Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in South Carolina
MS-DRG 219: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$362,783typical hospital bill
$76,062typical amount paid
$55,961–$87,744range paid across 5 hospitals
South Carolina hospitals billed Medicare a typical $362,783 for this stay in 2024, about 4.8 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Lexington Medical Center | West Columbia | 12 | $393,435 | $55,961 | |
| Roper Hospital | Charleston | 16 | $303,674 | $56,865 | |
| Prisma Health Greenville Memorial Hospital | Greenville | 22 | $348,983 | $76,062 | |
| Prisma Health Richland Hospital | Columbia | 21 | $439,421 | $87,647 | |
| Musc Medical Center | Charleston | 51 | $362,783 | $87,744 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.