The Price of Medicare Procedures in South Carolina



This table shows the 100 most frequently charged procedures/diagnosis in South Carolina to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 South-Carolina 434 $25502 $5127 $20375
Acute Myocardial Infarction Discharged Alive With Complications
 South-Carolina 714 $30945 $7340 $23605
Acute Myocardial Infarction Discharged Alive With Major Complications
 South-Carolina 1089 $45055 $11774 $33281
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 South-Carolina 272 $22724 $4709 $18015
Atherosclerosis No Major Complications
 South-Carolina 516 $15051 $3759 $11292
Back And Neck Proc Exc Spinal Fusion No Complications
 South-Carolina 677 $32683 $6908 $25775
Bronchitis And Asthma No Complications
 South-Carolina 272 $18394 $4162 $14232
Bronchitis And Asthma With Complications
 South-Carolina 577 $24015 $5536 $18479
Cardiac Arrhythmia And Conduction Disorders No Complications
 South-Carolina 2112 $14149 $3700 $10449
Cardiac Arrhythmia And Conduction Disorders With Complications
 South-Carolina 1752 $21305 $5477 $15828
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 South-Carolina 1078 $33087 $8267 $24820
Cellulitis No Major Complications
 South-Carolina 1966 $20425 $5506 $14919
Cellulitis With Major Complications
 South-Carolina 196 $36917 $9618 $27299
Cervical Spinal Fusion No Complications
 South-Carolina 714 $65103 $14247 $50856
Chest Pain
 South-Carolina 1982 $17205 $3548 $13657
Chronic Obstructive Pulmonary Disease No Complications
 South-Carolina 1905 $19353 $4645 $14708
Chronic Obstructive Pulmonary Disease With Complications
 South-Carolina 2295 $26173 $6231 $19942
Chronic Obstructive Pulmonary Disease With Major Complications
 South-Carolina 2606 $30946 $7657 $23289
Circulatory Disorders Except Ami With Card Cath No Major Complications
 South-Carolina 2579 $32244 $7246 $24998
Circulatory Disorders Except Ami With Card Cath With Major Complications
 South-Carolina 423 $53650 $14326 $39324
Cranial And Peripheral Nerve Disorders No Major Complications
 South-Carolina 307 $26048 $6134 $19914
Degenerative Nervous System Disorders No Major Complications
 South-Carolina 548 $24237 $6345 $17892
Diabetes With Complications
 South-Carolina 945 $21337 $5568 $15769
Disorders Of Pancreas Except Malignancy With Complications
 South-Carolina 451 $27032 $6959 $20073
Dysequilibrium
 South-Carolina 132 $17653 $4220 $13433
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 South-Carolina 3990 $20337 $4791 $15546
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 South-Carolina 666 $32846 $8100 $24746
Extracranial Procedures No Complications
 South-Carolina 721 $33960 $6687 $27273
Fractures Of Hip And Pelvis No Major Complications
 South-Carolina 396 $16040 $4364 $11676
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 South-Carolina 221 $22219 $4696 $17523
Gi Hemorrhage No Complications
 South-Carolina 584 $16911 $4509 $12402
Gi Hemorrhage With Complications
 South-Carolina 2626 $24170 $6618 $17552
Gi Hemorrhage With Major Complications
 South-Carolina 886 $41450 $11750 $29700
Gi Obstruction No Complications
 South-Carolina 630 $17931 $4187 $13744
Gi Obstruction With Complications
 South-Carolina 806 $25826 $6196 $19630
Heart Failure And Shock No Complications
 South-Carolina 1685 $16336 $4366 $11970
Heart Failure And Shock With Complications
 South-Carolina 3852 $23914 $6628 $17286
Heart Failure And Shock With Major Complications
 South-Carolina 3179 $37308 $9856 $27452
Hip And Femur Procedures Except Major Joint No Complications
 South-Carolina 316 $37401 $9855 $27546
Hip And Femur Procedures Except Major Joint With Complications
 South-Carolina 1433 $51948 $11885 $40063
Hip And Femur Procedures Except Major Joint With Major Complications
 South-Carolina 251 $83345 $20070 $63275
Hypertension No Major Complications
 South-Carolina 519 $17085 $3988 $13097
Infectious And Parasitic Diseases Or Procedure With Major Complications
 South-Carolina 599 $143128 $40096 $103032
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 South-Carolina 1053 $21829 $5374 $16455
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 South-Carolina 2026 $28774 $7460 $21314
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 South-Carolina 1212 $48430 $13435 $34995
Kidney And Urinary Tract Infections No Major Complications
 South-Carolina 3703 $19506 $5031 $14475
Kidney And Urinary Tract Infections With Major Complications
 South-Carolina 1307 $30398 $7856 $22542
Laparoscopic Cholecystectomy No Cde No Complications
 South-Carolina 381 $37581 $7450 $30131
Laparoscopic Cholecystectomy No Cde With Complications
 South-Carolina 345 $52226 $11210 $41016
Major Cardiovasc Procedures No Major Complications
 South-Carolina 594 $98635 $21021 $77614
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 South-Carolina 357 $32172 $8699 $23473
Major Joint Replacement Of Lower Extremity No Major Complications
 South-Carolina 7489 $57557 $13651 $43906
Major Joint Replacement Of Lower Extremity With Major Complications
 South-Carolina 288 $85234 $21720 $63514
Major Small And Large Bowel Procedures With Complications
 South-Carolina 908 $73080 $17808 $55272
Major Small And Large Bowel Procedures With Major Complications
 South-Carolina 646 $152247 $41031 $111216
Medical Back Problems No Major Complications
 South-Carolina 720 $22604 $5307 $17297
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 South-Carolina 2847 $17940 $4582 $13358
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 South-Carolina 1170 $29017 $7652 $21365
Other Circulatory System Diagnoses With Complications
 South-Carolina 284 $26318 $6637 $19681
Other Circulatory System Diagnoses With Major Complications
 South-Carolina 905 $48972 $12929 $36043
Other Digestive System Diagnoses With Complications
 South-Carolina 522 $27813 $6896 $20917
Other Kidney And Urinary Tract Diagnoses With Complications
 South-Carolina 344 $25602 $7750 $17852
Other Kidney And Urinary Tract Diagnoses With Major Complications
 South-Carolina 333 $38758 $11331 $27427
Other Vascular Procedures No Complications
 South-Carolina 425 $48248 $10871 $37377
Other Vascular Procedures With Complications
 South-Carolina 456 $71460 $16349 $55111
Other Vascular Procedures With Major Complications
 South-Carolina 552 $83822 $21405 $62417
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 South-Carolina 447 $70185 $13300 $56885
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 South-Carolina 2085 $70105 $13527 $56578
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 South-Carolina 530 $91050 $21940 $69110
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 South-Carolina 447 $65262 $12032 $53230
Peripheral Vascular Disorders No Complications
 South-Carolina 381 $15006 $4235 $10771
Peripheral Vascular Disorders With Complications
 South-Carolina 605 $22679 $6274 $16405
Permanent Cardiac Pacemaker Implant No Complications
 South-Carolina 566 $55331 $12901 $42430
Permanent Cardiac Pacemaker Implant With Complications
 South-Carolina 544 $72412 $17402 $55010
Poisoning And Toxic Effects Of Drugs No Major Complications
 South-Carolina 482 $18881 $4235 $14646
Poisoning And Toxic Effects Of Drugs With Major Complications
 South-Carolina 355 $40616 $9884 $30732
Psychoses
 South-Carolina 339 $18710 $6119 $12591
Pulmonary Edema And Respiratory Failure
 South-Carolina 1995 $31366 $8274 $23092
Pulmonary Embolism No Major Complications
 South-Carolina 695 $27959 $7002 $20957
Red Blood Cell Disorders No Major Complications
 South-Carolina 1965 $20284 $5535 $14749
Red Blood Cell Disorders With Major Complications
 South-Carolina 479 $32473 $9285 $23188
Renal Failure No Complications
 South-Carolina 420 $18359 $4138 $14221
Renal Failure With Complications
 South-Carolina 3244 $24367 $6649 $17718
Renal Failure With Major Complications
 South-Carolina 2066 $37409 $10896 $26513
Respiratory Infections And Inflammations With Complications
 South-Carolina 910 $37466 $9677 $27789
Respiratory Infections And Inflammations With Major Complications
 South-Carolina 1290 $52031 $13931 $38100
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 South-Carolina 512 $139190 $37412 $101778
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 South-Carolina 1164 $63979 $15389 $48590
Seizures No Major Complications
 South-Carolina 747 $21496 $5183 $16313
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 South-Carolina 2136 $27108 $7377 $19731
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 South-Carolina 5243 $47649 $12850 $34799
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 South-Carolina 285 $158270 $39562 $118708
Signs And Symptoms No Major Complications
 South-Carolina 860 $19115 $4489 $14626
Simple Pneumonia And Pleurisy No Complications
 South-Carolina 1426 $19190 $4561 $14629
Simple Pneumonia And Pleurisy With Complications
 South-Carolina 3109 $28571 $6534 $22037
Simple Pneumonia And Pleurisy With Major Complications
 South-Carolina 2491 $41412 $9697 $31715
Spinal Fusion Except Cervical No Major Complications
 South-Carolina 1536 $109431 $26848 $82583
Syncope And Collapse
 South-Carolina 2029 $19835 $4648 $15187
Transient Ischemia
 South-Carolina 1241 $20994 $4758 $16236


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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