AnMed Piedmont
AnMed Piedmont in Piedmont, SC publishes cash prices for 298 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 225 of 292 procedures and above it for 48. By typical cash price it ranks #12 of 38 South Carolina hospitals and #2 of 5 hospitals in the Greenville, SC area, cheapest first. Click a procedure to compare it with other hospitals nearby.
2110 Highway 86, Piedmont SC 29673 Collected Sep 29, 2026 Source price file (864) 512-2830
Acute care hospital Emergency department CMS star rating 4 of 5 CCN 420027 · CMS hospital register NPI 1417919531
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 Radex Ankle Complete Minimum 3 Views | $300.00 | $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 | — | 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 | — | 45% below | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Radiologic Exam Esophagus Single Contrast Study | $340.00 | $680.00 | — | 43% below | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC Bone &/Joint Imaging Whole Body | $1,250.00 | $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 | — | — | 50% |
| Breast ultrasound, complete, one breast CPT 76641 HC US Breast Uni Real Time With Image Complete | $315.00 | $630.00 | — | 30% 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 | — | 51% 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 | — | 24% below | 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 | — | 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 | — | 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 | — | 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 | — | 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 | — | 13% 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 | — | at median | 50% |
| CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W/Contrast Material | $1,450.00 | $2,900.00 | — | 24% below | 50% |
| CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Contrast Material | $1,100.00 | $2,200.00 | — | 33% 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 | — | 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 | — | 33% 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 | — | 33% below | 50% |
| CT scan of the head with contrast CPT 70460 HC CT Head/Brain W/Contrast Material | $1,300.00 | $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 | — | 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 | — | 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 | — | 15% below | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/Contrast Material | $1,250.00 | $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 | — | — | 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 | — | — | 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 | — | — | 50% |
| Chest X-ray, 2 views CPT 71046 HC Radiologic Exam Chest 2 Views Hospice | $107.50 | $215.00 | — | 58% below | 50% |
| Chest X-ray, 2 views CPT 71046 HC Radiologic Exam Chest 2 Views | $262.50 | $525.00 | — | 4% above | 50% |
| Chest X-ray, single view CPT 71045 HC Radiologic Exam Chest Single View | $212.50 | $425.00 | — | 3% above | 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 | — | 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 | — | 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 | — | 68% 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 | — | 19% 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 | — | 13% below | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Mammo Bilat Dx (BCBS Global Mammo) | $45.00 | $90.00 | — | — | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Mammo Bilat Dx Dig | $200.00 | $400.00 | — | — | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammo Unilat Dx (BCBS Global Mammo) | $45.00 | $90.00 | — | 87% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammo Unilat Dx Dig | $150.00 | $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 | — | — | 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 | — | — | 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 | — | 17% 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 | — | 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 | — | 11% 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 | — | 11% 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 | — | at median | 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 | — | 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 | — | 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 | — | 27% 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 | — | 27% 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 | — | 21% 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 | — | 18% below | 50% |
| Knee X-ray, 3 views CPT 73562 HC Radiologic Examination Knee 3 Views | $300.00 | $600.00 | — | 7% below | 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 | — | 42% 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 | — | 54% above | 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 | — | — | 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 | — | 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 | $1,750.00 | $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 | — | 13% below | 50% |
| MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen W/O Contrast Material | $1,600.00 | $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 | — | 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 | — | 53% 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 | — | 49% 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 | — | 47% 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 | — | 25% 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 | — | 25% 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 | — | 25% 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 | — | 51% 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 | — | 19% 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 | — | 19% 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 | — | 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 | — | 20% 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 | — | 16% 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 | — | 28% 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 | — | 38% below | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis W/O Contrast Material | $1,500.00 | $3,000.00 | — | 50% 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 | — | 28% below | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Myocardial Spect Multiple Studies | $3,100.00 | $6,200.00 | — | 8% 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 | — | at median | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US Pelvic Nonobstetric Image Dcmtn Limited/F/U | $387.50 | $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 | — | 31% 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 | — | 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 | — | 40% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US Pregnant Uterus Limited 1/> Fetuses | $325.00 | $650.00 | — | 33% below | 50% |
| Screening mammogram, both breasts CPT 77067 HC Mammo Screen (BCBS Global Mammo) | $45.00 | $90.00 | — | 84% below | 50% |
| Screening mammogram, both breasts CPT 77067 HC Mammo Screen Dig | $155.00 | $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 | — | at median | 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 | — | 24% 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 | — | 24% 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 | — | 15% 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 | — | 12% 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 | — | 5% 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 | — | 5% below | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Swallowing Funcj W/Cineradiograpy/Vidradiog | $362.50 | $725.00 | — | 19% below | 50% |
| Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal | $500.00 | $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 | — | 31% below | 50% |
| Ultrasound of the abdomen, complete CPT 76700 HC US Abdominal Real Time W/Image Documentation | $750.00 | $1,500.00 | — | 22% below | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US Scrotum & Contents | $600.00 | $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 | — | 38% 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 | — | 46% 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 | — | 31% 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 | — | 26% below | 50% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC Radex Wrist Complete Minimum 3 Views | $265.00 | $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 | — | 17% below | 50% |
| X-ray of the abdomen, 1 view CPT 74018 HC Radiologic Exam Abdomen 1 View | $250.00 | $500.00 | — | 27% below | 50% |
| X-ray of the ankle, 2 views CPT 73600 HC Radiologic Examination Ankle 2 Views | $225.00 | $450.00 | — | 23% 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% below | 50% |
| X-ray of the foot, 2 views CPT 73620 HC Radiologic Examination Foot 2 Views | $200.00 | $400.00 | — | 34% 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 | — | 34% below | 50% |
| X-ray of the hand, 3 or more views CPT 73130 HC Radex Hand Minimum 3 Views | $290.00 | $580.00 | — | 20% below | 50% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC Radiologic Examination Knee 1/2 Views | $237.50 | $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 | — | 10% 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 | — | 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 | — | 9% 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 | — | 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 | — | 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% 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 | — | 5% above | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs South Carolina | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Transferase Alanine Amino Alt Sgpt | $45.00 | $90.00 | — | 2% below | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase Aspartate Amino Ast Sgot | $45.00 | $90.00 | — | at median | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Acute Hepatitis Panel | $315.00 | $630.00 | — | at median | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Specific Ige Quan/Semiquan Ea Allergen | $25.00 | $50.00 | — | 32% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige Crude Allergen Extract Each | $112.50 | $225.00 | — | 206% above | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Citrullinated Peptide Antibody | $70.00 | $140.00 | — | 41% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies Ana | $111.00 | $222.00 | — | 101% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide | $137.50 | $275.00 | — | 4% above | 50% |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel Calcium Total | $237.50 | $475.00 | — | 11% 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 | — | 119% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Level IV Surg Pathology Gross&Microscopic Exam | $250.00 | $500.00 | — | 119% above | 50% |
| Blood culture for bacteria CPT 87040 HC Culture Bacterial Blood Aerobic W/ID Isolates | $146.00 | $292.00 | — | 20% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection Venous Blood Venipuncture | $14.00 | $28.00 | — | 43% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection Venous Blood Venipuncture D25 Paternity | $16.50 | $33.00 | — | 33% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection Venous Blood Venipuncture Sled | $24.00 | $24.00 | — | 3% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection Venous Blood Venipuncture (Collect & Hold) | $28.50 | $57.00 | — | 15% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collect-Hold for Xmatch | $28.50 | $57.00 | — | 15% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Cord Blood Collect & Hold | $28.50 | $57.00 | — | 15% above | 50% |
| Blood glucose (sugar) test CPT 82947 HC Glucose Quantitative Blood Xcpt Reagent Strip | $34.50 | $69.00 | — | 3% above | 50% |
| Blood lead test CPT 83655 HC Assay of Lead | $56.00 | $112.00 | — | 23% 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 | — | 15% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein | $97.00 | $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 | — | 13% below | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC Immunoassay Tumor Antigen Quantitative Ca 19-9 | $91.00 | $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 | — | 20% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Covid-19 | $92.00 | $184.00 | — | at median | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Covid-19 Rapid | $92.00 | $184.00 | — | 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 | — | 59% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $79.50 | $159.00 | — | 26% below | 50% |
| Complete blood count (CBC) with differential CPT 85025 HC Blood Count Complete Auto&Auto Difrntl Wbc | $125.00 | $250.00 | — | 7% above | 50% |
| Complete blood count (CBC), no differential CPT 85027 HC Blood Count Complete Automated | $112.50 | $225.00 | — | 29% above | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel | $375.00 | $750.00 | — | 52% above | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Dgradj Products D-Dimer Quantitative | $143.50 | $287.00 | — | 23% below | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dehydroepiandrosterone-Sulfate | $158.00 | $316.00 | — | 12% below | 50% |
| Estradiol blood test CPT 82670 HC Assay of Total Estradiol (Peds) | $105.00 | $210.00 | — | 26% below | 50% |
| Estradiol blood test CPT 82670 HC Assay of Estradiol | $143.50 | $287.00 | — | 1% above | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin Follicle Stimulating Hormone | $96.00 | $192.00 | — | 49% below | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC Assay for Calprotectin Fecal | $179.50 | $359.00 | — | 25% below | 50% |
| Ferritin blood test (iron stores) CPT 82728 HC Assay of Ferritin | $133.00 | $266.00 | — | 16% above | 50% |
| Folate (folic acid) blood test CPT 82746 HC Assay of Folic Acid Serum | $138.50 | $277.00 | — | 17% above | 50% |
| Free T3 thyroid hormone test CPT 84481 HC Assay of Triiodothyronine T3 Free | $83.50 | $167.00 | — | 44% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Assay of Free Thyroxine | $64.50 | $129.00 | — | 40% below | 50% |
| Free testosterone test CPT 84402 HC Assay of Testosterone Free | $95.00 | $190.00 | — | at median | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Post Glucose Dose | $33.00 | $66.00 | — | 57% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test Gtt 3 Specimens | $111.00 | $222.00 | — | 38% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Iadna Neisseria Gonorrhoeae Amplified Probe Tq | $82.50 | $165.00 | — | 59% below | 50% |
| H. pylori antibody blood test CPT 86677 HC Antibody Helicobacter Pylori | $76.50 | $153.00 | — | 43% below | 50% |
| H. pylori stool antigen test CPT 87338 HC Iaad Ia Hpylori Stool | $128.50 | $257.00 | — | 33% below | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Iadna Hiv-1 Quant & Reverse Transcription | $314.00 | $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 | — | 38% 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 | — | 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 | — | 18% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin Glycosylated A1c | $74.00 | $148.00 | — | 15% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surf Antibody Hbsab | $56.00 | $112.00 | — | 45% below | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen | $69.00 | $138.00 | — | 26% below | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Antibody | $80.50 | $161.00 | — | 38% below | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC Iadna Hepatitis C Quant & Reverse Transcription | $272.50 | $545.00 | — | 26% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC Antibody Herpes Smplx Type 1 | $62.50 | $125.00 | — | 15% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC Antibody Herpes Smplx Type 2 | $75.50 | $151.00 | — | 13% below | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein High Sensitivity | $97.00 | $194.00 | — | at median | 50% |
| Homocysteine blood test CPT 83090 HC Assay of Homocysteine | $112.00 | $224.00 | — | 56% below | 50% |
| Insulin blood test CPT 83525 HC Assay of Insulin Total | $55.50 | $111.00 | — | 68% below | 50% |
| Iron blood test (serum iron) CPT 83540 HC Assay of Iron | $40.00 | $80.00 | — | 35% below | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Capacity | $50.50 | $101.00 | — | 38% below | 50% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $245.00 | $490.00 | — | 79% above | 50% |
| LH (luteinizing hormone) test CPT 83002 HC Gonadotropin Luteinizing Hormone | $99.00 | $198.00 | — | 47% below | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase | $77.50 | $155.00 | — | 31% below | 50% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $223.50 | $447.00 | — | 36% above | 50% |
| Lyme disease antibody test CPT 86618 HC Antibody Borrelia Burgdorferi Lyme Disease | $149.50 | $299.00 | — | 31% above | 50% |
| Magnesium blood test CPT 83735 HC Assay of Magnesium | $87.50 | $175.00 | — | 132% above | 50% |
| Measles (rubeola) antibody test CPT 86765 HC Antibody Rubeola | $88.50 | $177.00 | — | 14% above | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC Heterophile Antibodies Screen | $63.00 | $126.00 | — | 15% below | 50% |
| Obstetric blood test panel CPT 80055 HC Obstetric Panel | $216.50 | $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 | — | 20% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Assay of Prostate Specific Antigen Total | $155.00 | $310.00 | — | 26% above | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa Screening | $155.00 | $310.00 | — | 26% above | 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 | — | 57% below | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Thinprep Screening Pap | $69.50 | $139.00 | — | 57% below | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone | $262.00 | $524.00 | — | 22% above | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplastin Time Partial Plasma/Whole Blood | $128.50 | $257.00 | — | 66% above | 50% |
| Progesterone blood test CPT 84144 HC Assay of Progesterone | $103.50 | $207.00 | — | 29% below | 50% |
| Prolactin blood test CPT 84146 HC Assay of Prolactin | $108.50 | $217.00 | — | 34% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $29.00 | $58.00 | — | 43% 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 | — | 24% below | 50% |
| Rapid flu test (influenza antigen) CPT 87804 HC Iaadiadoo Influenza | $63.00 | $126.00 | — | 34% below | 50% |
| Rapid flu test (influenza antigen) CPT 87804 HC Iaad Ia Influenza A | $69.00 | $138.00 | — | 28% below | 50% |
| Rapid flu test (influenza antigen) CPT 87804 HC Iaad Ia Influenza B | $69.00 | $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 | — | 13% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor Quantitative | $59.00 | $118.00 | — | 14% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 HC Antibody Rubella | $65.00 | $130.00 | — | 27% below | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Sedimentation Rate RBC Automated | $54.50 | $109.00 | — | 43% below | 50% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC Semen Analysis Volume Count Motility Different | $163.50 | $327.00 | — | 18% above | 50% |
| Stool ova and parasites exam CPT 87177 HC Ova&Parasites Direct Smears Concentration & ID | $117.50 | $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 | — | 49% 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 | — | 70% 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 | — | 17% 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 | — | 26% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Assay of Testosterone Total | $113.00 | $226.00 | — | 47% above | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibodies Each | $63.00 | $126.00 | — | 37% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Assay of Thyroid Stimulating Hormone Tsh | $95.00 | $190.00 | — | 28% below | 50% |
| Trichomonas test (NAAT) CPT 87661 HC Iadna Trichomonas Vaginalis Amplified Probe Tech | $88.00 | $176.00 | — | 39% below | 50% |
| Uric acid blood test CPT 84550 HC Assay of Blood/Uric Acid | $44.50 | $89.00 | — | 28% below | 50% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $104.50 | $209.00 | — | 1% above | 50% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urnls Dip Stick/Tablet Reagent Auto Microscopy | $104.50 | $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 | — | 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 | — | 45% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 HC Urine Pregnancy Test Visual Color Cmprsn Meths | $77.50 | $155.00 | — | 28% below | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC Cyanocobalamin Vitamin B-12 | $137.50 | $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 | — | at median | 50% |
| Zinc blood test CPT 84630 HC Assay of Zinc | $67.50 | $135.00 | — | 46% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Gonadotropin Chorionic Quantitative | $87.50 | $175.00 | — | 33% 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 | — | 50% 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 | — | 38% 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 | — | 76% below | 50% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC Cltx Metatarsal Fracture W/O Manipulation Each | $175.00 | $350.00 | — | 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% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Elective Arrhythmia External | $1,387.50 | $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 | — | 5% below | 50% |
| Cervical biopsy CPT 57500 HC Biopsy Cervix Single/Mult/Excision of Lesion Spx | $325.00 | $650.00 | — | 87% 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 | — | 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 | — | 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 | — | 5% above | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystourethroscopy | $1,150.00 | $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 | — | 29% below | 50% |
| Earwax removal with instruments, one ear one side CPT 69210 HC Removal Impacted Cerumen Instrumentation Unilat | $90.00 | $180.00 | — | 35% 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 | — | 32% below | 50% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Cath & Saline/Contrast Sonohyster/Hysterosalpi | $325.00 | $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 | — | 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 | — | 21% 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 | — | 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 | — | 47% 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 | — | 25% 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 | — | 16% 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 | — | 53% 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 | — | 24% 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 | — | 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 | — | 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 | — | 40% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 HC Avulsion Nail Plate Partial/Complete Simple 1 | $150.00 | $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 | — | 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 | — | 47% below | 50% |
| Paracentesis with imaging guidance CPT 49083 HC Abdom Paracentesis Dx/Ther W/Imaging Guidance | $1,334.50 | $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 | — | 37% below | 50% |
| Prostate biopsy CPT 55700 HC Prostate Needle Biopsy Any Approach | $400.00 | $800.00 | — | 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 | — | 67% below | 50% |
| Short arm cast (elbow to hand) CPT 29075 HC Application Cast Elbow to Finger Short Arm | $425.00 | $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 | — | 38% below | 50% |
| Short leg cast (below the knee) CPT 29405 HC Application Short Leg Cast Below Knee-Toe | $285.50 | $571.00 | — | 39% below | 50% |
| Short leg splint (calf to foot) CPT 29515 HC Application Short Leg Splint Calf to Foot | $212.50 | $425.00 | — | 24% 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 | — | 21% below | 50% |
| Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Skin Single Lesion | $250.00 | $500.00 | — | 61% 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 | — | 80% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture Lumbar Diagnostic | $362.50 | $725.00 | — | 59% 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 | — | 35% 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 | — | 25% below | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Biopsy Skin Single Lesion | $250.00 | $500.00 | — | 21% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis Needle/Cath Pleura W/Imaging | $1,400.00 | $2,800.00 | — | 13% above | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC Injection Single/Mlt Trigger Point 1/2 Muscles | $200.00 | $400.00 | — | 54% 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 | — | 27% 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 | — | 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 | — | 51% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Pressurized/Nonpressurized Inhalation Treatment (Sputum Induction) | $125.00 | $250.00 | — | 30% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Pressurized/Nonpressurized Inhalation Treatment | $137.50 | $275.00 | — | 24% 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 | — | 25% 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 | — | 17% below | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Electroencephalogram W/Rec Awake&Drowsy | $700.00 | $1,400.00 | — | 6% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ecg Non-Invas Screening | $62.50 | $125.00 | — | 81% 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 | — | 26% below | 50% |
| Electroconvulsive therapy (ECT), one session CPT 90870 HC Electroconvulsive Therapy | $1,100.00 | $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 | — | 31% 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 | — | 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 | — | 32% 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 | — | 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 | — | 32% 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 | — | 12% below | 50% |
| Eye exam, returning patient, intermediate CPT 92012 HC Ophth Medical Xm&Eval Intermediate Estab Pt | $166.50 | $333.00 | — | 125% above | 50% |
| Family therapy with the patient, 50 minutes CPT 90847 HC Family Psychotherapy W/Patient Present 50 Mins | $325.00 | $650.00 | — | 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 | — | 24% below | 50% |
| Group psychotherapy session CPT 90853 HC Group Psychotherapy | $155.00 | $310.00 | — | 8% below | 50% |
| Group psychotherapy session CPT 90853 HC Group Psychotherapy (Psychoeducation/Group) | $190.00 | $380.00 | — | 12% 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 | — | 6% below | 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 | — | 11% 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 | — | 37% below | 50% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Psychiatric Diagnostic Evaluation | $174.50 | $349.00 | — | 48% 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 | — | at median | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Ther Px 1/> Areas Each 15 Min Neuromusc Reeduca | $92.50 | $185.00 | — | 2% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 HC Ft Fac New Level III | $125.00 | $250.00 | — | 54% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 HC Office Outpatient New Level 3 | $125.00 | $250.00 | — | 54% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 HC Consultation III New | $137.50 | $275.00 | — | 50% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 HC Consultation III New 25 | $137.50 | $275.00 | — | 50% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 HC Office Outpatient New Level 4 | $150.00 | $300.00 | — | 57% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 HC Ft Fac New Level IV | $150.00 | $300.00 | — | 57% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 HC Consultation IV New 25 | $175.00 | $350.00 | — | 49% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 HC Consultation IV New | $175.00 | $350.00 | — | 49% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 HC Consultation V New | $225.00 | $450.00 | — | 49% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 HC Office Outpatient New Level 5 | $225.00 | $450.00 | — | 49% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 HC Ft Fac New Level V | $225.00 | $450.00 | — | 49% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 HC Consultation V New 25 | $225.00 | $450.00 | — | 49% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Ft Fac New Level II | $95.00 | $190.00 | — | 60% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Fac Chg for Wound New | $105.00 | $210.00 | — | 55% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Consulataion II New 25 | $107.50 | $215.00 | — | 54% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Office Outpatient New Level 2 | $107.50 | $215.00 | — | 54% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Consultation II New | $125.00 | $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 | — | 16% below | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 HC Occupational Therapy Eval Low Complex 30 Mins | $187.50 | $375.00 | — | 4% 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 | — | 8% 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 | — | 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 | — | 5% 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 | — | 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 | — | 21% below | 50% |
| Psychotherapy session, 30 minutes CPT 90832 HC Psychotherapy W/Patient 30 Minutes | $207.50 | $415.00 | — | 34% above | 50% |
| Psychotherapy session, 45 minutes CPT 90834 HC Psychotherapy W/Patient 45 Minutes | $277.50 | $555.00 | — | 2% below | 50% |
| Psychotherapy session, 60 minutes CPT 90837 HC Psychotherapy W/Patient 60 Minutes | $277.50 | $555.00 | — | at median | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Smoking Cess 3-10 Min | $55.00 | $110.00 | — | 1% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Office Outpatient Estab Level 5 | $150.00 | $300.00 | — | 62% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Oncology Rehab | $150.00 | $300.00 | — | 62% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Ft Fac Estab Level V | $175.00 | $350.00 | — | 55% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Follow Up V Estab 25 | $187.50 | $375.00 | — | 52% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Consultation V Estab | $187.50 | $375.00 | — | 52% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Follow Up V Estab | $187.50 | $375.00 | — | 52% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Consultation V Estab 25 | $187.50 | $375.00 | — | 52% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Office Outpatient Estab Level 3 | $100.00 | $200.00 | — | 38% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Ft Fac Removal Vaginal FB | $100.00 | $200.00 | — | 38% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Ft Fac Estab Level III | $125.00 | $250.00 | — | 23% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Follow Up III Estab | $125.00 | $250.00 | — | 23% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Follow Up III Estab 25 | $125.00 | $250.00 | — | 23% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Consultation III Estab | $137.50 | $275.00 | — | 15% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Consultation III Estab 25 | $137.50 | $275.00 | — | 15% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Office Outpatient Estab Level 4 | $125.00 | $250.00 | — | 53% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Consultation IV Estab | $150.00 | $300.00 | — | 44% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Consultation IV Estab 25 | $150.00 | $300.00 | — | 44% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Follow Up IV Estab | $150.00 | $300.00 | — | 44% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Ft Fac Estab Level IV | $150.00 | $300.00 | — | 44% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Follow Up IV Estab 25 | $150.00 | $300.00 | — | 44% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Office Outpatient Estab Level 2 | $90.00 | $180.00 | — | 56% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Ft Fac Estab Level II | $92.50 | $185.00 | — | 55% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Follow Up II Estab 25 | $100.00 | $200.00 | — | 51% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Follow Up II Estab | $100.00 | $200.00 | — | 51% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Consultation 11 Estab | $112.50 | $225.00 | — | 45% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Consultation II Estab 25 | $112.50 | $225.00 | — | 45% below | 50% |
| Speech and language evaluation CPT 92523 HC Re-Eval Speech Sound Product Language Comprehension | $320.00 | $640.00 | — | 9% above | 50% |
| Speech and language evaluation CPT 92523 HC Eval Speech Sound Product Language Comprehension | $320.00 | $640.00 | — | 9% above | 50% |
| Speech therapy session, individual CPT 92507 HC Tx Speech Lang Voice Commj &/Auditory Proc Ind | $232.50 | $465.00 | — | 7% above | 50% |
| Spirometry (breathing test) CPT 94010 HC Spmtry W/Vc Expiratory Flo W/WO Mxml Vol Vntj (Bedside) | $125.00 | $250.00 | — | 55% below | 50% |
| Spirometry (breathing test) CPT 94010 HC Spmtry W/Vc Expiratory Flo W/WO Mxml Vol Vntj | $225.00 | $450.00 | — | 19% below | 50% |
| Spirometry before and after a bronchodilator CPT 94060 HC Brncdilat Rspse Spmtry Pre&Post-Brncdilat Admn | $375.00 | $750.00 | — | 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 | — | 17% 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 | — | 7% above | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Therapeut Actvity Direct Pt Contact Each 15 Min | $100.00 | $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 | — | 7% above | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy Therapeutic Separate Procedure | $175.00 | $350.00 | — | 27% 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 | — | — | 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 | — | 56% below | 50% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY | $323.16 | $646.32 | — | 6% below | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSP | $94.65 | $189.30 | — | 16% below | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 50 UNIT/ML IM SUSP | $355.26 | $710.53 | — | 217% above | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSP | $244.66 | $489.32 | — | 56% above | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR | $449.81 | $899.63 | — | 22% above | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLN | $528.55 | $1,057.10 | — | 80% above | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY | $818.60 | $1,637.20 | — | 23% below | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $341.77 | $683.55 | — | 50% below | 50% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR | $496.86 | $993.72 | — | 77% below | 50% |
| Rabies vaccine, one dose CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR | $614.31 | $1,228.62 | — | 71% below | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR | $756.20 | $1,512.40 | — | 296% above | 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 | — | 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 | — | 28% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Vaccine Admin Hepatitis B | $100.00 | $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 | — | 81% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Vaccine Admin Flu | $100.00 | $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 | — | 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 | — | 60% above | 50% |
Source file: https://anmed.org/sites/default/files/pricing/anmed-health-piedmont_standardcharges.zip