facebook tracking Pulmonary edema and respiratory failure cost in South Carolina: 36 hospitals compared (DRG 189)

Pulmonary edema and respiratory failure in South Carolina

What 36 hospitals in South Carolina charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.

DRG 189 Inpatient 2024 Medicare data
Average charge $55,613 Hospital list price billed
Average payment $10,957 Medicare + patient + other payers
Medicare paid $8,507 Average per stay
State rank #20 of 50 1 = lowest average payment

Hospitals in South Carolina billed an average of $55,613 for pulmonary edema and respiratory failure, about 5.1 times the average total payment of $10,957. That payment is 10% below the U.S. average of $12,197.

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 $10,957Billed $55,613

About 20¢ was paid for every $1 hospitals in South Carolina billed for this stay.

South Carolina hospitals: pulmonary edema and respiratory failure

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 340 $56,311 $9,504 $7,666
MUSC Medical CenterCharleston 132 $59,995 $18,725 $11,502
McLeod Regional Medical CenterFlorence 116 $56,231 $11,546 $8,335
Spartanburg Regional Medical CenterSpartanburg 108 $43,365 $11,036 $9,024
Anmed HealthAnderson 95 $59,887 $12,420 $9,678
Piedmont Healthcare SystemRock Hill 74 $88,262 $9,156 $7,554
St Francis-DowntownGreenville 70 $63,679 $10,001 $7,687
Trident Medical CenterCharleston 68 $96,002 $10,263 $8,163
McLeod Loris HospitalLoris 66 $50,660 $8,428 $7,266
Greenville Memorial HospitalGreenville 57 $34,548 $12,417 $9,115
Grand Strand Reg Med CenterMyrtle Beach 57 $72,294 $10,554 $8,667
MUSC Health Columbia Medical Center DowntownColumbia 55 $46,868 $8,784 $7,598
Palmetto Richland Mem HospColumbia 53 $49,202 $12,819 $10,033
Aiken Regional Medical CenterAiken 46 $74,684 $9,586 $8,406
Conway Medical CenterConway 45 $47,193 $10,494 $8,420
MUSC Health Florence Medical CenterFlorence 43 $69,957 $8,463 $7,628
Self Regional HealthcareGreenwood 42 $37,275 $13,314 $10,886
Beaufort County Memorial HospitalBeaufort 35 $26,455 $10,234 $8,477
Prisma Health Greer Memorial HospitalGreer 33 $43,889 $13,086 $9,160
Roper HospitalCharleston 32 $40,830 $9,434 $6,264
Oconee Medical CenterSeneca 30 $38,641 $10,392 $8,300
Tuomey Healthcare SystemSumter 30 $31,909 $9,065 $7,806
MUSC Health Lancaster Medical CenterLancaster 24 $70,023 $11,712 $8,013
Hilton Head Regional Medical CenterHilton Head Island 24 $56,376 $13,411 $10,253
KershawhealthCamden 22 $45,895 $9,470 $8,506
Baptist Easley HospitalEasley 21 $38,119 $9,684 $7,193
Colleton Medical CenterWalterboro 20 $49,065 $10,322 $8,764
Laurens County Healthcare SystClinton 19 $42,225 $10,583 $9,466
Bon Secours-St Francis Xavier HospitalCharleston 18 $41,002 $8,881 $7,974
McLeod Health CherawCheraw 18 $50,474 $10,106 $9,199
Carolina Pines Regional Medical CenterHartsville 17 $70,479 $10,151 $7,426
Pelham Medical CenterGreer 16 $45,625 $7,925 $6,701
Waccamaw Community HospitalMurrells Inlet 15 $31,610 $9,504 $7,453
Roper St Francis Hospital-Berkeley INCSummerville 15 $44,988 $9,651 $7,841
Hillcrest Memorial HospitalSimpsonville 14 $41,250 $7,792 $6,308
Palmetto Health BaptistColumbia 12 $59,096 $10,976 $8,655
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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.

Highest

MUSC Medical CenterCharleston, SC$18,725
Hilton Head Regional Medical CenterHilton Head Island, SC$13,411
Self Regional HealthcareGreenwood, SC$13,314
Prisma Health Greer Memorial HospitalGreer, SC$13,086
Palmetto Richland Mem HospColumbia, SC$12,819

Pulmonary edema and respiratory failure in other states

Questions

How much does pulmonary edema and respiratory failure cost in South Carolina?

In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 36 hospitals in South Carolina was billed at $55,613 on average, while the average total payment was $10,957, of which Medicare paid $8,507. 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 5.1 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.