Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in South Carolina
What 6 hospitals in South Carolina charged and were paid for a Medicare hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004), from 2024 Medicare claims.
Average charge
$472,021
Hospital list price billed
Average payment
$117,468
Medicare + patient + other payers
Medicare paid
$95,705
Average per stay
State rank
#12 of 24
1 = lowest average payment
Hospitals in South Carolina billed an average of $472,021 for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou, about 4.0 times the average total payment of $117,468. That payment is 16% below the U.S. average of $139,119.
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 $117,468Billed $472,021
About 25¢ was paid for every $1 hospitals in South Carolina billed for this stay.
South Carolina hospitals: tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou
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 |
|---|---|---|---|---|
| MUSC Medical CenterCharleston | 22 | $551,568 | $177,655 | $137,564 |
| Greenville Memorial HospitalGreenville | 22 | $338,444 | $96,482 | $71,810 |
| McLeod Regional Medical CenterFlorence | 16 | $394,072 | $68,631 | $43,634 |
| Palmetto Richland Mem HospColumbia | 13 | $443,308 | $135,520 | $121,412 |
| Trident Medical CenterCharleston | 12 | $826,173 | $86,907 | $83,516 |
| Spartanburg Regional Medical CenterSpartanburg | 11 | $341,046 | $122,110 | $118,437 |
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
| McLeod Regional Medical CenterFlorence, SC | $68,631 |
|---|---|
| Trident Medical CenterCharleston, SC | $86,907 |
| Greenville Memorial HospitalGreenville, SC | $96,482 |
| Spartanburg Regional Medical CenterSpartanburg, SC | $122,110 |
| Palmetto Richland Mem HospColumbia, SC | $135,520 |
Highest
| MUSC Medical CenterCharleston, SC | $177,655 |
|---|---|
| Palmetto Richland Mem HospColumbia, SC | $135,520 |
| Spartanburg Regional Medical CenterSpartanburg, SC | $122,110 |
| Greenville Memorial HospitalGreenville, SC | $96,482 |
| Trident Medical CenterCharleston, SC | $86,907 |
Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in other states
Questions
How much does tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou cost in South Carolina?
In 2024 Medicare data, a hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004) at 6 hospitals in South Carolina was billed at $472,021 on average, while the average total payment was $117,468, of which Medicare paid $95,705. 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 4.0 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.