SC CMS Medicare PUF 2023 Avg payment #22 of 56

South Carolina procedure costs

66 hospitals · 3,340 Medicare providers · 4,087 procedure codes with South Carolina locality adjustments.

The short answer

South Carolina has 66 hospitals and 3,340 Medicare-billing providers across 4,087 procedure codes. The average Medicare payment per procedure is $244.35; the average submitted (billed) charge is $1,427.57.

Procedure codes
4,087
Providers per hospital
50.6
Billed-to-Medicare ratio
5.8x
Markup rank
#19 of 56

Source: CMS Medicare Physician & Other Practitioners, 2023.

About this dataset, nationwide

According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.

66
Hospitals
3,340
Providers
$244.35
Avg Medicare Payment
$1,427.57
Avg Billed Charge

South Carolina against every US state

Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions

$244 higher than 61% of 56 states

$75–$100: 3 states (5%). Below this entry. $100–$125: 1 states (2%). Below this entry. $125–$150: 2 states (4%). Below this entry. $150–$175: 5 states (9%). Below this entry. $175–$200: 7 states (13%). Below this entry. $200–$225: 9 states (16%). Below this entry. $225–$250: 9 states (16%). This entry sits in this band. $250–$275: 11 states (20%). Above this entry. $275–$300: 4 states (7%). Above this entry. $300–$325: 4 states (7%). Above this entry. $325–$350: 1 states (2%). Above this entry. This state $75 $350 every US state, bucketed by value

Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Physician & Other Practitioners, 2023

The priciest procedures in South Carolina

Highest average Medicare payment per procedure billed in South Carolina. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.

Top procedures by Medicare payment - South Carolina

Sipuleucel-T, Minimum Of 50 …42076Implantable Neurostimulator,…6847Removal Of Plaque And Insert…6017Cystourethroscopy, With Inse…5292Cystourethroscopy, With Inse…5226Catheter Removal Of Plaque F…5197Removal Of Plaque In Artery …4289Ambulance Service, Conventio…4120
Top procedures by Medicare payment - South Carolina-Average Medicare payment per procedure (CMS 2023)

The cost spread in South Carolina

The highest- and lowest-paying procedures Medicare reimbursed in South Carolina, side by side.

Top Procedures by Volume

Procedure Medicare Services
Ground Mileage, Per Statute Mile $6.96 3.1M
Established Patient Office Or Other Outpatient Visit, 30-39 Minutes $79.77 2.3M
Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml $0.11 2.0M
Injection, Ferric Carboxymaltose, 1 Mg $0.86 1.8M
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Administered Under The Direct Supervision Of A Physician, Not For Use When Drug Is Self Administered) $3.89 1.7M
Therapy Procedure Using Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes $16.93 1.6M
Established Patient Office Or Other Outpatient Visit, 20-29 Minutes $55.59 1.5M
Injection, Tocilizumab, 1 Mg $4.64 1.5M
Injection, Denosumab, 1 Mg $18.15 1.4M
Injection, Onabotulinumtoxina, 1 Unit $4.81 1.3M
Injection, Testosterone Cypionate, 1 Mg $0.02 1.2M
Therapy Procedure Using Functional Activities $22.92 1.1M
Injection, Golimumab, 1 Mg, For Intravenous Use $10.36 1.1M
Injection, Romosozumab-Aqqg, 1 Mg $7.88 761.5K
Injection, Faricimab-Svoa, 0.1 Mg $28.87 752.9K
Insertion Of Needle Into Vein For Collection Of Blood Sample $8.05 710.0K
Injection, Pembrolizumab, 1 Mg $42.53 690.1K
Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administered Under The Direct Supervision Of A Physician, Not For Use When Drug Is Self Administered) $33.21 636.1K
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 35 Minutes $58.54 578.5K
Injection, Alpha 1 Proteinase Inhibitor (human), Not Otherwise Specified, 10 Mg $3.73 513.0K
Therapy Procedure Using Manual Technique, Each 15 Minutes $15.26 510.7K
Injection, Dexamethasone Sodium Phosphate, 1 Mg $0.09 468.7K
Hyaluronan Or Derivative, Gelsyn-3, For Intra-Articular Injection, 0.1 Mg $0.55 463.6K
Injection, Gadobutrol, 0.1 Ml $0.26 462.1K
Destruction Of Precancer Skin Growth, 2-14 Growths $4.28 454.9K
Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count $11.05 450.4K
Injection, Nivolumab, 1 Mg $23.46 442.6K
Injection, Triamcinolone Acetonide, Not Otherwise Specified, 10 Mg $0.80 430.6K
Injection, Vedolizumab, 1 Mg $16.95 409.5K
Injection, Oxaliplatin, 0.5 Mg $0.06 390.7K

South Carolina Healthcare Cost Landscape

CMS lists 66 hospitals in South Carolina across 45 cities. CHARLESTON holds 6 (9%). The three densest cities together hold 24% of the state roster. Statewide that is 3,340 Medicare-billing providers, 50.6 per listed hospital.

49 hospitals carry a CMS overall star rating (8 five-star, 11 four-star, 17 three-star, 12 two-star, 1 one-star) ; five-star share among rated facilities is 16%. 17 hospitals in this extract have no published overall rating.

Facility-type mix: Acute Care Hospitals 51 (77%); Psychiatric 8 (12%); Critical Access Hospitals 3 (5%); Acute Care - Veterans Administration 2 (3%).

Among the 30 highest-volume procedure codes billed in South Carolina, Drugs (Administered) leads with 16.0M services (52% of this top-volume slice) across 18 codes. Next is Office Visit at 12%.

Submitted charges average $1,427.57 against $244.35 Medicare payment (5.8x billed-to-Medicare). That ratio ranks #19 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #22 of 56.

Volume leaders are not the high-payment codes. Ground Mileage, Per Statute Mile is in the top volume slice but not the highest Medicare payments; Sipuleucel-T, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-Gm-Csf, Including Leukapheresis And All Other Preparatory Procedures, Per Infusion is in the high-payment set without matching volume rank.

These are CMS roster and claims aggregates for South Carolina, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.

Where South Carolina hospitals sit

City of the CMS hospital roster, not a travel or care recommendation. 45 distinct cities appear on 66 listed facilities.

City Hospitals Share of state roster
CHARLESTON 6 9%
COLUMBIA 6 9%
GREENVILLE 4 6%
ANDERSON 2 3%
CONWAY 2 3%
FLORENCE 2 3%
GREER 2 3%
LANCASTER 2 3%

Nationwide states with similar hospital scale or Medicare payment

Two CMS-extract-derived peer sets for South Carolina: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.

Similar CMS hospital count

Nearest states with ≥5 hospitals (66 here).

Similar average Medicare payment

Nearest states with published averages ($244.35 here).

Hospitals in South Carolina

ABBEVILLE AREA MEDICAL CENTER
ABBEVILLE · -
AIKEN REGIONAL MEDICAL CENTER
AIKEN · ★☆☆☆☆
ALLENDALE COUNTY HOSPITAL
FAIRFAX · -
ANMED HEALTH
ANDERSON · ★★★★☆
BEAUFORT COUNTY MEMORIAL HOSPITAL
BEAUFORT · ★★★☆☆
BON SECOURS-ST FRANCIS XAVIER HOSPITAL
CHARLESTON · ★★★★☆
CANNON MEMORIAL HOSPITAL
PICKENS · -
CAROLINA CTR FOR BEHAVIORAL HEALTH,THE
GREER · -
CAROLINA PINES REGIONAL MEDICAL CENTER
HARTSVILLE · ★★★☆☆
CHARLESTON VA MEDICAL CENTER
CHARLESTON · ★★★★★
CHEROKEE MEDICAL CENTER
GAFFNEY · ★★☆☆☆
COASTAL CAROLINA HOSPITAL
HARDEEVILLE · ★★★★☆
COLLETON MEDICAL CENTER
WALTERBORO · ★★☆☆☆
COLUMBIA SC VA MEDICAL CENTER
COLUMBIA · ★★★★★
CONWAY MEDICAL CENTER
CONWAY · ★★☆☆☆
EAST COOPER MEDICAL CENTER
MOUNT PLEASANT · ★★★★★
EDGEFIELD COUNTY HEALTHCARE AN AFFILIATE OF SELF R
EDGEFIELD · -
G WERBER BRYAN PSYCH HOSP
COLUMBIA · -
GRAND STRAND REGIONAL MEDICAL CENTER
MYRTLE BEACH · ★★☆☆☆
HAMPTON REGIONAL MEDICAL CENTER
VARNVILLE · -
HILTON HEAD REGIONAL MEDICAL CENTER
HILTON HEAD ISLAND · ★★★☆☆
KERSHAWHEALTH
CAMDEN · ★★★☆☆
LEXINGTON MEDICAL CENTER
WEST COLUMBIA · ★★★★☆
LIGHTHOUSE BEHAVIORAL HEALTH HOSPITAL
CONWAY · -
MCLEOD HEALTH CHERAW
CHERAW · ★★★☆☆
MCLEOD HEALTH CLARENDON
MANNING · ★★★☆☆
MCLEOD LORIS HOSPITAL
LORIS · ★★★★☆
MCLEOD MEDICAL CENTER - DILLON
DILLON · ★★★☆☆
MCLEOD REGIONAL MEDICAL CENTER-PEE DEE
FLORENCE · ★★★☆☆
MOUNT PLEASANT HOSPITAL
MOUNT PLEASANT · ★★★★★

View all 66 hospitals in South Carolina →

How South Carolina Compares Nationally

South Carolina's average Medicare payment is #22 of 56 in this extract. Submitted-over-Medicare markup ranks #19 of 56 (5.8x). Hospital-count peers (nearest CMS roster size to 66): Montana 63, Oregon 62, Puerto Rico 61, South Dakota 61. Payment peers (nearest average Medicare payment to $244.35): North Carolina $246.82, Connecticut $238.53, Indiana $250.97, Nevada $236.73.

Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for South Carolina, not an out-of-pocket quote.

Related registry pages

South Carolina averages sit on two maps: Medicare payment and submitted-over-Medicare markup.

Figures here are South Carolina CMS averages, not a quote for any patient, plan, or visit.

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

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.