Lower extremity and humerus procedures except hip, foot and femur without complications in South Carolina
What 5 hospitals in South Carolina charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur without complications (DRG 494), from 2024 Medicare claims.
Average charge
$117,659
Hospital list price billed
Average payment
$15,759
Medicare + patient + other payers
Medicare paid
$13,235
Average per stay
State rank
#3 of 13
1 = lowest average payment
Hospitals in South Carolina billed an average of $117,659 for lower extremity and humerus procedures except hip, foot and femur without complications, about 7.5 times the average total payment of $15,759. That payment is 13% below the U.S. average of $18,176.
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 $15,759Billed $117,659
About 13¢ 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 without 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 |
|---|---|---|---|---|
| Grand Strand Reg Med CenterMyrtle Beach | 16 | $211,846 | $15,202 | $13,319 |
| Spartanburg Regional Medical CenterSpartanburg | 14 | $91,211 | $17,385 | $13,731 |
| MUSC Medical CenterCharleston | 11 | $115,156 | $20,654 | $16,667 |
| Lexington Medical CenterWest Columbia | 11 | $72,449 | $13,385 | $11,839 |
| Roper HospitalCharleston | 11 | $62,032 | $11,977 | $10,443 |
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 | $11,977 |
|---|---|
| Lexington Medical CenterWest Columbia, SC | $13,385 |
| Grand Strand Reg Med CenterMyrtle Beach, SC | $15,202 |
| Spartanburg Regional Medical CenterSpartanburg, SC | $17,385 |
| MUSC Medical CenterCharleston, SC | $20,654 |
Highest
| MUSC Medical CenterCharleston, SC | $20,654 |
|---|---|
| Spartanburg Regional Medical CenterSpartanburg, SC | $17,385 |
| Grand Strand Reg Med CenterMyrtle Beach, SC | $15,202 |
| Lexington Medical CenterWest Columbia, SC | $13,385 |
| Roper HospitalCharleston, SC | $11,977 |
Lower extremity and humerus procedures except hip, foot and femur without complications in other states
Questions
How much does lower extremity and humerus procedures except hip, foot and femur without complications cost in South Carolina?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur without complications (DRG 494) at 5 hospitals in South Carolina was billed at $117,659 on average, while the average total payment was $15,759, of which Medicare paid $13,235. 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 7.5 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.