facebook tracking Level 3 Breast/Lymphatic Surgery and Related Procedures cost in South Carolina: 24 hospitals compared (APC 5093)

Level 3 Breast/Lymphatic Surgery and Related Procedures in South Carolina

What 24 hospitals in South Carolina charged and were paid for level 3 breast/lymphatic surgery and related procedures (APC 5093), from 2024 Medicare claims.

APC 5093 Outpatient 2024 Medicare data
Average charge $56,206 Hospital list price billed
Average allowed $8,116 Medicare's payment + patient's share
Medicare paid $6,470 Average per service
State rank #9 of 31 1 = lowest average payment

Hospitals in South Carolina billed an average of $56,206 for level 3 breast/lymphatic surgery and related procedures, about 6.9 times the average medicare-allowed amount of $8,116. That payment is 12% below the U.S. average of $9,171.

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 $8,116Billed $56,206

About 14¢ was paid for every $1 hospitals in South Carolina billed for this service.

South Carolina hospitals: level 3 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
Patewood Memorial HospitalGreenville 11 $72,049 $8,131 $6,499
Prisma Health Baptist ParkridgeColumbia 11 $40,363 $8,101 $6,441
MUSC Medical CenterCharleston – – – –
Spartanburg Regional Medical CenterSpartanburg – – – –
Baptist Easley HospitalEasley – – – –
Palmetto Richland Mem HospColumbia – – – –
Georgetown Memorial HospitalGeorgetown – – – –
St Francis-DowntownGreenville – – – –
MUSC Health Columbia Medical Center DowntownColumbia – – – –
Anmed HealthAnderson – – – –
Prisma Health Greer Memorial HospitalGreer – – – –
Bon Secours-St Francis Xavier HospitalCharleston – – – –
Beaufort County Memorial HospitalBeaufort – – – –
Tuomey Healthcare SystemSumter – – – –
Self Regional HealthcareGreenwood – – – –
Lexington Medical CenterWest Columbia – – – –
Greenville Memorial HospitalGreenville – – – –
Hilton Head Regional Medical CenterHilton Head Island – – – –
Aiken Regional Medical CenterAiken – – – –
Palmetto Health BaptistColumbia – – – –
East Cooper Reg Med CenterMt Pleasant – – – –
Pelham Medical CenterGreer – – – –
Mount Pleasant HospitalMount Pleasant – – – –
McLeod Loris HospitalLoris – – – –
Level 3 Breast/Lymphatic Surgery and Related Procedures: all states All South Carolina hospitals South Carolina hospital finances
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Level 3 Breast/Lymphatic Surgery and Related Procedures in other states

Georgia · $8,191 Kansas · $8,262 Kentucky · $8,121 Louisiana · $7,993 Michigan · $8,127 Missouri · $7,992 Ohio · $8,079 Oklahoma · $8,121

Questions

How much does level 3 breast/lymphatic surgery and related procedures cost in South Carolina?

In 2024 Medicare data, level 3 breast/lymphatic surgery and related procedures (APC 5093) at 24 hospitals in South Carolina was billed at $56,206 on average, while the average medicare-allowed amount was $8,116, of which Medicare paid $6,470. 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 6.9 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.