facebook tracking Level 4 Pacemaker and Similar Procedures cost in South Carolina: 21 hospitals compared (APC 5224)

Level 4 Pacemaker and Similar Procedures in South Carolina

What 21 hospitals in South Carolina charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.

APC 5224 Outpatient 2024 Medicare data
Average charge $162,464 Hospital list price billed
Average allowed $16,735 Medicare's payment + patient's share
Medicare paid $15,103 Average per service
State rank #9 of 47 1 = lowest average payment

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.

Paid $16,735Billed $162,464

About 10¢ was paid for every $1 hospitals in South Carolina billed for this service.

South Carolina hospitals: level 4 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
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 – – – –
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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

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

Highest

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

Level 4 Pacemaker and Similar Procedures in other states

Questions

How much does level 4 pacemaker and similar procedures cost in South Carolina?

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.

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 9.7 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.