facebook tracking Major chest procedures without complications cost in South Carolina: 6 hospitals compared (DRG 165)

Major chest procedures without complications in South Carolina

What 6 hospitals in South Carolina charged and were paid for a Medicare hospital stay for major chest procedures without complications (DRG 165), from 2024 Medicare claims.

DRG 165 Inpatient 2024 Medicare data
Average charge $123,127 Hospital list price billed
Average payment $18,511 Medicare + patient + other payers
Medicare paid $12,419 Average per stay
State rank #14 of 26 1 = lowest average payment

Hospitals in South Carolina billed an average of $123,127 for major chest procedures without complications, about 6.7 times the average total payment of $18,511. That payment is 6% below the U.S. average of $19,593.

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 $18,511Billed $123,127

About 15¢ 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 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
MUSC Medical CenterCharleston 29 $101,046 $21,747 $13,416
Roper HospitalCharleston 23 $127,712 $15,194 $9,760
Spartanburg Regional Medical CenterSpartanburg 19 $88,427 $19,157 $13,959
Greenville Memorial HospitalGreenville 14 $107,330 $18,068 $13,121
Grand Strand Reg Med CenterMyrtle Beach 14 $265,492 $19,242 $12,865
McLeod Regional Medical CenterFlorence 11 $70,601 $15,436 $11,231
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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$15,194
McLeod Regional Medical CenterFlorence, SC$15,436
Greenville Memorial HospitalGreenville, SC$18,068
Spartanburg Regional Medical CenterSpartanburg, SC$19,157
Grand Strand Reg Med CenterMyrtle Beach, SC$19,242

Highest

MUSC Medical CenterCharleston, SC$21,747
Grand Strand Reg Med CenterMyrtle Beach, SC$19,242
Spartanburg Regional Medical CenterSpartanburg, SC$19,157
Greenville Memorial HospitalGreenville, SC$18,068
McLeod Regional Medical CenterFlorence, SC$15,436

Major chest procedures without complications in other states

Questions

How much does major chest procedures without complications cost in South Carolina?

In 2024 Medicare data, a hospital stay for major chest procedures without complications (DRG 165) at 6 hospitals in South Carolina was billed at $123,127 on average, while the average total payment was $18,511, of which Medicare paid $12,419. 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 6.7 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.