facebook tracking Level 6 Gynecologic Procedures cost in South Carolina: 22 hospitals compared (APC 5416)

Level 6 Gynecologic Procedures in South Carolina

What 22 hospitals in South Carolina charged and were paid for level 6 gynecologic procedures (APC 5416), from 2024 Medicare claims.

APC 5416 Outpatient 2024 Medicare data
Average charge $52,085 Hospital list price billed
Average allowed $6,509 Medicare's payment + patient's share
Medicare paid $5,180 Average per service
State rank #9 of 41 1 = lowest average payment

Hospitals in South Carolina billed an average of $52,085 for level 6 gynecologic procedures, about 8.0 times the average medicare-allowed amount of $6,509. That payment is 11% below the U.S. average of $7,292.

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 $6,509Billed $52,085

About 12¢ was paid for every $1 hospitals in South Carolina billed for this service.

South Carolina hospitals: level 6 gynecologic 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
Lexington Medical CenterWest Columbia 31 $43,235 $6,493 $5,174
Grand Strand Reg Med CenterMyrtle Beach 27 $92,928 $6,472 $5,157
KershawhealthCamden 20 $54,123 $6,235 $4,915
Waccamaw Community HospitalMurrells Inlet 20 $44,678 $6,472 $5,157
Patewood Memorial HospitalGreenville 20 $48,413 $6,518 $5,193
Prisma Health Baptist ParkridgeColumbia 17 $37,470 $6,493 $5,174
St Francis-DowntownGreenville 15 $29,356 $6,518 $5,193
MUSC Medical CenterCharleston 13 $65,732 $6,520 $5,195
Spartanburg Regional Medical CenterSpartanburg 11 $30,668 $7,196 $5,733
Oconee Medical CenterSeneca – – – –
Palmetto Richland Mem HospColumbia – – – –
Georgetown Memorial HospitalGeorgetown – – – –
MUSC Health Columbia Medical Center DowntownColumbia – – – –
Conway Medical CenterConway – – – –
McLeod Regional Medical CenterFlorence – – – –
Self Regional HealthcareGreenwood – – – –
Greenville Memorial HospitalGreenville – – – –
Trident Medical CenterCharleston – – – –
Palmetto Health BaptistColumbia – – – –
East Cooper Reg Med CenterMt Pleasant – – – –
McLeod Loris HospitalLoris – – – –
Roper St Francis Hospital-Berkeley INCSummerville – – – –
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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

KershawhealthCamden, SC$6,235
Grand Strand Reg Med CenterMyrtle Beach, SC$6,472
Waccamaw Community HospitalMurrells Inlet, SC$6,472
Lexington Medical CenterWest Columbia, SC$6,493
Prisma Health Baptist ParkridgeColumbia, SC$6,493

Highest

Spartanburg Regional Medical CenterSpartanburg, SC$7,196
MUSC Medical CenterCharleston, SC$6,520
St Francis-DowntownGreenville, SC$6,518
Patewood Memorial HospitalGreenville, SC$6,518
Lexington Medical CenterWest Columbia, SC$6,493

Level 6 Gynecologic Procedures in other states

Questions

How much does level 6 gynecologic procedures cost in South Carolina?

In 2024 Medicare data, level 6 gynecologic procedures (APC 5416) at 22 hospitals in South Carolina was billed at $52,085 on average, while the average medicare-allowed amount was $6,509, of which Medicare paid $5,180. 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 8.0 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.