facebook tracking Gastrointestinal obstruction with major complications cost in South Carolina: 8 hospitals compared (DRG 388)

Gastrointestinal obstruction with major complications in South Carolina

What 8 hospitals in South Carolina charged and were paid for a Medicare hospital stay for gastrointestinal obstruction with major complications (DRG 388), from 2024 Medicare claims.

DRG 388 Inpatient 2024 Medicare data
Average charge $43,627 Hospital list price billed
Average payment $11,904 Medicare + patient + other payers
Medicare paid $9,621 Average per stay
State rank #6 of 35 1 = lowest average payment

Hospitals in South Carolina billed an average of $43,627 for gastrointestinal obstruction with major complications, about 3.7 times the average total payment of $11,904. That payment is 17% below the U.S. average of $14,417.

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 $11,904Billed $43,627

About 27¢ 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: gastrointestinal obstruction 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 16 $44,305 $9,938 $8,392
MUSC Medical CenterCharleston 15 $39,744 $16,163 $10,785
St Francis-DowntownGreenville 15 $51,792 $10,150 $9,024
McLeod Regional Medical CenterFlorence 14 $52,391 $11,129 $9,734
Greenville Memorial HospitalGreenville 13 $34,476 $13,529 $9,887
Beaufort County Memorial HospitalBeaufort 12 $26,417 $11,699 $11,155
Roper HospitalCharleston 12 $40,690 $9,388 $6,870
Spartanburg Regional Medical CenterSpartanburg 11 $58,443 $13,382 $11,506
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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

Roper HospitalCharleston, SC$9,388
Lexington Medical CenterWest Columbia, SC$9,938
St Francis-DowntownGreenville, SC$10,150
McLeod Regional Medical CenterFlorence, SC$11,129
Beaufort County Memorial HospitalBeaufort, SC$11,699

Highest

MUSC Medical CenterCharleston, SC$16,163
Greenville Memorial HospitalGreenville, SC$13,529
Spartanburg Regional Medical CenterSpartanburg, SC$13,382
Beaufort County Memorial HospitalBeaufort, SC$11,699
McLeod Regional Medical CenterFlorence, SC$11,129

Gastrointestinal obstruction with major complications in other states

Questions

How much does gastrointestinal obstruction with major complications cost in South Carolina?

In 2024 Medicare data, a hospital stay for gastrointestinal obstruction with major complications (DRG 388) at 8 hospitals in South Carolina was billed at $43,627 on average, while the average total payment was $11,904, of which Medicare paid $9,621. 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 3.7 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.