Simple pneumonia and pleurisy with complications in South Carolina
What 33 hospitals in South Carolina charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$34,432
Hospital list price billed
Average payment
$7,497
Medicare + patient + other payers
Medicare paid
$5,341
Average per stay
State rank
#24 of 47
1 = lowest average payment
Hospitals in South Carolina billed an average of $34,432 for simple pneumonia and pleurisy with complications, about 4.6 times the average total payment of $7,497. That payment is 6% below the U.S. average of $7,941.
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 $7,497Billed $34,432
About 22¢ 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: simple pneumonia and pleurisy with 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 |
|---|---|---|---|---|
| Spartanburg Regional Medical CenterSpartanburg | 96 | $31,334 | $8,235 | $5,834 |
| McLeod Regional Medical CenterFlorence | 71 | $36,713 | $7,259 | $5,453 |
| Anmed HealthAnderson | 56 | $37,999 | $9,070 | $5,935 |
| Conway Medical CenterConway | 46 | $28,392 | $7,792 | $5,405 |
| MUSC Medical CenterCharleston | 40 | $28,793 | $11,400 | $6,674 |
| St Francis-DowntownGreenville | 36 | $28,928 | $6,229 | $4,390 |
| Grand Strand Reg Med CenterMyrtle Beach | 31 | $55,087 | $7,568 | $5,093 |
| MUSC Health Florence Medical CenterFlorence | 30 | $41,477 | $5,840 | $4,365 |
| Pelham Medical CenterGreer | 29 | $31,623 | $4,973 | $3,623 |
| Lexington Medical CenterWest Columbia | 28 | $33,287 | $6,176 | $4,551 |
| Self Regional HealthcareGreenwood | 26 | $28,594 | $8,382 | $6,492 |
| Waccamaw Community HospitalMurrells Inlet | 22 | $21,664 | $6,454 | $4,543 |
| Roper HospitalCharleston | 21 | $32,656 | $5,280 | $3,638 |
| McLeod Loris HospitalLoris | 20 | $28,387 | $5,866 | $4,645 |
| Oconee Medical CenterSeneca | 19 | $25,992 | $7,106 | $5,489 |
| Beaufort County Memorial HospitalBeaufort | 19 | $17,666 | $6,641 | $5,009 |
| Piedmont Healthcare SystemRock Hill | 18 | $68,159 | $6,293 | $5,205 |
| Prisma Health Greer Memorial HospitalGreer | 18 | $25,120 | $9,096 | $5,918 |
| Hilton Head Regional Medical CenterHilton Head Island | 18 | $41,631 | $7,574 | $5,658 |
| Aiken Regional Medical CenterAiken | 18 | $46,354 | $6,736 | $5,245 |
| Bon Secours-St Francis Xavier HospitalCharleston | 17 | $29,269 | $6,844 | $4,891 |
| Newberry County Memorial HospitalNewberry | 15 | $22,777 | $7,466 | $5,645 |
| Trident Medical CenterCharleston | 14 | $70,630 | $6,950 | $5,290 |
| McLeod Health CherawCheraw | 14 | $31,203 | $7,239 | $6,423 |
| Cherokee Medical CenterGaffney | 13 | $24,551 | $9,541 | $8,411 |
| Greenville Memorial HospitalGreenville | 13 | $34,730 | $9,847 | $5,313 |
| Baptist Easley HospitalEasley | 12 | $37,259 | $5,816 | $4,837 |
| McLeod Medical Center - DillonDillon | 11 | $31,210 | $9,546 | $5,314 |
| Carolina Pines Regional Medical CenterHartsville | 11 | $48,190 | $6,329 | $4,993 |
| Cannon Memorial HospitalPickens | 11 | $37,686 | $7,540 | $6,211 |
| Tuomey Healthcare SystemSumter | 11 | $36,155 | $6,864 | $4,841 |
| Prisma Health Baptist ParkridgeColumbia | 11 | $32,337 | $6,816 | $4,491 |
| Roper St Francis Hospital-Berkeley INCSummerville | 11 | $28,040 | $6,538 | $4,615 |
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
| Pelham Medical CenterGreer, SC | $4,973 |
|---|---|
| Roper HospitalCharleston, SC | $5,280 |
| Baptist Easley HospitalEasley, SC | $5,816 |
| MUSC Health Florence Medical CenterFlorence, SC | $5,840 |
| McLeod Loris HospitalLoris, SC | $5,866 |
Highest
| MUSC Medical CenterCharleston, SC | $11,400 |
|---|---|
| Greenville Memorial HospitalGreenville, SC | $9,847 |
| McLeod Medical Center - DillonDillon, SC | $9,546 |
| Cherokee Medical CenterGaffney, SC | $9,541 |
| Prisma Health Greer Memorial HospitalGreer, SC | $9,096 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in South Carolina?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 33 hospitals in South Carolina was billed at $34,432 on average, while the average total payment was $7,497, of which Medicare paid $5,341. 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.