Level 4 Musculoskeletal Procedures in South Carolina
What 49 hospitals in South Carolina charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$51,302
Hospital list price billed
Average allowed
$5,959
Medicare's payment + patient's share
Medicare paid
$4,713
Average per service
State rank
#6 of 49
1 = lowest average payment
Hospitals in South Carolina billed an average of $51,302 for level 4 musculoskeletal procedures, about 8.6 times the average medicare-allowed amount of $5,959. That payment is 11% below the U.S. average of $6,708.
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 $5,959Billed $51,302
About 12¢ was paid for every $1 hospitals in South Carolina billed for this service.
South Carolina hospitals: level 4 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 |
|---|---|---|---|---|
| St Francis-DowntownGreenville | 345 | $55,905 | $6,001 | $4,744 |
| MUSC Medical CenterCharleston | 335 | $53,047 | $4,713 | $3,738 |
| McLeod Regional Medical CenterFlorence | 273 | $45,453 | $5,931 | $4,684 |
| Greenville Memorial HospitalGreenville | 246 | $40,979 | $6,151 | $4,895 |
| Roper HospitalCharleston | 245 | $32,073 | $6,072 | $4,817 |
| McLeod Loris HospitalLoris | 222 | $55,398 | $6,083 | $4,837 |
| East Cooper Reg Med CenterMt Pleasant | 202 | $60,383 | $5,833 | $4,573 |
| Spartanburg Regional Medical CenterSpartanburg | 198 | $41,779 | $6,676 | $5,291 |
| Patewood Memorial HospitalGreenville | 176 | $47,903 | $5,864 | $4,607 |
| Prisma Health Baptist ParkridgeColumbia | 163 | $43,294 | $6,087 | $4,836 |
| Bon Secours-St Francis Xavier HospitalCharleston | 145 | $37,352 | $6,109 | $4,854 |
| Lexington Medical CenterWest Columbia | 141 | $39,574 | $6,078 | $4,829 |
| Hilton Head Regional Medical CenterHilton Head Island | 127 | $93,515 | $5,590 | $4,315 |
| Self Regional HealthcareGreenwood | 126 | $36,682 | $6,419 | $5,082 |
| Waccamaw Community HospitalMurrells Inlet | 125 | $39,957 | $6,127 | $4,878 |
| Conway Medical CenterConway | 124 | $29,254 | $5,426 | $4,307 |
| Pelham Medical CenterGreer | 123 | $37,439 | $6,060 | $4,795 |
| Grand Strand Reg Med CenterMyrtle Beach | 117 | $98,176 | $6,086 | $4,836 |
| Beaufort County Memorial HospitalBeaufort | 112 | $27,082 | $6,562 | $5,228 |
| Piedmont Healthcare SystemRock Hill | 105 | $69,407 | $5,655 | $4,345 |
| Trident Medical CenterCharleston | 100 | $98,391 | $6,079 | $4,824 |
| MUSC Health Columbia Medical Center DowntownColumbia | 99 | $58,547 | $6,259 | $4,965 |
| Coastal Carolina HospitalHardeeville | 78 | $68,225 | $5,627 | $4,380 |
| Anmed HealthAnderson | 74 | $52,923 | $6,211 | $4,876 |
| Mount Pleasant HospitalMount Pleasant | 74 | $39,187 | $5,973 | $4,718 |
| Baptist Easley HospitalEasley | 58 | $47,087 | $6,001 | $4,745 |
| Palmetto Health BaptistColumbia | 55 | $48,843 | $6,059 | $4,809 |
| MUSC Health Florence Medical CenterFlorence | 54 | $94,205 | $5,860 | $4,611 |
| Oconee Medical CenterSeneca | 51 | $48,111 | $6,390 | $5,050 |
| Palmetto Richland Mem HospColumbia | 50 | $41,595 | $6,147 | $4,898 |
| MUSC Health Lancaster Medical CenterLancaster | 47 | $101,477 | $6,108 | $4,797 |
| Aiken Regional Medical CenterAiken | 45 | $66,348 | $6,127 | $4,881 |
| Georgetown Memorial HospitalGeorgetown | 42 | $31,601 | $6,055 | $4,801 |
| Prisma Health Greer Memorial HospitalGreer | 37 | $48,740 | $6,171 | $4,917 |
| Hillcrest Memorial HospitalSimpsonville | 37 | $47,481 | $5,772 | $4,518 |
| Roper St Francis Hospital-Berkeley INCSummerville | 37 | $37,624 | $6,200 | $4,940 |
| Tuomey Healthcare SystemSumter | 36 | $41,214 | $6,127 | $4,882 |
| Carolina Pines Regional Medical CenterHartsville | 22 | $116,620 | $6,361 | $5,068 |
| Colleton Medical CenterWalterboro | 18 | $54,471 | $6,025 | $4,682 |
| McLeod Health CherawCheraw | 17 | $39,359 | $5,879 | $4,621 |
| KershawhealthCamden | 15 | $37,342 | $6,147 | $4,898 |
| Newberry County Memorial HospitalNewberry | 15 | $25,998 | $6,214 | $4,880 |
| McLeod Medical Center - DillonDillon | – | – | – | – |
| Cannon Memorial HospitalPickens | – | – | – | – |
| Chester Regional Medical CenterChester | – | – | – | – |
| Laurens County Healthcare SystClinton | – | – | – | – |
| Cherokee Medical CenterGaffney | – | – | – | – |
| 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 | $4,713 |
|---|---|
| Conway Medical CenterConway, SC | $5,426 |
| Hilton Head Regional Medical CenterHilton Head Island, SC | $5,590 |
| Coastal Carolina HospitalHardeeville, SC | $5,627 |
| Piedmont Healthcare SystemRock Hill, SC | $5,655 |
Highest
| Spartanburg Regional Medical CenterSpartanburg, SC | $6,676 |
|---|---|
| Beaufort County Memorial HospitalBeaufort, SC | $6,562 |
| Self Regional HealthcareGreenwood, SC | $6,419 |
| Oconee Medical CenterSeneca, SC | $6,390 |
| Carolina Pines Regional Medical CenterHartsville, SC | $6,361 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in South Carolina?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 49 hospitals in South Carolina was billed at $51,302 on average, while the average medicare-allowed amount was $5,959, of which Medicare paid $4,713. 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 8.6 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.