South Carolina / Roper Hospital
CMS certification 420087 · Charleston, SC · 3 entries in CMS's price-transparency list
Roper Hospital: charges and Medicare payments
Roper Hospital reported 3,741 Medicare inpatient stays across 107 DRGs in 2024. Across them it charged 4.85 times what it was paid — mid-range in South Carolina, number 18 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: 311 stays at an average charge of $40,510, 28% below the national average. It also billed 5,068 outpatient services, charging 6.32 times what Medicare paid.
- 1Medicare inpatient stays 3,741
- 2Charge ÷ paid, inpatient 4.85×
- 3Rank in SC (highest ratio = 1) 18 of 45
- 4CMS price-transparency actions 3
Inpatient stays
For the 107 DRGs that can be compared with the national average, Roper Hospital charged more than the national average in 3 (3%). 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 | 311 | $40,510 | -28% | $8,387 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 240 | $61,446 | -32% | $13,538 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 185 | $102,506 | -35% | $20,543 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 89 | $59,478 | -36% | $12,341 |
| 682 Renal Failure with MCC | 88 | $39,949 | -39% | $10,191 |
| 177 Respiratory Infections and Inflammations with MCC | 86 | $42,598 | -40% | $10,252 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 77 | $61,197 | -45% | $13,968 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 76 | $161,717 | -27% | $30,597 |
| 193 Simple Pneumonia and Pleurisy with MCC | 69 | $38,890 | -35% | $9,292 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 63 | $42,658 | -33% | $7,675 |
| 378 Gastrointestinal Hemorrhage with CC | 63 | $31,984 | -34% | $7,858 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 63 | $37,058 | -39% | $8,332 |
| 689 Kidney and Urinary Tract Infections with MCC | 58 | $32,784 | -36% | $7,165 |
| 330 Major Small and Large Bowel Procedures with CC | 55 | $76,913 | -35% | $15,454 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 53 | $21,862 | -41% | $4,917 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 52 | $237,434 | -14% | $37,365 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 52 | $39,158 | -31% | $7,575 |
| 683 Renal Failure with CC | 52 | $25,515 | -37% | $6,065 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 51 | $73,982 | -35% | $15,899 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 51 | $144,447 | -37% | $35,660 |
| 690 Kidney and Urinary Tract Infections without MCC | 49 | $21,319 | -44% | $4,997 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 49 | $39,423 | -46% | $9,973 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 45 | $192,614 | -32% | $40,037 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 45 | $50,435 | -33% | $10,516 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 44 | $28,190 | -43% | $6,604 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 43 | $61,244 | -45% | $14,470 |
| 252 Other Vascular Procedures with MCC | 41 | $102,165 | -40% | $22,366 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 41 | $25,827 | -28% | $4,992 |
| 164 Major Chest Procedures with CC | 39 | $124,012 | -3% | $17,061 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 38 | $160,703 | -24% | $29,970 |
| 312 Syncope and Collapse | 37 | $26,418 | -42% | $5,523 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 37 | $23,062 | -43% | $5,017 |
| 481 Hip and Femur Procedures except Major Joint with CC | 36 | $65,352 | -35% | $14,806 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 35 | $28,117 | -44% | $7,155 |
| 329 Major Small and Large Bowel Procedures with MCC | 35 | $101,244 | -53% | $24,688 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 34 | $17,552 | -39% | $3,555 |
| 189 Pulmonary Edema and Respiratory Failure | 32 | $40,830 | -29% | $9,434 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 32 | $99,394 | -38% | $21,629 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 31 | $204,852 | -24% | $36,440 |
| 377 Gastrointestinal Hemorrhage with MCC | 31 | $45,130 | -47% | $11,027 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 31 | $83,999 | -33% | $16,687 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 30 | $69,358 | -19% | $10,597 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 29 | $66,515 | -35% | $13,245 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 28 | $47,946 | -26% | $8,969 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 28 | $272,725 | -29% | $52,892 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 27 | $34,830 | -43% | $8,163 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 26 | $30,757 | -45% | $6,369 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 25 | $64,959 | -35% | $12,624 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 25 | $94,621 | -42% | $19,129 |
| 394 Other Digestive System Diagnoses with CC | 25 | $36,760 | -22% | $8,041 |
| 389 Gastrointestinal Obstruction with CC | 24 | $27,801 | -29% | $5,105 |
| 163 Major Chest Procedures with MCC | 23 | $132,308 | -37% | $31,232 |
| 165 Major Chest Procedures without CC/MCC | 23 | $127,712 | +24% | $15,194 |
| 244 Permanent Cardiac Pacemaker Implant without CC/MCC | 23 | $54,024 | -42% | $13,822 |
| 273 Percutaneous and Other Intracardiac Procedures with MCC | 23 | $112,921 | -47% | $24,636 |
| 314 Other Circulatory System Diagnoses with MCC | 23 | $86,078 | -9% | $17,465 |
| 270 Other Major Cardiovascular Procedures with MCC | 22 | $148,437 | -43% | $33,158 |
| 194 Simple Pneumonia and Pleurisy with CC | 21 | $32,656 | -15% | $5,280 |
| 603 Cellulitis without MCC | 20 | $24,275 | -35% | $5,637 |
| 811 Red Blood Cell Disorders with MCC | 20 | $42,526 | -38% | $8,950 |
Showing the 60 most frequent of 107 DRGs.
Outpatient services
Against the South Carolina average
For Heart Failure and Shock with MCC (DRG 291), Roper Hospital charged $40,510 on average, 11% less than the South Carolina average of $45,682, and was paid $8,387 against a state average of $10,696. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Roper Hospital charged $61,446 on average, 20% less than the South Carolina average of $76,532, and was paid $13,538 against a state average of $16,014. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Roper Hospital charged $102,506 on average, 45% less than the South Carolina average of $186,698, and was paid $20,543 against a state average of $25,978. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Roper Hospital charged $59,478 on average, 38% less than the South Carolina average of $95,420, and was paid $12,341 against a state average of $14,497. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $25,227 was 20% below the state average of $31,661. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $47,288 was 41% below the state average of $80,461. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $16,887 was 36% below the state average of $26,235. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $14,390 was 12% below the state average of $16,428.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Roper Hospital in Charleston, SC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-11-14 (CMS case 2909)
- CAP Request — 2025-02-20 (CMS case 2909)
- Closure Notice — 2025-04-10 (CMS case 2909)
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.