facebook tracking Level 3 Pacemaker and Similar Procedures cost in South Carolina: 30 hospitals compared (APC 5223)

Level 3 Pacemaker and Similar Procedures in South Carolina

What 30 hospitals in South Carolina charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.

APC 5223 Outpatient 2024 Medicare data
Average charge $77,418 Hospital list price billed
Average allowed $9,243 Medicare's payment + patient's share
Medicare paid $7,609 Average per service
State rank #11 of 49 1 = lowest average payment

Hospitals in South Carolina billed an average of $77,418 for level 3 pacemaker and similar procedures, about 8.4 times the average medicare-allowed amount of $9,243. That payment is 9% below the U.S. average of $10,202.

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 $9,243Billed $77,418

About 12¢ was paid for every $1 hospitals in South Carolina billed for this service.

South Carolina hospitals: level 3 pacemaker and similar 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 176 $43,757 $9,208 $7,571
Lexington Medical CenterWest Columbia 154 $86,402 $9,122 $7,490
Greenville Memorial HospitalGreenville 132 $76,863 $9,148 $7,516
Palmetto Richland Mem HospColumbia 112 $78,917 $9,171 $7,539
MUSC Health Columbia Medical Center DowntownColumbia 96 $67,296 $9,407 $7,775
St Francis-DowntownGreenville 93 $89,159 $9,124 $7,492
McLeod Regional Medical CenterFlorence 85 $63,149 $9,053 $7,421
Spartanburg Regional Medical CenterSpartanburg 84 $48,866 $10,160 $8,523
Grand Strand Reg Med CenterMyrtle Beach 83 $133,825 $9,141 $7,505
McLeod Loris HospitalLoris 83 $60,707 $9,141 $7,509
MUSC Medical CenterCharleston 77 $48,541 $9,174 $7,544
Trident Medical CenterCharleston 67 $220,923 $9,208 $7,574
Hilton Head Regional Medical CenterHilton Head Island 56 $70,320 $8,859 $7,215
Piedmont Healthcare SystemRock Hill 48 $122,205 $8,926 $7,289
Anmed HealthAnderson 48 $52,897 $9,788 $8,156
Beaufort County Memorial HospitalBeaufort 35 $51,835 $9,558 $7,917
Self Regional HealthcareGreenwood 34 $46,985 $9,810 $8,175
Aiken Regional Medical CenterAiken 34 $65,523 $8,931 $7,330
Georgetown Memorial HospitalGeorgetown 29 $40,364 $9,208 $7,568
Conway Medical CenterConway 15 $66,085 $9,141 $7,509
Tuomey Healthcare SystemSumter 13 $80,144 $9,141 $7,509
MUSC Health Florence Medical CenterFlorence 12 $95,723 $9,141 $7,509
Oconee Medical CenterSeneca – – – –
Baptist Easley HospitalEasley – – – –
MUSC Health Lancaster Medical CenterLancaster – – – –
Laurens County Healthcare SystClinton – – – –
KershawhealthCamden – – – –
Marion Regional HospitalMullins – – – –
Waccamaw Community HospitalMurrells Inlet – – – –
Roper St Francis Hospital-Berkeley INCSummerville – – – –
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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

Hilton Head Regional Medical CenterHilton Head Island, SC$8,859
Piedmont Healthcare SystemRock Hill, SC$8,926
Aiken Regional Medical CenterAiken, SC$8,931
McLeod Regional Medical CenterFlorence, SC$9,053
Lexington Medical CenterWest Columbia, SC$9,122

Highest

Level 3 Pacemaker and Similar Procedures in other states

Questions

How much does level 3 pacemaker and similar procedures cost in South Carolina?

In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 30 hospitals in South Carolina was billed at $77,418 on average, while the average medicare-allowed amount was $9,243, of which Medicare paid $7,609. 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 8.4 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.