Level 1 ICD and Similar Procedures in South Carolina
What 21 hospitals in South Carolina charged and were paid for level 1 icd and similar procedures (APC 5231), from 2024 Medicare claims.
Average charge
$145,429
Hospital list price billed
Average allowed
$20,122
Medicare's payment + patient's share
Medicare paid
$18,481
Average per service
State rank
#8 of 34
1 = lowest average payment
Hospitals in South Carolina billed an average of $145,429 for level 1 icd and similar procedures, about 7.2 times the average medicare-allowed amount of $20,122. That payment is 11% below the U.S. average of $22,647.
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 $20,122Billed $145,429
About 14¢ was paid for every $1 hospitals in South Carolina billed for this service.
South Carolina hospitals: level 1 icd and similar 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 |
|---|---|---|---|---|
| McLeod Regional Medical CenterFlorence | 19 | $184,944 | $20,139 | $18,507 |
| Roper HospitalCharleston | 16 | $102,765 | $20,288 | $18,626 |
| MUSC Medical CenterCharleston | 15 | $139,944 | $20,287 | $18,655 |
| Palmetto Richland Mem HospColumbia | 15 | $92,865 | $17,731 | $16,097 |
| Spartanburg Regional Medical CenterSpartanburg | 13 | $153,896 | $22,389 | $20,738 |
| Lexington Medical CenterWest Columbia | 11 | $208,387 | $20,205 | $18,573 |
| Piedmont Healthcare SystemRock Hill | – | – | – | – |
| Georgetown Memorial HospitalGeorgetown | – | – | – | – |
| St Francis-DowntownGreenville | – | – | – | – |
| MUSC Health Columbia Medical Center DowntownColumbia | – | – | – | – |
| Anmed HealthAnderson | – | – | – | – |
| Conway Medical CenterConway | – | – | – | – |
| Beaufort County Memorial HospitalBeaufort | – | – | – | – |
| Tuomey Healthcare SystemSumter | – | – | – | – |
| Self Regional HealthcareGreenwood | – | – | – | – |
| Greenville Memorial HospitalGreenville | – | – | – | – |
| Hilton Head Regional Medical CenterHilton Head Island | – | – | – | – |
| Aiken Regional Medical CenterAiken | – | – | – | – |
| Grand Strand Reg Med CenterMyrtle Beach | – | – | – | – |
| MUSC Health Florence Medical CenterFlorence | – | – | – | – |
| McLeod Loris HospitalLoris | – | – | – | – |
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
| Palmetto Richland Mem HospColumbia, SC | $17,731 |
|---|---|
| McLeod Regional Medical CenterFlorence, SC | $20,139 |
| Lexington Medical CenterWest Columbia, SC | $20,205 |
| MUSC Medical CenterCharleston, SC | $20,287 |
| Roper HospitalCharleston, SC | $20,288 |
Highest
| Spartanburg Regional Medical CenterSpartanburg, SC | $22,389 |
|---|---|
| Roper HospitalCharleston, SC | $20,288 |
| MUSC Medical CenterCharleston, SC | $20,287 |
| Lexington Medical CenterWest Columbia, SC | $20,205 |
| McLeod Regional Medical CenterFlorence, SC | $20,139 |
Level 1 ICD and Similar Procedures in other states
Questions
How much does level 1 icd and similar procedures cost in South Carolina?
In 2024 Medicare data, level 1 icd and similar procedures (APC 5231) at 21 hospitals in South Carolina was billed at $145,429 on average, while the average medicare-allowed amount was $20,122, of which Medicare paid $18,481. 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 7.2 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.