Non-extensive operating room procedures unrelated to principal diagnosis with complications in South Carolina
What 1 hospital in South Carolina charged and were paid for a Medicare hospital stay for non-extensive operating room procedures unrelated to principal diagnosis with complications (DRG 988), from 2024 Medicare claims.
Average charge
$77,500
Hospital list price billed
Average payment
$12,210
Medicare + patient + other payers
Medicare paid
$11,087
Average per stay
Volume
12
Medicare hospital stays
Hospitals in South Carolina billed an average of $77,500 for non-extensive operating room procedures unrelated to principal diagnosis with complications, about 6.3 times the average total payment of $12,210. That payment is 37% below the U.S. average of $19,534.
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 $12,210Billed $77,500
About 16¢ was paid for every $1 hospitals in South Carolina billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in South Carolina:
South Carolina hospitals: non-extensive operating room procedures unrelated to principal diagnosis 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 | 12 | $77,500 | $12,210 | $11,087 |
Non-extensive operating room procedures unrelated to principal diagnosis with complications in other states
Questions
How much does non-extensive operating room procedures unrelated to principal diagnosis with complications cost in South Carolina?
In 2024 Medicare data, a hospital stay for non-extensive operating room procedures unrelated to principal diagnosis with complications (DRG 988) at 1 hospital in South Carolina was billed at $77,500 on average, while the average total payment was $12,210, of which Medicare paid $11,087. 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 6.3 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.