facebook tracking Pulmonary embolism without major complications cost in South Carolina: 12 hospitals compared (DRG 176)

Pulmonary embolism without major complications in South Carolina

What 12 hospitals in South Carolina charged and were paid for a Medicare hospital stay for pulmonary embolism without major complications (DRG 176), from 2024 Medicare claims.

DRG 176 Inpatient 2024 Medicare data
Average charge $34,211 Hospital list price billed
Average payment $7,397 Medicare + patient + other payers
Medicare paid $5,212 Average per stay
State rank #13 of 39 1 = lowest average payment

Hospitals in South Carolina billed an average of $34,211 for pulmonary embolism without major complications, about 4.6 times the average total payment of $7,397. That payment is 11% below the U.S. average of $8,294.

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 $7,397Billed $34,211

About 22¢ 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 without 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
Lexington Medical CenterWest Columbia 29 $29,446 $7,379 $4,096
Grand Strand Reg Med CenterMyrtle Beach 22 $64,165 $7,230 $5,498
Spartanburg Regional Medical CenterSpartanburg 21 $32,534 $7,625 $5,959
MUSC Medical CenterCharleston 17 $26,683 $10,596 $6,121
McLeod Regional Medical CenterFlorence 17 $36,079 $6,951 $5,734
Beaufort County Memorial HospitalBeaufort 15 $19,899 $7,352 $5,092
Piedmont Healthcare SystemRock Hill 14 $52,554 $5,556 $4,391
St Francis-DowntownGreenville 14 $33,767 $6,300 $4,502
Bon Secours-St Francis Xavier HospitalCharleston 14 $29,423 $7,514 $5,064
Self Regional HealthcareGreenwood 13 $20,605 $8,324 $6,607
MUSC Health Columbia Medical Center DowntownColumbia 11 $15,292 $5,438 $3,806
Anmed HealthAnderson 11 $36,642 $7,608 $5,997
Advertisement

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 Columbia Medical Center DowntownColumbia, SC$5,438
Piedmont Healthcare SystemRock Hill, SC$5,556
St Francis-DowntownGreenville, SC$6,300
McLeod Regional Medical CenterFlorence, SC$6,951
Grand Strand Reg Med CenterMyrtle Beach, SC$7,230

Highest

MUSC Medical CenterCharleston, SC$10,596
Self Regional HealthcareGreenwood, SC$8,324
Spartanburg Regional Medical CenterSpartanburg, SC$7,625
Anmed HealthAnderson, SC$7,608
Bon Secours-St Francis Xavier HospitalCharleston, SC$7,514

Pulmonary embolism without major complications in other states

Questions

How much does pulmonary embolism without major complications cost in South Carolina?

In 2024 Medicare data, a hospital stay for pulmonary embolism without major complications (DRG 176) at 12 hospitals in South Carolina was billed at $34,211 on average, while the average total payment was $7,397, of which Medicare paid $5,212. 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 4.6 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.