Level 3 Musculoskeletal Procedures in South Carolina
What 49 hospitals in South Carolina charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$26,186
Hospital list price billed
Average allowed
$2,688
Medicare's payment + patient's share
Medicare paid
$2,128
Average per service
State rank
#7 of 49
1 = lowest average payment
Hospitals in South Carolina billed an average of $26,186 for level 3 musculoskeletal procedures, about 9.7 times the average medicare-allowed amount of $2,688. That payment is 10% below the U.S. average of $2,995.
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 $2,688Billed $26,186
About 10¢ was paid for every $1 hospitals in South Carolina billed for this service.
South Carolina hospitals: level 3 musculoskeletal 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 |
|---|---|---|---|---|
| Roper HospitalCharleston | 329 | $16,887 | $2,726 | $2,155 |
| MUSC Medical CenterCharleston | 214 | $31,216 | $2,024 | $1,608 |
| Greenville Memorial HospitalGreenville | 172 | $13,324 | $2,792 | $2,223 |
| St Francis-DowntownGreenville | 167 | $26,141 | $2,770 | $2,198 |
| Prisma Health Baptist ParkridgeColumbia | 121 | $29,029 | $2,708 | $2,143 |
| McLeod Regional Medical CenterFlorence | 114 | $24,673 | $2,696 | $2,131 |
| McLeod Loris HospitalLoris | 107 | $24,796 | $2,712 | $2,147 |
| Lexington Medical CenterWest Columbia | 103 | $22,737 | $2,738 | $2,171 |
| Patewood Memorial HospitalGreenville | 102 | $26,576 | $2,727 | $2,159 |
| Mount Pleasant HospitalMount Pleasant | 101 | $19,624 | $2,727 | $2,158 |
| Conway Medical CenterConway | 78 | $16,349 | $2,271 | $1,806 |
| MUSC Health Columbia Medical Center DowntownColumbia | 77 | $35,336 | $2,848 | $2,263 |
| East Cooper Reg Med CenterMt Pleasant | 74 | $33,282 | $2,554 | $1,967 |
| Bon Secours-St Francis Xavier HospitalCharleston | 73 | $16,930 | $2,762 | $2,194 |
| Spartanburg Regional Medical CenterSpartanburg | 72 | $26,515 | $2,958 | $2,330 |
| Self Regional HealthcareGreenwood | 68 | $17,191 | $2,976 | $2,370 |
| Hilton Head Regional Medical CenterHilton Head Island | 59 | $43,232 | $2,636 | $2,058 |
| Beaufort County Memorial HospitalBeaufort | 57 | $10,219 | $2,928 | $2,321 |
| MUSC Health Florence Medical CenterFlorence | 56 | $61,034 | $2,745 | $2,179 |
| Waccamaw Community HospitalMurrells Inlet | 56 | $15,151 | $2,734 | $2,163 |
| Anmed HealthAnderson | 54 | $24,788 | $2,925 | $2,322 |
| Tuomey Healthcare SystemSumter | 51 | $24,203 | $2,738 | $2,175 |
| Trident Medical CenterCharleston | 48 | $41,194 | $2,746 | $2,179 |
| Piedmont Healthcare SystemRock Hill | 45 | $39,933 | $2,445 | $1,854 |
| Baptist Easley HospitalEasley | 45 | $22,610 | $2,743 | $2,175 |
| Grand Strand Reg Med CenterMyrtle Beach | 45 | $74,324 | $2,772 | $2,209 |
| Palmetto Health BaptistColumbia | 39 | $27,439 | $2,781 | $2,215 |
| Coastal Carolina HospitalHardeeville | 35 | $45,040 | $2,646 | $2,083 |
| Hillcrest Memorial HospitalSimpsonville | 28 | $23,860 | $2,792 | $2,224 |
| Prisma Health Greer Memorial HospitalGreer | 26 | $27,077 | $2,792 | $2,224 |
| Oconee Medical CenterSeneca | 25 | $27,322 | $2,889 | $2,283 |
| Colleton Medical CenterWalterboro | 24 | $23,086 | $2,991 | $2,383 |
| Roper St Francis Hospital-Berkeley INCSummerville | 24 | $20,274 | $2,805 | $2,235 |
| Georgetown Memorial HospitalGeorgetown | 20 | $18,351 | $2,793 | $2,225 |
| MUSC Health Lancaster Medical CenterLancaster | 19 | $69,317 | $2,909 | $2,313 |
| Aiken Regional Medical CenterAiken | 19 | $39,241 | $2,772 | $2,209 |
| KershawhealthCamden | 16 | $17,255 | $2,648 | $2,083 |
| Chester Regional Medical CenterChester | 15 | $43,401 | $2,847 | $2,256 |
| McLeod Health CherawCheraw | 15 | $23,041 | $2,642 | $2,075 |
| Newberry County Memorial HospitalNewberry | 13 | $15,451 | $2,787 | $2,184 |
| Pelham Medical CenterGreer | 13 | $25,612 | $2,815 | $2,242 |
| Palmetto Richland Mem HospColumbia | 12 | $30,397 | $2,782 | $2,201 |
| McLeod Medical Center - DillonDillon | – | – | – | – |
| Carolina Pines Regional Medical CenterHartsville | – | – | – | – |
| Laurens County Healthcare SystClinton | – | – | – | – |
| Cherokee Medical CenterGaffney | – | – | – | – |
| Marion Regional HospitalMullins | – | – | – | – |
| Hampton Regional Med CtrVarnville | – | – | – | – |
| 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
| MUSC Medical CenterCharleston, SC | $2,024 |
|---|---|
| Conway Medical CenterConway, SC | $2,271 |
| Piedmont Healthcare SystemRock Hill, SC | $2,445 |
| East Cooper Reg Med CenterMt Pleasant, SC | $2,554 |
| Hilton Head Regional Medical CenterHilton Head Island, SC | $2,636 |
Highest
| Colleton Medical CenterWalterboro, SC | $2,991 |
|---|---|
| Self Regional HealthcareGreenwood, SC | $2,976 |
| Spartanburg Regional Medical CenterSpartanburg, SC | $2,958 |
| Beaufort County Memorial HospitalBeaufort, SC | $2,928 |
| Anmed HealthAnderson, SC | $2,925 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in South Carolina?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 49 hospitals in South Carolina was billed at $26,186 on average, while the average medicare-allowed amount was $2,688, of which Medicare paid $2,128. 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 9.7 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.