What 25 hospitals in South Carolina charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.
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.
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 |
|---|---|---|---|---|
| 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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| 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 |
| 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 |
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.
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.