Level 5 ENT Procedures in South Carolina
What 29 hospitals in South Carolina charged and were paid for level 5 ent procedures (APC 5165), from 2024 Medicare claims.
Average charge
$51,114
Hospital list price billed
Average allowed
$4,978
Medicare's payment + patient's share
Medicare paid
$3,946
Average per service
State rank
#11 of 49
1 = lowest average payment
Hospitals in South Carolina billed an average of $51,114 for level 5 ent procedures, about 10.3 times the average medicare-allowed amount of $4,978. That payment is 11% below the U.S. average of $5,586.
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 $4,978Billed $51,114
About 10¢ was paid for every $1 hospitals in South Carolina billed for this service.
South Carolina hospitals: level 5 ent 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 | 275 | $57,316 | $4,983 | $3,950 |
| Patewood Memorial HospitalGreenville | 73 | $38,388 | $4,941 | $3,913 |
| Trident Medical CenterCharleston | 71 | $86,102 | $4,918 | $3,893 |
| Greenville Memorial HospitalGreenville | 56 | $38,502 | $4,709 | $3,737 |
| Lexington Medical CenterWest Columbia | 55 | $39,719 | $5,032 | $4,009 |
| St Francis-DowntownGreenville | 37 | $39,019 | $5,051 | $4,022 |
| Spartanburg Regional Medical CenterSpartanburg | 28 | $40,376 | $5,418 | $4,285 |
| Anmed HealthAnderson | 26 | $39,014 | $5,372 | $4,280 |
| Grand Strand Reg Med CenterMyrtle Beach | 25 | $74,378 | $4,856 | $3,836 |
| McLeod Regional Medical CenterFlorence | 24 | $31,363 | $4,683 | $3,663 |
| Palmetto Richland Mem HospColumbia | 22 | $43,532 | $5,032 | $3,999 |
| Conway Medical CenterConway | 19 | $19,370 | $4,807 | $3,770 |
| MUSC Health Columbia Medical Center DowntownColumbia | 17 | $52,294 | $5,207 | $4,149 |
| Waccamaw Community HospitalMurrells Inlet | 11 | $30,851 | $5,016 | $3,996 |
| Piedmont Healthcare SystemRock Hill | – | – | – | – |
| Carolina Pines Regional Medical CenterHartsville | – | – | – | – |
| Baptist Easley HospitalEasley | – | – | – | – |
| Prisma Health Greer Memorial HospitalGreer | – | – | – | – |
| MUSC Health Lancaster Medical CenterLancaster | – | – | – | – |
| Newberry County Memorial HospitalNewberry | – | – | – | – |
| Bon Secours-St Francis Xavier HospitalCharleston | – | – | – | – |
| Beaufort County Memorial HospitalBeaufort | – | – | – | – |
| Tuomey Healthcare SystemSumter | – | – | – | – |
| Self Regional HealthcareGreenwood | – | – | – | – |
| Palmetto Health BaptistColumbia | – | – | – | – |
| Roper HospitalCharleston | – | – | – | – |
| Pelham Medical CenterGreer | – | – | – | – |
| McLeod Loris HospitalLoris | – | – | – | – |
| 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
| McLeod Regional Medical CenterFlorence, SC | $4,683 |
|---|---|
| Greenville Memorial HospitalGreenville, SC | $4,709 |
| Conway Medical CenterConway, SC | $4,807 |
| Grand Strand Reg Med CenterMyrtle Beach, SC | $4,856 |
| Trident Medical CenterCharleston, SC | $4,918 |
Highest
| Spartanburg Regional Medical CenterSpartanburg, SC | $5,418 |
|---|---|
| Anmed HealthAnderson, SC | $5,372 |
| MUSC Health Columbia Medical Center DowntownColumbia, SC | $5,207 |
| St Francis-DowntownGreenville, SC | $5,051 |
| Palmetto Richland Mem HospColumbia, SC | $5,032 |
Level 5 ENT Procedures in other states
Questions
How much does level 5 ent procedures cost in South Carolina?
In 2024 Medicare data, level 5 ent procedures (APC 5165) at 29 hospitals in South Carolina was billed at $51,114 on average, while the average medicare-allowed amount was $4,978, of which Medicare paid $3,946. 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 10.3 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.