What 21 hospitals in South Carolina charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.
Hospitals in South Carolina billed an average of $162,464 for level 4 pacemaker and similar procedures, about 9.7 times the average medicare-allowed amount of $16,735. That payment is 10% below the U.S. average of $18,685.
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.
About 10¢ was paid for every $1 hospitals in South Carolina billed for this service.
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 | 86 | $183,984 | $16,595 | $14,963 |
| Greenville Memorial HospitalGreenville | 81 | $134,298 | $16,585 | $14,953 |
| Grand Strand Reg Med CenterMyrtle Beach | 49 | $351,431 | $16,654 | $15,022 |
| Palmetto Richland Mem HospColumbia | 47 | $115,592 | $16,708 | $15,076 |
| MUSC Medical CenterCharleston | 44 | $108,510 | $16,496 | $14,864 |
| Roper HospitalCharleston | 35 | $84,214 | $16,776 | $15,142 |
| Lexington Medical CenterWest Columbia | 32 | $116,883 | $16,708 | $15,076 |
| Trident Medical CenterCharleston | 23 | $308,842 | $16,776 | $15,144 |
| McLeod Regional Medical CenterFlorence | 16 | $111,074 | $16,654 | $15,022 |
| Anmed HealthAnderson | 13 | $88,489 | $17,834 | $16,202 |
| Spartanburg Regional Medical CenterSpartanburg | 11 | $82,003 | $18,513 | $16,881 |
| MUSC Health Columbia Medical Center DowntownColumbia | 11 | $94,079 | $17,288 | $15,656 |
| Piedmont Healthcare SystemRock Hill | – | – | – | – |
| Carolina Pines Regional Medical CenterHartsville | – | – | – | – |
| Conway Medical CenterConway | – | – | – | – |
| Tuomey Healthcare SystemSumter | – | – | – | – |
| Self Regional HealthcareGreenwood | – | – | – | – |
| Hilton Head Regional Medical CenterHilton Head Island | – | – | – | – |
| Aiken Regional Medical CenterAiken | – | – | – | – |
| MUSC Health Florence Medical CenterFlorence | – | – | – | – |
| McLeod Loris HospitalLoris | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| MUSC Medical CenterCharleston, SC | $16,496 |
|---|---|
| Greenville Memorial HospitalGreenville, SC | $16,585 |
| St Francis-DowntownGreenville, SC | $16,595 |
| McLeod Regional Medical CenterFlorence, SC | $16,654 |
| Grand Strand Reg Med CenterMyrtle Beach, SC | $16,654 |
| Spartanburg Regional Medical CenterSpartanburg, SC | $18,513 |
|---|---|
| Anmed HealthAnderson, SC | $17,834 |
| MUSC Health Columbia Medical Center DowntownColumbia, SC | $17,288 |
| Roper HospitalCharleston, SC | $16,776 |
| Trident Medical CenterCharleston, SC | $16,776 |
In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 21 hospitals in South Carolina was billed at $162,464 on average, while the average medicare-allowed amount was $16,735, of which Medicare paid $15,103. Your own cost depends on your insurance, deductible and the hospital.
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.