South Carolina · 93308

Ultrasound Of Heart, Follow-Up in South Carolina

South Carolina Medicare Avg
$24.17
1% above national avg
National Medicare Avg
$23.97
All states combined
Billed Charge (SC)
$193.48
What providers submit
Est. Commercial (SC)
$73.68
National avg: $66.84
Est. Cash / Self-Pay (SC)
$76.72
Typical self-pay discount

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

8.8K
Services in SC
731
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in South Carolina

Provider Medicare Services
Leonardi, Robert M.D. $18.86 144
Kumar, Shekar MD $18.82 143
Edwards, William MD $17.68 132
Drafts, Brandon M.D. $18.95 126
Villareal, Rollo MD $18.57 114
Cantrell, Matthew M.D. $19.03 109

South Carolina Pricing in Context

In South Carolina, CPT code 93308 (Ultrasound Of Heart, Follow-Up) carries an average Medicare payment of $24.17 — 1% above the national benchmark of $23.97. 731 providers across the state submitted claims for this procedure in 2023, performing 8.8K 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 $193.48, 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 above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Medicine procedures, the estimated commercial insurance price in South Carolina lands near $73.68, with self-pay cash prices typically around $76.72. 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 Ultrasound Of Heart, Follow-Up cost in South Carolina?

The average Medicare payment for Ultrasound Of Heart, Follow-Up in South Carolina is $24.17, which is 1% above the national average of $23.97. Providers in SC typically bill $193.48 for this procedure.

What does Ultrasound Of Heart, Follow-Up cost with insurance in South Carolina?

With commercial insurance in South Carolina, Ultrasound Of Heart, Follow-Up costs an estimated $73.68. Without insurance, the estimated cash price is $76.72. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Ultrasound Of Heart, Follow-Up in South Carolina?

731 providers in South Carolina billed Medicare for Ultrasound Of Heart, Follow-Up in 2023, performing 8.8K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Ultrasound Of Heart, Follow-Up cheaper in South Carolina than the national average?

No — Ultrasound Of Heart, Follow-Up costs 1% above the national average in South Carolina. The state average Medicare payment is $24.17 compared to $23.97 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