What 17 hospitals in South Carolina charged and were paid for level 1 intraocular procedures (APC 5491), from 2024 Medicare claims.
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.
About 13¢ was paid for every $1 hospitals in South Carolina billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| 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 |
| 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 |
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.
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.