Revise breast reconst 19380 at MUSC Health Black River Medical Center
3555 Williamsburg County Highway, Cades, SC · Muschealth · · NPI 1841914298
$5,060.00
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.
$10,120.00
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.
$5,292.43 with Bcbs vs $15,173.11 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 |
|---|---|---|---|
| Bcbs | Lowcountry Blue Exchange | $5,292.43 | ↑ +5% |
| Bcbs | Bluechoice/Blueoptions Exchange | $5,598.15 | ↑ +11% |
| Bcbs | Blueessentials Exchange | $5,598.15 | ↑ +11% |
| Bcbs | Employee | $5,957.06 | ↑ +18% |
| Aetna | Medicare Managed Care Plan | $6,175.87 | ↑ +22% |
| Clover Health | Medicare Managed Care Plan | $6,299.39 | ↑ +24% |
| Absolute Total Care | Ambetter Exchange | $6,639.06 | ↑ +31% |
| Molina | Exchange | $6,793.46 | ↑ +34% |
| Bcbs | State Other Commercial Plan | $7,942.74 | ↑ +57% |
| Bcbs | Preferred Blue Ppo | $13,812.56 | ↑ +173% |
| Unitedhealthcare | All Commercial Plans | $14,821.00 | ↑ +193% |
| Bcbs | Bluechoice Hmo | $15,173.11 | ↑ +200% |
Visitor-reported prices
Comments
Revise breast reconst 19380 at other South-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St Francis Downtown | Greenville | $30,796.62 | $6,360.26 – $6,423.86 |
| St Francis Eastside | Greenville | $63,295.38 | $6,360.26 – $6,950.34 |
| MUSC Health Orangeburg Medical Center | Orangeburg | $6,869.50 | $6,175.87 – $6,793.46 |
| MUSC Health Main Campus - Charleston | Charleston | $6,869.50 | $4,337.63 – $6,793.46 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER | not published | $1,019.57 – $8,625.82 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson | not published | $1,019.57 – $8,625.82 |
| MUSC Health Florence Medical Center | Florence | not published | $5,957.06 – $15,562.00 |
| MUSC Health Kershaw Medical Center | Camden | not published | $4,365.52 – $14,634.00 |