facebook tracking Hernia procedures except inguinal and femoral with complications cost in South Carolina: 1 hospitals compared (DRG 354)

Hernia procedures except inguinal and femoral with complications in South Carolina

What 1 hospital in South Carolina charged and were paid for a Medicare hospital stay for hernia procedures except inguinal and femoral with complications (DRG 354), from 2024 Medicare claims.

DRG 354 Inpatient 2024 Medicare data
Average charge $172,441 Hospital list price billed
Average payment $26,623 Medicare + patient + other payers
Medicare paid $19,736 Average per stay
Volume 16 Medicare hospital stays

Hospitals in South Carolina billed an average of $172,441 for hernia procedures except inguinal and femoral with complications, about 6.5 times the average total payment of $26,623. That payment is 36% above the U.S. average of $19,616.

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 $26,623Billed $172,441

About 15¢ 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: hernia procedures except inguinal and femoral 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
MUSC Medical CenterCharleston 16 $172,441 $26,623 $19,736
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Hernia procedures except inguinal and femoral with complications in other states

Questions

How much does hernia procedures except inguinal and femoral with complications cost in South Carolina?

In 2024 Medicare data, a hospital stay for hernia procedures except inguinal and femoral with complications (DRG 354) at 1 hospital in South Carolina was billed at $172,441 on average, while the average total payment was $26,623, of which Medicare paid $19,736. 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 6.5 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.