Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc in South Carolina
MS-DRG 494: Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
$91,211typical hospital bill
$15,202typical amount paid
$11,977–$20,654range paid across 5 hospitals
South Carolina hospitals billed Medicare a typical $91,211 for this stay in 2024, about 6.0 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 | |
|---|---|---|---|---|---|
| Roper Hospital | Charleston | 11 | $62,032 | $11,977 | |
| Lexington Medical Center | West Columbia | 11 | $72,449 | $13,385 | |
| Grand Strand Regional Medical Center | Myrtle Beach | 16 | $211,846 | $15,202 | |
| Spartanburg Medical Center | Spartanburg | 14 | $91,211 | $17,385 | |
| Musc Medical Center | Charleston | 11 | $115,156 | $20,654 |
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.