Biopsy of salivary gland 42400 at MUSC Health Black River Medical Center
3555 Williamsburg County Highway, Cades, SC · Muschealth · · NPI 1841914298
$893.50
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1,787.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$658.62 with Aetna vs $3,532.00 with Unitedhealthcare — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $658.62 | ↓ -26% |
| Clover Health | Medicare Managed Care Plan | $671.79 | ↓ -25% |
| Absolute Total Care | Ambetter Exchange | $708.01 | ↓ -21% |
| Molina | Exchange | $724.48 | ↓ -19% |
| Bcbs | Lowcountry Blue Exchange | $964.76 | ↑ +8% |
| Bcbs | Bluechoice/Blueoptions Exchange | $1,020.49 | ↑ +14% |
| Bcbs | Blueessentials Exchange | $1,020.49 | ↑ +14% |
| Bcbs | Employee | $1,086.30 | ↑ +22% |
| Bcbs | State Other Commercial Plan | $1,448.40 | ↑ +62% |
| Bcbs | Preferred Blue Ppo | $2,517.91 | ↑ +182% |
| Bcbs | Bluechoice Hmo | $2,765.92 | ↑ +210% |
| Unitedhealthcare | All Commercial Plans | $3,532.00 | ↑ +295% |
Visitor-reported prices
Comments
Biopsy of salivary gland 42400 at other South-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MUSC Health Florence Medical Center | Florence | $1,455.00 | $658.62 – $3,708.00 |
| MUSC Health Kershaw Medical Center | Camden | $1,267.00 | $684.49 – $2,136.00 |
| St Francis Downtown | Greenville | $2,103.00 | not published |
| MUSC Health Chester Medical Center | Chester | $1,092.50 | $684.49 – $4,604.00 |
| MUSC Health Orangeburg Medical Center | Orangeburg | $1,236.00 | $658.62 – $724.48 |
| MUSC Health Main Campus - Charleston | Charleston | $1,236.00 | $658.62 – $790.71 |
| MUSC Health Lancaster Medical Center | Lancaster | $1,063.50 | $688.14 – $2,869.00 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER | not published | $553.71 – $1,409.73 |