facebook tracking Level 1 Intraocular Procedures cost in South Carolina: 17 hospitals compared (APC 5491)

Level 1 Intraocular Procedures in South Carolina

What 17 hospitals in South Carolina charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.

APC 5491 Outpatient 2024 Medicare data
Average charge $14,082 Hospital list price billed
Average allowed $1,770 Medicare's payment + patient's share
Medicare paid $1,403 Average per service
State rank #3 of 49 1 = lowest average payment

Hospitals in South Carolina billed an average of $14,082 for level 1 intraocular procedures, about 8.0 times the average medicare-allowed amount of $1,770. That payment is 20% below the U.S. average of $2,208.

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 $1,770Billed $14,082

About 13¢ was paid for every $1 hospitals in South Carolina billed for this service.

South Carolina hospitals: level 1 intraocular 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
MUSC Medical CenterCharleston 949 $22,079 $1,020 $805
Prisma Health Baptist ParkridgeColumbia 888 $17,347 $1,971 $1,559
Beaufort County Memorial HospitalBeaufort 784 $11,223 $2,129 $1,693
McLeod Regional Medical CenterFlorence 684 $3,725 $1,962 $1,555
Greenville Memorial HospitalGreenville 117 $10,077 $1,983 $1,575
McLeod Health CherawCheraw 99 $6,973 $1,986 $1,575
East Cooper Reg Med CenterMt Pleasant 71 $26,584 $1,988 $1,573
KershawhealthCamden 69 $13,690 $1,985 $1,582
Hampton Regional Med CtrVarnville 61 $3,868 $2,098 $1,663
McLeod Loris HospitalLoris 43 $4,213 $1,996 $1,590
Conway Medical CenterConway 34 $13,620 $1,996 $1,590
Cherokee Medical CenterGaffney 17 $13,675 $1,996 $1,590
St Francis-DowntownGreenville 11 $34,075 $2,010 $1,602
Spartanburg Regional Medical CenterSpartanburg – – – –
Palmetto Richland Mem HospColumbia – – – –
MUSC Health Columbia Medical Center DowntownColumbia – – – –
Palmetto Health BaptistColumbia – – – –
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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

MUSC Medical CenterCharleston, SC$1,020
McLeod Regional Medical CenterFlorence, SC$1,962
Prisma Health Baptist ParkridgeColumbia, SC$1,971
Greenville Memorial HospitalGreenville, SC$1,983
KershawhealthCamden, SC$1,985

Highest

Beaufort County Memorial HospitalBeaufort, SC$2,129
Hampton Regional Med CtrVarnville, SC$2,098
St Francis-DowntownGreenville, SC$2,010
Cherokee Medical CenterGaffney, SC$1,996
Conway Medical CenterConway, SC$1,996

Level 1 Intraocular Procedures in other states

Questions

How much does level 1 intraocular procedures cost in South Carolina?

In 2024 Medicare data, level 1 intraocular procedures (APC 5491) at 17 hospitals in South Carolina was billed at $14,082 on average, while the average medicare-allowed amount was $1,770, of which Medicare paid $1,403. 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 8.0 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.