Level 5 Musculoskeletal Procedures in South Carolina
What 49 hospitals in South Carolina charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$80,408
Hospital list price billed
Average allowed
$11,244
Medicare's payment + patient's share
Medicare paid
$9,613
Average per service
State rank
#10 of 49
1 = lowest average payment
Hospitals in South Carolina billed an average of $80,408 for level 5 musculoskeletal procedures, about 7.2 times the average medicare-allowed amount of $11,244. That payment is 9% below the U.S. average of $12,402.
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 $11,244Billed $80,408
About 14¢ was paid for every $1 hospitals in South Carolina billed for this service.
South Carolina hospitals: level 5 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 |
|---|---|---|---|---|
| Patewood Memorial HospitalGreenville | 870 | $71,154 | $11,207 | $9,575 |
| St Francis-DowntownGreenville | 712 | $95,249 | $11,175 | $9,540 |
| Mount Pleasant HospitalMount Pleasant | 449 | $48,702 | $11,214 | $9,581 |
| Lexington Medical CenterWest Columbia | 442 | $78,013 | $11,143 | $9,511 |
| Palmetto Health BaptistColumbia | 419 | $82,844 | $11,227 | $9,593 |
| Grand Strand Reg Med CenterMyrtle Beach | 405 | $128,362 | $11,182 | $9,549 |
| Spartanburg Regional Medical CenterSpartanburg | 397 | $56,173 | $12,433 | $10,801 |
| McLeod Regional Medical CenterFlorence | 394 | $70,993 | $10,839 | $9,205 |
| Hilton Head Regional Medical CenterHilton Head Island | 390 | $121,928 | $10,553 | $8,916 |
| MUSC Medical CenterCharleston | 388 | $79,957 | $10,721 | $9,131 |
| McLeod Loris HospitalLoris | 387 | $76,539 | $11,085 | $9,453 |
| Roper HospitalCharleston | 340 | $47,288 | $11,143 | $9,510 |
| East Cooper Reg Med CenterMt Pleasant | 321 | $109,880 | $10,828 | $9,193 |
| Beaufort County Memorial HospitalBeaufort | 319 | $40,581 | $12,000 | $10,367 |
| MUSC Health Columbia Medical Center DowntownColumbia | 276 | $113,295 | $11,506 | $9,874 |
| Conway Medical CenterConway | 235 | $51,719 | $11,109 | $9,483 |
| Oconee Medical CenterSeneca | 225 | $77,804 | $11,979 | $10,347 |
| Newberry County Memorial HospitalNewberry | 206 | $37,045 | $11,955 | $10,323 |
| Piedmont Healthcare SystemRock Hill | 185 | $120,969 | $10,600 | $8,968 |
| Waccamaw Community HospitalMurrells Inlet | 180 | $48,426 | $11,259 | $9,626 |
| Trident Medical CenterCharleston | 172 | $156,144 | $11,059 | $9,427 |
| Self Regional HealthcareGreenwood | 160 | $57,640 | $11,953 | $10,320 |
| Pelham Medical CenterGreer | 142 | $57,092 | $11,292 | $9,660 |
| Prisma Health Baptist ParkridgeColumbia | 110 | $74,749 | $11,120 | $9,486 |
| Tuomey Healthcare SystemSumter | 108 | $79,986 | $11,081 | $9,449 |
| Roper St Francis Hospital-Berkeley INCSummerville | 96 | $59,123 | $11,393 | $9,761 |
| Anmed HealthAnderson | 93 | $69,330 | $11,832 | $10,200 |
| McLeod Medical Center - DillonDillon | 86 | $73,089 | $10,699 | $9,067 |
| Greenville Memorial HospitalGreenville | 57 | $89,828 | $11,168 | $9,536 |
| Carolina Pines Regional Medical CenterHartsville | 55 | $200,226 | $11,505 | $9,873 |
| Prisma Health Greer Memorial HospitalGreer | 50 | $66,318 | $11,339 | $9,703 |
| MUSC Health Lancaster Medical CenterLancaster | 48 | $155,636 | $11,175 | $9,543 |
| Baptist Easley HospitalEasley | 43 | $82,062 | $11,113 | $9,477 |
| MUSC Health Florence Medical CenterFlorence | 39 | $102,371 | $11,259 | $9,627 |
| Georgetown Memorial HospitalGeorgetown | 35 | $52,273 | $11,064 | $9,426 |
| Aiken Regional Medical CenterAiken | 35 | $112,330 | $11,259 | $9,627 |
| McLeod Health ClarendonManning | 32 | $74,226 | $11,311 | $9,678 |
| Bon Secours-St Francis Xavier HospitalCharleston | 30 | $56,757 | $11,014 | $9,374 |
| Palmetto Richland Mem HospColumbia | 25 | $81,200 | $11,296 | $9,664 |
| Hillcrest Memorial HospitalSimpsonville | 20 | $65,197 | $11,339 | $9,707 |
| KershawhealthCamden | 17 | $65,283 | $10,728 | $9,096 |
| Chester Regional Medical CenterChester | 11 | $105,814 | $11,811 | $10,179 |
| Hampton Regional Med CtrVarnville | 11 | $31,950 | $12,056 | $10,424 |
| Cannon Memorial HospitalPickens | – | – | – | – |
| Colleton Medical CenterWalterboro | – | – | – | – |
| Laurens County Healthcare SystClinton | – | – | – | – |
| Cherokee Medical CenterGaffney | – | – | – | – |
| Coastal Carolina HospitalHardeeville | – | – | – | – |
| McLeod Health CherawCheraw | – | – | – | – |
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
| Hilton Head Regional Medical CenterHilton Head Island, SC | $10,553 |
|---|---|
| Piedmont Healthcare SystemRock Hill, SC | $10,600 |
| McLeod Medical Center - DillonDillon, SC | $10,699 |
| MUSC Medical CenterCharleston, SC | $10,721 |
| KershawhealthCamden, SC | $10,728 |
Highest
| Spartanburg Regional Medical CenterSpartanburg, SC | $12,433 |
|---|---|
| Hampton Regional Med CtrVarnville, SC | $12,056 |
| Beaufort County Memorial HospitalBeaufort, SC | $12,000 |
| Oconee Medical CenterSeneca, SC | $11,979 |
| Newberry County Memorial HospitalNewberry, SC | $11,955 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in South Carolina?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 49 hospitals in South Carolina was billed at $80,408 on average, while the average medicare-allowed amount was $11,244, of which Medicare paid $9,613. 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 7.2 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.