Level 2 Breast/Lymphatic Surgery and Related Procedures in South Carolina
What 42 hospitals in South Carolina charged and were paid for level 2 breast/lymphatic surgery and related procedures (APC 5092), from 2024 Medicare claims.
Average charge
$46,929
Hospital list price billed
Average allowed
$5,596
Medicare's payment + patient's share
Medicare paid
$4,438
Average per service
State rank
#10 of 49
1 = lowest average payment
Hospitals in South Carolina billed an average of $46,929 for level 2 breast/lymphatic surgery and related procedures, about 8.4 times the average medicare-allowed amount of $5,596. That payment is 11% below the U.S. average of $6,262.
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 $5,596Billed $46,929
About 12¢ was paid for every $1 hospitals in South Carolina billed for this service.
South Carolina hospitals: level 2 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 |
|---|---|---|---|---|
| MUSC Medical CenterCharleston | 108 | $55,208 | $5,626 | $4,483 |
| Patewood Memorial HospitalGreenville | 98 | $48,643 | $5,579 | $4,436 |
| Spartanburg Regional Medical CenterSpartanburg | 75 | $44,490 | $6,078 | $4,813 |
| Lexington Medical CenterWest Columbia | 75 | $55,673 | $5,425 | $4,286 |
| Palmetto Health BaptistColumbia | 63 | $38,051 | $5,462 | $4,323 |
| Anmed HealthAnderson | 54 | $41,040 | $5,982 | $4,766 |
| Waccamaw Community HospitalMurrells Inlet | 46 | $28,187 | $5,489 | $4,351 |
| St Francis-DowntownGreenville | 43 | $40,536 | $5,540 | $4,396 |
| Bon Secours-St Francis Xavier HospitalCharleston | 43 | $44,946 | $5,521 | $4,378 |
| Hilton Head Regional Medical CenterHilton Head Island | 42 | $81,104 | $5,169 | $4,011 |
| McLeod Regional Medical CenterFlorence | 40 | $40,429 | $5,585 | $4,450 |
| Beaufort County Memorial HospitalBeaufort | 39 | $24,297 | $5,982 | $4,766 |
| Grand Strand Reg Med CenterMyrtle Beach | 39 | $78,450 | $5,585 | $4,450 |
| Trident Medical CenterCharleston | 37 | $64,070 | $5,505 | $4,362 |
| Palmetto Richland Mem HospColumbia | 36 | $39,573 | $5,604 | $4,465 |
| Georgetown Memorial HospitalGeorgetown | 33 | $29,419 | $5,626 | $4,483 |
| Tuomey Healthcare SystemSumter | 33 | $40,081 | $5,585 | $4,448 |
| Mount Pleasant HospitalMount Pleasant | 33 | $43,291 | $5,626 | $4,483 |
| Roper HospitalCharleston | 32 | $33,551 | $5,626 | $4,483 |
| Conway Medical CenterConway | 25 | $24,561 | $5,585 | $4,450 |
| Self Regional HealthcareGreenwood | 22 | $29,853 | $5,996 | $4,777 |
| Greenville Memorial HospitalGreenville | 21 | $45,762 | $5,625 | $4,482 |
| Pelham Medical CenterGreer | 20 | $40,845 | $5,670 | $4,518 |
| Aiken Regional Medical CenterAiken | 19 | $82,714 | $5,585 | $4,450 |
| McLeod Loris HospitalLoris | 19 | $39,593 | $5,351 | $4,216 |
| Prisma Health Baptist ParkridgeColumbia | 18 | $44,936 | $5,604 | $4,465 |
| Piedmont Healthcare SystemRock Hill | 16 | $75,707 | $3,817 | $2,626 |
| Marion Regional HospitalMullins | 12 | $58,700 | $5,585 | $4,450 |
| Oconee Medical CenterSeneca | – | – | – | – |
| Carolina Pines Regional Medical CenterHartsville | – | – | – | – |
| Baptist Easley HospitalEasley | – | – | – | – |
| Chester Regional Medical CenterChester | – | – | – | – |
| MUSC Health Columbia Medical Center DowntownColumbia | – | – | – | – |
| Colleton Medical CenterWalterboro | – | – | – | – |
| Prisma Health Greer Memorial HospitalGreer | – | – | – | – |
| MUSC Health Lancaster Medical CenterLancaster | – | – | – | – |
| Hillcrest Memorial HospitalSimpsonville | – | – | – | – |
| KershawhealthCamden | – | – | – | – |
| Newberry County Memorial HospitalNewberry | – | – | – | – |
| East Cooper Reg Med CenterMt Pleasant | – | – | – | – |
| MUSC Health Florence Medical CenterFlorence | – | – | – | – |
| Roper St Francis Hospital-Berkeley INCSummerville | – | – | – | – |
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 | $3,817 |
|---|---|
| Hilton Head Regional Medical CenterHilton Head Island, SC | $5,169 |
| McLeod Loris HospitalLoris, SC | $5,351 |
| Lexington Medical CenterWest Columbia, SC | $5,425 |
| Palmetto Health BaptistColumbia, SC | $5,462 |
Highest
| Spartanburg Regional Medical CenterSpartanburg, SC | $6,078 |
|---|---|
| Self Regional HealthcareGreenwood, SC | $5,996 |
| Anmed HealthAnderson, SC | $5,982 |
| Beaufort County Memorial HospitalBeaufort, SC | $5,982 |
| Pelham Medical CenterGreer, SC | $5,670 |
Level 2 Breast/Lymphatic Surgery and Related Procedures in other states
Questions
How much does level 2 breast/lymphatic surgery and related procedures cost in South Carolina?
In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 42 hospitals in South Carolina was billed at $46,929 on average, while the average medicare-allowed amount was $5,596, of which Medicare paid $4,438. 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 8.4 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.