AnMed Health Cannon
AnMed Health Cannon in Pickens, SC publishes cash prices for 369 common procedures listed here, from its own machine-readable price file updated Mar 6, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the South Carolina median for 273 of 364 procedures and above it for 50. By typical cash price it ranks #12 of 38 South Carolina hospitals and #1 of 6 hospitals in the Greenville, SC area, cheapest first. Select a procedure to compare it with other hospitals nearby.
123 WG Acker Drive, Pickens SC 29671 Collected Sep 29, 2026 Source price file Check a bill from this hospital (864) 878-4791
Acute care hospital Nonprofit hospital Emergency department CCN 420011 · CMS hospital register NPI 1497744254
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
AnMed Health Cannon is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs South Carolina | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT Abdomen W/O & W/Contrast Material | $1,750.00 | $3,500.00 | $175.61–$3,500.00 | 10% below | 50% |
| Abdominal X-ray, 2 views CPT 74019 HC Radiologic Exam Abdomen 2 Views | $315.00 | $630.00 | $21.48–$630.00 | 11% below | 50% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC Radex Ankle Complete Minimum 3 Views | $300.00 | $600.00 | $20.17–$600.00 | 17% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Non-Invas Physiologic Std Extremity Art 2 Level (Screening) | $155.00 | $310.00 | $70.79–$1,599.60 | 71% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Non-Invas Physiologic Std Extremity Art 2 Level | $287.50 | $575.00 | $70.79–$1,599.60 | 45% below | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Upper Extremity W/O Contrast Material | $1,350.00 | $2,700.00 | $117.81–$2,700.00 | at median | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Radiologic Exam Esophagus Single Contrast Study | $340.00 | $680.00 | $59.69–$680.00 | 39% below | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC Bone &/Joint Imaging Whole Body | $1,250.00 | $2,500.00 | $200.28–$2,500.00 | 14% below | 50% |
| Breast ultrasound, complete, one breast both sides CPT 76641 HC US Breast Bilat Real Time With Image Complete | $575.00 | $1,150.00 | $65.24–$1,150.00 | — | 50% |
| Breast ultrasound, complete, one breast CPT 76641 HC US Breast Uni Real Time With Image Complete | $315.00 | $630.00 | $65.24–$630.00 | 38% below | 50% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC US Breast Uni Real Time With Image Limited | $250.00 | $500.00 | $49.89–$500.00 | 51% below | 50% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT Angio Abd&Plvis Cntrst Mtrl W/WO Cntrst Img (W/Contrast) | $2,650.00 | $5,300.00 | $254.88–$5,300.00 | at median | 50% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT Angio Abd&Plvis Cntrst Mtrl W/WO Cntrst Img | $2,650.00 | $5,300.00 | $254.88–$5,300.00 | at median | 50% |
| CT angiography (CTA) of the head CPT 70496 HC CT Angiography Head W/Contrast/Noncontrast With Viz Ai | $1,575.00 | $3,150.00 | $188.92–$3,150.00 | 24% below | 50% |
| CT angiography (CTA) of the head CPT 70496 HC CT Angiography Head W/Contrast/Noncontrast | $1,700.00 | $3,400.00 | $188.92–$3,400.00 | 18% below | 50% |
| CT angiography (CTA) of the neck CPT 70498 HC CT Angiography Neck W/Contrast/Noncontrast (Neck W/Contrast) With Viz Ai | $1,600.00 | $3,200.00 | $187.94–$3,200.00 | 6% below | 50% |
| CT angiography (CTA) of the neck CPT 70498 CT Angiography Neck W/Contrast/Noncontrast (Neck W/Contrast) | $1,750.00 | $3,500.00 | $187.94–$3,500.00 | 2% above | 50% |
| CT angiography (CTA) of the neck CPT 70498 CT Angiography Neck W/Contrast/Noncontrast | $1,750.00 | $3,500.00 | $187.94–$3,500.00 | 2% above | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angiography Chest W/Contrast | $1,650.00 | $3,300.00 | $190.56–$3,300.00 | 24% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angiography Chest W/Contrast/Noncontrast | $1,650.00 | $3,300.00 | $190.56–$3,300.00 | 24% below | 50% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC Cta Hrt Cornry Art/Bypass Grfts Contrst 3d Post | $1,750.00 | $3,500.00 | $274.40–$3,500.00 | at median | 50% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Heart No Contrast Quant Eval Coronry Calcium | $100.00 | $100.00 | $28.00–$195.40 | 8% below | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abdomen & Pelvis W/O Contrast Material | $2,450.00 | $4,900.00 | $102.79–$4,900.00 | 23% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abdomen & Pelvis W/Contrast Material | $2,850.00 | $5,700.00 | $200.75–$5,700.00 | 11% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abdomen & Pelvis W/O & W/Contrst 1/> Body Re | $3,500.00 | $7,000.00 | $230.39–$7,000.00 | at median | 50% |
| CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W/Contrast Material | $1,450.00 | $2,900.00 | $152.42–$2,900.00 | 16% below | 50% |
| CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Contrast Material | $1,100.00 | $2,200.00 | $81.89–$2,200.00 | 23% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Maxillofacial W/O Contrast Material | $1,150.00 | $2,300.00 | $88.75–$2,300.00 | 10% below | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head/Brain W/O Contrast Material With Viz Ai | $1,200.00 | $2,400.00 | $66.87–$2,400.00 | 24% below | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head/Brain W/O Contrast Material | $1,200.00 | $2,400.00 | $66.87–$2,400.00 | 24% below | 50% |
| CT scan of the head with contrast CPT 70460 HC CT Head/Brain W/Contrast Material | $1,300.00 | $2,600.00 | $95.93–$2,600.00 | 24% below | 50% |
| CT scan of the head without and with contrast CPT 70470 HC CT Head/Brain W/O & W/Contrast Material | $1,625.00 | $3,250.00 | $116.83–$3,250.00 | at median | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Lumbar Spine W/O Contrast Material | $1,250.00 | $2,500.00 | $118.14–$2,500.00 | 27% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Cervical Spine W/O Contrast Material | $1,400.00 | $2,800.00 | $119.44–$2,800.00 | 12% below | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/Contrast Material | $1,250.00 | $2,500.00 | $153.40–$2,500.00 | 27% below | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Duplex Scan Extracranial Art Compl Bi Study (Screening) | $362.50 | $725.00 | $150.72–$1,599.60 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Duplex Scan Extracranial Art Compl Bi Study (Vertebral) | $450.00 | $900.00 | $150.72–$1,599.60 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Duplex Scan Extracranial Art Compl Bi Study | $750.00 | $1,500.00 | $150.72–$1,599.60 | — | 50% |
| Chest CT scan without and with contrast CPT 71270 HC CT Thorax W/O & W/Contrast Material | $1,575.00 | $3,150.00 | $188.34–$3,150.00 | 15% below | 50% |
| Chest X-ray, 2 views CPT 71046 HC Radiologic Exam Chest 2 Views Hospice | $107.50 | $215.00 | $15.28–$215.00 | 58% below | 50% |
| Chest X-ray, 2 views CPT 71046 HC Radiologic Exam Chest 2 Views | $262.50 | $525.00 | $15.28–$525.00 | 4% above | 50% |
| Chest X-ray, single view CPT 71045 HC Radiologic Exam Chest Single View | $212.50 | $425.00 | $12.01–$425.00 | 3% above | 50% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC Radex Clavicle Complete | $225.00 | $450.00 | $17.24–$450.00 | 34% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US Retroperitoneal Real Time W/Image Complete | $600.00 | $1,200.00 | $70.46–$1,200.00 | 7% above | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA Bone Density Study 1/> Sites Axial Skel | $425.00 | $850.00 | $28.34–$850.00 | at median | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC Diagnostic CT Thorax W/O Cntrst (CT Low Dose Follow Up) | $462.50 | $925.00 | $118.14–$1,482.12 | 64% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Thorax W/O Contrast Material | $1,150.00 | $2,300.00 | $118.14–$2,300.00 | 10% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Thorax W/Contrast Material | $1,500.00 | $3,000.00 | $152.42–$3,000.00 | 13% below | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Mammo Bilat Dx (BCBS Global Mammo) | $45.00 | $90.00 | $25.20–$138.97 | — | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Mammo Bilat Dx Dig | $200.00 | $400.00 | $109.97–$400.00 | — | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammo Unilat Dx (BCBS Global Mammo) | $45.00 | $90.00 | $25.20–$110.57 | 87% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammo Unilat Dx Dig | $150.00 | $300.00 | $84.00–$300.00 | 58% below | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study | $750.00 | $1,500.00 | $204.92–$1,599.60 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Dup-Scan Xtr Veins Complete Bilateral Study | $1,000.00 | $2,000.00 | $150.72–$2,000.00 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Pediatric Echo Tthrc R-T 2d W/Wom-Mode Compl Spec&Colr D | $1,400.00 | $2,800.00 | $151.04–$2,800.00 | 17% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Echo Contr W Dop and Cf | $1,500.00 | $3,000.00 | $151.04–$3,000.00 | 11% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Echo Tthrc R-T 2d W/Wom-Mode Compl Spec&Colr D | $1,500.00 | $3,000.00 | $151.04–$3,000.00 | 11% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Echo Tthrc R-T 2d W/Wom-Mode Compl Spec&Colr D (W/Bubble Study) | $1,500.00 | $3,000.00 | $151.04–$3,000.00 | 11% below | 50% |
| Elbow X-ray, 2 views CPT 73070 HC Radex Elbow 2 Views | $200.00 | $400.00 | $17.24–$400.00 | 35% below | 50% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC Radex Elbow Complete Minimum 3 Views | $275.00 | $550.00 | $20.17–$550.00 | 36% below | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Orbit Sella/Post Fossa/Ear W/O Contrast Matrl | $1,150.00 | $2,300.00 | $122.29–$2,300.00 | 17% below | 50% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC Radex Facial Bones Complete Minimum 3 Views | $300.00 | $600.00 | $25.40–$600.00 | 16% below | 50% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC Radex Forearm 2 Views | $250.00 | $500.00 | $15.60–$500.00 | 32% below | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hepatobiliary Syst Imaging Including Gallbladder | $1,900.00 | $3,800.00 | $281.52–$3,800.00 | at median | 50% |
| Hand X-ray, 2 views CPT 73120 HC Radex Hand 2 Views | $190.00 | $380.00 | $15.93–$380.00 | 19% below | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC Radex Calcaneus Minimum 2 Views | $212.50 | $425.00 | $17.24–$425.00 | 18% below | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Sleep Std Airflow Hrt Rate&O2 Sat Effort Unatt (Cannon) | $457.50 | $915.00 | $179.92–$915.00 | 48% below | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Sleep Std Airflow Hrt Rate&O2 Sat Effort Unatt | $475.00 | $950.00 | $179.92–$950.00 | 46% below | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (Cannon) | $2,572.50 | $5,145.00 | $860.40–$5,145.00 | 18% below | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd <6hrs (Cannon) | $2,572.50 | $5,145.00 | $860.40–$5,145.00 | 18% below | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd <6hrs | $2,800.00 | $5,600.00 | $860.40–$5,600.00 | 11% below | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd | $2,900.00 | $5,800.00 | $860.40–$5,800.00 | 8% below | 50% |
| Knee X-ray, 3 views CPT 73562 HC Radiologic Examination Knee 3 Views | $300.00 | $600.00 | $23.77–$600.00 | 7% below | 50% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC Radiologic Exam Knee Complete 4/More Views | $237.50 | $475.00 | $25.40–$475.00 | 41% below | 50% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Lower Extremity W/O Contrast Material | $1,375.00 | $2,750.00 | $117.81–$2,750.00 | at median | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Abdominal Real Time W/Image Limited | $500.00 | $1,000.00 | $57.07–$1,000.00 | 42% below | 50% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US Extremity Non-Vasc Real-Time Img Lmtd | $387.50 | $775.00 | $10.38–$775.00 | 36% below | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Lung Ca Scr Low-Dose | $237.50 | $475.00 | $95.00–$475.00 | 54% above | 50% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC Radiologic Examination Tibia & Fibula 2 Views | $225.00 | $450.00 | $18.22–$450.00 | 38% below | 50% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC Mra Head W/O Contrst Material | $1,425.00 | $2,850.00 | $277.97–$2,850.00 | 31% below | 50% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI Breast Without & With Contrast W/Cad Bilateral | $2,250.00 | $4,500.00 | $415.79–$4,500.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Any Jt Lower Extrem W/O Contrast Matrl | $1,750.00 | $3,500.00 | $153.66–$3,500.00 | 28% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Any Jt Lower Extrem W/O Contrast Matrl (Hip) | $1,750.00 | $3,500.00 | $153.66–$3,500.00 | 28% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Any Jt Lower Extrem W/O & W/Contrast Matrl | $2,400.00 | $4,800.00 | $331.62–$5,773.78 | 13% below | 50% |
| MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen W/O Contrast Material | $1,600.00 | $3,200.00 | $237.90–$3,200.00 | 35% below | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Abdomen W/O & W/Contrast Material | $2,100.00 | $4,200.00 | $359.37–$5,819.12 | 23% below | 50% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain Brain Stem W/O Contrast Material (Brain Lab WO) | $1,450.00 | $2,900.00 | $142.63–$2,900.00 | 50% below | 50% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain Brain Stem W/O Contrast Material (W/O Lim) | $1,575.00 | $3,150.00 | $142.63–$3,150.00 | 46% below | 50% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain Brain Stem W/O Contrast Material | $1,625.00 | $3,250.00 | $142.63–$3,250.00 | 44% below | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain Brain Stem W/O W/Contrast Material (W/WO Lim) | $2,200.00 | $4,400.00 | $239.86–$4,589.58 | 20% below | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain Brain Stem W/O W/Contrast Material | $2,200.00 | $4,400.00 | $239.86–$4,589.58 | 20% below | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain Brain Stem W/O W/Contrast Material (Brain Lab, Srs W/WO) | $2,200.00 | $4,400.00 | $239.86–$4,589.58 | 20% below | 50% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI Spinal Canal Lumbar W/O Contrast Material | $1,600.00 | $3,200.00 | $135.44–$3,200.00 | 49% below | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI Spinal Canal Lumbar W/O & W/Contr Matrl | $2,200.00 | $4,400.00 | $240.84–$4,589.58 | 13% below | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI Spinal Canal Lumbar W/O & W/Contr Matrl (W/WO Lim) | $2,200.00 | $4,400.00 | $240.84–$4,589.58 | 13% below | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI Spinal Canal Thoracic W/O Contrast Matrl | $1,500.00 | $3,000.00 | $136.42–$3,000.00 | 31% below | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI Spinal Canal Cervical W/O & W/Contr Matrl | $2,300.00 | $4,600.00 | $241.49–$4,600.00 | 17% below | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI Spinal Canal Cervical W/O & W/Contr Matrl (W/WO Lim) | $2,400.00 | $4,800.00 | $241.49–$4,800.00 | 14% below | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI Spinal Canal Cervical W/O Contrast Matrl | $1,500.00 | $3,000.00 | $136.42–$3,000.00 | 27% below | 50% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI Pelvis W/O & W/Contrast Material | $2,075.00 | $4,150.00 | $358.72–$5,819.12 | 37% below | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis W/O Contrast Material | $1,500.00 | $3,000.00 | $275.78–$3,000.00 | 47% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI Any Jt Upper Extremity W/O Contrast Matrl | $1,750.00 | $3,500.00 | $153.33–$3,500.00 | 28% below | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Radex Spine Cervical 4 or 5 Views | $375.00 | $750.00 | $26.38–$750.00 | 22% below | 50% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT Soft Tissue Neck W/Contrast Material | $1,425.00 | $2,850.00 | $151.77–$2,850.00 | 8% below | 50% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT Soft Tissue Neck W/O Contrast Material | $1,100.00 | $2,200.00 | $117.48–$2,200.00 | 29% below | 50% |
| Neck soft tissue X-ray CPT 70360 HC Radiologic Examination Neck Soft Tissue | $240.00 | $480.00 | $17.89–$480.00 | 10% below | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Myocardial Spect Multiple Studies | $3,100.00 | $6,200.00 | $376.07–$6,200.00 | 2% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet Imaging CT Attenuation Skull Base Mid-Thigh | $3,300.00 | $6,600.00 | $425.31–$6,600.00 | at median | 50% |
| Pelvic CT scan without contrast CPT 72192 HC CT Pelvis W/O Contrast Material | $1,125.00 | $2,250.00 | $83.20–$2,250.00 | 22% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US Pelvic Nonobstetric Image Dcmtn Limited/F/U | $387.50 | $775.00 | $20.83–$775.00 | 40% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US Pelvic Nonobstetric Real-Time Image Complete | $550.00 | $1,100.00 | $69.48–$1,100.00 | 29% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US Preg Uterus After 1st Trimest 1/1st Gestation | $500.00 | $1,000.00 | $84.50–$1,000.00 | 40% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US Pregnant Uterus 14 Wk Transabdl 1/1st Gestat | $462.50 | $925.00 | $67.20–$925.00 | 40% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US Pregnant Uterus Limited 1/> Fetuses | $325.00 | $650.00 | $47.60–$650.00 | 29% below | 50% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC Radex Ribs Unilateral 2 Views | $300.00 | $600.00 | $19.52–$600.00 | 4% below | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC Radex Ribs Uni W/Posteroant Ch Minimum 3 Views | $350.00 | $700.00 | $20.50–$700.00 | 1% below | 50% |
| Screening mammogram, both breasts CPT 77067 HC Mammo Screen (BCBS Global Mammo) | $45.00 | $90.00 | $25.20–$133.62 | 84% below | 50% |
| Screening mammogram, both breasts CPT 77067 HC Mammo Screen Dig | $155.00 | $310.00 | $86.80–$310.00 | 44% below | 50% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC Radex Shoulder Complete Minimum 2 Views | $312.50 | $625.00 | $17.56–$625.00 | 3% below | 50% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC Radex Sinuses Paranasal Compl Minimum 3 Views | $300.00 | $600.00 | $22.46–$600.00 | 30% below | 50% |
| Skull X-ray, fewer than 4 views CPT 70250 HC Radiologic Examination Skull < 4 Views | $237.50 | $475.00 | $21.15–$475.00 | 14% below | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 HC Polysom 6/>Yrs Sleep 4/> Addl Param Attnd (Cannon) | $2,419.50 | $4,839.00 | $860.40–$4,839.00 | 19% below | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 HC Polysom 6/>Yrs Sleep 4/> Addl Param Attnd <6hrs (Cannon) | $2,419.50 | $4,839.00 | $860.40–$4,839.00 | 19% below | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 HC Polysom 6/>Yrs Sleep 4/> Addl Param Attnd <6hrs | $2,700.00 | $5,400.00 | $860.40–$5,400.00 | 9% below | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 HC Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $2,800.00 | $5,600.00 | $860.40–$5,600.00 | 6% below | 50% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Tte W or W/O Contr, Cont Ecg | $1,500.00 | $3,000.00 | $170.89–$3,000.00 | 3% below | 50% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Echo Tthrc R-T 2d W/WO M-Mode Rest&Strs Cont Ecg | $1,500.00 | $3,000.00 | $170.89–$3,000.00 | 3% below | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Swallowing Funcj W/Cineradiograpy/Vidradiog | $362.50 | $725.00 | $92.67–$725.00 | 19% below | 50% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC Radiologic Examination Femur Minimum 2 Views | $232.50 | $465.00 | $20.83–$465.00 | 29% below | 50% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT Thoracic Spine W/O Contrast Material | $1,100.00 | $2,200.00 | $118.79–$2,200.00 | 36% below | 50% |
| Toe X-ray, 2 or more views CPT 73660 HC Radex Toe Minimum 2 Views | $200.00 | $400.00 | $19.52–$400.00 | 26% below | 50% |
| Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal | $500.00 | $1,000.00 | $80.58–$1,000.00 | 35% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US Preg Uterus Real Time W/Image Dcmtn Transvag | $475.00 | $950.00 | $54.46–$950.00 | 31% below | 50% |
| Ultrasound of the abdomen, complete CPT 76700 HC US Abdominal Real Time W/Image Documentation | $750.00 | $1,500.00 | $75.69–$1,500.00 | 19% below | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US Scrotum & Contents | $600.00 | $1,200.00 | $32.58–$1,200.00 | 10% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US Soft Tissue Head & Neck Real Time Imge Docm | $500.00 | $1,000.00 | $81.24–$1,000.00 | 37% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Radex GI Tract Upper W/WO Delayed Images W/O Kub | $475.00 | $950.00 | $71.44–$950.00 | 44% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Radiologic Exam Upr GI Trc Single Contrast Study | $612.50 | $1,225.00 | $71.44–$1,225.00 | 28% below | 50% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC Radex Humerus Minimum 2 Views | $225.00 | $450.00 | $18.54–$450.00 | 14% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Dup-Scan Xtr Veins Unilateral/Limited Study | $700.00 | $1,400.00 | $91.03–$1,599.60 | 28% below | 50% |
| Wrist X-ray, 2 views CPT 73100 HC Radex Wrist 2 Views | $180.00 | $360.00 | $18.54–$360.00 | 25% below | 50% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC Radex Wrist Complete Minimum 3 Views | $265.00 | $530.00 | $24.09–$530.00 | 27% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Radex Hip Unilateral With Pelvis 2-3 Views | $250.00 | $500.00 | $27.36–$500.00 | 6% below | 50% |
| X-ray of the abdomen, 1 view CPT 74018 HC Radiologic Exam Abdomen 1 View | $250.00 | $500.00 | $21.48–$500.00 | 14% below | 50% |
| X-ray of the ankle, 2 views CPT 73600 HC Radiologic Examination Ankle 2 Views | $225.00 | $450.00 | $19.52–$450.00 | 24% below | 50% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC Radex Fingr Minimum 2 Views | $200.00 | $400.00 | $22.13–$400.00 | 22% below | 50% |
| X-ray of the foot, 2 views CPT 73620 HC Radiologic Examination Foot 2 Views | $200.00 | $400.00 | $16.58–$400.00 | 37% below | 50% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC Radex Foot Complete Minimum 3 Views | $287.50 | $575.00 | $18.54–$575.00 | 34% below | 50% |
| X-ray of the hand, 3 or more views CPT 73130 HC Radex Hand Minimum 3 Views | $290.00 | $580.00 | $19.85–$580.00 | 24% below | 50% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC Radiologic Examination Knee 1/2 Views | $237.50 | $475.00 | $20.50–$475.00 | 14% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Radex Spine Lumbosacral 2/3 Views | $350.00 | $700.00 | $21.48–$700.00 | 1% below | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 HC Radex Spine Lumbosacral Minimum 4 Views | $412.50 | $825.00 | $29.97–$825.00 | 23% below | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Radex Spine Thoracic 2 Views | $275.00 | $550.00 | $20.50–$550.00 | 6% below | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC Radex Nasal Bones Complete Minimum 3 Views | $262.50 | $525.00 | $21.48–$525.00 | 35% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Radex Spine Cervical 2 or 3 Views | $287.50 | $575.00 | $19.85–$575.00 | 17% below | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC Radiologic Examination Pelvis 1/2 Views | $200.00 | $400.00 | $20.83–$400.00 | 20% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Radex Sacrum & Coccyx Minimum 2 Views | $312.50 | $625.00 | $17.56–$625.00 | at median | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs South Carolina | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC Adrenocorticotropic Hormone Acth | $177.00 | $354.00 | $27.03–$354.00 | 9% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Transferase Alanine Amino Alt Sgpt | $45.00 | $90.00 | $3.71–$93.65 | 2% below | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase Aspartate Amino Ast Sgot | $45.00 | $90.00 | $3.63–$92.50 | at median | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Acute Hepatitis Panel | $315.00 | $630.00 | $33.34–$630.00 | at median | 50% |
| Albumin blood test CPT 82040 HC Albumin Serum Plasma/Whole Blood | $40.50 | $81.00 | $3.14–$81.00 | 31% above | 50% |
| Aldosterone blood test CPT 82088 HC Assay of Aldosterone | $143.50 | $287.00 | $26.13–$290.34 | 22% below | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC Assay of Phosphatase Alkaline | $47.00 | $94.00 | $3.14–$94.00 | 9% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Specific Ige Quan/Semiquan Ea Allergen | $25.00 | $50.00 | $3.65–$50.00 | 22% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige Crude Allergen Extract Each | $112.50 | $225.00 | $3.65–$225.00 | 253% above | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetoprotein Serum | $81.50 | $163.00 | $7.68–$163.00 | 15% below | 50% |
| Ammonia blood test CPT 82140 HC Assay of Ammonia | $76.00 | $152.00 | $10.20–$152.00 | 19% below | 50% |
| Amylase blood test CPT 82150 HC Assay of Amylase | $62.00 | $124.00 | $4.54–$124.00 | 25% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Citrullinated Peptide Antibody | $70.00 | $140.00 | $9.07–$140.00 | 38% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies Ana | $111.00 | $222.00 | $8.46–$222.00 | 101% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide | $137.50 | $275.00 | $27.48–$275.00 | at median | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Cul Bact Xcpt Urine Blood/Stool Aerobic Isol | $142.00 | $284.00 | $6.03–$284.00 | 15% above | 50% |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel Calcium Total | $237.50 | $475.00 | $5.92–$475.00 | 11% above | 50% |
| Bilirubin blood test, total CPT 82247 HC Bilirubin Total | $45.00 | $90.00 | $3.14–$90.00 | 2% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Level IV Surg Pathology Gross&Microscopic Exam | $250.00 | $500.00 | $29.01–$500.00 | 76% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Level IV Surg Pathology Gross&Microscopic Exam Prostate | $250.00 | $500.00 | $29.01–$500.00 | 76% above | 50% |
| Blood culture for bacteria CPT 87040 HC Culture Bacterial Blood Aerobic W/ID Isolates | $146.00 | $292.00 | $7.22–$292.00 | 17% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection Venous Blood Venipuncture | $14.00 | $28.00 | $2.70–$28.00 | 39% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection Venous Blood Venipuncture D25 Paternity | $16.50 | $33.00 | $2.70–$33.00 | 28% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection Venous Blood Venipuncture Sled | $24.00 | $24.00 | $2.70–$24.00 | 4% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Cord Blood Collect & Hold | $28.50 | $57.00 | $2.70–$57.00 | 24% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection Venous Blood Venipuncture (Collect & Hold) | $28.50 | $57.00 | $2.70–$57.00 | 24% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collect-Hold for Xmatch | $28.50 | $57.00 | $2.70–$57.00 | 24% above | 50% |
| Blood glucose (sugar) test CPT 82947 HC Glucose Quantitative Blood Xcpt Reagent Strip | $34.50 | $69.00 | $2.61–$69.00 | 3% above | 50% |
| Blood lead test CPT 83655 HC Assay of Lead | $56.00 | $112.00 | $8.48–$112.00 | 20% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Serologic Abo | $52.00 | $104.00 | $2.09–$104.00 | 15% below | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 HC Assay of Urea Nitrogen Quantitative | $45.00 | $90.00 | $2.77–$90.00 | 10% below | 50% |
| C-peptide blood test CPT 84681 HC Assay of C-Peptide | $84.00 | $168.00 | $14.57–$168.00 | 44% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein | $97.00 | $194.00 | $3.63–$194.00 | 20% above | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC Inf Agent Det Nucleic Acid Clostridium Amp Probe | $132.00 | $264.00 | $17.77–$264.00 | 13% below | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC Immunoassay Tumor Antigen Quantitative Ca 19-9 | $91.00 | $182.00 | $14.57–$182.00 | 37% below | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay Tumor Antigen Quantitative Ca 125 | $133.50 | $267.00 | $14.57–$267.00 | 20% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Covid-19 | $92.00 | $184.00 | $35.92–$184.00 | at median | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Covid-19 Rapid | $92.00 | $184.00 | $35.92–$184.00 | at median | 50% |
| Calcium blood test, total CPT 82310 HC Calcium Total | $44.50 | $89.00 | $3.14–$89.00 | at median | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembryonic Antigen Cea | $148.50 | $297.00 | $13.27–$297.00 | at median | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC Antibody Varicella-Zoster | $81.00 | $162.00 | $9.02–$162.00 | at median | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Iadna Chlamydia Trachomatis Amplified Probe Tq | $83.00 | $166.00 | $11.50–$168.60 | 57% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $79.50 | $159.00 | $9.37–$159.00 | 25% below | 50% |
| Complete blood count (CBC) with differential CPT 85025 HC Blood Count Complete Auto&Auto Difrntl Wbc | $125.00 | $250.00 | $5.44–$250.00 | 7% above | 50% |
| Complete blood count (CBC), no differential CPT 85027 HC Blood Count Complete Automated | $112.50 | $225.00 | $4.53–$225.00 | 29% above | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel | $375.00 | $750.00 | $7.39–$750.00 | 48% above | 50% |
| Cortisol blood test, total CPT 82533 HC Cortisol Total | $148.00 | $296.00 | $11.41–$296.00 | 7% above | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 HC Creatine Kinase Total | $51.50 | $103.00 | $3.66–$103.00 | 10% below | 50% |
| Creatinine blood test CPT 82565 HC Creatinine Blood | $45.00 | $90.00 | $3.58–$105.39 | 7% below | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC Antibody Cytomegalovirus Cmv | $92.50 | $185.00 | $10.07–$185.00 | 27% above | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Dgradj Products D-Dimer Quantitative | $143.50 | $287.00 | $7.13–$287.00 | 23% below | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dehydroepiandrosterone-Sulfate | $158.00 | $316.00 | $15.56–$316.00 | 12% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Tst Prsmv Instrmnt Chem Analyzers PR Date (Rapid 6) | $26.00 | $52.00 | $14.56–$83.60 | 69% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Tst Prsmv Instrmnt Chem Analyzers PR Date (Rapid 10) | $30.00 | $60.00 | $16.80–$83.60 | 65% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Tst Prsmv Instrmnt Chem Analyzers PR Date | $37.00 | $74.00 | $20.72–$83.60 | 56% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Tox Comp Presumptive | $81.00 | $162.00 | $43.50–$162.00 | 4% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Screen List a Single Drug Class Method | $95.00 | $190.00 | $43.50–$190.00 | 12% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Instrmnt Chemistry Analyzers | $120.50 | $241.00 | $43.50–$241.00 | 42% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Tst Prsmv Instrmnt Chem Analyzers PR Date (Drug Panel 13 Urine) | $120.50 | $241.00 | $43.50–$241.00 | 42% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Tox Select Presumptive | $120.50 | $241.00 | $43.50–$241.00 | 42% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Tox Select Plus Presumptive | $190.00 | $380.00 | $43.50–$380.00 | 125% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Screen Presumptive 1 Class Method List B | $241.00 | $241.00 | $43.50–$241.00 | 185% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electrolyte Panel | $96.50 | $193.00 | $4.91–$193.00 | 7% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC Antibody Epstein-Barr Eb Virus Viral Capsid Vca (Ebv Igg) | $66.50 | $133.00 | $12.70–$133.00 | 32% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC Antibody Epstein-Barr Eb Virus Viral Capsid Vca (Ebv Igm) | $66.50 | $133.00 | $12.70–$133.00 | 32% below | 50% |
| Estradiol blood test CPT 82670 HC Assay of Total Estradiol (Peds) | $105.00 | $210.00 | $19.56–$229.46 | 22% below | 50% |
| Estradiol blood test CPT 82670 HC Assay of Estradiol | $143.50 | $287.00 | $19.56–$287.00 | 7% above | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin Follicle Stimulating Hormone | $96.00 | $192.00 | $13.01–$192.00 | 49% below | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC Assay for Calprotectin Fecal | $179.50 | $359.00 | $13.74–$359.00 | 25% below | 50% |
| Ferritin blood test (iron stores) CPT 82728 HC Assay of Ferritin | $133.00 | $266.00 | $9.54–$266.00 | 16% above | 50% |
| Fibrinogen blood test CPT 85384 HC Fibrinogen Activity | $130.00 | $260.00 | $6.80–$260.00 | at median | 50% |
| Folate (folic acid) blood test CPT 82746 HC Assay of Folic Acid Serum | $138.50 | $277.00 | $10.29–$277.00 | 17% above | 50% |
| Free T3 thyroid hormone test CPT 84481 HC Assay of Triiodothyronine T3 Free | $83.50 | $167.00 | $11.86–$167.00 | 35% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Assay of Free Thyroxine | $64.50 | $129.00 | $6.31–$129.00 | 40% below | 50% |
| Free testosterone test CPT 84402 HC Assay of Testosterone Free | $95.00 | $190.00 | $17.83–$190.00 | at median | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Assay of Glutamyltrase Gamma | $44.50 | $89.00 | $5.04–$89.00 | at median | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Post Glucose Dose | $33.00 | $66.00 | $3.33–$66.00 | 57% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test Gtt 3 Specimens | $111.00 | $222.00 | $9.01–$222.00 | 29% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Iadna Neisseria Gonorrhoeae Amplified Probe Tq | $82.50 | $165.00 | $11.50–$165.00 | 58% below | 50% |
| H. pylori antibody blood test CPT 86677 HC Antibody Helicobacter Pylori | $76.50 | $153.00 | $11.80–$153.00 | 34% below | 50% |
| H. pylori stool antigen test CPT 87338 HC Iaad Ia Hpylori Stool | $128.50 | $257.00 | $10.07–$257.00 | 14% below | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Iadna Hiv-1 Quant & Reverse Transcription | $314.00 | $628.00 | $59.57–$628.00 | 28% below | 50% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC Antibody Hiv-1&Hiv-2 Single Result | $75.00 | $150.00 | $9.60–$150.00 | 34% below | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $96.50 | $193.00 | $16.86–$193.00 | 11% below | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Iadna Human Papillomavirus High-Risk Types | $99.00 | $198.00 | $24.56–$198.00 | 18% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin Glycosylated A1c | $74.00 | $148.00 | $6.80–$148.00 | 15% below | 50% |
| Hemoglobin blood test CPT 85018 HC Blood Count Hemoglobin | $45.00 | $90.00 | $1.66–$90.00 | 19% above | 50% |
| Hepatitis B core antibody test (total) CPT 86704 HC Hepatitis B Core Antibody, Hbcab Total | $60.00 | $120.00 | $8.44–$120.00 | 14% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surf Antibody Hbsab | $56.00 | $112.00 | $7.52–$112.00 | 42% below | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen | $69.00 | $138.00 | $7.23–$138.00 | 25% below | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Antibody | $80.50 | $161.00 | $9.99–$161.00 | 35% below | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC Iadna Hepatitis C Quant & Reverse Transcription | $272.50 | $545.00 | $29.99–$545.00 | 26% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC Antibody Herpes Smplx Type 1 | $62.50 | $125.00 | $9.23–$125.00 | 15% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC Antibody Herpes Smplx Type 2 | $75.50 | $151.00 | $13.55–$156.86 | 10% below | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein High Sensitivity | $97.00 | $194.00 | $9.07–$194.00 | at median | 50% |
| Homocysteine blood test CPT 83090 HC Assay of Homocysteine | $112.00 | $224.00 | $12.54–$224.00 | 54% below | 50% |
| Insulin blood test CPT 83525 HC Assay of Insulin Total | $55.50 | $111.00 | $8.00–$111.00 | 63% below | 50% |
| Iron blood test (serum iron) CPT 83540 HC Assay of Iron | $40.00 | $80.00 | $3.14–$80.00 | 35% below | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Capacity | $50.50 | $101.00 | $4.18–$101.00 | 34% below | 50% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $245.00 | $490.00 | $6.08–$490.00 | 79% above | 50% |
| LH (luteinizing hormone) test CPT 83002 HC Gonadotropin Luteinizing Hormone | $99.00 | $198.00 | $12.96–$198.00 | 42% below | 50% |
| Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactate | $88.00 | $176.00 | $8.10–$176.00 | at median | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate Dehydrogenase Ldh | $45.00 | $90.00 | $4.18–$90.00 | at median | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase | $77.50 | $155.00 | $4.82–$155.00 | 22% below | 50% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $223.50 | $447.00 | $5.72–$447.00 | 22% above | 50% |
| Lyme disease antibody test CPT 86618 HC Antibody Borrelia Burgdorferi Lyme Disease | $149.50 | $299.00 | $11.92–$299.00 | 31% above | 50% |
| Magnesium blood test CPT 83735 HC Assay of Magnesium | $87.50 | $175.00 | $2.09–$175.00 | 132% above | 50% |
| Measles (rubeola) antibody test CPT 86765 HC Antibody Rubeola | $88.50 | $177.00 | $9.02–$177.00 | 13% above | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC Heterophile Antibodies Screen | $63.00 | $126.00 | $3.63–$126.00 | 8% below | 50% |
| Mumps immunity blood test CPT 86735 HC Antibody Mumps | $25.50 | $51.00 | $9.14–$51.00 | 68% below | 50% |
| Obstetric blood test panel CPT 80055 HC Obstetric Panel | $216.50 | $433.00 | $30.02–$433.00 | 54% above | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Assay of Prostate Specific Antigen Free | $94.00 | $188.00 | $12.87–$188.00 | 13% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Assay of Prostate Specific Antigen Total | $155.00 | $310.00 | $12.87–$310.00 | 26% above | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa Screening | $155.00 | $310.00 | $12.87–$310.00 | 26% above | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Thinprep Screening Pap | $69.50 | $139.00 | $14.18–$139.00 | 42% below | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Cytp Cerv/Vag Auto Thin Layer Prep Mnl Screen | $69.50 | $139.00 | $14.18–$139.00 | 42% below | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone | $262.00 | $524.00 | $28.90–$524.00 | 22% above | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplastin Time Partial Plasma/Whole Blood | $128.50 | $257.00 | $4.21–$257.00 | 66% above | 50% |
| Phosphorus (phosphate) blood test CPT 84100 HC Assay of Phosphorus Inorganic | $44.50 | $89.00 | $3.32–$89.00 | 8% below | 50% |
| Potassium blood test CPT 84132 HC Potassium Serum Plasma/Whole Blood | $45.00 | $90.00 | $2.61–$90.00 | 8% above | 50% |
| Progesterone blood test CPT 84144 HC Assay of Progesterone | $103.50 | $207.00 | $14.60–$207.00 | 29% below | 50% |
| Prolactin blood test CPT 84146 HC Assay of Prolactin | $108.50 | $217.00 | $13.57–$217.00 | 29% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $29.00 | $58.00 | $3.00–$58.00 | 36% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC Drug Screen List a Any Nmbr Non Tlc Devices | $39.00 | $78.00 | $8.82–$78.00 | 18% below | 50% |
| Rapid flu test (influenza antigen) CPT 87804 HC Iaadiadoo Influenza | $63.00 | $126.00 | $11.59–$126.00 | 34% below | 50% |
| Rapid flu test (influenza antigen) CPT 87804 HC Iaad Ia Influenza A | $69.00 | $138.00 | $11.59–$138.00 | 28% below | 50% |
| Rapid flu test (influenza antigen) CPT 87804 HC Iaad Ia Influenza B | $69.00 | $138.00 | $11.59–$138.00 | 28% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Iaadiadoo Streptococcus Group A | $87.50 | $175.00 | $11.57–$175.00 | 6% below | 50% |
| Renin blood test CPT 84244 HC Assay of Renin | $115.50 | $231.00 | $15.39–$231.00 | 15% below | 50% |
| Rh blood typing CPT 86901 HC Blood Typing Serologic Rh (D) | $42.00 | $84.00 | $2.09–$84.00 | 23% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor Quantitative | $59.00 | $118.00 | $3.97–$118.00 | 14% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 HC Antibody Rubella | $65.00 | $130.00 | $10.07–$130.00 | 19% below | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Sedimentation Rate RBC Automated | $54.50 | $109.00 | $1.89–$109.00 | 33% below | 50% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC Semen Analysis Volume Count Motility Different | $163.50 | $327.00 | $8.62–$327.00 | 8% above | 50% |
| Sodium blood test CPT 84295 HC Sodium Serum Plasma or Whole Blood | $45.00 | $90.00 | $3.14–$90.00 | at median | 50% |
| Stool ova and parasites exam CPT 87177 HC Ova&Parasites Direct Smears Concentration & ID | $117.50 | $235.00 | $6.23–$235.00 | 10% above | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Blood Occult Peroxidase Actv Qual Feces 1 Deter | $20.50 | $41.00 | $3.07–$41.00 | 30% below | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 | $16.50 | $33.00 | $6.27–$33.00 | 69% below | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC Antibody Treponema Pallidum | $57.50 | $115.00 | $9.27–$115.00 | 25% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non-Treponemal Antibody Qual | $40.00 | $80.00 | $2.99–$80.00 | 16% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB Cell Mediated Antign Respnse Gamma Interferon | $154.00 | $308.00 | $31.35–$308.00 | 26% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Assay of Testosterone Total | $113.00 | $226.00 | $18.07–$226.00 | 47% above | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibodies Each | $63.00 | $126.00 | $10.19–$126.00 | 36% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Assay of Thyroid Stimulating Hormone Tsh | $95.00 | $190.00 | $11.76–$190.00 | 22% below | 50% |
| Total IgE blood test CPT 82785 HC Assay of Gammaglobulin Ige | $111.00 | $222.00 | $11.52–$222.00 | at median | 50% |
| Total cholesterol blood test CPT 82465 HC Cholesterol Serum/Whole Blood Total | $44.50 | $89.00 | $3.05–$89.00 | at median | 50% |
| Total thyroxine (T4) blood test CPT 84436 HC Assay of Thyroxine Total | $125.50 | $251.00 | $4.70–$251.00 | 46% above | 50% |
| Total triiodothyronine (T3) blood test CPT 84480 HC Assay of Triiodothyronine T3 Total Tt3 | $74.00 | $148.00 | $9.93–$148.00 | 39% below | 50% |
| Transferrin blood test CPT 84466 HC Assay of Transferrin | $97.50 | $195.00 | $8.93–$195.00 | 21% below | 50% |
| Trichomonas test (NAAT) CPT 87661 HC Iadna Trichomonas Vaginalis Amplified Probe Tech | $88.00 | $176.00 | $18.29–$176.00 | 39% below | 50% |
| Triglycerides blood test CPT 84478 HC Assay of Triglycerides | $44.50 | $89.00 | $4.02–$89.00 | 4% below | 50% |
| Troponin test, quantitative CPT 84484 HC Assay of Troponin Quantitative | $125.00 | $250.00 | $8.73–$250.00 | at median | 50% |
| Uric acid blood test CPT 84550 HC Assay of Blood/Uric Acid | $44.50 | $89.00 | $3.16–$89.00 | 28% below | 50% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urnls Dip Stick/Tablet Reagent Auto Microscopy | $104.50 | $209.00 | $2.22–$209.00 | 1% above | 50% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $104.50 | $209.00 | $2.22–$209.00 | 1% above | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $104.50 | $209.00 | $1.58–$209.00 | 48% above | 50% |
| Urinalysis without microscope exam, manual CPT 81002 HC Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $20.50 | $41.00 | $2.44–$41.00 | 45% below | 50% |
| Urine microalbumin (albumin) test CPT 82043 HC Albumin Urine Microalbumin Quantiative | $64.50 | $129.00 | $4.05–$129.00 | 11% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 HC Urine Pregnancy Test Visual Color Cmprsn Meths | $77.50 | $155.00 | $4.70–$155.00 | 27% below | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC Cyanocobalamin Vitamin B-12 | $137.50 | $275.00 | $10.56–$275.00 | 26% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 Hydroxy Includes Fractions if Performed | $158.50 | $317.00 | $20.72–$317.00 | at median | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC 1 25 Dihydroxy Includes Fractions if Performed | $185.50 | $371.00 | $26.95–$371.00 | 25% above | 50% |
| Zinc blood test CPT 84630 HC Assay of Zinc | $67.50 | $135.00 | $3.74–$135.00 | 27% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Gonadotropin Chorionic Quantitative | $87.50 | $175.00 | $10.54–$175.00 | 29% below | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs South Carolina | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 HC Chemodervate Facial/Trigem/Cerv Musc Migraine | $312.50 | $625.00 | $125.00–$625.00 | 46% below | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Bx Breast W/Device 1st Lesion Stereotactic Guid | $2,500.00 | $5,000.00 | $1,000.00–$5,000.00 | 35% below | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC Cltx Dstl Fibular Fx Lat Malls W/O Manj | $75.00 | $150.00 | $30.00–$449.89 | 77% below | 50% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC Cltx Metatarsal Fracture W/O Manipulation Each | $175.00 | $350.00 | $70.00–$449.89 | 65% below | 50% |
| Cardiac catheterization with coronary angiogram CPT 93458 HC Cath Plmt L Hrt & Arts W/Njx & Angio Img S&I | $11,000.00 | $22,000.00 | $3,698.71–$22,000.00 | 2% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Elective Arrhythmia External | $1,387.50 | $2,775.00 | $555.00–$2,775.00 | at median | 50% |
| Catheter ablation for atrial fibrillation CPT 93656 HC Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation | $37,500.00 | $75,000.00 | $820.92–$75,000.00 | 5% below | 50% |
| Cervical biopsy CPT 57500 HC Biopsy Cervix Single/Mult/Excision of Lesion Spx | $325.00 | $650.00 | $130.00–$2,023.48 | 82% below | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision (Outpatient/Non-Routine) | $550.00 | $1,100.00 | $220.00–$7,067.09 | 57% below | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC Cltx Dstl Radial Fx/Epiphysl Sep W/O Manj | $150.00 | $300.00 | $60.00–$449.89 | 68% below | 50% |
| Coronary stent placement, one artery CPT 92928 HC Perq Tcat Plmt Ntrac St 1 Les 1+C Segments | $13,832.50 | $27,665.00 | $2,446.95–$27,665.00 | 5% above | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystourethroscopy | $1,150.00 | $2,300.00 | $460.00–$2,300.00 | 55% above | 50% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC Removal Impacted Cerumen Irrigation/Lvg Unilat | $100.00 | $200.00 | $40.00–$200.00 | 43% below | 50% |
| Earwax removal with instruments, one ear one side CPT 69210 HC Removal Impacted Cerumen Instrumentation Unilat | $90.00 | $180.00 | $36.00–$195.40 | 29% below | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd | $1,100.00 | $2,200.00 | $440.00–$2,200.00 | 32% below | 50% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Cath & Saline/Contrast Sonohyster/Hysterosalpi | $325.00 | $650.00 | $130.00–$650.00 | 1% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC Incision & Drainage Abscess Simple/Single | $175.00 | $350.00 | $70.00–$425.43 | 57% below | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Injection 1 Tendon Sheath/Ligament Aponeurosis | $421.50 | $843.00 | $168.60–$843.00 | 22% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US | $475.00 | $950.00 | $190.00–$950.00 | 33% below | 50% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC Insertion Drug Delivery Implant (Eg, Bedside Larc) | $133.00 | $266.00 | $53.20–$266.00 | 43% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US | $375.00 | $750.00 | $150.00–$782.25 | 29% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US | $350.00 | $700.00 | $140.00–$782.25 | 19% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Repair Intermediate S/a/T/E 2.5 Cm/< | $250.00 | $500.00 | $100.00–$975.17 | 52% below | 50% |
| Left heart catheterization, diagnostic CPT 93452 HC L Hrt Cath W/Njx L Ventriculography Img S&I | $6,750.00 | $13,500.00 | $2,700.00–$13,500.00 | 11% below | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn | $850.00 | $1,700.00 | $340.00–$2,238.38 | 50% below | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Njx Anes&/Strd W/Img Tfrml Edrl Lmbr/Sac 1 Lvl | $1,000.00 | $2,000.00 | $400.00–$2,238.38 | 45% below | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Exc B9 Lesion Mrgn Xcp Sk Tg/T/a/L 0.5 Cm/< | $850.00 | $1,700.00 | $340.00–$1,700.00 | 40% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 HC Avulsion Nail Plate Partial/Complete Simple 1 | $150.00 | $300.00 | $60.00–$300.00 | 63% below | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 HC Injection Aa&/Strd Greater Occipital Nerve | $675.00 | $1,350.00 | $270.00–$1,350.00 | at median | 50% |
| Pacemaker implant (dual chamber) CPT 33208 HC Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent | $8,000.00 | $16,000.00 | $3,200.00–$41,460.06 | 43% below | 50% |
| Paracentesis with imaging guidance CPT 49083 HC Abdom Paracentesis Dx/Ther W/Imaging Guidance | $1,334.50 | $2,669.00 | $533.80–$2,669.00 | 23% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excision Nail&Nail Matrix Prtl/Compl Perm Rmvl | $500.00 | $1,000.00 | $200.00–$1,324.80 | 37% below | 50% |
| Prostate biopsy CPT 55700 HC Prostate Needle Biopsy Any Approach | $400.00 | $800.00 | $160.00–$4,144.70 | 74% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 HC Incision & Removal Foreign Body Subq Tiss Simple | $200.00 | $400.00 | $80.00–$826.30 | 71% below | 50% |
| Short arm cast (elbow to hand) CPT 29075 HC Application Cast Elbow to Finger Short Arm | $425.00 | $850.00 | $170.00–$850.00 | 4% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 HC Application Short Arm Splint Forearm-Hand Static | $212.50 | $425.00 | $85.00–$425.00 | 33% below | 50% |
| Short leg cast (below the knee) CPT 29405 HC Application Short Leg Cast Below Knee-Toe | $285.50 | $571.00 | $114.20–$768.65 | 39% below | 50% |
| Short leg splint (calf to foot) CPT 29515 HC Application Short Leg Splint Calf to Foot | $212.50 | $425.00 | $85.00–$425.00 | 26% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/< | $260.00 | $520.00 | $104.00–$520.00 | 24% below | 50% |
| Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Skin Single Lesion | $250.00 | $500.00 | $100.00–$500.00 | 62% below | 50% |
| Skin tag removal, up to 15 tags CPT 11200 HC Removal Skn Tags Mlt Fibrq Tags Any Area Upw/15 | $65.00 | $130.00 | $26.00–$263.07 | 82% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture Lumbar Diagnostic | $362.50 | $725.00 | $145.00–$1,167.59 | 60% below | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm | $275.00 | $550.00 | $110.00–$550.00 | 33% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Simple Repair F/E/E/N/L/M 2.5cm/< | $275.00 | $550.00 | $110.00–$550.00 | 25% below | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Biopsy Skin Single Lesion | $250.00 | $500.00 | $100.00–$500.00 | 16% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis Needle/Cath Pleura W/Imaging | $1,400.00 | $2,800.00 | $560.00–$2,800.00 | at median | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC Injection Single/Mlt Trigger Point 1/2 Muscles | $200.00 | $400.00 | $80.00–$782.25 | 50% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast W/Device 1st Lesion Ultrasound Guid | $2,000.00 | $4,000.00 | $800.00–$4,000.00 | 26% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debridement Subcutaneous Tissue 20 Sq Cm/< | $250.00 | $500.00 | $100.00–$826.30 | 69% below | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs South Carolina | Off list |
|---|---|---|---|---|---|
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Pressurized/Nonpressurized Inhalation Treatment (Cpap Treat) | $87.50 | $175.00 | $35.00–$243.24 | 50% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Pressurized/Nonpressurized Inhalation Treatment (Sputum Induction) | $125.00 | $250.00 | $35.36–$250.00 | 28% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Pressurized/Nonpressurized Inhalation Treatment | $137.50 | $275.00 | $35.36–$275.00 | 21% below | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 HC Chemotx Admn IV Nfs Tq Up 1 Hr 1/1st Sbst/Drug | $550.00 | $1,100.00 | $220.00–$1,100.00 | 13% below | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care Ill/Injured Patient Init 30-74 Min (Cpt 99291) | $2,169.00 | $4,338.00 | $236.81–$4,338.00 | 22% below | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Electroencephalogram W/Rec Awake&Drowsy | $700.00 | $1,400.00 | $280.00–$1,400.00 | 4% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ecg Non-Invas Screening | $62.50 | $125.00 | $25.00–$422.69 | 80% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ecg Routine Ecg W/Least 12 Lds Trcg Only W/O I&R | $250.00 | $500.00 | $7.77–$500.00 | 20% below | 50% |
| Electroconvulsive therapy (ECT), one session CPT 90870 HC Electroconvulsive Therapy | $1,100.00 | $2,200.00 | $440.00–$2,200.00 | at median | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC Emergency Department Visit Limited/Minor Prob (Cpt 99281) | $200.00 | $400.00 | $80.00–$400.00 | 46% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC Emergency Department Visit Low/Moder Severity (Cpt 99282) | $338.50 | $677.00 | $135.40–$907.74 | 29% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC Emergency Department Visit Moderate Severity (Cpt 99283) | $615.50 | $1,231.00 | $236.81–$1,231.00 | 36% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC Emergency Department Visit High/Urgent Severity (Cpt 99284) | $969.50 | $1,939.00 | $387.80–$1,939.00 | 36% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Emergency Dept Visit High Severity&Threat Funcj (Cpt 99285) | $1,405.00 | $2,810.00 | $562.00–$2,810.00 | 36% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cv Strs Tst Xers&/Rx Cont Ecg Trcg Only W/O I&R | $900.00 | $1,800.00 | $36.17–$1,800.00 | 12% below | 50% |
| Eye exam, returning patient, intermediate CPT 92012 HC Ophth Medical Xm&Eval Intermediate Estab Pt | $166.50 | $333.00 | $66.60–$333.00 | 38% above | 50% |
| Family therapy with the patient, 50 minutes CPT 90847 HC Family Psychotherapy W/Patient Present 50 Mins | $325.00 | $650.00 | $346.45–$732.13 | at median | 50% |
| Family therapy without the patient, 50 minutes CPT 90846 HC Family Psychotherapy W/O Patient Present 50 Mins | $325.00 | $650.00 | $240.00–$732.13 | 13% below | 50% |
| Group psychotherapy session CPT 90853 HC Group Psychotherapy | $155.00 | $310.00 | $165.23–$732.13 | 6% below | 50% |
| Group psychotherapy session CPT 90853 HC Group Psychotherapy (Psychoeducation/Group) | $190.00 | $380.00 | $202.54–$732.13 | 15% above | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Infusion Hydration Initial 31 Min-1 Hour (Cpt 96360) | $375.00 | $750.00 | $143.40–$750.00 | at median | 50% |
| IV infusion of a medicine, first hour CPT 96365 HC IV Infusion Therapy/Prophylaxis /Dx 1st to 1 Hr (Cpt 96365) | $425.00 | $850.00 | $170.00–$850.00 | 2% below | 50% |
| IV push of a medicine, first drug CPT 96374 HC Ther Proph/Dx Njx IV Push Single/1st Sbst/Drug (Cpt 96374) | $175.00 | $350.00 | $67.14–$350.00 | 23% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Therapeutic Prophylactic/Dx Injection Subq/Im (Cpt 96372) | $100.00 | $200.00 | $13.44–$200.00 | 36% below | 50% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Psychiatric Diagnostic Evaluation | $174.50 | $349.00 | $186.02–$732.13 | 44% below | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC Nerve Conduction Studies 7-8 Studies | $1,000.00 | $2,000.00 | $117.30–$2,000.00 | at median | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Ther Px 1/> Areas Each 15 Min Neuromusc Reeduca | $92.50 | $185.00 | $37.00–$185.00 | 1% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 HC Ft Fac New Level III | $125.00 | $250.00 | $50.00–$250.00 | 47% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 HC Office Outpatient New Level 3 | $125.00 | $250.00 | $50.00–$250.00 | 47% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 HC Consultation III New | $137.50 | $275.00 | $55.00–$275.00 | 41% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 HC Consultation III New 25 | $137.50 | $275.00 | $55.00–$275.00 | 41% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 HC Office Outpatient New Level 4 | $150.00 | $300.00 | $60.00–$300.00 | 51% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 HC Ft Fac New Level IV | $150.00 | $300.00 | $60.00–$300.00 | 51% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 HC Consultation IV New | $175.00 | $350.00 | $70.00–$350.00 | 42% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 HC Consultation IV New 25 | $175.00 | $350.00 | $70.00–$350.00 | 42% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 HC Ft Fac New Level V | $225.00 | $450.00 | $90.00–$450.00 | 46% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 HC Office Outpatient New Level 5 | $225.00 | $450.00 | $90.00–$450.00 | 46% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 HC Consultation V New | $225.00 | $450.00 | $90.00–$450.00 | 46% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 HC Consultation V New 25 | $225.00 | $450.00 | $90.00–$450.00 | 46% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Ft Fac New Level II | $95.00 | $190.00 | $38.00–$248.65 | 59% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Fac Chg for Wound New | $105.00 | $210.00 | $42.00–$248.65 | 55% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Consulataion II New 25 | $107.50 | $215.00 | $43.00–$248.65 | 54% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Office Outpatient New Level 2 | $107.50 | $215.00 | $43.00–$248.65 | 54% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Consultation II New | $125.00 | $250.00 | $50.00–$250.00 | 47% below | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Medical Nutrition Assmt&Ivntj Indiv Each 15 Mi | $45.00 | $90.00 | $18.00–$90.00 | at median | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 HC Occupational Therapy Eval Low Complex 30 Mins | $187.50 | $375.00 | $75.00–$375.00 | 1% above | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Physical Therapy Evaluation High Complex 45 Mins | $250.00 | $500.00 | $100.00–$500.00 | 7% above | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Physical Therapy Evaluation Low Complex 20 Mins | $175.00 | $350.00 | $70.00–$350.00 | at median | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Physical Therapy Evaluation Mod Complex 30 Mins | $162.50 | $325.00 | $65.00–$325.00 | 4% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Manual Therapy Tqs 1/> Regions Each 15 Minutes | $107.50 | $215.00 | $41.43–$215.00 | at median | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Px 1/> Areas Each 15 Min Exercises | $87.50 | $175.00 | $35.00–$175.00 | 21% below | 50% |
| Psychotherapy session, 30 minutes CPT 90832 HC Psychotherapy W/Patient 30 Minutes | $207.50 | $415.00 | $83.00–$415.00 | 34% above | 50% |
| Psychotherapy session, 45 minutes CPT 90834 HC Psychotherapy W/Patient 45 Minutes | $277.50 | $555.00 | $295.82–$732.13 | at median | 50% |
| Psychotherapy session, 60 minutes CPT 90837 HC Psychotherapy W/Patient 60 Minutes | $277.50 | $555.00 | $295.82–$732.13 | at median | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Smoking Cess 3-10 Min | $55.00 | $110.00 | $22.00–$110.00 | at median | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Office Outpatient Estab Level 5 | $150.00 | $300.00 | $60.00–$300.00 | 51% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Oncology Rehab | $150.00 | $300.00 | $60.00–$300.00 | 51% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Ft Fac Estab Level V | $175.00 | $350.00 | $70.00–$350.00 | 42% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Consultation V Estab | $187.50 | $375.00 | $75.00–$375.00 | 38% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Consultation V Estab 25 | $187.50 | $375.00 | $75.00–$375.00 | 38% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Follow Up V Estab | $187.50 | $375.00 | $75.00–$375.00 | 38% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Follow Up V Estab 25 | $187.50 | $375.00 | $75.00–$375.00 | 38% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Office Outpatient Estab Level 3 | $100.00 | $200.00 | $40.00–$248.65 | 33% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Ft Fac Removal Vaginal FB | $100.00 | $200.00 | $40.00–$248.65 | 33% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Follow Up III Estab | $125.00 | $250.00 | $50.00–$250.00 | 16% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Follow Up III Estab 25 | $125.00 | $250.00 | $50.00–$250.00 | 16% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Ft Fac Estab Level III | $125.00 | $250.00 | $50.00–$250.00 | 16% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Consultation III Estab 25 | $137.50 | $275.00 | $55.00–$275.00 | 7% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Consultation III Estab | $137.50 | $275.00 | $55.00–$275.00 | 7% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Office Outpatient Estab Level 4 | $125.00 | $250.00 | $50.00–$250.00 | 43% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Follow Up IV Estab 25 | $150.00 | $300.00 | $60.00–$300.00 | 31% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Consultation IV Estab | $150.00 | $300.00 | $60.00–$300.00 | 31% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Ft Fac Estab Level IV | $150.00 | $300.00 | $60.00–$300.00 | 31% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Consultation IV Estab 25 | $150.00 | $300.00 | $60.00–$300.00 | 31% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Follow Up IV Estab | $150.00 | $300.00 | $60.00–$300.00 | 31% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Office Outpatient Estab Level 2 | $90.00 | $180.00 | $36.00–$248.65 | 51% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Ft Fac Estab Level II | $92.50 | $185.00 | $37.00–$248.65 | 50% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Follow Up II Estab 25 | $100.00 | $200.00 | $40.00–$248.65 | 46% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Follow Up II Estab | $100.00 | $200.00 | $40.00–$248.65 | 46% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Consultation 11 Estab | $112.50 | $225.00 | $45.00–$248.65 | 39% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Consultation II Estab 25 | $112.50 | $225.00 | $45.00–$248.65 | 39% below | 50% |
| Speech and language evaluation CPT 92523 HC Re-Eval Speech Sound Product Language Comprehension | $320.00 | $640.00 | $128.00–$640.00 | 2% above | 50% |
| Speech and language evaluation CPT 92523 HC Eval Speech Sound Product Language Comprehension | $320.00 | $640.00 | $128.00–$640.00 | 2% above | 50% |
| Speech therapy session, individual CPT 92507 HC Tx Speech Lang Voice Commj &/Auditory Proc Ind | $232.50 | $465.00 | $93.00–$465.00 | at median | 50% |
| Spirometry (breathing test) CPT 94010 HC Spmtry W/Vc Expiratory Flo W/WO Mxml Vol Vntj (Bedside) | $125.00 | $250.00 | $50.00–$1,553.30 | 53% below | 50% |
| Spirometry (breathing test) CPT 94010 HC Spmtry W/Vc Expiratory Flo W/WO Mxml Vol Vntj | $225.00 | $450.00 | $90.00–$1,553.30 | 16% below | 50% |
| Spirometry before and after a bronchodilator CPT 94060 HC Brncdilat Rspse Spmtry Pre&Post-Brncdilat Admn | $375.00 | $750.00 | $150.00–$1,553.30 | 22% below | 50% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HC Repet Tms Tx Initial W/Map/Motr Threshld/Del&M | $315.00 | $630.00 | $126.00–$630.00 | 9% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Therap Act Direct Pt Contact Ea 15 Min Co-Trt | $100.00 | $200.00 | $40.00–$200.00 | 7% above | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Therap Act Direct Ot Contact Ea 15 Min Co-Trt | $100.00 | $200.00 | $40.00–$200.00 | 7% above | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Therapeut Actvity Direct Pt Contact Each 15 Min | $100.00 | $200.00 | $40.00–$200.00 | 7% above | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy Therapeutic Separate Procedure | $175.00 | $350.00 | $70.00–$350.00 | 21% below | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs South Carolina | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY | $81.73 | $163.46 | $23.15–$163.46 | at median | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY | $20.00 | $40.00 | $8.00–$68.06 | 50% below | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSP | $92.67 | $185.34 | $37.07–$248.65 | 17% below | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 50 UNIT/ML IM SUSP | $325.38 | $650.76 | $130.15–$650.76 | 190% above | 50% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR | $496.86 | $993.72 | $198.74–$1,235.29 | 77% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP | $182.17 | $364.34 | $72.87–$364.34 | 47% above | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP | $182.12 | $364.25 | $72.85–$364.25 | 28% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Vaccine Admin Flu | $100.00 | $200.00 | $40.00–$200.00 | 81% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Im Adm Prq ID Subq/Im Njxs 1 Vaccine (Cpt 90471) | $100.00 | $200.00 | $40.00–$200.00 | 81% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Vaccine Admin Pneumo | $100.00 | $200.00 | $40.00–$200.00 | 81% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Vaccine Admin Hepatitis B | $100.00 | $200.00 | $40.00–$200.00 | 81% above | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Im Adm Prq ID Subq/Im Njxs Ea Addtl Vaccine (Cpt 90472) | $67.50 | $135.00 | $27.00–$135.00 | 60% above | 50% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://anmed.org/sites/default/files/pricing/570342027_anmed-health-cannon_standardcharges.zip