facebook tracking Other circulatory system diagnoses with major complications cost in South Carolina: 16 hospitals compared (DRG 314)

Other circulatory system diagnoses with major complications in South Carolina

What 16 hospitals in South Carolina charged and were paid for a Medicare hospital stay for other circulatory system diagnoses with major complications (DRG 314), from 2024 Medicare claims.

DRG 314 Inpatient 2024 Medicare data
Average charge $81,940 Hospital list price billed
Average payment $19,366 Medicare + patient + other payers
Medicare paid $15,020 Average per stay
State rank #22 of 47 1 = lowest average payment

Hospitals in South Carolina billed an average of $81,940 for other circulatory system diagnoses with major complications, about 4.2 times the average total payment of $19,366. That payment is 9% below the U.S. average of $21,323.

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 $19,366Billed $81,940

About 24¢ 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: other circulatory system diagnoses with major 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
Palmetto Richland Mem HospColumbia 56 $71,209 $21,353 $15,542
MUSC Medical CenterCharleston 52 $82,580 $28,752 $18,570
Lexington Medical CenterWest Columbia 44 $103,963 $16,023 $14,505
Greenville Memorial HospitalGreenville 38 $73,460 $21,238 $14,164
McLeod Regional Medical CenterFlorence 30 $79,143 $16,350 $13,426
Spartanburg Regional Medical CenterSpartanburg 26 $64,555 $19,206 $16,472
Roper HospitalCharleston 23 $86,078 $17,465 $15,379
Grand Strand Reg Med CenterMyrtle Beach 20 $109,212 $17,702 $15,194
Anmed HealthAnderson 18 $86,380 $20,705 $16,941
MUSC Health Florence Medical CenterFlorence 17 $80,882 $12,741 $10,593
Tuomey Healthcare SystemSumter 16 $54,266 $14,394 $13,234
MUSC Health Columbia Medical Center DowntownColumbia 15 $80,103 $16,557 $10,453
Oconee Medical CenterSeneca 14 $52,030 $18,120 $15,275
St Francis-DowntownGreenville 14 $95,452 $16,376 $13,714
Trident Medical CenterCharleston 12 $110,609 $13,602 $12,664
Palmetto Health BaptistColumbia 12 $91,132 $18,273 $16,732
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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

MUSC Health Florence Medical CenterFlorence, SC$12,741
Trident Medical CenterCharleston, SC$13,602
Tuomey Healthcare SystemSumter, SC$14,394
Lexington Medical CenterWest Columbia, SC$16,023
McLeod Regional Medical CenterFlorence, SC$16,350

Highest

MUSC Medical CenterCharleston, SC$28,752
Palmetto Richland Mem HospColumbia, SC$21,353
Greenville Memorial HospitalGreenville, SC$21,238
Anmed HealthAnderson, SC$20,705
Spartanburg Regional Medical CenterSpartanburg, SC$19,206

Other circulatory system diagnoses with major complications in other states

Questions

How much does other circulatory system diagnoses with major complications cost in South Carolina?

In 2024 Medicare data, a hospital stay for other circulatory system diagnoses with major complications (DRG 314) at 16 hospitals in South Carolina was billed at $81,940 on average, while the average total payment was $19,366, of which Medicare paid $15,020. 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 4.2 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.