Edgefield County Healthcare An Affiliate of Self R
Listed in its price file as “Self Regional Healthcare Partners”.
Edgefield County Healthcare An Affiliate of Self R in Edgefield, SC publishes cash prices for 297 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the South Carolina median for 244 of 292 procedures and above it for 31. By typical cash price it ranks #9 of 35 South Carolina hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
300 Ridge Medical Plaza Rd, Edgefield, SC 29824 Collected Sep 27, 2026 Source price file (803) 637-3174
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 421304 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs South Carolina | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 HC Xr Ankle 3 + Views | $247.90 | $413.16 | $202.45–$739.57 | 32% below | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Xr Esophagus | $375.46 | $625.77 | $306.63–$560.06 | 38% below | 40% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC NM Bone Wb | $1,198.73 | $1,997.88 | $978.96–$1,788.10 | 17% below | 40% |
| Breast ultrasound, complete, one breast CPT 76641 HC Ultrasound Breast Complete | $332.27 | $553.78 | $271.35–$991.27 | 33% below | 40% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC Ultrasound Breast Limited | $158.23 | $263.72 | $129.22–$472.06 | 69% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC Cta Chest W/&W/O Contrast | $1,200.00 | $2,000.00 | $980.00–$1,790.00 | 48% below | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT Angio Hrt W/3d Image | $630.00 | $1,050.00 | $514.50–$939.75 | 60% below | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Hrt W/O Con Eval Cor Cal | $66.17 | $110.28 | $54.04–$98.70 | 39% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abdomen & Pelvis W/O Contrast | $1,800.00 | $3,000.00 | $1,470.00–$2,685.00 | 44% below | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abdomen & Pelvis W/Contrast | $2,040.00 | $3,400.00 | $1,666.00–$3,043.00 | 45% below | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abdomen &Pelv W & W/O Contrast | $2,040.00 | $3,400.00 | $1,666.00–$3,043.00 | 51% below | 40% |
| CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W/Contrast | $1,020.00 | $1,700.00 | $833.00–$1,521.50 | 53% below | 40% |
| CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Contrast | $780.00 | $1,300.00 | $637.00–$1,163.50 | 56% below | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Max/Facial W/O Contrast | $480.00 | $800.00 | $392.00–$716.00 | 68% below | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head W/O Contrast | $660.00 | $1,100.00 | $539.00–$984.50 | 63% below | 40% |
| CT scan of the head with contrast CPT 70460 HC CT Head W/Contrast | $960.00 | $1,600.00 | $784.00–$1,432.00 | 44% below | 40% |
| CT scan of the head without and with contrast CPT 70470 HC CT Head W&W/O Contrast | $1,080.00 | $1,800.00 | $882.00–$1,611.00 | 45% below | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT C-Spine W/O Contrast | $960.00 | $1,600.00 | $784.00–$1,432.00 | 52% below | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/Contrast | $1,020.00 | $1,700.00 | $833.00–$1,521.50 | 41% below | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Duplex Extracranial Bilat | $832.51 | $1,387.51 | $679.88–$1,241.82 | — | 40% |
| Chest X-ray, 2 views CPT 71046 HC Xr Exam Chest 2 Views | $234.27 | $390.45 | $191.32–$349.45 | 8% below | 40% |
| Chest X-ray, single view CPT 71045 HC Xr Exam Chest 1 View | $192.11 | $320.19 | $156.89–$286.57 | 7% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US Retroperitioneal | $349.46 | $582.43 | $285.39–$521.27 | 38% below | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Xr Bone Density Axial | $358.47 | $597.45 | $292.75–$534.72 | 20% below | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DXA Bone Density/Peripheral 1+ Sites | $137.49 | $229.15 | $112.28–$205.09 | 14% below | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US Pregnancy Detailed Sgl | $499.55 | $832.58 | $407.96–$745.16 | 44% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Thorax W/O Contrast | $480.00 | $800.00 | $392.00–$716.00 | 70% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Chest W/Contrast | $660.00 | $1,100.00 | $539.00–$984.50 | 66% below | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Mammo Dx Bilat | $155.36 | $258.93 | $126.88–$231.74 | — | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammo Dx Unilat | $124.75 | $207.91 | $101.88–$186.08 | 65% below | 40% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Duplex Arterial Lwr Ext Bilat | $650.64 | $1,084.40 | $531.36–$970.54 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Venous Ext Bilat | $860.97 | $1,434.95 | $703.13–$1,284.28 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Echo 2d W/Spec/Color Compl | $1,667.18 | $2,778.63 | $1,361.53–$2,486.87 | 1% below | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM Hepatobiliary Image W/Gallb | $1,075.36 | $1,792.27 | $878.21–$1,604.08 | 48% below | 40% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Sleep Study Unattended | $472.22 | $787.03 | $385.64–$704.39 | 46% below | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Psg (Sleep Staging) 6/> Yrs 4+ Param W/ Cpap | $2,868.65 | $4,781.08 | $2,342.73–$4,279.07 | 23% below | 40% |
| Knee X-ray, 3 views CPT 73562 HC Xr Knee 3 Views | $265.69 | $442.82 | $216.98–$792.63 | 18% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC ER US Abdomen Limited | $439.55 | $732.59 | $358.97–$655.67 | 49% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Abdomen Limited | $439.55 | $732.59 | $358.97–$655.67 | 49% below | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Thorax Lung Cancer Scr WO Contrast | $97.45 | $162.41 | $79.58–$145.36 | 37% below | 40% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI Breast W& WO Contrast Bilat | $780.00 | $1,300.00 | $637.00–$1,163.50 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lwr Ext Jnt W/O Contrast | $1,200.00 | $2,000.00 | $980.00–$3,580.00 | 53% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lwr Ext Jnt W&W/O Contrast | $1,440.00 | $2,400.00 | $1,176.00–$4,296.00 | 51% below | 40% |
| MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen W/O Contrast | $1,200.00 | $2,000.00 | $980.00–$1,790.00 | 51% below | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Abdomen W&W/O Contrast | $1,440.00 | $2,400.00 | $1,176.00–$2,148.00 | 54% below | 40% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain W/O Contrast | $1,020.00 | $1,700.00 | $833.00–$1,521.50 | 68% below | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W&W/O Contrast | $1,800.00 | $3,000.00 | $1,470.00–$2,685.00 | 42% below | 40% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI L-Spine W/O Contrast | $1,200.00 | $2,000.00 | $980.00–$1,790.00 | 63% below | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI L-Spine W&W/O Contrast | $1,800.00 | $3,000.00 | $1,470.00–$2,685.00 | 44% below | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI T-Spine W/O Contrast | $1,200.00 | $2,000.00 | $980.00–$1,790.00 | 44% below | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI C-Spine W&W/O Contrast | $1,800.00 | $3,000.00 | $1,470.00–$2,685.00 | 44% below | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI C-Spine W/O Contrast | $1,200.00 | $2,000.00 | $980.00–$1,790.00 | 48% below | 40% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI Pelvis W&W/O Contrast | $1,440.00 | $2,400.00 | $1,176.00–$2,148.00 | 57% below | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis W/O Contrast | $1,200.00 | $2,000.00 | $980.00–$1,790.00 | 60% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI Upr Ext Jnt W/O Contrast | $1,200.00 | $2,000.00 | $980.00–$3,580.00 | 51% below | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM Myocard Perf Multi Spect | $2,362.11 | $3,936.85 | $1,929.06–$3,523.48 | 38% below | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet W/CT Tumr Skull Mid Thigh | $2,160.00 | $3,600.00 | $1,764.00–$3,222.00 | 31% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US Pelvis Non-OB Ltd | $338.39 | $563.98 | $276.35–$504.76 | 48% below | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US Pelvis Non OB | $555.47 | $925.78 | $453.63–$828.57 | 30% below | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US Pregnancy > 14 Weeks Sgl | $529.29 | $882.15 | $432.25–$789.52 | 38% below | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US Pregnancy < 14 Weeks Sgl | $446.86 | $744.76 | $364.93–$666.56 | 42% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US Pregnancy Ltd | $334.26 | $557.10 | $272.98–$498.60 | 31% below | 40% |
| Screening mammogram, both breasts both sides CPT 77067 HC Mammo Computer Aid Screening Bilateral | $155.36 | $258.93 | $126.88–$231.74 | — | 40% |
| Screening mammogram, both breasts CPT 77067 HC Mammo Computer Aid Screening (BCBS) | $155.36 | $258.93 | $126.88–$231.74 | 44% below | 40% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC Xr Shoulder Complete 2 + Views | $257.16 | $428.60 | $210.01–$767.20 | 19% below | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 HC Psg (Sleep Staging) 6 Yrs or Older 4+ Param | $2,788.26 | $4,647.10 | $2,277.08–$4,159.15 | 19% below | 40% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Echo Rest & Stress W/Pf | $1,580.72 | $2,634.54 | $1,290.92–$2,357.91 | at median | 40% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Xr Swallow Cine/Video | $409.12 | $681.86 | $334.11–$610.26 | 10% below | 40% |
| Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal | $475.09 | $791.81 | $387.99–$708.67 | 39% below | 40% |
| Transvaginal pelvic ultrasound CPT 76830 HC ER US Transvaginal | $475.09 | $791.81 | $387.99–$708.67 | 39% below | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US Pregnancy Transvaginal | $399.64 | $666.06 | $326.37–$596.12 | 42% below | 40% |
| Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Complete | $666.71 | $1,111.18 | $544.48–$994.51 | 32% below | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US Scrotum and Contents | $495.80 | $826.33 | $404.90–$739.57 | 26% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US Soft Tissue Head/Neck | $473.79 | $789.65 | $386.93–$706.74 | 41% below | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Xr Ugi W/O Kub | $309.01 | $515.02 | $252.36–$460.94 | 65% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC ER Duplex Venous Ext Unilat/Lmtd | $586.23 | $977.05 | $478.75–$874.46 | 40% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Duplex Venous Ext Unilat/Lmtd | $586.23 | $977.05 | $478.75–$874.46 | 40% below | 40% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC Xr Wrist Complete 3 + Views | $242.34 | $403.90 | $197.91–$722.99 | 34% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC Xr Exam Hip Uni 2-3 Views | $239.82 | $399.70 | $195.85–$357.73 | 22% below | 40% |
| X-ray of the abdomen, 1 view CPT 74018 HC Xr Exam Abdomen 1 View | $207.44 | $345.74 | $169.41–$309.44 | 43% below | 40% |
| X-ray of the ankle, 2 views CPT 73600 HC Xr Ankle 2 Views | $204.10 | $340.16 | $166.68–$608.89 | 31% below | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC Xr Finger(S) 2 + Views | $186.68 | $311.14 | $152.46–$278.47 | 28% below | 40% |
| X-ray of the foot, 2 views CPT 73620 HC Xr Foot 2 Views | $203.19 | $338.65 | $165.94–$606.18 | 38% below | 40% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC Xr Foot Complete 3 + Views | $244.66 | $407.77 | $199.81–$729.91 | 44% below | 40% |
| X-ray of the hand, 3 or more views CPT 73130 HC Xr Hand Complete 3 + Views | $246.44 | $410.73 | $201.26–$735.22 | 39% below | 40% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC Xr Knee 1-2 Views | $219.35 | $365.59 | $179.14–$654.41 | 20% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Xr L-Spine 2-3 Views | $285.25 | $475.42 | $232.96–$425.50 | 33% below | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 HC Xr L-Spine 4+ Views | $408.37 | $680.61 | $333.50–$609.15 | 24% below | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Xr T-Spine 2 Views | $251.39 | $418.99 | $205.31–$375.00 | 20% below | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC Xr Nasal Complete 3 + Views | $240.86 | $401.44 | $196.71–$359.29 | 41% below | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Xr C-Spine 2-3 Views | $260.41 | $434.02 | $212.67–$388.45 | 28% below | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC Xr Pelvis 1-2 Views | $214.27 | $357.11 | $174.98–$319.61 | 15% below | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Xr Sacrum/Coccyx 2 + Views | $242.71 | $404.51 | $198.21–$362.04 | 13% below | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs South Carolina | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Alt (Sgpt) | $27.61 | $46.01 | $22.54–$41.18 | 41% below | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC Ast (Sgot) | $27.61 | $46.01 | $22.54–$41.18 | 37% below | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Acute Hepatitis Panel | $140.67 | $234.45 | $114.88–$209.83 | 60% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Specific Ige Qn/Sq Each Allergen* | $9.65 | $16.08 | $7.88–$14.39 | 75% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Citrullinated Peptide Antibody | $48.00 | $80.00 | $39.20–$71.60 | 60% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibody | $69.00 | $115.00 | $56.35–$102.93 | 31% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC B Natriuretic Peptide | $102.00 | $170.00 | $83.30–$152.15 | 19% below | 40% |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel | $36.00 | $60.00 | $29.40–$53.70 | 83% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Gross & Micro Lev IV | $114.16 | $190.26 | $93.23–$170.28 | at median | 40% |
| Blood culture for bacteria CPT 87040 HC Blood Culture | $78.00 | $130.00 | $63.70–$116.35 | 57% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Venipuncture | $23.07 | $38.45 | $18.84–$34.41 | 14% below | 40% |
| Blood glucose (sugar) test CPT 82947 HC Glucose Quantitative Blood | $21.00 | $35.00 | $17.15–$31.33 | 35% below | 40% |
| Blood lead test CPT 83655 HC Lead | $35.93 | $59.89 | $29.35–$53.60 | 51% below | 40% |
| Blood lead test CPT 83655 HC UR Lead | $41.35 | $68.92 | $33.77–$61.68 | 43% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Hcg Qualitative | $36.00 | $60.00 | $29.40–$53.70 | 77% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Type (Antibody) | $90.00 | $150.00 | $73.50–$134.25 | 47% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC Crp Quantitative | $22.27 | $37.11 | $18.18–$33.21 | 51% below | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C Diff Amp Probe | $96.00 | $160.00 | $78.40–$143.20 | 47% below | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC Cancer Antigen 19-9 | $60.00 | $100.00 | $49.00–$89.50 | 59% below | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC Cancer Antigen 125 | $60.00 | $100.00 | $49.00–$89.50 | 64% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Covid19 Amp Probe | $54.00 | $90.00 | $44.10–$80.55 | 34% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chlamydia Trachomatis Dna Amp Probe | $93.00 | $155.00 | $75.95–$138.73 | 54% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $51.00 | $85.00 | $41.65–$76.08 | 54% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 HC Blood Count Cbc Automated W/Automated Diff | $36.00 | $60.00 | $29.40–$53.70 | 69% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 HC Blood Count Cbc Automated W/O Diff | $36.00 | $60.00 | $29.40–$53.70 | 59% below | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comp Metabolic Panel | $48.00 | $80.00 | $39.20–$71.60 | 81% below | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 HC D-Dimer Quantitative | $48.00 | $80.00 | $39.20–$71.60 | 74% below | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dhea-Sulfate | $78.25 | $130.41 | $63.90–$116.72 | 56% below | 40% |
| Estradiol blood test CPT 82670 HC Estradiol | $75.00 | $125.00 | $61.25–$111.88 | 48% below | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC Fsh | $59.02 | $98.37 | $48.20–$88.04 | 74% below | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin Fecal | $52.16 | $86.94 | $42.60–$77.81 | 78% below | 40% |
| Ferritin blood test (iron stores) CPT 82728 HC Ferritin | $42.02 | $70.04 | $34.32–$62.69 | 63% below | 40% |
| Folate (folic acid) blood test CPT 82746 HC Folic Acid Serum | $54.00 | $90.00 | $44.10–$80.55 | 54% below | 40% |
| Free T3 thyroid hormone test CPT 84481 HC T3 Free | $48.00 | $80.00 | $39.20–$71.60 | 72% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Thyroxine Free | $42.00 | $70.00 | $34.30–$62.65 | 61% below | 40% |
| Free testosterone test CPT 84402 HC Testosterone Free | $78.00 | $130.00 | $63.70–$116.35 | 12% below | 40% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel | $108.15 | $180.25 | $88.32–$161.32 | 29% below | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Post Glucose Dose | $24.00 | $40.00 | $19.60–$35.80 | 69% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 HC Gtt 3 Specimens (Includes Glucose) | $36.00 | $60.00 | $29.40–$53.70 | 80% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N Gonorrhea Dna Amp Probe | $93.00 | $155.00 | $75.95–$138.73 | 54% below | 40% |
| H. pylori antibody blood test CPT 86677 HC Helicobacter Antibody | $46.44 | $77.40 | $37.93–$69.27 | 66% below | 40% |
| H. pylori stool antigen test CPT 87338 HC H Pylori Stool Antigen Ql/Sq Eia | $45.67 | $76.12 | $37.30–$68.13 | 78% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv-1 Dna Quantitative | $210.00 | $350.00 | $171.50–$313.25 | 52% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv-1 & Hiv-2 Antibodies Single Result Ql/Sq Eia | $72.00 | $120.00 | $58.80–$107.40 | 38% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Hpv, High Risk Types | $111.44 | $185.73 | $91.01–$166.23 | 14% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Glycosylated (A1c) | $30.83 | $51.38 | $25.18–$45.99 | 64% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hep B Surface Antibody | $31.52 | $52.53 | $25.74–$47.01 | 69% below | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Hepatitis B Surface Antigen Ql/Sq Eia | $48.00 | $80.00 | $39.20–$71.60 | 50% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Antibody | $48.00 | $80.00 | $39.20–$71.60 | 63% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC Hep C Rna Quantitative | $150.00 | $250.00 | $122.50–$223.75 | 62% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC Herpes Simplex Antibody Type 1 | $44.83 | $74.72 | $36.61–$66.87 | 39% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC Herpes Simplex Antibody Type 2 | $65.76 | $109.60 | $53.70–$98.09 | 26% below | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC Crp Quantitative High Sensitivity | $60.00 | $100.00 | $49.00–$89.50 | 39% below | 40% |
| Homocysteine blood test CPT 83090 HC Homocysteine | $78.00 | $130.00 | $63.70–$116.35 | 70% below | 40% |
| Insulin blood test CPT 83525 HC Insulin Total | $27.00 | $45.00 | $22.05–$40.28 | 84% below | 40% |
| Iron blood test (serum iron) CPT 83540 HC Iron | $32.11 | $53.51 | $26.22–$47.89 | 48% below | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Test | $18.46 | $30.77 | $15.08–$27.54 | 77% below | 40% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $54.00 | $90.00 | $44.10–$80.55 | 61% below | 40% |
| LH (luteinizing hormone) test CPT 83002 HC Leuteinizing Hormone | $58.80 | $98.00 | $48.02–$87.71 | 69% below | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC Lipase | $35.11 | $58.51 | $28.67–$52.37 | 75% below | 40% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $33.00 | $55.00 | $26.95–$49.23 | 79% below | 40% |
| Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody | $90.00 | $150.00 | $73.50–$134.25 | 14% below | 40% |
| Magnesium blood test CPT 83735 HC Magnesium | $32.11 | $53.51 | $26.22–$47.89 | 15% below | 40% |
| Measles (rubeola) antibody test CPT 86765 HC Rubeola Antibody | $54.00 | $90.00 | $44.10–$80.55 | 30% below | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC Heterophile Antibody Screen | $24.88 | $41.46 | $20.32–$37.11 | 76% below | 40% |
| Obstetric blood test panel CPT 80055 HC Obstetric Panel | $90.00 | $150.00 | $73.50–$134.25 | 14% below | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Psa Free | $42.00 | $70.00 | $34.30–$62.65 | 64% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa Total | $56.86 | $94.76 | $46.43–$84.81 | 53% below | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC Screen Cervical or Vaginal Thin Layer Pap Auto | $69.83 | $116.39 | $57.03–$104.17 | 10% below | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Scrn C/V Thin Layer Pap Man | $54.00 | $90.00 | $44.10–$80.55 | 68% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Parathyroid Hormone | $114.00 | $190.00 | $93.10–$170.05 | 43% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt | $39.00 | $65.00 | $31.85–$58.18 | 35% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Partial Thromboplas Time (Ptt) | $39.00 | $65.00 | $31.85–$58.18 | 35% below | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC Fetal Chrmoml Aneuploidy | $1,366.20 | $2,277.00 | $1,115.73–$2,037.92 | 24% below | 40% |
| Progesterone blood test CPT 84144 HC Progesterone | $62.16 | $103.60 | $50.76–$92.72 | 57% below | 40% |
| Prolactin blood test CPT 84146 HC Prolactin | $54.47 | $90.79 | $44.49–$81.26 | 69% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time (Pt) | $27.00 | $45.00 | $22.05–$40.28 | 49% below | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC Drug Test Presum Direct Obs | $25.27 | $42.11 | $20.63–$37.69 | 50% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 HC Immuno Optical Influenza | $42.00 | $70.00 | $34.30–$62.65 | 62% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Immuno Optical Strep A | $36.00 | $60.00 | $29.40–$53.70 | 65% below | 40% |
| Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor Quantitative | $48.00 | $80.00 | $39.20–$71.60 | 30% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 HC Rubella Antibody | $48.00 | $80.00 | $39.20–$71.60 | 46% below | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Sed. Rate | $27.00 | $45.00 | $22.05–$40.28 | 72% below | 40% |
| Stool ova and parasites exam CPT 87177 HC Ova & Parasite Exam | $39.00 | $65.00 | $31.85–$58.18 | 63% below | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Blood Occult by Fecal | $27.00 | $45.00 | $22.05–$40.28 | 53% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Vdrl Rpr Qualitative | $35.48 | $59.13 | $28.97–$52.92 | 26% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB Test Cell Immunity Measure | $120.00 | $200.00 | $98.00–$179.00 | 43% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone Total | $72.80 | $121.33 | $59.45–$108.59 | 5% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody Each | $41.06 | $68.44 | $33.54–$61.25 | 60% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stim Hormone (Tsh) | $54.00 | $90.00 | $44.10–$80.55 | 61% below | 40% |
| Trichomonas test (NAAT) CPT 87661 HC Trich Vaginalis Direct Probe | $78.00 | $130.00 | $63.70–$116.35 | 46% below | 40% |
| Uric acid blood test CPT 84550 HC Uric Acid Blood | $29.11 | $48.51 | $23.77–$43.42 | 53% below | 40% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis Auto W/Micro | $33.00 | $55.00 | $26.95–$49.23 | 68% below | 40% |
| Urinalysis with microscope exam, manual CPT 81000 HC Urinalysis Nonauto W/Micro | $27.00 | $45.00 | $22.05–$40.28 | 29% above | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urine Specific Gravity | $18.00 | $30.00 | $14.70–$26.85 | 71% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Auto W/O Micro | $18.00 | $30.00 | $14.70–$26.85 | 71% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis | $30.00 | $50.00 | $24.50–$44.75 | 51% below | 40% |
| Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Nonauto W/O Micro | $25.41 | $42.35 | $20.75–$37.90 | 38% below | 40% |
| Urine culture for bacteria, with colony count CPT 87086 HC Urine Culture/Colony Count | $48.00 | $80.00 | $39.20–$71.60 | 53% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 HC Pregnancy Test, Urine | $18.00 | $30.00 | $14.70–$26.85 | 84% below | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC Vitamin B12 | $47.86 | $79.76 | $39.08–$71.39 | 56% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Vitamin D 25 Hydroxy | $94.09 | $156.82 | $76.84–$140.35 | 41% below | 40% |
| Zinc blood test CPT 84630 HC Zinc | $17.56 | $29.27 | $14.34–$26.20 | 89% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Hcg Quantitative | $66.00 | $110.00 | $53.90–$98.45 | 53% below | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs South Carolina | Off list |
|---|---|---|---|---|---|
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 HC Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus | $12,460.45 | $20,767.41 | $10,176.03–$18,586.83 | 42% above | 40% |
| Botox injections for chronic migraine CPT 64615 HC Chemdnr Nrv Muscle Facial | $530.74 | $884.56 | $433.43–$791.68 | 27% below | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Bx Breast Lesion Strtctc 1st | $2,932.20 | $4,887.00 | $2,394.63–$8,747.73 | 27% below | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC PR Fx Fibula Distal W/O Man Clsd | $268.20 | $447.00 | $219.03–$400.07 | 45% below | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC ER Tx Fx Fibula Dist W/O Man Clsd | $712.08 | $1,186.80 | $581.53–$2,124.37 | 46% above | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC Tx Fx Fibula Dist W/O Man Clsd | $712.08 | $1,186.80 | $581.53–$1,062.19 | 46% above | 40% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC ER Tx Fx Metatarsal W/O Man Clsd | $494.55 | $824.25 | $403.88–$737.70 | 12% below | 40% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC Tx Fx Metatarsal W/O Man Clsd | $494.55 | $824.25 | $403.88–$737.70 | 12% below | 40% |
| Cardiac catheterization with coronary angiogram CPT 93458 HC Lhrt Artery/Ventricle Angio | $7,783.12 | $12,971.87 | $6,356.22–$11,609.82 | 34% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC ER-Cardioversion | $1,370.09 | $2,283.49 | $1,118.91–$2,043.72 | 8% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Electv External | $1,370.09 | $2,283.49 | $1,118.91–$2,043.72 | 8% below | 40% |
| Catheter ablation for atrial fibrillation CPT 93656 HC Ep Eval & Pulmonary Vein Isola | $43,212.79 | $72,021.32 | $35,290.45–$64,459.08 | 9% above | 40% |
| Cervical biopsy CPT 57500 HC Bx/Exc Cervix Local | $1,567.33 | $2,612.22 | $1,279.99–$2,337.94 | 52% below | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision W/Clamp/Device | $3,731.10 | $6,218.50 | $3,047.07–$5,565.56 | 189% above | 40% |
| Circumcision, surgical, older than a newborn CPT 54160 HC Circumcision W/O Clamp | $1,684.05 | $2,806.75 | $1,375.31–$2,512.04 | 30% above | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC ER Tx Fx Radial Dist W/O Man Clsd | $534.86 | $891.44 | $436.81–$1,595.68 | 14% above | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC Tx Fx Radial Dist W/O Man Clsd | $534.86 | $891.44 | $436.81–$797.84 | 14% above | 40% |
| Colonoscopy with endoscopic ultrasound CPT 45391 HC Colonoscopy Flex W/Endo US | $2,147.55 | $3,579.25 | $1,753.83–$3,203.43 | at median | 40% |
| Colonoscopy with polyp removal CPT 45385 HC Colonoscopy W/Lesion/Polyp/Tumor Rmvl Snare Tq | $2,147.55 | $3,579.25 | $1,753.83–$3,203.43 | 48% above | 40% |
| Colonoscopy with tissue sample CPT 45380 HC Colonoscopy W/Biopsy Single/Mult | $2,147.55 | $3,579.25 | $1,753.83–$3,203.43 | 52% below | 40% |
| Colonoscopy, diagnostic CPT 45378 HC Colonoscopy | $1,660.57 | $2,767.61 | $1,356.13–$2,477.01 | 58% below | 40% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC Colposcopy W/Bx & Curettage | $547.54 | $912.57 | $447.16–$816.75 | 67% below | 40% |
| Coronary stent placement, one artery CPT 92928 HC Stent Plmnt Intrcor Sgl Art/Br | $9,282.47 | $15,470.79 | $7,580.69–$13,846.36 | 21% below | 40% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 HC D and C Nonobsterical | $3,935.06 | $6,558.43 | $3,213.63–$5,869.79 | 18% above | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC Dest Lesn Premalignant 1st Lesion | $132.75 | $221.25 | $108.41–$198.02 | 69% below | 40% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HC Tympanostomy Local/Topical Anesthesia | $916.65 | $1,527.75 | $748.60–$1,367.34 | 8% below | 40% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC Pf Remove Cerumen Impacted Irr Unilat | $31.80 | $53.00 | $25.97–$47.44 | 81% below | 40% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC ER Remove Cerumen Impacted Irr Unilat | $176.95 | $294.92 | $144.51–$263.95 | 7% above | 40% |
| Earwax removal with instruments, one ear CPT 69210 HC ER Remove Cerumen Impacted Uni | $176.95 | $294.92 | $144.51–$263.95 | 18% above | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC Bx Endometrial Sampling W/O | $318.73 | $531.22 | $260.30–$475.44 | 49% below | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Inj Interlaminar Crv/Thrc W/Guide | $1,443.10 | $2,405.16 | $1,178.53–$2,152.62 | at median | 40% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Inj Paravert F Jnt L/S 1 Lev | $1,793.78 | $2,989.63 | $1,464.92–$5,351.44 | 35% below | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd | $1,612.20 | $2,687.00 | $1,316.63–$2,404.87 | at median | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC Hemorrhoidectomy by Ligation (GI Lab) | $1,659.95 | $2,766.58 | $1,355.62–$2,476.09 | at median | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Cath/Intro Saline/Contrast Sis | $329.31 | $548.85 | $268.94–$491.22 | at median | 40% |
| IUD insertion (the device itself billed separately) CPT 58300 HC Iud Insertion | $927.00 | $1,545.00 | $757.05–$1,382.78 | 149% above | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC ER I&D Abscess Simple | $364.03 | $606.72 | $297.29–$543.01 | 11% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D Abscess Simple | $364.03 | $606.72 | $297.29–$543.01 | 11% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Inj Single Tendon/Ligament | $420.20 | $700.34 | $343.17–$1,253.61 | 23% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC ER Inj Single Tendon/Ligament | $531.35 | $885.58 | $433.93–$792.59 | 3% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PR Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US | $75.00 | $125.00 | $61.25–$111.88 | 89% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocent Asp/Inj Jt Major | $646.52 | $1,077.54 | $527.99–$1,928.80 | 9% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ER Arthrocent Asp/Inj Jt Major | $673.46 | $1,122.43 | $549.99–$2,009.15 | 5% below | 40% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC Ins Impl Drug Deliv Non-Biodeg | $232.02 | $386.70 | $189.48–$346.10 | 22% below | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocent Asp/Inj Jt Intermed | $577.25 | $962.08 | $471.42–$1,722.12 | 9% above | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ER Arthrocent Jt Inter | $577.25 | $962.08 | $471.42–$1,722.12 | 9% above | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthrocent Asp/Inj Jt Small | $431.14 | $718.57 | $352.10–$1,286.24 | at median | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ER Arthrocent Asp/Inj Jt Small | $449.11 | $748.51 | $366.77–$1,339.83 | 4% above | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC ER Rpr Lac Int Scalp <2.5 | $421.39 | $702.31 | $344.13–$628.57 | 20% below | 40% |
| Left heart catheterization, diagnostic one side CPT 93452 HC Left Hrt Cath W/Ventrclgrphy | $6,563.06 | $10,938.44 | $5,359.84–$9,789.90 | 37% below | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Inj Interlaminar Lmbr/Sac W/Guide | $1,348.69 | $2,247.81 | $1,101.43–$2,011.79 | 7% below | 40% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC Inj Interlaminar Lmbr/Sac W/O Guide | $1,443.10 | $2,405.16 | $1,178.53–$2,152.62 | 22% below | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Inj Epid Lumb/Sac Sgl W/Image | $1,419.05 | $2,365.09 | $1,158.89–$4,233.51 | 23% below | 40% |
| Miscarriage treatment with D&C, first trimester CPT 59820 HC Surg Tx Abort Missed 1st Tri | $5,354.35 | $8,923.91 | $4,372.72–$7,986.90 | 62% above | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC Exc Lesn Bgn Face/Ear <0.5cm | $1,266.46 | $2,110.77 | $1,034.28–$1,889.14 | 11% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 HC PR Removal of Nail Plate | $59.40 | $99.00 | $48.51–$88.61 | 86% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 HC Avulsion Nail Plate Single | $138.94 | $231.57 | $113.47–$207.26 | 66% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 HC ER Avulsion Nail Plate Single | $144.74 | $241.23 | $118.20–$215.90 | 65% below | 40% |
| Occipital nerve block (injection for headaches) CPT 64405 HC Inj Anes Nrv Great Occipital | $603.47 | $1,005.78 | $492.83–$1,800.35 | at median | 40% |
| Pacemaker implant (dual chamber) CPT 33208 HC Ins New/ Repl Perm Pacemaker a/V | $15,343.12 | $25,571.87 | $12,530.22–$22,886.82 | 2% above | 40% |
| Paracentesis with imaging guidance CPT 49083 HC Abdomen Paracentesis W/Imaging | $1,485.23 | $2,475.39 | $1,212.94–$2,215.47 | 14% below | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC ER Exc Nail & Matrix | $597.61 | $996.02 | $488.05–$891.44 | 24% below | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Exc Nail & Matrix | $597.61 | $996.02 | $488.05–$891.44 | 24% below | 40% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC Dest Nrv Lumb/Sacr Sgl | $2,006.26 | $3,343.77 | $1,638.45–$5,985.35 | 41% below | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 HC PR Incision/Rem FB Subq Simple | $110.40 | $184.00 | $90.16–$164.68 | 84% below | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 HC Incision/Rem FB Subq Smp | $430.21 | $717.01 | $351.33–$641.72 | 37% below | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 HC ER Incis/Rem FB Subq Smp | $448.11 | $746.85 | $365.96–$668.43 | 34% below | 40% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC Colon Low Risk Screen M-Care | $1,660.57 | $2,767.61 | $1,356.13–$2,477.01 | 60% below | 40% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC Colon High Risk Screen-M-Care | $1,660.57 | $2,767.61 | $1,356.13–$2,477.01 | 60% below | 40% |
| Septoplasty to straighten the nasal septum CPT 30520 HC Septoplasty or Submucous Resection, With or Without Cartilage Scoring, Contouring or Replacement With Graft | $5,837.53 | $9,729.21 | $4,767.31–$8,707.64 | at median | 40% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC or Lithotripsy | $8,178.36 | $13,630.60 | $6,678.99–$24,398.77 | 17% below | 40% |
| Short arm cast (elbow to hand) CPT 29075 HC Appl Short Arm Cast | $478.04 | $796.74 | $390.40–$713.08 | 8% above | 40% |
| Short arm splint (forearm and hand) CPT 29125 HC Appl Splint Arm Short Static | $271.70 | $452.84 | $221.89–$810.58 | 26% below | 40% |
| Short leg cast (below the knee) CPT 29405 HC ER Appl Cast Leg Short | $418.98 | $698.30 | $342.17–$1,249.96 | 16% below | 40% |
| Short leg splint (calf to foot) CPT 29515 HC Appl Lower Leg Splint | $270.25 | $450.42 | $220.71–$806.25 | 12% below | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC PR Resuperf Wnd Body <2.5cm | $114.00 | $190.00 | $93.10–$170.05 | 67% below | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Simple Repair Scalp, Neck, Axillae, External Genitalia, Trunk, Extremities; to 2.5 Cm | $354.36 | $590.60 | $289.39–$528.59 | 4% above | 40% |
| Skin biopsy, punch, one lesion CPT 11104 HC Punch Bx Skin Single Lesion | $725.02 | $1,208.37 | $592.10–$1,081.49 | 4% above | 40% |
| Skin tag removal, up to 15 tags CPT 11200 HC Remove Skin Tag <15 | $281.16 | $468.60 | $229.61–$419.40 | 26% below | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC ER Spinal Puncture Lumbar Diag | $850.85 | $1,418.08 | $694.86–$1,269.18 | 14% below | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture Lumbar Diag | $850.85 | $1,418.08 | $694.86–$1,269.18 | 14% below | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Rpr Lac Smp Trk/Neck 2.6-7.5cm | $406.08 | $676.80 | $331.63–$605.74 | 6% below | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC ER Rpr Smpl Trk/Neck 2.6-7.5cm | $422.99 | $704.98 | $345.44–$630.96 | 2% below | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC ER Rpr Lac Smp Face <2.5 Cm | $366.38 | $610.64 | $299.21–$546.52 | at median | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangntl Bx Skin Single Les | $214.78 | $357.96 | $175.40–$320.37 | 33% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 HC ER Thoracentesis W/Imaging | $1,563.52 | $2,605.87 | $1,276.88–$4,664.51 | 46% above | 40% |
| Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis W/Imaging | $1,563.52 | $2,605.87 | $1,276.88–$4,664.51 | 46% above | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC ER Inj Trigger Pt 1-2 Muscle(S) | $397.79 | $662.99 | $324.87–$593.38 | 14% below | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC Inj Trigger Pt 1-2 Muscle(S) | $414.36 | $690.60 | $338.39–$618.09 | 11% below | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast Lesion US Imag 1st | $2,305.34 | $3,842.23 | $1,882.69–$6,877.59 | 30% below | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC Egd Flex W/Biopsy | $2,129.45 | $3,549.09 | $1,739.05–$3,176.44 | 68% below | 40% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC Egd Rem Tumr/Polyp Snare | $3,454.62 | $5,757.70 | $2,821.27–$5,153.14 | 14% below | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC Egd Dx W/Brushing/Washing | $1,951.89 | $3,253.15 | $1,594.04–$2,911.57 | 23% above | 40% |
| Vein ablation, radiofrequency, first vein CPT 36475 HC Ablat Extrem Radiofreq 1st | $5,940.65 | $9,901.08 | $4,851.53–$17,722.93 | 5% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC ER Deb Subq Tissue 20 Sq Cm/< | $609.58 | $1,015.96 | $497.82–$909.28 | 25% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Deb Subq Tissue 20 Sq Cm/< | $634.96 | $1,058.27 | $518.55–$947.15 | 22% below | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs South Carolina | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Product Administration | $330.77 | $551.28 | $270.13–$493.40 | 67% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Press/Nonpress Inhalation Tx | $154.07 | $256.79 | $125.83–$229.83 | 23% below | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 HC Chemo IV Infusion Sgl/Init < 1hr | $631.93 | $1,053.22 | $516.08–$942.63 | 16% below | 40% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC Compre Audiometry Threshold Eval Sp Recognij | $281.63 | $469.38 | $230.00–$420.10 | at median | 40% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg Awake/Drowsy | $282.33 | $470.55 | $230.57–$421.14 | 62% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ekg Routine Tracing Only | $244.64 | $407.74 | $199.79–$364.93 | 27% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiovascular Stress Test | $1,028.63 | $1,714.38 | $840.05–$1,534.37 | at median | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 HC Family Psychotherapy W/Pt, 50 Min | $289.21 | $482.01 | $236.18–$431.40 | 8% below | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Psychiatric Diag Evaluation | $289.21 | $482.01 | $236.18–$431.40 | 21% below | 40% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC Nerve Conduction 7-8 Studies | $748.43 | $1,247.38 | $611.22–$1,116.41 | 14% below | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Nutrition Therapy Eval Ea 15 Min | $53.65 | $89.42 | $43.82–$80.03 | at median | 40% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC Psycl Tst Eval Phys/Qhp 1st Hr | $560.52 | $934.20 | $457.76–$836.11 | 55% above | 40% |
| Psychotherapy session, 45 minutes CPT 90834 HC Psychotherapy, 45 Min | $289.21 | $482.01 | $236.18–$431.40 | at median | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Smoking Cessation Inter > 3 Min | $38.03 | $63.39 | $31.06–$56.73 | 32% below | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC PR Tobacco Use Cessation Intermediate 3-10 Minutes | $45.00 | $75.00 | $36.75–$67.13 | 20% below | 40% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC Office Consultation New/Est Patient 60 Min | $227.84 | $379.74 | $186.07–$339.87 | 8% below | 40% |
| Spirometry (breathing test) CPT 94010 Spirometry/Pft Simple | $228.53 | $380.89 | $186.64–$340.90 | 18% below | 40% |
| Spirometry before and after a bronchodilator CPT 94060 HC Spirometry B/a Bronchodil | $434.65 | $724.41 | $354.96–$648.35 | 13% below | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Therapeutic Phlebotomy | $221.99 | $369.99 | $181.30–$331.14 | 16% below | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs South Carolina | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HC Covid-19, Mrna, Lnp-S, Pf, Tris-Sucrose, 30mcg/0.3ml | $95.48 | $159.14 | $77.98–$142.43 | 81% below | 40% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID vaccine 2025-26 (12 years+)(Pfizer)(PF) 30 mcg/0.3 mL Syrg 0.3 mL Syringe | $354.46 | $590.76 | $289.47–$528.73 | 28% below | 40% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 varicella virus vaccine live (PF) 1,350 unit/0.5 mL Susr 1 each Vial | $437.41 | $729.01 | $357.21–$652.46 | 25% above | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 flu vaccine trivalent (PF) 2025-26 (6 months +) 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL Syringe | $101.26 | $168.77 | $82.70–$151.05 | 125% above | 40% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 human papillomav vac,9-val (PF) 0.5 mL Susp 0.5 mL Vial | $736.46 | $1,227.44 | $601.45–$1,098.56 | 115% above | 40% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 human papillomav vac,9-val(PF) 0.5 mL Syrg 0.5 mL Syringe | $736.46 | $1,227.44 | $601.45–$1,098.56 | 115% above | 40% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 hepatitis A and B vaccine (PF) 720 ELISA unit- 20 mcg/mL Syrg 1 mL Syringe | $299.27 | $498.78 | $244.40–$446.41 | 139% above | 40% |
| Hepatitis A vaccine, adult dose CPT 90632 hepatitis A vaccine (adult) 1,440 ELISA unit/mL Syrg 1 mL Syringe | $342.68 | $571.14 | $279.86–$511.17 | 205% above | 40% |
| Hepatitis A vaccine, adult dose CPT 90632 hepatitis A vaccine 50 unit/mL Syrg 1 mL Syringe | $413.31 | $688.85 | $337.54–$2,289.23 | 268% above | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B virus vaccine (PF) 20 mcg/mL Syrg 1 mL Syringe | $352.64 | $587.73 | $287.99–$526.02 | 147% above | 40% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 measles, mumps & rubella vac per 0.5 mL | $476.84 | $794.73 | $389.42–$711.28 | 66% above | 40% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 mening vac A,C,Y,W-135 dip (PF) 10-5 mcg/0.5 mL Kit 5 each Vial | $294.19 | $490.32 | $240.26–$2,076.40 | 7% above | 40% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal polysaccharide 4 mcg/0.5 mL Soln 0.5 mL Vial | $355.19 | $591.99 | $290.08–$529.83 | 29% above | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumoc 20-val conj-dip cr (PF) 0.5 mL Syrg 0.5 mL Syringe | $677.90 | $1,129.84 | $553.62–$2,777.19 | at median | 40% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 nirsevimab-alip 50 mg/0.5 mL Syrg 0.5 mL Syringe | $1,247.40 | $2,079.00 | $529.28–$1,860.71 | at median | 40% |
| Rabies vaccine, one dose CPT 90675 rabies vaccine per 1 mL | $993.38 | $1,655.64 | $811.26–$1,481.80 | 54% below | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphtheria toxoids per 0.5 mL | $143.56 | $239.27 | $117.24–$214.15 | 16% above | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus and diphther. tox (PF) 5-2 Lf unit/0.5 mL Syrg 0.5 mL Syringe | $199.07 | $331.79 | $87.34–$296.95 | 61% above | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap 2 Lf-(2.5-5-3-5 mcg)-5Lf/0.5 mL Syrg 0.5 mL Syringe | $215.42 | $359.03 | $175.92–$8,457.75 | 51% above | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap 2.5-8-5 Lf-mcg-Lf/0.5mL Syrg 0.5 mL Syringe | $231.58 | $385.96 | $189.12–$345.43 | 62% above | 40% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 typhoid VI polysacch vaccine 25 mcg/0.5 mL Soln 10 mL Vial | $174.46 | $290.77 | $142.48–$4,743.50 | at median | 40% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 typhoid vi polysaccharide vacc per 0.5 mL | $351.77 | $586.28 | $287.28–$524.72 | 102% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immun Admin One Vacc | $45.76 | $76.26 | $37.37–$68.25 | 17% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Immun Admin Ea Add'l Vacc | $43.91 | $73.18 | $35.86–$65.50 | 4% above | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC ER Immun Admin Ea Add'l Vacc | $45.23 | $75.38 | $36.94–$67.47 | 7% above | 40% |