What 11 hospitals in South Carolina charged and were paid for level 3 intraocular procedures (APC 5493), from 2024 Medicare claims.
Hospitals in South Carolina billed an average of $31,042 for level 3 intraocular procedures, about 8.0 times the average medicare-allowed amount of $3,904. That payment is 23% below the U.S. average of $5,041.
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 |
|---|---|---|---|---|
| MUSC Medical CenterCharleston | 66 | $30,357 | $3,105 | $2,461 |
| St Francis-DowntownGreenville | 19 | $42,029 | $4,361 | $3,435 |
| MUSC Health Columbia Medical Center DowntownColumbia | 19 | $42,590 | $4,647 | $3,698 |
| Prisma Health Baptist ParkridgeColumbia | 17 | $29,453 | $4,491 | $3,573 |
| McLeod Health CherawCheraw | 16 | $19,591 | $4,317 | $3,401 |
| Palmetto Health BaptistColumbia | 12 | $29,978 | $4,491 | $3,578 |
| McLeod Regional Medical CenterFlorence | 11 | $16,499 | $4,476 | $3,567 |
| Spartanburg Regional Medical CenterSpartanburg | – | – | – | – |
| Palmetto Richland Mem HospColumbia | – | – | – | – |
| Greenville Memorial HospitalGreenville | – | – | – | – |
| East Cooper Reg Med CenterMt Pleasant | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| MUSC Medical CenterCharleston, SC | $3,105 |
|---|---|
| McLeod Health CherawCheraw, SC | $4,317 |
| St Francis-DowntownGreenville, SC | $4,361 |
| McLeod Regional Medical CenterFlorence, SC | $4,476 |
| Palmetto Health BaptistColumbia, SC | $4,491 |
| MUSC Health Columbia Medical Center DowntownColumbia, SC | $4,647 |
|---|---|
| Prisma Health Baptist ParkridgeColumbia, SC | $4,491 |
| Palmetto Health BaptistColumbia, SC | $4,491 |
| McLeod Regional Medical CenterFlorence, SC | $4,476 |
| St Francis-DowntownGreenville, SC | $4,361 |
In 2024 Medicare data, level 3 intraocular procedures (APC 5493) at 11 hospitals in South Carolina was billed at $31,042 on average, while the average medicare-allowed amount was $3,904, of which Medicare paid $3,095. 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 8.0 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.