Simple pneumonia and pleurisy with major complications in South Carolina
What 46 hospitals in South Carolina charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$53,637
Hospital list price billed
Average payment
$11,106
Medicare + patient + other payers
Medicare paid
$8,894
Average per stay
State rank
#21 of 50
1 = lowest average payment
Hospitals in South Carolina billed an average of $53,637 for simple pneumonia and pleurisy with major complications, about 4.8 times the average total payment of $11,106. That payment is 8% below the U.S. average of $12,020.
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 $11,106Billed $53,637
About 21¢ 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 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 | 190 | $54,455 | $10,854 | $8,513 |
| Spartanburg Regional Medical CenterSpartanburg | 158 | $48,215 | $12,320 | $10,104 |
| Anmed HealthAnderson | 125 | $54,062 | $12,364 | $10,368 |
| Lexington Medical CenterWest Columbia | 121 | $42,384 | $10,509 | $7,742 |
| Grand Strand Reg Med CenterMyrtle Beach | 112 | $83,264 | $11,983 | $9,190 |
| Piedmont Healthcare SystemRock Hill | 97 | $93,455 | $9,410 | $7,902 |
| St Francis-DowntownGreenville | 91 | $52,474 | $9,234 | $7,561 |
| Self Regional HealthcareGreenwood | 90 | $43,814 | $14,224 | $11,362 |
| Trident Medical CenterCharleston | 87 | $103,569 | $9,872 | $8,551 |
| Waccamaw Community HospitalMurrells Inlet | 86 | $31,910 | $9,878 | $7,909 |
| MUSC Medical CenterCharleston | 75 | $38,876 | $17,277 | $11,307 |
| McLeod Loris HospitalLoris | 72 | $44,510 | $8,826 | $7,514 |
| Roper HospitalCharleston | 69 | $38,890 | $9,292 | $6,867 |
| MUSC Health Florence Medical CenterFlorence | 64 | $75,038 | $9,192 | $7,725 |
| Hilton Head Regional Medical CenterHilton Head Island | 63 | $58,759 | $11,952 | $10,657 |
| MUSC Health Columbia Medical Center DowntownColumbia | 57 | $34,585 | $8,701 | $7,421 |
| Greenville Memorial HospitalGreenville | 56 | $55,806 | $14,670 | $10,505 |
| Aiken Regional Medical CenterAiken | 51 | $76,970 | $10,266 | $8,773 |
| Bon Secours-St Francis Xavier HospitalCharleston | 43 | $41,513 | $10,194 | $8,266 |
| Oconee Medical CenterSeneca | 36 | $37,324 | $11,491 | $9,517 |
| Beaufort County Memorial HospitalBeaufort | 36 | $27,923 | $10,685 | $9,325 |
| Prisma Health Greer Memorial HospitalGreer | 35 | $32,428 | $12,560 | $9,015 |
| Georgetown Memorial HospitalGeorgetown | 33 | $31,890 | $10,564 | $8,963 |
| Mount Pleasant HospitalMount Pleasant | 32 | $32,167 | $8,553 | $6,636 |
| Palmetto Richland Mem HospColumbia | 31 | $45,758 | $12,908 | $10,126 |
| Tuomey Healthcare SystemSumter | 30 | $49,973 | $10,283 | $9,018 |
| Roper St Francis Hospital-Berkeley INCSummerville | 30 | $35,206 | $9,866 | $7,662 |
| Carolina Pines Regional Medical CenterHartsville | 29 | $66,917 | $10,160 | $7,964 |
| Baptist Easley HospitalEasley | 28 | $34,015 | $8,646 | $7,574 |
| Pelham Medical CenterGreer | 28 | $43,005 | $7,949 | $6,282 |
| McLeod Medical Center - DillonDillon | 23 | $46,869 | $13,729 | $10,468 |
| East Cooper Reg Med CenterMt Pleasant | 22 | $70,900 | $8,287 | $5,955 |
| Conway Medical CenterConway | 20 | $51,482 | $11,814 | $9,372 |
| McLeod Health ClarendonManning | 20 | $41,249 | $13,979 | $12,251 |
| Colleton Medical CenterWalterboro | 19 | $59,182 | $10,910 | $9,872 |
| McLeod Health CherawCheraw | 19 | $45,394 | $10,539 | $9,852 |
| MUSC Health Lancaster Medical CenterLancaster | 18 | $96,580 | $13,498 | $8,886 |
| Palmetto Health BaptistColumbia | 16 | $43,786 | $10,970 | $8,948 |
| Laurens County Healthcare SystClinton | 15 | $45,250 | $12,180 | $9,699 |
| Newberry County Memorial HospitalNewberry | 15 | $32,323 | $11,852 | $10,764 |
| Coastal Carolina HospitalHardeeville | 15 | $62,915 | $7,639 | $6,551 |
| Chester Regional Medical CenterChester | 13 | $44,136 | $13,878 | $12,468 |
| KershawhealthCamden | 13 | $42,642 | $9,495 | $8,463 |
| Hillcrest Memorial HospitalSimpsonville | 12 | $41,178 | $11,427 | $5,752 |
| Cherokee Medical CenterGaffney | 12 | $55,288 | $13,434 | $12,618 |
| Prisma Health Baptist ParkridgeColumbia | 12 | $50,536 | $9,134 | $7,460 |
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
| Coastal Carolina HospitalHardeeville, SC | $7,639 |
|---|---|
| Pelham Medical CenterGreer, SC | $7,949 |
| East Cooper Reg Med CenterMt Pleasant, SC | $8,287 |
| Mount Pleasant HospitalMount Pleasant, SC | $8,553 |
| Baptist Easley HospitalEasley, SC | $8,646 |
Highest
| MUSC Medical CenterCharleston, SC | $17,277 |
|---|---|
| Greenville Memorial HospitalGreenville, SC | $14,670 |
| Self Regional HealthcareGreenwood, SC | $14,224 |
| McLeod Health ClarendonManning, SC | $13,979 |
| Chester Regional Medical CenterChester, SC | $13,878 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in South Carolina?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 46 hospitals in South Carolina was billed at $53,637 on average, while the average total payment was $11,106, of which Medicare paid $8,894. 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 4.8 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.