Lower extremity and humerus procedures except hip, foot and femur with complications in South Carolina
What 13 hospitals in South Carolina charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493), from 2024 Medicare claims.
Average charge
$130,172
Hospital list price billed
Average payment
$20,331
Medicare + patient + other payers
Medicare paid
$16,718
Average per stay
State rank
#15 of 40
1 = lowest average payment
Hospitals in South Carolina billed an average of $130,172 for lower extremity and humerus procedures except hip, foot and femur with complications, about 6.4 times the average total payment of $20,331. That payment is 11% below the U.S. average of $22,820.
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 $20,331Billed $130,172
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: lower extremity and humerus procedures except hip, foot and femur 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 |
|---|---|---|---|---|
| Spartanburg Regional Medical CenterSpartanburg | 38 | $89,606 | $22,930 | $19,015 |
| MUSC Medical CenterCharleston | 27 | $117,430 | $27,445 | $20,268 |
| Grand Strand Reg Med CenterMyrtle Beach | 23 | $266,589 | $18,648 | $16,927 |
| Greenville Memorial HospitalGreenville | 22 | $83,015 | $21,661 | $16,431 |
| Lexington Medical CenterWest Columbia | 21 | $88,239 | $16,576 | $15,030 |
| Trident Medical CenterCharleston | 21 | $257,932 | $21,560 | $14,744 |
| McLeod Regional Medical CenterFlorence | 20 | $114,136 | $15,685 | $14,035 |
| Palmetto Richland Mem HospColumbia | 19 | $102,014 | $21,759 | $19,363 |
| McLeod Loris HospitalLoris | 16 | $98,213 | $15,452 | $14,126 |
| St Francis-DowntownGreenville | 14 | $149,687 | $17,510 | $16,083 |
| Self Regional HealthcareGreenwood | 14 | $79,791 | $24,428 | $21,810 |
| Piedmont Healthcare SystemRock Hill | 13 | $175,518 | $16,343 | $12,242 |
| Roper HospitalCharleston | 13 | $68,073 | $16,455 | $11,784 |
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 | $15,452 |
|---|---|
| McLeod Regional Medical CenterFlorence, SC | $15,685 |
| Piedmont Healthcare SystemRock Hill, SC | $16,343 |
| Roper HospitalCharleston, SC | $16,455 |
| Lexington Medical CenterWest Columbia, SC | $16,576 |
Highest
| MUSC Medical CenterCharleston, SC | $27,445 |
|---|---|
| Self Regional HealthcareGreenwood, SC | $24,428 |
| Spartanburg Regional Medical CenterSpartanburg, SC | $22,930 |
| Palmetto Richland Mem HospColumbia, SC | $21,759 |
| Greenville Memorial HospitalGreenville, SC | $21,661 |
Lower extremity and humerus procedures except hip, foot and femur with complications in other states
Questions
How much does lower extremity and humerus procedures except hip, foot and femur with complications cost in South Carolina?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493) at 13 hospitals in South Carolina was billed at $130,172 on average, while the average total payment was $20,331, of which Medicare paid $16,718. 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 6.4 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.