Level 3 Excision/Biopsy/Incision and Drainage in South Carolina
What 49 hospitals in South Carolina charged and were paid for level 3 excision/biopsy/incision and drainage (APC 5073), from 2024 Medicare claims.
Average charge
$22,237
Hospital list price billed
Average allowed
$2,407
Medicare's payment + patient's share
Medicare paid
$1,909
Average per service
State rank
#10 of 49
1 = lowest average payment
Hospitals in South Carolina billed an average of $22,237 for level 3 excision/biopsy/incision and drainage, about 9.2 times the average medicare-allowed amount of $2,407. That payment is 11% below the U.S. average of $2,697.
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 $2,407Billed $22,237
About 11¢ was paid for every $1 hospitals in South Carolina billed for this service.
South Carolina hospitals: level 3 excision/biopsy/incision and drainage
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 | 445 | $24,899 | $2,340 | $1,859 |
| Greenville Memorial HospitalGreenville | 275 | $25,116 | $2,408 | $1,919 |
| Lexington Medical CenterWest Columbia | 252 | $19,956 | $2,419 | $1,921 |
| Roper HospitalCharleston | 166 | $20,015 | $2,430 | $1,931 |
| St Francis-DowntownGreenville | 135 | $23,813 | $2,372 | $1,870 |
| Spartanburg Regional Medical CenterSpartanburg | 123 | $20,855 | $2,675 | $2,127 |
| McLeod Regional Medical CenterFlorence | 104 | $19,459 | $2,415 | $1,918 |
| Bon Secours-St Francis Xavier HospitalCharleston | 78 | $15,125 | $2,328 | $1,852 |
| Hilton Head Regional Medical CenterHilton Head Island | 78 | $27,397 | $2,230 | $1,720 |
| Tuomey Healthcare SystemSumter | 74 | $18,558 | $2,434 | $1,938 |
| Conway Medical CenterConway | 68 | $13,647 | $2,384 | $1,889 |
| Self Regional HealthcareGreenwood | 68 | $15,753 | $2,613 | $2,078 |
| Trident Medical CenterCharleston | 68 | $35,850 | $2,452 | $1,953 |
| Palmetto Health BaptistColumbia | 68 | $15,411 | $2,442 | $1,945 |
| Waccamaw Community HospitalMurrells Inlet | 66 | $12,202 | $2,375 | $1,878 |
| Patewood Memorial HospitalGreenville | 61 | $17,250 | $2,423 | $1,924 |
| McLeod Loris HospitalLoris | 57 | $17,387 | $2,434 | $1,934 |
| Palmetto Richland Mem HospColumbia | 54 | $18,946 | $2,442 | $1,945 |
| Mount Pleasant HospitalMount Pleasant | 51 | $16,300 | $2,377 | $1,879 |
| MUSC Health Columbia Medical Center DowntownColumbia | 48 | $18,929 | $2,474 | $1,971 |
| Grand Strand Reg Med CenterMyrtle Beach | 46 | $36,393 | $2,404 | $1,908 |
| MUSC Health Florence Medical CenterFlorence | 44 | $42,679 | $2,378 | $1,895 |
| Piedmont Healthcare SystemRock Hill | 43 | $32,696 | $2,086 | $1,564 |
| Roper St Francis Hospital-Berkeley INCSummerville | 33 | $16,052 | $2,463 | $1,962 |
| Aiken Regional Medical CenterAiken | 30 | $34,759 | $2,369 | $1,869 |
| Georgetown Memorial HospitalGeorgetown | 28 | $17,023 | $2,452 | $1,950 |
| Beaufort County Memorial HospitalBeaufort | 28 | $9,410 | $2,490 | $1,975 |
| Prisma Health Baptist ParkridgeColumbia | 27 | $18,689 | $2,442 | $1,945 |
| Anmed HealthAnderson | 26 | $16,018 | $2,406 | $1,912 |
| MUSC Health Lancaster Medical CenterLancaster | 20 | $38,761 | $2,298 | $1,831 |
| Coastal Carolina HospitalHardeeville | 19 | $41,652 | $2,332 | $1,827 |
| Laurens County Healthcare SystClinton | 17 | $29,014 | $2,502 | $1,968 |
| Oconee Medical CenterSeneca | 15 | $23,405 | $2,620 | $2,088 |
| Prisma Health Greer Memorial HospitalGreer | 15 | $18,178 | $2,451 | $1,953 |
| Hillcrest Memorial HospitalSimpsonville | 14 | $17,484 | $2,172 | $1,665 |
| Baptist Easley HospitalEasley | 12 | $19,627 | $2,451 | $1,953 |
| McLeod Medical Center - DillonDillon | – | – | – | – |
| Carolina Pines Regional Medical CenterHartsville | – | – | – | – |
| Cannon Memorial HospitalPickens | – | – | – | – |
| Chester Regional Medical CenterChester | – | – | – | – |
| Colleton Medical CenterWalterboro | – | – | – | – |
| KershawhealthCamden | – | – | – | – |
| Newberry County Memorial HospitalNewberry | – | – | – | – |
| Marion Regional HospitalMullins | – | – | – | – |
| Hampton Regional Med CtrVarnville | – | – | – | – |
| East Cooper Reg Med CenterMt Pleasant | – | – | – | – |
| Pelham Medical CenterGreer | – | – | – | – |
| McLeod Health CherawCheraw | – | – | – | – |
| McLeod Health ClarendonManning | – | – | – | – |
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
| Piedmont Healthcare SystemRock Hill, SC | $2,086 |
|---|---|
| Hillcrest Memorial HospitalSimpsonville, SC | $2,172 |
| Hilton Head Regional Medical CenterHilton Head Island, SC | $2,230 |
| MUSC Health Lancaster Medical CenterLancaster, SC | $2,298 |
| Bon Secours-St Francis Xavier HospitalCharleston, SC | $2,328 |
Highest
| Spartanburg Regional Medical CenterSpartanburg, SC | $2,675 |
|---|---|
| Oconee Medical CenterSeneca, SC | $2,620 |
| Self Regional HealthcareGreenwood, SC | $2,613 |
| Laurens County Healthcare SystClinton, SC | $2,502 |
| Beaufort County Memorial HospitalBeaufort, SC | $2,490 |
Level 3 Excision/Biopsy/Incision and Drainage in other states
Questions
How much does level 3 excision/biopsy/incision and drainage cost in South Carolina?
In 2024 Medicare data, level 3 excision/biopsy/incision and drainage (APC 5073) at 49 hospitals in South Carolina was billed at $22,237 on average, while the average medicare-allowed amount was $2,407, of which Medicare paid $1,909. 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 9.2 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.