facebook tracking Hip replacement with principal diagnosis of hip fracture without major complications cost in South Carolina: 28 hospitals compared (DRG 522)

Hip replacement with principal diagnosis of hip fracture without major complications in South Carolina

What 28 hospitals in South Carolina charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.

DRG 522 Inpatient 2024 Medicare data
Average charge $100,872 Hospital list price billed
Average payment $17,276 Medicare + patient + other payers
Medicare paid $14,486 Average per stay
State rank #22 of 50 1 = lowest average payment

Hospitals in South Carolina billed an average of $100,872 for hip replacement with principal diagnosis of hip fracture without major complications, about 5.8 times the average total payment of $17,276. That payment is 6% below the U.S. average of $18,301.

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 $17,276Billed $100,872

About 17¢ was paid for every $1 hospitals in South Carolina billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in South Carolina:

South Carolina hospitals: hip replacement with principal diagnosis of hip fracture without 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
Greenville Memorial HospitalGreenville 83 $98,303 $19,252 $15,090
Spartanburg Regional Medical CenterSpartanburg 76 $75,469 $19,487 $16,475
Lexington Medical CenterWest Columbia 49 $92,549 $15,387 $12,953
McLeod Regional Medical CenterFlorence 46 $77,507 $15,795 $13,063
McLeod Loris HospitalLoris 46 $94,810 $13,693 $12,275
Grand Strand Reg Med CenterMyrtle Beach 39 $168,420 $18,523 $14,052
Hilton Head Regional Medical CenterHilton Head Island 38 $144,833 $19,460 $17,958
MUSC Medical CenterCharleston 37 $91,548 $23,554 $16,688
Self Regional HealthcareGreenwood 37 $71,752 $21,358 $19,245
Oconee Medical CenterSeneca 35 $86,691 $19,530 $15,042
Anmed HealthAnderson 35 $97,877 $19,800 $17,039
Waccamaw Community HospitalMurrells Inlet 34 $56,248 $15,042 $12,923
Aiken Regional Medical CenterAiken 33 $125,086 $15,512 $13,882
Piedmont Healthcare SystemRock Hill 32 $153,853 $14,760 $13,230
Trident Medical CenterCharleston 32 $209,336 $15,805 $14,051
Baptist Easley HospitalEasley 30 $90,240 $17,230 $12,132
St Francis-DowntownGreenville 30 $88,694 $14,126 $12,679
Roper HospitalCharleston 29 $66,515 $13,245 $11,764
Beaufort County Memorial HospitalBeaufort 26 $50,497 $16,972 $15,466
Palmetto Richland Mem HospColumbia 22 $106,034 $21,273 $16,093
Conway Medical CenterConway 22 $63,484 $16,556 $14,291
Tuomey Healthcare SystemSumter 21 $102,333 $16,538 $14,688
Mount Pleasant HospitalMount Pleasant 21 $69,429 $13,169 $11,771
Roper St Francis Hospital-Berkeley INCSummerville 17 $74,031 $14,133 $12,165
East Cooper Reg Med CenterMt Pleasant 14 $123,333 $13,100 $11,701
Carolina Pines Regional Medical CenterHartsville 13 $166,978 $14,841 $13,711
MUSC Health Florence Medical CenterFlorence 13 $120,819 $14,159 $12,778
MUSC Health Lancaster Medical CenterLancaster 11 $148,860 $17,990 $14,305
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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

East Cooper Reg Med CenterMt Pleasant, SC$13,100
Mount Pleasant HospitalMount Pleasant, SC$13,169
Roper HospitalCharleston, SC$13,245
McLeod Loris HospitalLoris, SC$13,693
St Francis-DowntownGreenville, SC$14,126

Highest

MUSC Medical CenterCharleston, SC$23,554
Self Regional HealthcareGreenwood, SC$21,358
Palmetto Richland Mem HospColumbia, SC$21,273
Anmed HealthAnderson, SC$19,800
Oconee Medical CenterSeneca, SC$19,530

Hip replacement with principal diagnosis of hip fracture without major complications in other states

Questions

How much does hip replacement with principal diagnosis of hip fracture without major complications cost in South Carolina?

In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 28 hospitals in South Carolina was billed at $100,872 on average, while the average total payment was $17,276, of which Medicare paid $14,486. 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 5.8 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.