facebook tracking Level 2 Intraocular Procedures cost in South Carolina: 13 hospitals compared (APC 5492)

Level 2 Intraocular Procedures in South Carolina

What 13 hospitals in South Carolina charged and were paid for level 2 intraocular procedures (APC 5492), from 2024 Medicare claims.

APC 5492 Outpatient 2024 Medicare data
Average charge $29,796 Hospital list price billed
Average allowed $3,354 Medicare's payment + patient's share
Medicare paid $2,658 Average per service
State rank #6 of 44 1 = lowest average payment

Hospitals in South Carolina billed an average of $29,796 for level 2 intraocular procedures, about 8.9 times the average medicare-allowed amount of $3,354. That payment is 15% below the U.S. average of $3,924.

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 $3,354Billed $29,796

About 11¢ was paid for every $1 hospitals in South Carolina billed for this service.

South Carolina hospitals: level 2 intraocular 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
St Francis-DowntownGreenville 239 $31,560 $3,437 $2,720
MUSC Health Columbia Medical Center DowntownColumbia 168 $31,044 $3,521 $2,786
Prisma Health Baptist ParkridgeColumbia 128 $31,929 $3,494 $2,783
MUSC Medical CenterCharleston 109 $31,828 $2,356 $1,864
Spartanburg Regional Medical CenterSpartanburg 79 $23,744 $3,833 $3,042
Palmetto Health BaptistColumbia 49 $23,173 $3,396 $2,680
Greenville Memorial HospitalGreenville 22 $15,103 $3,507 $2,787
Palmetto Richland Mem HospColumbia – – – –
Cherokee Medical CenterGaffney – – – –
McLeod Regional Medical CenterFlorence – – – –
Beaufort County Memorial HospitalBeaufort – – – –
Hampton Regional Med CtrVarnville – – – –
East Cooper Reg Med CenterMt Pleasant – – – –
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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

MUSC Medical CenterCharleston, SC$2,356
Palmetto Health BaptistColumbia, SC$3,396
St Francis-DowntownGreenville, SC$3,437
Prisma Health Baptist ParkridgeColumbia, SC$3,494
Greenville Memorial HospitalGreenville, SC$3,507

Highest

Level 2 Intraocular Procedures in other states

Questions

How much does level 2 intraocular procedures cost in South Carolina?

In 2024 Medicare data, level 2 intraocular procedures (APC 5492) at 13 hospitals in South Carolina was billed at $29,796 on average, while the average medicare-allowed amount was $3,354, of which Medicare paid $2,658. 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 8.9 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.