Cls tx of heel fracture w/manip 28405 at MUSC Health Black River Medical Center
3555 Williamsburg County Highway, Cades, SC · Muschealth · · NPI 1841914298
$1,172.50
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.
$2,345.00
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.
$229.42 with Aetna vs $7,439.93 with Bcbs — 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 | $229.42 | ↓ -80% |
| Clover Health | Medicare Managed Care Plan | $234.01 | ↓ -80% |
| Absolute Total Care | Ambetter Exchange | $246.63 | ↓ -79% |
| Molina | Exchange | $252.36 | ↓ -78% |
| Unitedhealthcare | All Commercial Plans | $2,017.00 | ↑ +72% |
| Bcbs | Lowcountry Blue Exchange | $2,595.07 | ↑ +121% |
| Bcbs | Bluechoice/Blueoptions Exchange | $2,744.98 | ↑ +134% |
| Bcbs | Blueessentials Exchange | $2,744.98 | ↑ +134% |
| Bcbs | Employee | $2,920.77 | ↑ +149% |
| Bcbs | State Other Commercial Plan | $3,894.36 | ↑ +232% |
| Bcbs | Preferred Blue Ppo | $6,772.80 | ↑ +478% |
| Bcbs | Bluechoice Hmo | $7,439.93 | ↑ +535% |
Visitor-reported prices
Comments
Cls tx of heel fracture w/manip 28405 at other South-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St Francis Downtown | Greenville | $378.60 | not published |
| St Francis Eastside | Greenville | $378.60 | not published |
| MUSC Health Orangeburg Medical Center | Orangeburg | $1,622.00 | $229.42 – $252.36 |
| MUSC Health Main Campus - Charleston | Charleston | $1,622.00 | $229.42 – $2,126.90 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER | not published | $1,660.42 – $3,790.38 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson | not published | $1,660.42 – $3,790.38 |
| MUSC Health Florence Medical Center | Florence | not published | $229.42 – $2,118.00 |
| MUSC Health Kershaw Medical Center | Camden | not published | $238.43 – $368.00 |