Level 3 ENT Procedures in South Carolina
What 16 hospitals in South Carolina charged and were paid for level 3 ent procedures (APC 5163), from 2024 Medicare claims.
Average charge
$15,234
Hospital list price billed
Average allowed
$1,316
Medicare's payment + patient's share
Medicare paid
$1,042
Average per service
State rank
#18 of 44
1 = lowest average payment
Hospitals in South Carolina billed an average of $15,234 for level 3 ent procedures, about 11.6 times the average medicare-allowed amount of $1,316. That payment is 6% below the U.S. average of $1,397.
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 $1,316Billed $15,234
About 9¢ was paid for every $1 hospitals in South Carolina billed for this service.
South Carolina hospitals: level 3 ent 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 |
|---|---|---|---|---|
| MUSC Medical CenterCharleston | 76 | $7,693 | $1,316 | $1,043 |
| Trident Medical CenterCharleston | 21 | $42,525 | $1,316 | $1,039 |
| Spartanburg Regional Medical CenterSpartanburg | – | – | – | – |
| Palmetto Richland Mem HospColumbia | – | – | – | – |
| Georgetown Memorial HospitalGeorgetown | – | – | – | – |
| St Francis-DowntownGreenville | – | – | – | – |
| MUSC Health Columbia Medical Center DowntownColumbia | – | – | – | – |
| Anmed HealthAnderson | – | – | – | – |
| Hillcrest Memorial HospitalSimpsonville | – | – | – | – |
| Conway Medical CenterConway | – | – | – | – |
| Beaufort County Memorial HospitalBeaufort | – | – | – | – |
| Tuomey Healthcare SystemSumter | – | – | – | – |
| Greenville Memorial HospitalGreenville | – | – | – | – |
| Grand Strand Reg Med CenterMyrtle Beach | – | – | – | – |
| Patewood Memorial HospitalGreenville | – | – | – | – |
| McLeod Loris HospitalLoris | – | – | – | – |
Level 3 ENT Procedures in other states
Questions
How much does level 3 ent procedures cost in South Carolina?
In 2024 Medicare data, level 3 ent procedures (APC 5163) at 16 hospitals in South Carolina was billed at $15,234 on average, while the average medicare-allowed amount was $1,316, of which Medicare paid $1,042. 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 11.6 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.