038 Inpatient 2024 Medicare data
Average charge $101,179 Hospital list price billed
Average payment $13,473 Medicare + patient + other payers
Medicare paid $11,622 Average per stay
State rank #6 of 29 1 = lowest average payment

Hospitals in South Carolina billed an average of $101,179 for extracranial procedures with complications, about 7.5 times the average total payment of $13,473. That payment is 10% below the U.S. average of $14,903.

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 $13,473Billed $101,179

About 13¢ 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: extracranial procedures with 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
Greenville Memorial HospitalGreenville 19 $72,737 $14,148 $12,075
Palmetto Richland Mem HospColumbia 12 $104,958 $15,401 $13,056
Lexington Medical CenterWest Columbia 12 $76,652 $11,541 $10,081
Trident Medical CenterCharleston 11 $172,940 $12,311 $10,956
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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$11,541
Trident Medical CenterCharleston, SC$12,311
Greenville Memorial HospitalGreenville, SC$14,148
Palmetto Richland Mem HospColumbia, SC$15,401

Highest

Palmetto Richland Mem HospColumbia, SC$15,401
Greenville Memorial HospitalGreenville, SC$14,148
Trident Medical CenterCharleston, SC$12,311
Lexington Medical CenterWest Columbia, SC$11,541

Extracranial procedures with complications in other states

Questions

How much does extracranial procedures with complications cost in South Carolina?

In 2024 Medicare data, a hospital stay for extracranial procedures with complications (DRG 038) at 4 hospitals in South Carolina was billed at $101,179 on average, while the average total payment was $13,473, of which Medicare paid $11,622. 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 7.5 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.