Complex GI Procedures in South Carolina
What 31 hospitals in South Carolina charged and were paid for complex gi procedures (APC 5331), from 2024 Medicare claims.
Average charge
$34,038
Hospital list price billed
Average allowed
$4,632
Medicare's payment + patient's share
Medicare paid
$3,682
Average per service
State rank
#6 of 48
1 = lowest average payment
Hospitals in South Carolina billed an average of $34,038 for complex gi procedures, about 7.3 times the average medicare-allowed amount of $4,632. That payment is 14% below the U.S. average of $5,364.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $4,632Billed $34,038
About 14¢ was paid for every $1 hospitals in South Carolina billed for this service.
South Carolina hospitals: complex gi procedures
Every South Carolina hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in South Carolina
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Georgetown Memorial HospitalGeorgetown, SC | $4,161 |
|---|---|
| MUSC Medical CenterCharleston, SC | $4,388 |
| Conway Medical CenterConway, SC | $4,533 |
| St Francis-DowntownGreenville, SC | $4,723 |
| Anmed HealthAnderson, SC | $4,792 |
Highest
| Spartanburg Regional Medical CenterSpartanburg, SC | $5,427 |
|---|---|
| Beaufort County Memorial HospitalBeaufort, SC | $5,228 |
| Palmetto Richland Mem HospColumbia, SC | $4,897 |
| Lexington Medical CenterWest Columbia, SC | $4,897 |
| Greenville Memorial HospitalGreenville, SC | $4,865 |
Complex GI Procedures in other states
Questions
How much does complex gi procedures cost in South Carolina?
In 2024 Medicare data, complex gi procedures (APC 5331) at 31 hospitals in South Carolina was billed at $34,038 on average, while the average medicare-allowed amount was $4,632, of which Medicare paid $3,682. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in South Carolina, average charges were 7.3 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.