facebook tracking Other operating room procedures for injuries with major complications cost in South Carolina: 5 hospitals compared (DRG 907)

Other operating room procedures for injuries with major complications in South Carolina

What 5 hospitals in South Carolina charged and were paid for a Medicare hospital stay for other operating room procedures for injuries with major complications (DRG 907), from 2024 Medicare claims.

DRG 907 Inpatient 2024 Medicare data
Average charge $140,148 Hospital list price billed
Average payment $39,539 Medicare + patient + other payers
Medicare paid $27,735 Average per stay
State rank #12 of 26 1 = lowest average payment

Hospitals in South Carolina billed an average of $140,148 for other operating room procedures for injuries with major complications, about 3.5 times the average total payment of $39,539. That payment is 10% below the U.S. average of $43,774.

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 $39,539Billed $140,148

About 28¢ 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 operating room procedures for injuries 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
MUSC Medical CenterCharleston 23 $164,965 $51,896 $38,831
Greenville Memorial HospitalGreenville 19 $145,650 $41,928 $23,585
McLeod Regional Medical CenterFlorence 16 $93,560 $28,513 $20,783
Spartanburg Regional Medical CenterSpartanburg 12 $139,270 $32,079 $29,200
Lexington Medical CenterWest Columbia 11 $147,475 $33,749 $20,218
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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

McLeod Regional Medical CenterFlorence, SC$28,513
Spartanburg Regional Medical CenterSpartanburg, SC$32,079
Lexington Medical CenterWest Columbia, SC$33,749
Greenville Memorial HospitalGreenville, SC$41,928
MUSC Medical CenterCharleston, SC$51,896

Highest

MUSC Medical CenterCharleston, SC$51,896
Greenville Memorial HospitalGreenville, SC$41,928
Lexington Medical CenterWest Columbia, SC$33,749
Spartanburg Regional Medical CenterSpartanburg, SC$32,079
McLeod Regional Medical CenterFlorence, SC$28,513

Other operating room procedures for injuries with major complications in other states

Questions

How much does other operating room procedures for injuries with major complications cost in South Carolina?

In 2024 Medicare data, a hospital stay for other operating room procedures for injuries with major complications (DRG 907) at 5 hospitals in South Carolina was billed at $140,148 on average, while the average total payment was $39,539, of which Medicare paid $27,735. 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 3.5 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.