South Carolina · G0182

Physician Supervision Of A Patient Under A Medicare-Approved Hospice (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Development And/or Revision Of Care Plans, Review Of Subsequent Reports Of Patien in South Carolina

South Carolina Medicare Avg
$64.29
15% below national avg
National Medicare Avg
$75.82
All states combined
Billed Charge (SC)
$150.22
What providers submit
Est. Commercial (SC)
$197.81
National avg: $222.50
Est. Cash / Self-Pay (SC)
$104.44
Typical self-pay discount

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

508
Services in SC
10
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in South Carolina

Provider Medicare Services
Riddle, Angela APRN $65.59 64

South Carolina Pricing in Context

In South Carolina, CPT code G0182 (Physician Supervision Of A Patient Under A Medicare-Approved Hospice (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Development And/or Revision Of Care Plans, Review Of Subsequent Reports Of Patien) carries an average Medicare payment of $64.29 — 15% below the national benchmark of $75.82. 10 providers across the state submitted claims for this procedure in 2023, performing 508 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 $150.22, 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 Temporary Procedures procedures, the estimated commercial insurance price in South Carolina lands near $197.81, with self-pay cash prices typically around $104.44. 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 Physician Supervision Of A Patient Under A Medicare-Approved Hospice (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Development And/or Revision Of Care Plans, Review Of Subsequent Reports Of Patien cost in South Carolina?

The average Medicare payment for Physician Supervision Of A Patient Under A Medicare-Approved Hospice (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Development And/or Revision Of Care Plans, Review Of Subsequent Reports Of Patien in South Carolina is $64.29, which is 15% below the national average of $75.82. Providers in SC typically bill $150.22 for this procedure.

What does Physician Supervision Of A Patient Under A Medicare-Approved Hospice (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Development And/or Revision Of Care Plans, Review Of Subsequent Reports Of Patien cost with insurance in South Carolina?

With commercial insurance in South Carolina, Physician Supervision Of A Patient Under A Medicare-Approved Hospice (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Development And/or Revision Of Care Plans, Review Of Subsequent Reports Of Patien costs an estimated $197.81. Without insurance, the estimated cash price is $104.44. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Physician Supervision Of A Patient Under A Medicare-Approved Hospice (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Development And/or Revision Of Care Plans, Review Of Subsequent Reports Of Patien in South Carolina?

10 providers in South Carolina billed Medicare for Physician Supervision Of A Patient Under A Medicare-Approved Hospice (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Development And/or Revision Of Care Plans, Review Of Subsequent Reports Of Patien in 2023, performing 508 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Physician Supervision Of A Patient Under A Medicare-Approved Hospice (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Development And/or Revision Of Care Plans, Review Of Subsequent Reports Of Patien cheaper in South Carolina than the national average?

Yes — Physician Supervision Of A Patient Under A Medicare-Approved Hospice (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Development And/or Revision Of Care Plans, Review Of Subsequent Reports Of Patien costs 15% below the national average in South Carolina. The state average Medicare payment is $64.29 compared to $75.82 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