facebook tracking Level 2 ICD and Similar Procedures cost in South Carolina: 25 hospitals compared (APC 5232)

Level 2 ICD and Similar Procedures in South Carolina

What 25 hospitals in South Carolina charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.

APC 5232 Outpatient 2024 Medicare data
Average charge $215,047 Hospital list price billed
Average allowed $28,121 Medicare's payment + patient's share
Medicare paid $26,486 Average per service
State rank #10 of 47 1 = lowest average payment

Hospitals in South Carolina billed an average of $215,047 for level 2 icd and similar procedures, about 7.6 times the average medicare-allowed amount of $28,121. That payment is 9% below the U.S. average of $31,009.

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 $28,121Billed $215,047

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

South Carolina hospitals: level 2 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
Greenville Memorial HospitalGreenville 108 $208,464 $27,801 $26,169
McLeod Regional Medical CenterFlorence 76 $139,942 $28,096 $26,462
Grand Strand Reg Med CenterMyrtle Beach 74 $414,845 $28,096 $26,464
Lexington Medical CenterWest Columbia 65 $196,014 $27,371 $25,739
MUSC Medical CenterCharleston 60 $143,069 $28,302 $26,666
Palmetto Richland Mem HospColumbia 52 $216,030 $27,677 $26,041
Roper HospitalCharleston 52 $118,930 $27,789 $26,157
St Francis-DowntownGreenville 38 $327,240 $28,295 $26,658
MUSC Health Columbia Medical Center DowntownColumbia 36 $136,169 $29,167 $27,535
McLeod Loris HospitalLoris 29 $141,829 $28,096 $26,464
Anmed HealthAnderson 28 $176,393 $29,072 $27,440
Trident Medical CenterCharleston 28 $429,844 $28,302 $26,662
Spartanburg Regional Medical CenterSpartanburg 23 $172,673 $29,948 $28,307
Self Regional HealthcareGreenwood 18 $168,718 $28,573 $26,941
Piedmont Healthcare SystemRock Hill 14 $209,297 $27,486 $25,837
Aiken Regional Medical CenterAiken 11 $196,276 $28,096 $26,459
Carolina Pines Regional Medical CenterHartsville – – – –
Georgetown Memorial HospitalGeorgetown – – – –
KershawhealthCamden – – – –
Conway Medical CenterConway – – – –
Marion Regional HospitalMullins – – – –
Beaufort County Memorial HospitalBeaufort – – – –
Tuomey Healthcare SystemSumter – – – –
Hilton Head Regional Medical CenterHilton Head Island – – – –
MUSC Health Florence Medical CenterFlorence – – – –
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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

Lexington Medical CenterWest Columbia, SC$27,371
Piedmont Healthcare SystemRock Hill, SC$27,486
Palmetto Richland Mem HospColumbia, SC$27,677
Roper HospitalCharleston, SC$27,789
Greenville Memorial HospitalGreenville, SC$27,801

Highest

Spartanburg Regional Medical CenterSpartanburg, SC$29,948
MUSC Health Columbia Medical Center DowntownColumbia, SC$29,167
Anmed HealthAnderson, SC$29,072
Self Regional HealthcareGreenwood, SC$28,573
Trident Medical CenterCharleston, SC$28,302

Level 2 ICD and Similar Procedures in other states

Questions

How much does level 2 icd and similar procedures cost in South Carolina?

In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 25 hospitals in South Carolina was billed at $215,047 on average, while the average medicare-allowed amount was $28,121, of which Medicare paid $26,486. 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 7.6 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.