facebook tracking Hip and femur procedures except major joint with major complications cost in South Carolina: 18 hospitals compared (DRG 480)

Hip and femur procedures except major joint with major complications in South Carolina

What 18 hospitals in South Carolina charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.

DRG 480 Inpatient 2024 Medicare data
Average charge $145,340 Hospital list price billed
Average payment $23,735 Medicare + patient + other payers
Medicare paid $20,456 Average per stay
State rank #20 of 46 1 = lowest average payment

Hospitals in South Carolina billed an average of $145,340 for hip and femur procedures except major joint with major complications, about 6.1 times the average total payment of $23,735. That payment is 10% below the U.S. average of $26,284.

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 $23,735Billed $145,340

About 16¢ 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: hip and femur procedures except major joint 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 59 $102,101 $19,180 $17,584
Greenville Memorial HospitalGreenville 43 $121,055 $25,727 $21,474
Palmetto Richland Mem HospColumbia 33 $117,824 $28,588 $22,223
Spartanburg Regional Medical CenterSpartanburg 32 $109,616 $27,083 $24,759
Trident Medical CenterCharleston 32 $297,574 $22,809 $18,328
McLeod Regional Medical CenterFlorence 31 $98,542 $22,576 $18,580
Grand Strand Reg Med CenterMyrtle Beach 29 $279,650 $23,024 $20,788
MUSC Medical CenterCharleston 26 $141,359 $34,614 $24,857
Piedmont Healthcare SystemRock Hill 23 $200,653 $18,690 $15,174
St Francis-DowntownGreenville 19 $110,658 $18,647 $17,402
Anmed HealthAnderson 18 $120,575 $27,089 $25,178
Hilton Head Regional Medical CenterHilton Head Island 16 $179,946 $28,399 $27,077
Roper HospitalCharleston 16 $93,488 $18,371 $17,034
McLeod Loris HospitalLoris 15 $89,010 $17,642 $16,446
Self Regional HealthcareGreenwood 12 $109,776 $30,002 $27,057
Oconee Medical CenterSeneca 11 $102,822 $24,759 $22,935
MUSC Health Columbia Medical Center DowntownColumbia 11 $131,700 $19,200 $17,719
MUSC Health Florence Medical CenterFlorence 11 $184,648 $18,044 $16,708
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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

McLeod Loris HospitalLoris, SC$17,642
MUSC Health Florence Medical CenterFlorence, SC$18,044
Roper HospitalCharleston, SC$18,371
St Francis-DowntownGreenville, SC$18,647
Piedmont Healthcare SystemRock Hill, SC$18,690

Highest

MUSC Medical CenterCharleston, SC$34,614
Self Regional HealthcareGreenwood, SC$30,002
Palmetto Richland Mem HospColumbia, SC$28,588
Hilton Head Regional Medical CenterHilton Head Island, SC$28,399
Anmed HealthAnderson, SC$27,089

Hip and femur procedures except major joint with major complications in other states

Questions

How much does hip and femur procedures except major joint with major complications cost in South Carolina?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 18 hospitals in South Carolina was billed at $145,340 on average, while the average total payment was $23,735, of which Medicare paid $20,456. 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 6.1 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.