facebook tracking Level 2 Excision/Biopsy/Incision and Drainage cost in South Carolina: 51 hospitals compared (APC 5072)

Level 2 Excision/Biopsy/Incision and Drainage in South Carolina

What 51 hospitals in South Carolina charged and were paid for level 2 excision/biopsy/incision and drainage (APC 5072), from 2024 Medicare claims.

APC 5072 Outpatient 2024 Medicare data
Average charge $11,694 Hospital list price billed
Average allowed $1,374 Medicare's payment + patient's share
Medicare paid $1,086 Average per service
State rank #10 of 49 1 = lowest average payment

Hospitals in South Carolina billed an average of $11,694 for level 2 excision/biopsy/incision and drainage, about 8.5 times the average medicare-allowed amount of $1,374. That payment is 11% below the U.S. average of $1,539.

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 $1,374Billed $11,694

About 12¢ was paid for every $1 hospitals in South Carolina billed for this service.

South Carolina hospitals: level 2 excision/biopsy/incision and drainage

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 702 $9,352 $1,354 $1,072
Lexington Medical CenterWest Columbia 604 $13,106 $1,374 $1,086
Patewood Memorial HospitalGreenville 412 $8,722 $1,389 $1,103
Spartanburg Regional Medical CenterSpartanburg 399 $9,777 $1,512 $1,193
Palmetto Health BaptistColumbia 321 $8,812 $1,372 $1,087
Greenville Memorial HospitalGreenville 308 $13,688 $1,380 $1,096
Bon Secours-St Francis Xavier HospitalCharleston 291 $7,039 $1,384 $1,095
St Francis-DowntownGreenville 273 $10,679 $1,378 $1,091
Grand Strand Reg Med CenterMyrtle Beach 253 $20,606 $1,389 $1,103
Trident Medical CenterCharleston 238 $19,988 $1,376 $1,089
McLeod Regional Medical CenterFlorence 237 $10,925 $1,362 $1,078
Hilton Head Regional Medical CenterHilton Head Island 225 $13,456 $1,296 $1,008
Conway Medical CenterConway 210 $6,299 $1,312 $1,043
Coastal Carolina HospitalHardeeville 209 $20,608 $1,362 $1,079
Beaufort County Memorial HospitalBeaufort 208 $5,804 $1,263 $1,000
Roper HospitalCharleston 201 $10,298 $1,365 $1,084
Tuomey Healthcare SystemSumter 198 $9,715 $1,363 $1,080
Self Regional HealthcareGreenwood 194 $8,908 $1,456 $1,154
Piedmont Healthcare SystemRock Hill 174 $18,636 $1,182 $878
Anmed HealthAnderson 172 $10,297 $1,467 $1,163
McLeod Loris HospitalLoris 164 $11,828 $1,369 $1,079
Mount Pleasant HospitalMount Pleasant 150 $7,349 $1,382 $1,098
Prisma Health Baptist ParkridgeColumbia 130 $9,012 $1,369 $1,085
Palmetto Richland Mem HospColumbia 129 $15,273 $1,377 $1,092
Waccamaw Community HospitalMurrells Inlet 120 $6,565 $1,349 $1,069
MUSC Health Columbia Medical Center DowntownColumbia 119 $9,673 $1,422 $1,129
MUSC Health Lancaster Medical CenterLancaster 116 $18,721 $1,437 $1,140
MUSC Health Florence Medical CenterFlorence 106 $23,972 $1,389 $1,106
Roper St Francis Hospital-Berkeley INCSummerville 96 $7,316 $1,356 $1,070
Aiken Regional Medical CenterAiken 83 $17,785 $1,375 $1,086
Oconee Medical CenterSeneca 53 $10,085 $1,450 $1,140
Pelham Medical CenterGreer 52 $7,546 $1,410 $1,118
East Cooper Reg Med CenterMt Pleasant 30 $10,944 $1,065 $772
Georgetown Memorial HospitalGeorgetown 29 $5,038 $1,399 $1,115
Baptist Easley HospitalEasley 27 $14,668 $1,319 $1,032
KershawhealthCamden 26 $9,427 $1,308 $1,017
Colleton Medical CenterWalterboro 22 $9,054 $1,498 $1,194
Hillcrest Memorial HospitalSimpsonville 21 $16,665 $1,398 $1,114
Carolina Pines Regional Medical CenterHartsville 19 $38,122 $1,442 $1,148
Marion Regional HospitalMullins 18 $19,030 $1,327 $1,045
Laurens County Healthcare SystClinton 17 $13,484 $1,428 $1,123
McLeod Health ClarendonManning 13 $12,484 $1,393 $1,092
Newberry County Memorial HospitalNewberry 12 $9,096 $1,388 $1,086
McLeod Medical Center - DillonDillon – – – –
Cannon Memorial HospitalPickens – – – –
Chester Regional Medical CenterChester – – – –
Prisma Health Greer Memorial HospitalGreer – – – –
Hampton Regional Med CtrVarnville – – – –
McLeod Health CherawCheraw – – – –
Union Medical CenterUnion – – – –
Prisma Health North Greenville LTACHTravelers Rest – – – –
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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

East Cooper Reg Med CenterMt Pleasant, SC$1,065
Piedmont Healthcare SystemRock Hill, SC$1,182
Beaufort County Memorial HospitalBeaufort, SC$1,263
Hilton Head Regional Medical CenterHilton Head Island, SC$1,296
KershawhealthCamden, SC$1,308

Highest

Spartanburg Regional Medical CenterSpartanburg, SC$1,512
Colleton Medical CenterWalterboro, SC$1,498
Anmed HealthAnderson, SC$1,467
Self Regional HealthcareGreenwood, SC$1,456
Oconee Medical CenterSeneca, SC$1,450

Level 2 Excision/Biopsy/Incision and Drainage in other states

Questions

How much does level 2 excision/biopsy/incision and drainage cost in South Carolina?

In 2024 Medicare data, level 2 excision/biopsy/incision and drainage (APC 5072) at 51 hospitals in South Carolina was billed at $11,694 on average, while the average medicare-allowed amount was $1,374, of which Medicare paid $1,086. 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 8.5 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.