Amisub of South Carolina, Inc.
Amisub of South Carolina, Inc. in Rock Hill, SC publishes cash prices for 40 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Click a procedure to compare it with other hospitals nearby.
222 S Herlong Ave, Rock Hill, SC 29732 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CM | $8,496.75 | $11,329.00 | 25% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W/CM | $8,496.75 | $11,329.00 | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN WO CONTRST | $3,563.25 | $4,751.00 | 25% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN WO CONTRST | $3,563.25 | $4,751.00 | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST | $4,032.00 | $5,376.00 | 25% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH CONTRAST | $4,032.00 | $5,376.00 | 25% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO+CAD BILAT | $763.50 | $1,018.00 | 25% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO+CAD BILAT | $763.50 | $1,018.00 | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO+CAD UNILAT | $653.25 | $871.00 | 25% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO+CAD UNILAT | $653.25 | $871.00 | 25% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWR EXT JNT W/O CM | $6,081.75 | $8,109.00 | 25% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWR EXT JNT W/O CM | $6,081.75 | $8,109.00 | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LE JNT WO/W CM | $7,902.00 | $10,536.00 | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LE JNT WO/W CM | $7,902.00 | $10,536.00 | 25% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $6,333.75 | $8,445.00 | 25% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST | $6,333.75 | $8,445.00 | 25% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/W CONTRAST | $7,258.50 | $9,678.00 | 25% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO/W CONTRAST | $7,258.50 | $9,678.00 | 25% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR W/O CM | $5,794.50 | $7,726.00 | 25% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR W/O CM | $5,794.50 | $7,726.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMP>14WK SGL GEST | $2,998.50 | $3,998.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB COMP>14WK SGL GEST | $2,998.50 | $3,998.00 | 25% |
| Screening mammogram, both breasts both sides CPT 77067 SCRN MAMMO+CAD BILAT | $533.25 | $711.00 | 25% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 SCRN MAMMO+CAD BILAT | $533.25 | $711.00 | 25% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NOT OB | $1,983.75 | $2,645.00 | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NOT OB | $1,983.75 | $2,645.00 | 25% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $2,626.50 | $3,502.00 | 25% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $2,626.50 | $3,502.00 | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR MIN 4VWS | $996.00 | $1,328.00 | 25% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR MIN 4VWS | $996.00 | $1,328.00 | 25% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $429.00 | $572.00 | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $429.00 | $572.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL/2 | $93.00 | $124.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $373.50 | $498.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL/2 | $93.00 | $124.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $373.50 | $498.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH AUTO DIFF | $300.00 | $400.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH AUTO DIFF | $300.00 | $400.00 | 25% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTO W/O DIFF | $214.50 | $286.00 | 25% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTO W/O DIFF | $214.50 | $286.00 | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $712.50 | $950.00 | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL | $712.50 | $950.00 | 25% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $241.50 | $322.00 | 25% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $241.50 | $322.00 | 25% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $373.50 | $498.00 | 25% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $373.50 | $498.00 | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $93.00 | $124.00 | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $93.00 | $124.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $96.00 | $128.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL | $96.00 | $128.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $225.00 | $300.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $225.00 | $300.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $177.75 | $237.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $177.75 | $237.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $450.00 | $600.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $450.00 | $600.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 UA AUTO W/MICRO | $207.75 | $277.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W/MICRO | $207.75 | $277.00 | 25% |
| Urinalysis with microscope exam, manual CPT 81000 UA NON-AUTO W/MICRO | $21.75 | $29.00 | 25% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 UA NON-AUTO W/MICRO | $21.75 | $29.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 UA AUTO W/O MICRO/2 | $85.50 | $114.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO W/O MICRO/2 | $85.50 | $114.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 UA NON-AUTO W/O MICRO | $83.25 | $111.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 UA NON-AUTO W/O MICRO/4 | $100.50 | $134.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 UA NON-AUTO W/O MICRO | $83.25 | $111.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 UA NON-AUTO W/O MICRO/4 | $100.50 | $134.00 | 25% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Left heart catheterization, diagnostic one side CPT 93452 CATH LT HRT W/LTVENT | $30,087.00 | $40,116.00 | 25% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 CATH LT HRT W/LTVENT | $30,087.00 | $40,116.00 | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 FMLY THRPY 30 MIN | $420.75 | $561.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 FMLY THRPY 45 MIN | $610.50 | $814.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 FMLY THRPY 60 MIN | $886.50 | $1,182.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 FMLY THRPY 90 MIN | $1,786.50 | $2,382.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 FMLY THRPY 120MIN | $2,376.00 | $3,168.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FMLY THRPY 30 MIN | $420.75 | $561.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FMLY THRPY 45 MIN | $610.50 | $814.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FMLY THRPY 60 MIN | $886.50 | $1,182.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FMLY THRPY 90 MIN | $1,786.50 | $2,382.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FMLY THRPY 120MIN | $2,376.00 | $3,168.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 FMLY THRPY W/O PT 50MIN | $597.75 | $797.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FMLY THRPY W/O PT 50MIN | $597.75 | $797.00 | 25% |
| Group psychotherapy session CPT 90853 GRP PSYCHTHRPY 30 MIN | $357.00 | $476.00 | 25% |
| Group psychotherapy session CPT 90853 GRP PSYCHTHRPY 45 MIN | $594.00 | $792.00 | 25% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $664.50 | $886.00 | 25% |
| Group psychotherapy session CPT 90853 GRP PSYCHTHRPY 60 MIN | $714.75 | $953.00 | 25% |
| Group psychotherapy session CPT 90853 GRP PSYCHTHRPY 90 MIN | $1,015.50 | $1,354.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 GRP PSYCHTHRPY 30 MIN | $357.00 | $476.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 GRP PSYCHTHRPY 45 MIN | $594.00 | $792.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY | $664.50 | $886.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 GRP PSYCHTHRPY 60 MIN | $714.75 | $953.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 GRP PSYCHTHRPY 90 MIN | $1,015.50 | $1,354.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 E&M-NEW PATIENT-LVL III | $683.25 | $911.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 L&D TRIAGE NEW PT | $717.00 | $956.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 E&M-NEW PATIENT-LVL III | $683.25 | $911.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 L&D TRIAGE NEW PT | $717.00 | $956.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 E&M-NEW PATIENT-LVL IV | $1,302.75 | $1,737.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 E&M-NEW PATIENT-LVL IV | $1,302.75 | $1,737.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 E&M-NEW PATIENT-LVL V | $1,490.25 | $1,987.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 E&M-NEW PATIENT-LVL V | $1,490.25 | $1,987.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 PSY THRPY 30 MIN PT | $324.00 | $432.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSY THRPY 30 MIN PT | $324.00 | $432.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 PSY THRPY 45MIN PT | $770.25 | $1,027.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSY THRPY 45MIN PT | $770.25 | $1,027.00 | 25% |
Source file: https://mrfs.hyvehealthcare.com/TenetHealth/953561198_amisub-of-south-carolina%2C-inc._standardcharges.json