facebook tracking Level 4 Breast/Lymphatic Surgery and Related Procedures cost in South Carolina: 20 hospitals compared (APC 5094)

Level 4 Breast/Lymphatic Surgery and Related Procedures in South Carolina

What 20 hospitals in South Carolina charged and were paid for level 4 breast/lymphatic surgery and related procedures (APC 5094), from 2024 Medicare claims.

APC 5094 Outpatient 2024 Medicare data
Average charge – Hospital list price billed
Average allowed – Medicare's payment + patient's share
Medicare paid – Average per service
Volume – Medicare services

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.

South Carolina hospitals: level 4 breast/lymphatic surgery and related 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
MUSC Medical CenterCharleston – – – –
Spartanburg Regional Medical CenterSpartanburg – – – –
Palmetto Richland Mem HospColumbia – – – –
Georgetown Memorial HospitalGeorgetown – – – –
St Francis-DowntownGreenville – – – –
Anmed HealthAnderson – – – –
McLeod Regional Medical CenterFlorence – – – –
Bon Secours-St Francis Xavier HospitalCharleston – – – –
Tuomey Healthcare SystemSumter – – – –
Self Regional HealthcareGreenwood – – – –
Lexington Medical CenterWest Columbia – – – –
Greenville Memorial HospitalGreenville – – – –
Hilton Head Regional Medical CenterHilton Head Island – – – –
Grand Strand Reg Med CenterMyrtle Beach – – – –
Palmetto Health BaptistColumbia – – – –
East Cooper Reg Med CenterMt Pleasant – – – –
Patewood Memorial HospitalGreenville – – – –
Mount Pleasant HospitalMount Pleasant – – – –
McLeod Loris HospitalLoris – – – –
Prisma Health Baptist ParkridgeColumbia – – – –
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Level 4 Breast/Lymphatic Surgery and Related Procedures in other states

Questions

How much does level 4 breast/lymphatic surgery and related procedures cost in South Carolina?

In 2024 Medicare data, level 4 breast/lymphatic surgery and related procedures (APC 5094) at 20 hospitals in South Carolina was billed at – on average, while the average medicare-allowed amount was –. 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. 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.