Level 6 Musculoskeletal Procedures in South Carolina
What 43 hospitals in South Carolina charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$112,188
Hospital list price billed
Average allowed
$15,906
Medicare's payment + patient's share
Medicare paid
$14,275
Average per service
State rank
#10 of 49
1 = lowest average payment
Hospitals in South Carolina billed an average of $112,188 for level 6 musculoskeletal procedures, about 7.1 times the average medicare-allowed amount of $15,906. That payment is 9% below the U.S. average of $17,392.
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 $15,906Billed $112,188
About 14¢ was paid for every $1 hospitals in South Carolina billed for this service.
South Carolina hospitals: level 6 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 |
|---|---|---|---|---|
| Lexington Medical CenterWest Columbia | 164 | $86,197 | $15,613 | $14,000 |
| Patewood Memorial HospitalGreenville | 160 | $101,336 | $15,682 | $14,050 |
| MUSC Medical CenterCharleston | 142 | $96,707 | $15,776 | $14,145 |
| Roper HospitalCharleston | 114 | $71,263 | $15,667 | $14,035 |
| East Cooper Reg Med CenterMt Pleasant | 113 | $224,304 | $15,281 | $13,640 |
| McLeod Regional Medical CenterFlorence | 103 | $108,054 | $15,517 | $13,881 |
| St Francis-DowntownGreenville | 85 | $129,278 | $15,703 | $14,067 |
| Prisma Health Baptist ParkridgeColumbia | 82 | $110,338 | $15,645 | $14,012 |
| Bon Secours-St Francis Xavier HospitalCharleston | 77 | $75,824 | $16,043 | $14,411 |
| Spartanburg Regional Medical CenterSpartanburg | 75 | $92,990 | $17,493 | $15,861 |
| Grand Strand Reg Med CenterMyrtle Beach | 75 | $199,421 | $15,739 | $14,107 |
| MUSC Health Columbia Medical Center DowntownColumbia | 69 | $120,103 | $16,536 | $14,904 |
| Beaufort County Memorial HospitalBeaufort | 67 | $45,896 | $17,058 | $15,426 |
| Palmetto Health BaptistColumbia | 59 | $86,921 | $15,981 | $14,349 |
| Newberry County Memorial HospitalNewberry | 56 | $52,624 | $17,058 | $15,426 |
| Oconee Medical CenterSeneca | 55 | $106,708 | $17,146 | $15,514 |
| Waccamaw Community HospitalMurrells Inlet | 54 | $59,268 | $15,929 | $14,296 |
| Self Regional HealthcareGreenwood | 49 | $84,176 | $17,097 | $15,465 |
| Hilton Head Regional Medical CenterHilton Head Island | 46 | $182,701 | $15,267 | $13,632 |
| McLeod Loris HospitalLoris | 46 | $113,701 | $15,618 | $13,986 |
| Trident Medical CenterCharleston | 33 | $236,737 | $16,046 | $14,414 |
| Piedmont Healthcare SystemRock Hill | 31 | $161,881 | $13,306 | $11,667 |
| Conway Medical CenterConway | 31 | $69,235 | $15,621 | $14,000 |
| Prisma Health Greer Memorial HospitalGreer | 29 | $95,505 | $16,042 | $14,410 |
| Greenville Memorial HospitalGreenville | 27 | $132,695 | $16,042 | $14,402 |
| Coastal Carolina HospitalHardeeville | 22 | $166,228 | $13,980 | $12,348 |
| Carolina Pines Regional Medical CenterHartsville | 17 | $237,118 | $15,659 | $14,027 |
| Pelham Medical CenterGreer | 17 | $108,260 | $15,316 | $13,684 |
| Anmed HealthAnderson | 16 | $105,669 | $17,058 | $15,426 |
| Roper St Francis Hospital-Berkeley INCSummerville | 15 | $73,908 | $16,118 | $14,486 |
| Baptist Easley HospitalEasley | – | – | – | – |
| Palmetto Richland Mem HospColumbia | – | – | – | – |
| Chester Regional Medical CenterChester | – | – | – | – |
| Georgetown Memorial HospitalGeorgetown | – | – | – | – |
| Colleton Medical CenterWalterboro | – | – | – | – |
| MUSC Health Lancaster Medical CenterLancaster | – | – | – | – |
| Hillcrest Memorial HospitalSimpsonville | – | – | – | – |
| Cherokee Medical CenterGaffney | – | – | – | – |
| KershawhealthCamden | – | – | – | – |
| Aiken Regional Medical CenterAiken | – | – | – | – |
| MUSC Health Florence Medical CenterFlorence | – | – | – | – |
| Mount Pleasant HospitalMount Pleasant | – | – | – | – |
| McLeod Health ClarendonManning | – | – | – | – |
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
| Piedmont Healthcare SystemRock Hill, SC | $13,306 |
|---|---|
| Coastal Carolina HospitalHardeeville, SC | $13,980 |
| Hilton Head Regional Medical CenterHilton Head Island, SC | $15,267 |
| East Cooper Reg Med CenterMt Pleasant, SC | $15,281 |
| Pelham Medical CenterGreer, SC | $15,316 |
Highest
| Spartanburg Regional Medical CenterSpartanburg, SC | $17,493 |
|---|---|
| Oconee Medical CenterSeneca, SC | $17,146 |
| Self Regional HealthcareGreenwood, SC | $17,097 |
| Anmed HealthAnderson, SC | $17,058 |
| Newberry County Memorial HospitalNewberry, SC | $17,058 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in South Carolina?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 43 hospitals in South Carolina was billed at $112,188 on average, while the average medicare-allowed amount was $15,906, of which Medicare paid $14,275. 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 7.1 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.