Mcleod Loris Hospital: charges and Medicare payments

Mcleod Loris Hospital reported 3,120 Medicare inpatient stays across 87 DRGs in 2024. Across them it charged 5.15 times what it was paid — among the higher ratios in South Carolina, number 15 of 45 hospitals with at least 100 stays (state median 4.13×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 372 stays at an average charge of $54,138, 40% below the national average. It also billed 4,799 outpatient services, charging 8.64 times what Medicare paid.

1Medicare inpatient stays 3,120
2Charge ÷ paid, inpatient 5.15×
3Rank in SC (highest ratio = 1) 15 of 45
4CMS price-transparency actions 0

Average charge per stay at Mcleod Loris Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 87 DRGs that can be compared with the national average, Mcleod Loris Hospital charged more than the national average in 4 (5%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	372	$54,138	-40%	$13,102
291 Heart Failure and Shock with MCC	254	$37,387	-34%	$8,801
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	112	$35,210	-28%	$7,972
309 Cardiac Arrhythmia and Conduction Disorders with CC	82	$30,433	-16%	$5,454
177 Respiratory Infections and Inflammations with MCC	76	$56,627	-20%	$11,397
193 Simple Pneumonia and Pleurisy with MCC	72	$44,510	-26%	$8,826
378 Gastrointestinal Hemorrhage with CC	67	$37,022	-24%	$8,088
189 Pulmonary Edema and Respiratory Failure	66	$50,660	-12%	$8,428
280 Acute Myocardial Infarction, Discharged Alive with MCC	63	$59,402	-22%	$11,577
689 Kidney and Urinary Tract Infections with MCC	58	$46,208	-10%	$7,772
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	57	$31,624	-15%	$5,896
690 Kidney and Urinary Tract Infections without MCC	57	$31,791	-16%	$5,601
853 Infectious and Parasitic Diseases with O.R. Procedures with...	54	$131,818	-42%	$30,111
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	53	$31,451	-22%	$5,603
698 Other Kidney and Urinary Tract Diagnoses with MCC	52	$43,541	-41%	$10,527
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	50	$23,851	-17%	$4,600
481 Hip and Femur Procedures except Major Joint with CC	50	$80,702	-20%	$15,328
312 Syncope and Collapse	48	$31,970	-30%	$6,456
682 Renal Failure with MCC	48	$42,044	-36%	$10,229
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	46	$94,810	-7%	$13,693
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	46	$41,824	-31%	$9,604
683 Renal Failure with CC	46	$30,859	-24%	$6,716
308 Cardiac Arrhythmia and Conduction Disorders with MCC	45	$47,254	-17%	$8,939
322 Percutaneous Cardiovascular Procedures with Intraluminal...	45	$120,831	+5%	$13,166
069 Transient Ischemia without Thrombolytic	39	$38,282	-24%	$5,705
305 Hypertension without MCC	37	$29,483	-26%	$5,678
377 Gastrointestinal Hemorrhage with MCC	34	$68,576	-20%	$12,142
603 Cellulitis without MCC	34	$29,240	-22%	$6,230
470 Major Hip and Knee Joint Replacement or Reattachment of...	31	$92,797	0%	$13,984
281 Acute Myocardial Infarction, Discharged Alive with CC	28	$47,264	-6%	$6,243
811 Red Blood Cell Disorders with MCC	27	$38,515	-43%	$9,340
190 Chronic Obstructive Pulmonary Disease with MCC	26	$31,453	-38%	$7,495
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	26	$41,940	-31%	$8,693
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	25	$42,767	-23%	$6,923
071 Other Cerebrovascular Disorders with CC	25	$37,855	-25%	$7,147
287 Circulatory Disorders except AMI, with Cardiac...	25	$49,625	-22%	$7,475
313 Chest Pain	25	$31,165	-22%	$5,198
389 Gastrointestinal Obstruction with CC	25	$28,485	-27%	$5,618
035 Carotid Artery Stent Procedures with CC	24	$75,988	-33%	$15,029
854 Infectious and Parasitic Diseases with O.R. Procedures with...	24	$77,370	-21%	$13,339
812 Red Blood Cell Disorders without MCC	23	$35,707	-20%	$6,494
330 Major Small and Large Bowel Procedures with CC	22	$125,323	+5%	$15,788
243 Permanent Cardiac Pacemaker Implant with CC	21	$99,337	-11%	$18,630
638 Diabetes with CC	21	$31,888	-23%	$6,357
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	21	$54,743	-19%	$9,111
036 Carotid Artery Stent Procedures without CC/MCC	20	$72,212	-18%	$12,069
194 Simple Pneumonia and Pleurisy with CC	20	$28,387	-26%	$5,866
418 Laparoscopic Cholecystectomy without C.D.E. with CC	20	$66,285	-29%	$10,976
286 Circulatory Disorders except AMI, with Cardiac...	19	$60,752	-46%	$14,495
390 Gastrointestinal Obstruction without CC/MCC	19	$25,560	-9%	$4,149
066 Intracranial Hemorrhage or Cerebral Infarction without...	18	$34,579	-18%	$4,996
070 Other Cerebrovascular Disorders with MCC	18	$42,322	-44%	$11,367
178 Respiratory Infections and Inflammations with CC	18	$37,799	-17%	$6,810
419 Laparoscopic Cholecystectomy without C.D.E. without CC/MCC	18	$62,301	-20%	$8,953
092 Other Disorders of Nervous System with CC	17	$41,136	-20%	$6,912
149 Dysequilibrium	17	$32,226	-27%	$5,358
242 Permanent Cardiac Pacemaker Implant with MCC	17	$123,837	-23%	$21,498
439 Disorders of Pancreas except Malignancy with CC	17	$28,669	-34%	$7,460
552 Medical Back Problems without MCC	17	$38,123	-22%	$6,536
602 Cellulitis with MCC	17	$44,478	-26%	$9,703

Showing the 60 most frequent of 87 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 4 Urology and Related Services	490	$25,135	$2,958
Level 5 Musculoskeletal Procedures	387	$76,539	$11,085
Comprehensive Observation Services	381	$21,172	$2,320
Level 3 Urology and Related Services	347	$18,350	$1,733
Level 2 Endovascular Procedures	333	$15,148	$4,755
Level 2 Urology and Related Services	326	$15,693	$581
Level 1 Endovascular Procedures	237	$27,738	$2,770
Level 4 Musculoskeletal Procedures	222	$55,398	$6,083
Level 1 Laparoscopy and Related Services	176	$36,614	$4,920
Level 2 Excision/ Biopsy/ Incision and Drainage	164	$11,828	$1,369
Level 5 Urology and Related Services	163	$29,324	$4,389
Level 3 Vascular Procedures	135	$19,189	$2,651
Level 3 Musculoskeletal Procedures	107	$24,796	$2,712
Level 3 Endovascular Procedures	100	$47,857	$9,261
Level 2 Pacemaker and Similar Procedures	100	$30,430	$7,099
Level 3 Electrophysiologic Procedures	99	$160,769	$19,728
Level 2 Musculoskeletal Procedures	88	$13,641	$1,367
Level 3 Pacemaker and Similar Procedures	83	$60,707	$9,141
Level 2 Upper GI Procedures	77	$12,895	$1,630
Level 1 Nerve Procedures	77	$14,439	$1,654
Level 4 Vascular Procedures	74	$31,157	$4,707
Level 3 Airway Endoscopy	66	$13,296	$1,454
Level 3 Excision/ Biopsy/ Incision and Drainage	57	$17,387	$2,434
Level 6 Musculoskeletal Procedures	46	$113,701	$15,618
Level 4 Airway Endoscopy	46	$29,550	$3,207

Against the South Carolina average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mcleod Loris Hospital charged $54,138 on average, 29% less than the South Carolina average of $76,532, and was paid $13,102 against a state average of $16,014. For Heart Failure and Shock with MCC (DRG 291), Mcleod Loris Hospital charged $37,387 on average, 18% less than the South Carolina average of $45,682, and was paid $8,801 against a state average of $10,696. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Mcleod Loris Hospital charged $35,210 on average, 21% less than the South Carolina average of $44,459, and was paid $7,972 against a state average of $9,001. For Cardiac Arrhythmia and Conduction Disorders with CC (DRG 309), Mcleod Loris Hospital charged $30,433 on average, 7% less than the South Carolina average of $32,560, and was paid $5,454 against a state average of $6,825. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $25,135 was 17% below the state average of $30,163. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $76,539 was 5% below the state average of $80,461. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,172 was 2% above the state average of $20,764. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $18,350 was 12% above the state average of $16,428.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.