South Carolina · 74022

X-Ray Series Of Abdomen With Single X-Ray Of Chest in South Carolina

South Carolina Medicare Avg
$13.84
1% below national avg
National Medicare Avg
$14.00
All states combined
Billed Charge (SC)
$98.41
What providers submit
Est. Commercial (SC)
$43.39
National avg: $42.45
Est. Cash / Self-Pay (SC)
$40.91
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

3.2K
Services in SC
504
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in South Carolina

Provider Medicare Services
Lee, Sylvester MD $11.14 52
Gilmer, Allan MD $24.45 47
Arrington, David $11.14 47
Enterkin, Jacob $11.81 46
Jones, Nathaniel M.D. $11.82 45
Mahatma, Sanjay M.D. $11.80 40

South Carolina Pricing in Context

In South Carolina, CPT code 74022 (X-Ray Series Of Abdomen With Single X-Ray Of Chest) carries an average Medicare payment of $13.84 — 1% below the national benchmark of $14.00. 504 providers across the state submitted claims for this procedure in 2023, performing 3.2K total services. Individual payments in SC ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in South Carolina is $98.41, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because South Carolina sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for X-Ray procedures, the estimated commercial insurance price in South Carolina lands near $43.39, with self-pay cash prices typically around $40.91. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does X-Ray Series Of Abdomen With Single X-Ray Of Chest cost in South Carolina?

The average Medicare payment for X-Ray Series Of Abdomen With Single X-Ray Of Chest in South Carolina is $13.84, which is 1% below the national average of $14.00. Providers in SC typically bill $98.41 for this procedure.

What does X-Ray Series Of Abdomen With Single X-Ray Of Chest cost with insurance in South Carolina?

With commercial insurance in South Carolina, X-Ray Series Of Abdomen With Single X-Ray Of Chest costs an estimated $43.39. Without insurance, the estimated cash price is $40.91. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform X-Ray Series Of Abdomen With Single X-Ray Of Chest in South Carolina?

504 providers in South Carolina billed Medicare for X-Ray Series Of Abdomen With Single X-Ray Of Chest in 2023, performing 3.2K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Series Of Abdomen With Single X-Ray Of Chest cheaper in South Carolina than the national average?

Yes — X-Ray Series Of Abdomen With Single X-Ray Of Chest costs 1% below the national average in South Carolina. The state average Medicare payment is $13.84 compared to $14.00 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial