facebook tracking Pulmonary embolism with major complications or acute cor pulmonale cost in South Carolina: 19 hospitals compared (DRG 175)

Pulmonary embolism with major complications or acute cor pulmonale in South Carolina

What 19 hospitals in South Carolina charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.

DRG 175 Inpatient 2024 Medicare data
Average charge $59,999 Hospital list price billed
Average payment $12,234 Medicare + patient + other payers
Medicare paid $9,256 Average per stay
State rank #19 of 48 1 = lowest average payment

Hospitals in South Carolina billed an average of $59,999 for pulmonary embolism with major complications or acute cor pulmonale, about 4.9 times the average total payment of $12,234. That payment is 9% below the U.S. average of $13,466.

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 $12,234Billed $59,999

About 20¢ 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: pulmonary embolism with major complications or acute cor pulmonale

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 40 $68,970 $11,437 $9,030
Lexington Medical CenterWest Columbia 37 $60,911 $11,211 $8,432
Spartanburg Regional Medical CenterSpartanburg 36 $52,507 $13,794 $10,607
Roper HospitalCharleston 28 $47,946 $8,969 $7,117
MUSC Medical CenterCharleston 24 $46,568 $18,766 $12,039
Piedmont Healthcare SystemRock Hill 22 $76,496 $8,667 $6,710
Greenville Memorial HospitalGreenville 22 $46,001 $16,573 $9,063
MUSC Health Columbia Medical Center DowntownColumbia 20 $31,916 $9,786 $7,039
Grand Strand Reg Med CenterMyrtle Beach 20 $83,458 $11,933 $10,157
Palmetto Richland Mem HospColumbia 16 $57,605 $14,586 $11,693
Self Regional HealthcareGreenwood 16 $52,604 $15,304 $11,763
Trident Medical CenterCharleston 16 $104,734 $11,822 $7,863
Bon Secours-St Francis Xavier HospitalCharleston 14 $54,513 $11,394 $8,769
Hilton Head Regional Medical CenterHilton Head Island 14 $63,405 $12,810 $11,404
Aiken Regional Medical CenterAiken 14 $72,790 $10,062 $8,971
Anmed HealthAnderson 12 $69,610 $13,044 $11,797
Palmetto Health BaptistColumbia 12 $49,679 $11,255 $9,382
St Francis-DowntownGreenville 11 $56,157 $10,534 $7,156
McLeod Loris HospitalLoris 11 $52,357 $8,677 $7,935
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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

Piedmont Healthcare SystemRock Hill, SC$8,667
McLeod Loris HospitalLoris, SC$8,677
Roper HospitalCharleston, SC$8,969
MUSC Health Columbia Medical Center DowntownColumbia, SC$9,786
Aiken Regional Medical CenterAiken, SC$10,062

Highest

MUSC Medical CenterCharleston, SC$18,766
Greenville Memorial HospitalGreenville, SC$16,573
Self Regional HealthcareGreenwood, SC$15,304
Palmetto Richland Mem HospColumbia, SC$14,586
Spartanburg Regional Medical CenterSpartanburg, SC$13,794

Pulmonary embolism with major complications or acute cor pulmonale in other states

Questions

How much does pulmonary embolism with major complications or acute cor pulmonale cost in South Carolina?

In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 19 hospitals in South Carolina was billed at $59,999 on average, while the average total payment was $12,234, of which Medicare paid $9,256. 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 4.9 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.