South Carolina / MUSC Health Florence Medical Center

CMS certification 420091 · Florence, SC · 3 entries in CMS's price-transparency list

MUSC Health Florence Medical Center: charges and Medicare payments

MUSC Health Florence Medical Center reported 1,811 Medicare inpatient stays across 61 DRGs in 2024. Across them it charged 7.47 times what it was paid — among the higher ratios in South Carolina, number 8 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: 255 stays at an average charge of $90,786, 1% above the national average. It also billed 1,514 outpatient services, charging 19.7 times what Medicare paid.

1Medicare inpatient stays 1,811
2Charge ÷ paid, inpatient 7.47×
3Rank in SC (highest ratio = 1) 8 of 45
4CMS price-transparency actions 3

Average charge per stay at MUSC Health Florence Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 61 DRGs that can be compared with the national average, MUSC Health Florence Medical Center charged more than the national average in 40 (66%). 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	255	$90,786	+1%	$13,342
291 Heart Failure and Shock with MCC	128	$61,316	+9%	$8,664
193 Simple Pneumonia and Pleurisy with MCC	64	$75,038	+26%	$9,192
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	58	$45,642	+23%	$5,603
189 Pulmonary Edema and Respiratory Failure	43	$69,957	+22%	$8,463
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	43	$54,740	+12%	$7,465
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	40	$48,982	-19%	$8,924
690 Kidney and Urinary Tract Infections without MCC	39	$44,014	+16%	$5,875
683 Renal Failure with CC	38	$44,116	+8%	$6,333
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	36	$58,676	+5%	$7,500
071 Other Cerebrovascular Disorders with CC	35	$53,528	+6%	$7,056
378 Gastrointestinal Hemorrhage with CC	35	$59,732	+23%	$6,888
177 Respiratory Infections and Inflammations with MCC	34	$93,647	+33%	$12,643
309 Cardiac Arrhythmia and Conduction Disorders with CC	34	$45,674	+26%	$5,398
312 Syncope and Collapse	34	$39,344	-14%	$6,387
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	34	$48,361	+20%	$5,692
853 Infectious and Parasitic Diseases with O.R. Procedures with...	34	$215,340	-6%	$30,767
377 Gastrointestinal Hemorrhage with MCC	32	$103,394	+21%	$11,824
682 Renal Failure with MCC	32	$74,760	+13%	$11,299
100 Seizures with MCC	31	$98,393	+4%	$12,925
194 Simple Pneumonia and Pleurisy with CC	30	$41,477	+8%	$5,840
287 Circulatory Disorders except AMI, with Cardiac...	29	$59,427	-7%	$8,027
280 Acute Myocardial Infarction, Discharged Alive with MCC	28	$77,176	+2%	$11,468
308 Cardiac Arrhythmia and Conduction Disorders with MCC	26	$92,207	+63%	$9,931
101 Seizures without MCC	25	$42,060	-14%	$6,467
322 Percutaneous Cardiovascular Procedures with Intraluminal...	25	$109,145	-5%	$13,413
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	24	$87,128	-13%	$13,689
689 Kidney and Urinary Tract Infections with MCC	24	$75,610	+47%	$9,494
286 Circulatory Disorders except AMI, with Cardiac...	23	$107,111	-5%	$14,436
481 Hip and Femur Procedures except Major Joint with CC	23	$131,608	+31%	$13,558
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	21	$84,079	+38%	$9,505
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	20	$29,687	+3%	$4,306
329 Major Small and Large Bowel Procedures with MCC	20	$247,221	+15%	$29,389
812 Red Blood Cell Disorders without MCC	20	$43,174	-3%	$6,859
281 Acute Myocardial Infarction, Discharged Alive with CC	19	$56,238	+11%	$6,464
178 Respiratory Infections and Inflammations with CC	17	$52,807	+17%	$6,898
190 Chronic Obstructive Pulmonary Disease with MCC	17	$51,065	+1%	$7,456
208 Respiratory System Diagnosis with Ventilator Support <=96...	17	$131,693	-3%	$18,973
314 Other Circulatory System Diagnoses with MCC	17	$80,882	-15%	$12,741
321 Percutaneous Cardiovascular Procedures with Intraluminal...	17	$124,828	-24%	$19,684
432 Cirrhosis and Alcoholic Hepatitis with MCC	16	$89,877	-6%	$13,949
552 Medical Back Problems without MCC	16	$45,949	-6%	$6,700
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	16	$33,803	-9%	$6,612
069 Transient Ischemia without Thrombolytic	15	$53,500	+6%	$5,765
070 Other Cerebrovascular Disorders with MCC	15	$67,466	-11%	$11,134
603 Cellulitis without MCC	15	$32,287	-13%	$6,293
066 Intracranial Hemorrhage or Cerebral Infarction without...	14	$51,354	+21%	$5,462
299 Peripheral Vascular Disorders with MCC	14	$55,149	-27%	$10,447
330 Major Small and Large Bowel Procedures with CC	14	$225,126	+89%	$19,426
389 Gastrointestinal Obstruction with CC	14	$47,755	+23%	$5,618
698 Other Kidney and Urinary Tract Diagnoses with MCC	14	$66,471	-9%	$10,297
854 Infectious and Parasitic Diseases with O.R. Procedures with...	14	$158,290	+61%	$12,897
313 Chest Pain	13	$48,031	+20%	$5,252
418 Laparoscopic Cholecystectomy without C.D.E. with CC	13	$174,458	+87%	$11,157
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	13	$120,819	+18%	$14,159
637 Diabetes with MCC	13	$71,475	+7%	$9,736
638 Diabetes with CC	13	$42,784	+3%	$6,252
811 Red Blood Cell Disorders with MCC	13	$46,646	-32%	$11,037
870 Septicemia or Severe Sepsis with MV >96 Hours	13	$379,213	+17%	$57,339
252 Other Vascular Procedures with MCC	11	$161,413	-6%	$21,497

Showing the 60 most frequent of 61 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	162	$26,157	$2,286
Level 4 Urology and Related Services	160	$59,833	$2,958
Level 1 Endovascular Procedures	143	$51,565	$2,725
Level 3 Urology and Related Services	122	$43,498	$1,724
Level 2 Musculoskeletal Procedures	113	$32,174	$1,338
Level 5 Urology and Related Services	109	$75,602	$4,335
Level 2 Excision/ Biopsy/ Incision and Drainage	106	$23,972	$1,389
Level 1 Laparoscopy and Related Services	74	$95,471	$4,836
Level 3 Musculoskeletal Procedures	56	$61,034	$2,745
Level 4 Musculoskeletal Procedures	54	$94,205	$5,860
Level 3 Endovascular Procedures	47	$104,526	$9,251
Level 3 Vascular Procedures	45	$35,470	$2,730
Level 3 Excision/ Biopsy/ Incision and Drainage	44	$42,679	$2,378
Level 5 Musculoskeletal Procedures	39	$102,371	$11,259
Level 2 Upper GI Procedures	39	$26,299	$1,630
Level 4 Airway Endoscopy	33	$124,518	$3,207
Level 2 Vascular Procedures	28	$27,650	$1,372
Level 3 Electrophysiologic Procedures	20	$143,274	$19,419
Level 2 Urology and Related Services	19	$16,060	$561
Level 4 Gynecologic Procedures	17	$61,287	$2,678
Level 2 Endovascular Procedures	16	$71,705	$4,896
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	16	$76,303	$2,668
Level 2 Laparoscopy and Related Services	14	$127,584	$8,813
Level 4 Neurostimulator and Related Procedures	14	$103,747	$17,474
Level 3 Airway Endoscopy	12	$42,133	$1,454

Against the South Carolina average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), MUSC Health Florence Medical Center charged $90,786 on average, 19% more than the South Carolina average of $76,532, and was paid $13,342 against a state average of $16,014. For Heart Failure and Shock with MCC (DRG 291), MUSC Health Florence Medical Center charged $61,316 on average, 34% more than the South Carolina average of $45,682, and was paid $8,664 against a state average of $10,696. For Simple Pneumonia and Pleurisy with MCC (DRG 193), MUSC Health Florence Medical Center charged $75,038 on average, 41% more than the South Carolina average of $53,401, and was paid $9,192 against a state average of $11,120. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC (DRG 641), MUSC Health Florence Medical Center charged $45,642 on average, 40% more than the South Carolina average of $32,702, and was paid $5,603 against a state average of $7,106. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,157 was 26% above the state average of $20,764. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $59,833 was 98% above the state average of $30,163. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $51,565 was 63% above the state average of $31,661. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $43,498 was 165% above the state average of $16,428.

Price-transparency record

CMS's enforcement list records these actions for a hospital named MUSC Health Florence Medical Center in Florence, SC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2024-02-05 (CMS case 665)
Closure Notice — 2024-05-13 (CMS case 665)
Met Requirements — 2026-02-24 (CMS case 7099)

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

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.