South Carolina / Mount Pleasant Hospital
CMS certification 420104 · Mount Pleasant, SC
Mount Pleasant Hospital: charges and Medicare payments
Mount Pleasant Hospital reported 672 Medicare inpatient stays across 25 DRGs in 2024. Across them it charged 4.28 times what it was paid — mid-range in South Carolina, number 20 of 45 hospitals with at least 100 stays (state median 4.13×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 98 stays at an average charge of $30,243, 46% below the national average. It also billed 1,347 outpatient services, charging 6.15 times what Medicare paid.
- 1Medicare inpatient stays 672
- 2Charge ÷ paid, inpatient 4.28×
- 3Rank in SC (highest ratio = 1) 20 of 45
- 4CMS price-transparency actions 0
Inpatient stays
For the 25 DRGs that can be compared with the national average, Mount Pleasant Hospital charged more than the national average in 1 (4%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 98 | $30,243 | -46% | $7,821 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 79 | $39,485 | -56% | $12,622 |
| 330 Major Small and Large Bowel Procedures with CC | 37 | $89,513 | -25% | $14,786 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 37 | $60,078 | -36% | $11,821 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 33 | $27,318 | -44% | $6,515 |
| 193 Simple Pneumonia and Pleurisy with MCC | 32 | $32,167 | -46% | $8,553 |
| 378 Gastrointestinal Hemorrhage with CC | 30 | $28,009 | -42% | $6,338 |
| 177 Respiratory Infections and Inflammations with MCC | 29 | $35,095 | -50% | $10,319 |
| 689 Kidney and Urinary Tract Infections with MCC | 29 | $26,822 | -48% | $7,079 |
| 603 Cellulitis without MCC | 25 | $22,775 | -39% | $7,267 |
| 683 Renal Failure with CC | 25 | $24,416 | -40% | $5,589 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 21 | $69,429 | -32% | $13,169 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 20 | $25,518 | -36% | $5,111 |
| 682 Renal Failure with MCC | 19 | $34,243 | -48% | $9,015 |
| 690 Kidney and Urinary Tract Infections without MCC | 18 | $29,164 | -23% | $5,094 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 17 | $32,903 | -55% | $9,472 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $37,303 | -33% | $6,128 |
| 329 Major Small and Large Bowel Procedures with MCC | 15 | $116,662 | -46% | $28,326 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $73,820 | -27% | $12,904 |
| 312 Syncope and Collapse | 14 | $32,654 | -28% | $5,447 |
| 389 Gastrointestinal Obstruction with CC | 14 | $20,361 | -48% | $4,863 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $22,576 | -39% | $4,930 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 13 | $88,742 | +3% | $20,142 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $38,406 | -36% | $8,272 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 11 | $31,263 | -45% | $7,271 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 449 | $48,702 | $11,214 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 150 | $7,349 | $1,382 |
| Comprehensive Observation Services | 134 | $16,172 | $2,362 |
| Level 3 Musculoskeletal Procedures | 101 | $19,624 | $2,727 |
| Level 2 Upper GI Procedures | 75 | $8,851 | $1,624 |
| Level 4 Musculoskeletal Procedures | 74 | $39,187 | $5,973 |
| Level 1 Laparoscopy and Related Services | 74 | $38,421 | $4,978 |
| Level 2 Musculoskeletal Procedures | 64 | $9,909 | $1,387 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 51 | $16,300 | $2,377 |
| Level 1 Nerve Procedures | 34 | $10,122 | $1,635 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 33 | $43,291 | $5,626 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 26 | $23,205 | $3,289 |
| Level 3 Lower GI Procedures | 26 | $13,741 | $2,423 |
| Level 4 Urology and Related Services | 26 | $15,636 | $3,008 |
| Level 3 Urology and Related Services | 19 | $11,788 | $1,758 |
| Level 3 Upper GI Procedures | 11 | $16,688 | $3,304 |
Against the South Carolina average
For Heart Failure and Shock with MCC (DRG 291), Mount Pleasant Hospital charged $30,243 on average, 34% less than the South Carolina average of $45,682, and was paid $7,821 against a state average of $10,696. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mount Pleasant Hospital charged $39,485 on average, 48% less than the South Carolina average of $76,532, and was paid $12,622 against a state average of $16,014. For Major Small and Large Bowel Procedures with CC (DRG 330), Mount Pleasant Hospital charged $89,513 on average, 24% less than the South Carolina average of $118,071, and was paid $14,786 against a state average of $20,784. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Mount Pleasant Hospital charged $60,078 on average, 37% less than the South Carolina average of $95,420, and was paid $11,821 against a state average of $14,497. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $48,702 was 39% below the state average of $80,461. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,349 was 37% below the state average of $11,718. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,172 was 22% below the state average of $20,764. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $19,624 was 25% below the state average of $26,235.
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.