Level 1 Breast/Lymphatic Surgery and Related Procedures in South Carolina
What 42 hospitals in South Carolina charged and were paid for level 1 breast/lymphatic surgery and related procedures (APC 5091), from 2024 Medicare claims.
Average charge
$29,883
Hospital list price billed
Average allowed
$3,257
Medicare's payment + patient's share
Medicare paid
$2,581
Average per service
State rank
#9 of 49
1 = lowest average payment
Hospitals in South Carolina billed an average of $29,883 for level 1 breast/lymphatic surgery and related procedures, about 9.2 times the average medicare-allowed amount of $3,257. That payment is 12% below the U.S. average of $3,688.
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 $3,257Billed $29,883
About 11¢ was paid for every $1 hospitals in South Carolina billed for this service.
South Carolina hospitals: level 1 breast/lymphatic surgery and related procedures
Every South Carolina hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Patewood Memorial HospitalGreenville | 165 | $26,808 | $3,256 | $2,588 |
| MUSC Medical CenterCharleston | 130 | $37,909 | $3,233 | $2,568 |
| Lexington Medical CenterWest Columbia | 104 | $32,110 | $3,128 | $2,461 |
| Spartanburg Regional Medical CenterSpartanburg | 101 | $30,903 | $3,601 | $2,863 |
| Hilton Head Regional Medical CenterHilton Head Island | 69 | $51,778 | $3,188 | $2,510 |
| Bon Secours-St Francis Xavier HospitalCharleston | 62 | $22,156 | $3,204 | $2,536 |
| Palmetto Health BaptistColumbia | 62 | $25,964 | $3,233 | $2,567 |
| Anmed HealthAnderson | 49 | $24,680 | $3,440 | $2,729 |
| Roper HospitalCharleston | 45 | $24,682 | $3,289 | $2,620 |
| McLeod Regional Medical CenterFlorence | 37 | $29,337 | $3,265 | $2,601 |
| St Francis-DowntownGreenville | 33 | $25,249 | $3,050 | $2,382 |
| Trident Medical CenterCharleston | 33 | $48,834 | $3,289 | $2,620 |
| Grand Strand Reg Med CenterMyrtle Beach | 31 | $54,050 | $3,265 | $2,601 |
| Greenville Memorial HospitalGreenville | 30 | $29,393 | $3,135 | $2,480 |
| McLeod Loris HospitalLoris | 29 | $25,864 | $3,265 | $2,601 |
| Waccamaw Community HospitalMurrells Inlet | 28 | $15,409 | $3,172 | $2,508 |
| Mount Pleasant HospitalMount Pleasant | 26 | $23,205 | $3,289 | $2,620 |
| Conway Medical CenterConway | 24 | $18,148 | $3,265 | $2,601 |
| Beaufort County Memorial HospitalBeaufort | 24 | $14,207 | $3,496 | $2,786 |
| Roper St Francis Hospital-Berkeley INCSummerville | 24 | $20,973 | $3,084 | $2,413 |
| Piedmont Healthcare SystemRock Hill | 23 | $34,007 | $2,595 | $1,888 |
| Georgetown Memorial HospitalGeorgetown | 23 | $17,318 | $3,175 | $2,504 |
| Palmetto Richland Mem HospColumbia | 20 | $26,608 | $3,275 | $2,610 |
| Tuomey Healthcare SystemSumter | 20 | $26,117 | $3,265 | $2,601 |
| Self Regional HealthcareGreenwood | 20 | $17,859 | $3,505 | $2,792 |
| Prisma Health Baptist ParkridgeColumbia | 19 | $27,011 | $3,275 | $2,610 |
| Baptist Easley HospitalEasley | 16 | $24,059 | $3,288 | $2,620 |
| Pelham Medical CenterGreer | 16 | $25,713 | $3,314 | $2,641 |
| McLeod Medical Center - DillonDillon | – | – | – | – |
| Oconee Medical CenterSeneca | – | – | – | – |
| Carolina Pines Regional Medical CenterHartsville | – | – | – | – |
| MUSC Health Columbia Medical Center DowntownColumbia | – | – | – | – |
| Prisma Health Greer Memorial HospitalGreer | – | – | – | – |
| MUSC Health Lancaster Medical CenterLancaster | – | – | – | – |
| Hillcrest Memorial HospitalSimpsonville | – | – | – | – |
| KershawhealthCamden | – | – | – | – |
| Newberry County Memorial HospitalNewberry | – | – | – | – |
| Marion Regional HospitalMullins | – | – | – | – |
| Aiken Regional Medical CenterAiken | – | – | – | – |
| East Cooper Reg Med CenterMt Pleasant | – | – | – | – |
| MUSC Health Florence Medical CenterFlorence | – | – | – | – |
| McLeod Health ClarendonManning | – | – | – | – |
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
| Piedmont Healthcare SystemRock Hill, SC | $2,595 |
|---|---|
| St Francis-DowntownGreenville, SC | $3,050 |
| Roper St Francis Hospital-Berkeley INCSummerville, SC | $3,084 |
| Lexington Medical CenterWest Columbia, SC | $3,128 |
| Greenville Memorial HospitalGreenville, SC | $3,135 |
Highest
| Spartanburg Regional Medical CenterSpartanburg, SC | $3,601 |
|---|---|
| Self Regional HealthcareGreenwood, SC | $3,505 |
| Beaufort County Memorial HospitalBeaufort, SC | $3,496 |
| Anmed HealthAnderson, SC | $3,440 |
| Pelham Medical CenterGreer, SC | $3,314 |
Level 1 Breast/Lymphatic Surgery and Related Procedures in other states
Questions
How much does level 1 breast/lymphatic surgery and related procedures cost in South Carolina?
In 2024 Medicare data, level 1 breast/lymphatic surgery and related procedures (APC 5091) at 42 hospitals in South Carolina was billed at $29,883 on average, while the average medicare-allowed amount was $3,257, of which Medicare paid $2,581. 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 9.2 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.