facebook tracking Major gastrointestinal disorders and peritoneal infections with complications cost in South Carolina: 9 hospitals compared (DRG 372)

Major gastrointestinal disorders and peritoneal infections with complications in South Carolina

What 9 hospitals in South Carolina charged and were paid for a Medicare hospital stay for major gastrointestinal disorders and peritoneal infections with complications (DRG 372), from 2024 Medicare claims.

DRG 372 Inpatient 2024 Medicare data
Average charge $36,257 Hospital list price billed
Average payment $9,727 Medicare + patient + other payers
Medicare paid $7,161 Average per stay
State rank #17 of 34 1 = lowest average payment

Hospitals in South Carolina billed an average of $36,257 for major gastrointestinal disorders and peritoneal infections with complications, about 3.7 times the average total payment of $9,727. That payment is 4% below the U.S. average of $10,109.

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 $9,727Billed $36,257

About 27¢ 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 gastrointestinal disorders and peritoneal infections 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
Lexington Medical CenterWest Columbia 29 $43,456 $7,829 $6,364
MUSC Medical CenterCharleston 23 $31,117 $13,617 $8,839
Greenville Memorial HospitalGreenville 21 $32,036 $11,514 $6,650
Spartanburg Regional Medical CenterSpartanburg 17 $30,376 $9,532 $7,734
St Francis-DowntownGreenville 17 $35,091 $7,247 $5,618
Grand Strand Reg Med CenterMyrtle Beach 15 $56,919 $9,140 $7,549
Waccamaw Community HospitalMurrells Inlet 15 $30,111 $8,636 $5,967
Self Regional HealthcareGreenwood 14 $30,984 $10,178 $8,621
Palmetto Health BaptistColumbia 11 $33,896 $9,032 $7,471
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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

St Francis-DowntownGreenville, SC$7,247
Lexington Medical CenterWest Columbia, SC$7,829
Waccamaw Community HospitalMurrells Inlet, SC$8,636
Palmetto Health BaptistColumbia, SC$9,032
Grand Strand Reg Med CenterMyrtle Beach, SC$9,140

Highest

MUSC Medical CenterCharleston, SC$13,617
Greenville Memorial HospitalGreenville, SC$11,514
Self Regional HealthcareGreenwood, SC$10,178
Spartanburg Regional Medical CenterSpartanburg, SC$9,532
Grand Strand Reg Med CenterMyrtle Beach, SC$9,140

Major gastrointestinal disorders and peritoneal infections with complications in other states

Questions

How much does major gastrointestinal disorders and peritoneal infections with complications cost in South Carolina?

In 2024 Medicare data, a hospital stay for major gastrointestinal disorders and peritoneal infections with complications (DRG 372) at 9 hospitals in South Carolina was billed at $36,257 on average, while the average total payment was $9,727, of which Medicare paid $7,161. 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 3.7 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.