Level 3 Lower GI Procedures in South Carolina
What 43 hospitals in South Carolina charged and were paid for level 3 lower gi procedures (APC 5313), from 2024 Medicare claims.
Average charge
$19,423
Hospital list price billed
Average allowed
$2,346
Medicare's payment + patient's share
Medicare paid
$1,895
Average per service
State rank
#6 of 49
1 = lowest average payment
Hospitals in South Carolina billed an average of $19,423 for level 3 lower gi procedures, about 8.3 times the average medicare-allowed amount of $2,346. That payment is 13% below the U.S. average of $2,703.
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 $2,346Billed $19,423
About 12¢ was paid for every $1 hospitals in South Carolina billed for this service.
South Carolina hospitals: level 3 lower gi 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 |
|---|---|---|---|---|
| Waccamaw Community HospitalMurrells Inlet | 190 | $16,779 | $2,370 | $1,975 |
| MUSC Medical CenterCharleston | 173 | $20,260 | $2,286 | $1,837 |
| Greenville Memorial HospitalGreenville | 117 | $19,200 | $2,305 | $1,868 |
| Conway Medical CenterConway | 70 | $18,336 | $2,090 | $1,680 |
| McLeod Regional Medical CenterFlorence | 55 | $16,687 | $2,314 | $1,844 |
| Anmed HealthAnderson | 46 | $26,420 | $2,441 | $1,941 |
| Spartanburg Regional Medical CenterSpartanburg | 38 | $22,611 | $2,617 | $2,096 |
| Lexington Medical CenterWest Columbia | 38 | $23,614 | $2,413 | $1,922 |
| Trident Medical CenterCharleston | 35 | $27,489 | $2,367 | $1,885 |
| Georgetown Memorial HospitalGeorgetown | 29 | $16,571 | $2,422 | $1,980 |
| Roper HospitalCharleston | 29 | $13,339 | $2,423 | $1,930 |
| MUSC Health Columbia Medical Center DowntownColumbia | 28 | $24,843 | $2,355 | $1,847 |
| Mount Pleasant HospitalMount Pleasant | 26 | $13,741 | $2,423 | $1,930 |
| Roper St Francis Hospital-Berkeley INCSummerville | 25 | $13,069 | $2,433 | $1,939 |
| McLeod Loris HospitalLoris | 22 | $24,409 | $2,350 | $1,872 |
| Bon Secours-St Francis Xavier HospitalCharleston | 15 | $11,841 | $2,294 | $1,789 |
| Piedmont Healthcare SystemRock Hill | 14 | $28,461 | $2,379 | $1,862 |
| Oconee Medical CenterSeneca | 13 | $16,018 | $2,588 | $2,092 |
| St Francis-DowntownGreenville | 11 | $25,027 | $2,421 | $1,984 |
| Carolina Pines Regional Medical CenterHartsville | – | – | – | – |
| Baptist Easley HospitalEasley | – | – | – | – |
| Palmetto Richland Mem HospColumbia | – | – | – | – |
| Colleton Medical CenterWalterboro | – | – | – | – |
| Prisma Health Greer Memorial HospitalGreer | – | – | – | – |
| MUSC Health Lancaster Medical CenterLancaster | – | – | – | – |
| Hillcrest Memorial HospitalSimpsonville | – | – | – | – |
| Newberry County Memorial HospitalNewberry | – | – | – | – |
| Marion Regional HospitalMullins | – | – | – | – |
| Beaufort County Memorial HospitalBeaufort | – | – | – | – |
| Tuomey Healthcare SystemSumter | – | – | – | – |
| Self Regional HealthcareGreenwood | – | – | – | – |
| Hampton Regional Med CtrVarnville | – | – | – | – |
| Hilton Head Regional Medical CenterHilton Head Island | – | – | – | – |
| Aiken Regional Medical CenterAiken | – | – | – | – |
| Grand Strand Reg Med CenterMyrtle Beach | – | – | – | – |
| Palmetto Health BaptistColumbia | – | – | – | – |
| East Cooper Reg Med CenterMt Pleasant | – | – | – | – |
| MUSC Health Florence Medical CenterFlorence | – | – | – | – |
| Coastal Carolina HospitalHardeeville | – | – | – | – |
| Patewood Memorial HospitalGreenville | – | – | – | – |
| 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
| Conway Medical CenterConway, SC | $2,090 |
|---|---|
| MUSC Medical CenterCharleston, SC | $2,286 |
| Bon Secours-St Francis Xavier HospitalCharleston, SC | $2,294 |
| Greenville Memorial HospitalGreenville, SC | $2,305 |
| McLeod Regional Medical CenterFlorence, SC | $2,314 |
Highest
| Spartanburg Regional Medical CenterSpartanburg, SC | $2,617 |
|---|---|
| Oconee Medical CenterSeneca, SC | $2,588 |
| Anmed HealthAnderson, SC | $2,441 |
| Roper St Francis Hospital-Berkeley INCSummerville, SC | $2,433 |
| Roper HospitalCharleston, SC | $2,423 |
Level 3 Lower GI Procedures in other states
Questions
How much does level 3 lower gi procedures cost in South Carolina?
In 2024 Medicare data, level 3 lower gi procedures (APC 5313) at 43 hospitals in South Carolina was billed at $19,423 on average, while the average medicare-allowed amount was $2,346, of which Medicare paid $1,895. 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 8.3 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.