facebook tracking Level 5 Neurostimulator and Related Procedures cost in South Carolina: 32 hospitals compared (APC 5465)

Level 5 Neurostimulator and Related Procedures in South Carolina

What 32 hospitals in South Carolina charged and were paid for level 5 neurostimulator and related procedures (APC 5465), from 2024 Medicare claims.

APC 5465 Outpatient 2024 Medicare data
Average charge $151,967 Hospital list price billed
Average allowed $25,930 Medicare's payment + patient's share
Medicare paid $24,298 Average per service
State rank #6 of 47 1 = lowest average payment

Hospitals in South Carolina billed an average of $151,967 for level 5 neurostimulator and related procedures, about 5.9 times the average medicare-allowed amount of $25,930. That payment is 9% below the U.S. average of $28,354.

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 $25,930Billed $151,967

About 17¢ was paid for every $1 hospitals in South Carolina billed for this service.

South Carolina hospitals: level 5 neurostimulator and related 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 91 $119,570 $25,890 $24,255
East Cooper Reg Med CenterMt Pleasant 54 $188,407 $24,393 $22,756
Trident Medical CenterCharleston 53 $221,303 $26,715 $25,083
Pelham Medical CenterGreer 45 $98,965 $26,924 $25,292
Greenville Memorial HospitalGreenville 42 $116,715 $25,520 $23,882
St Francis-DowntownGreenville 38 $261,138 $26,091 $24,459
Grand Strand Reg Med CenterMyrtle Beach 34 $245,046 $25,788 $24,154
Piedmont Healthcare SystemRock Hill 33 $250,170 $23,060 $21,428
Patewood Memorial HospitalGreenville 33 $126,556 $26,708 $25,076
Spartanburg Regional Medical CenterSpartanburg 32 $99,168 $28,613 $26,981
Palmetto Richland Mem HospColumbia 32 $135,259 $25,220 $23,580
Bon Secours-St Francis Xavier HospitalCharleston 28 $79,879 $24,054 $22,461
Anmed HealthAnderson 27 $203,634 $27,410 $25,778
Conway Medical CenterConway 20 $73,545 $26,520 $24,888
McLeod Regional Medical CenterFlorence 20 $93,627 $25,276 $23,644
McLeod Loris HospitalLoris 20 $99,973 $26,520 $24,888
Beaufort County Memorial HospitalBeaufort 18 $130,760 $28,401 $26,769
Self Regional HealthcareGreenwood 16 $117,681 $26,789 $25,157
Aiken Regional Medical CenterAiken 13 $114,058 $22,691 $21,059
Prisma Health Baptist ParkridgeColumbia 12 $110,450 $26,607 $24,975
Cannon Memorial HospitalPickens – – – –
Georgetown Memorial HospitalGeorgetown – – – –
MUSC Health Columbia Medical Center DowntownColumbia – – – –
Prisma Health Greer Memorial HospitalGreer – – – –
MUSC Health Lancaster Medical CenterLancaster – – – –
KershawhealthCamden – – – –
Newberry County Memorial HospitalNewberry – – – –
Tuomey Healthcare SystemSumter – – – –
Lexington Medical CenterWest Columbia – – – –
Palmetto Health BaptistColumbia – – – –
Waccamaw Community HospitalMurrells Inlet – – – –
Coastal Carolina HospitalHardeeville – – – –
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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

Aiken Regional Medical CenterAiken, SC$22,691
Piedmont Healthcare SystemRock Hill, SC$23,060
Bon Secours-St Francis Xavier HospitalCharleston, SC$24,054
East Cooper Reg Med CenterMt Pleasant, SC$24,393
Palmetto Richland Mem HospColumbia, SC$25,220

Highest

Spartanburg Regional Medical CenterSpartanburg, SC$28,613
Beaufort County Memorial HospitalBeaufort, SC$28,401
Anmed HealthAnderson, SC$27,410
Pelham Medical CenterGreer, SC$26,924
Self Regional HealthcareGreenwood, SC$26,789

Level 5 Neurostimulator and Related Procedures in other states

Questions

How much does level 5 neurostimulator and related procedures cost in South Carolina?

In 2024 Medicare data, level 5 neurostimulator and related procedures (APC 5465) at 32 hospitals in South Carolina was billed at $151,967 on average, while the average medicare-allowed amount was $25,930, of which Medicare paid $24,298. 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 5.9 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.