facebook tracking Major chest procedures with complications cost in South Carolina: 9 hospitals compared (DRG 164)

Major chest procedures with complications in South Carolina

What 9 hospitals in South Carolina charged and were paid for a Medicare hospital stay for major chest procedures with complications (DRG 164), from 2024 Medicare claims.

DRG 164 Inpatient 2024 Medicare data
Average charge $141,074 Hospital list price billed
Average payment $22,861 Medicare + patient + other payers
Medicare paid $17,885 Average per stay
State rank #17 of 41 1 = lowest average payment

Hospitals in South Carolina billed an average of $141,074 for major chest procedures with complications, about 6.2 times the average total payment of $22,861. That payment is 10% below the U.S. average of $25,501.

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 $22,861Billed $141,074

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: major chest procedures 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 48 $114,076 $27,141 $21,496
Spartanburg Regional Medical CenterSpartanburg 43 $153,678 $29,568 $18,552
Greenville Memorial HospitalGreenville 43 $114,271 $21,799 $18,629
Roper HospitalCharleston 39 $124,012 $17,061 $14,540
Palmetto Richland Mem HospColumbia 24 $130,098 $25,257 $18,422
Lexington Medical CenterWest Columbia 22 $114,066 $18,494 $14,631
McLeod Regional Medical CenterFlorence 19 $100,998 $18,346 $16,654
Grand Strand Reg Med CenterMyrtle Beach 15 $362,921 $20,926 $18,371
St Francis-DowntownGreenville 12 $213,008 $17,142 $15,480
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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

Roper HospitalCharleston, SC$17,061
St Francis-DowntownGreenville, SC$17,142
McLeod Regional Medical CenterFlorence, SC$18,346
Lexington Medical CenterWest Columbia, SC$18,494
Grand Strand Reg Med CenterMyrtle Beach, SC$20,926

Highest

Spartanburg Regional Medical CenterSpartanburg, SC$29,568
MUSC Medical CenterCharleston, SC$27,141
Palmetto Richland Mem HospColumbia, SC$25,257
Greenville Memorial HospitalGreenville, SC$21,799
Grand Strand Reg Med CenterMyrtle Beach, SC$20,926

Major chest procedures with complications in other states

Questions

How much does major chest procedures with complications cost in South Carolina?

In 2024 Medicare data, a hospital stay for major chest procedures with complications (DRG 164) at 9 hospitals in South Carolina was billed at $141,074 on average, while the average total payment was $22,861, of which Medicare paid $17,885. 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 6.2 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.