facebook tracking Peripheral, cranial nerve and other nervous system procedures with major complications cost in South Carolina: 3 hospitals compared (DRG 040)

Peripheral, cranial nerve and other nervous system procedures with major complications in South Carolina

What 3 hospitals in South Carolina charged and were paid for a Medicare hospital stay for peripheral, cranial nerve and other nervous system procedures with major complications (DRG 040), from 2024 Medicare claims.

DRG 040 Inpatient 2024 Medicare data
Average charge $169,170 Hospital list price billed
Average payment $29,113 Medicare + patient + other payers
Medicare paid $25,133 Average per stay
State rank #1 of 6 1 = lowest average payment

Hospitals in South Carolina billed an average of $169,170 for peripheral, cranial nerve and other nervous system procedures with major complications, about 5.8 times the average total payment of $29,113. That payment is 30% below the U.S. average of $41,616.

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 $29,113Billed $169,170

About 17¢ 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: peripheral, cranial nerve and other nervous system procedures 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
McLeod Regional Medical CenterFlorence 16 $102,811 $28,111 $21,278
Trident Medical CenterCharleston 16 $243,804 $26,430 $25,075
Palmetto Richland Mem HospColumbia 12 $158,137 $34,027 $30,349
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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

Trident Medical CenterCharleston, SC$26,430
McLeod Regional Medical CenterFlorence, SC$28,111
Palmetto Richland Mem HospColumbia, SC$34,027

Highest

Palmetto Richland Mem HospColumbia, SC$34,027
McLeod Regional Medical CenterFlorence, SC$28,111
Trident Medical CenterCharleston, SC$26,430

Peripheral, cranial nerve and other nervous system procedures with major complications in other states

Questions

How much does peripheral, cranial nerve and other nervous system procedures with major complications cost in South Carolina?

In 2024 Medicare data, a hospital stay for peripheral, cranial nerve and other nervous system procedures with major complications (DRG 040) at 3 hospitals in South Carolina was billed at $169,170 on average, while the average total payment was $29,113, of which Medicare paid $25,133. 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 5.8 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.