Level 4 Extraocular, Repair, and Plastic Eye Procedures in South Carolina
What 7 hospitals in South Carolina charged and were paid for level 4 extraocular, repair, and plastic eye procedures (APC 5504), from 2024 Medicare claims.
Average charge
$25,983
Hospital list price billed
Average allowed
$2,897
Medicare's payment + patient's share
Medicare paid
$2,307
Average per service
State rank
#2 of 34
1 = lowest average payment
Hospitals in South Carolina billed an average of $25,983 for level 4 extraocular, repair, and plastic eye procedures, about 9.0 times the average medicare-allowed amount of $2,897. That payment is 22% below the U.S. average of $3,737.
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 $2,897Billed $25,983
About 11¢ was paid for every $1 hospitals in South Carolina billed for this service.
South Carolina hospitals: level 4 extraocular, repair, and plastic eye 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 | 35 | $34,015 | $2,364 | $1,881 |
| Greenville Memorial HospitalGreenville | 28 | $15,902 | $3,335 | $2,657 |
| Palmetto Richland Mem HospColumbia | 15 | $26,059 | $3,322 | $2,647 |
| Piedmont Healthcare SystemRock Hill | – | – | – | – |
| McLeod Regional Medical CenterFlorence | – | – | – | – |
| Trident Medical CenterCharleston | – | – | – | – |
| Prisma Health Baptist ParkridgeColumbia | – | – | – | – |
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 | $2,364 |
|---|---|
| Palmetto Richland Mem HospColumbia, SC | $3,322 |
| Greenville Memorial HospitalGreenville, SC | $3,335 |
Highest
| Greenville Memorial HospitalGreenville, SC | $3,335 |
|---|---|
| Palmetto Richland Mem HospColumbia, SC | $3,322 |
| MUSC Medical CenterCharleston, SC | $2,364 |
Level 4 Extraocular, Repair, and Plastic Eye Procedures in other states
Questions
How much does level 4 extraocular, repair, and plastic eye procedures cost in South Carolina?
In 2024 Medicare data, level 4 extraocular, repair, and plastic eye procedures (APC 5504) at 7 hospitals in South Carolina was billed at $25,983 on average, while the average medicare-allowed amount was $2,897, of which Medicare paid $2,307. 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 9.0 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.