MUSC Health Black River Medical Center
3555 Williamsburg County Highway, Cades, SC · Muschealth · · NPI 1841914298
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| X-ray facial bones complete > 3 views CPT 70150 | $188.00 | $376.00 | $66.37 – $106.96 | 5 |
| X-ray femur >=2 views (both sides) CPT 73552 | $120.00 | $240.00 | $74.77 – $89.03 | 5 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $137.50 | $275.00 | $45.09 – $89.03 | 5 |
| X-ray foot 2 views (both sides) CPT 73620 | $173.00 | $346.00 | $46.10 – $89.03 | 5 |
| X-ray forearm 2 views (both sides) CPT 73090 | $178.00 | $356.00 | $46.46 – $89.03 | 5 |
| X-ray hand 2 views (both sides) CPT 73120 | $163.00 | $326.00 | $45.42 – $106.96 | 5 |
| X-ray head for orthodontia CPT 70350 | $83.50 | $167.00 | $53.25 – $89.03 | 5 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $175.50 | $351.00 | $45.09 – $89.03 | 5 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $275.00 | $550.00 | $74.77 – $106.96 | 5 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $246.00 | $492.00 | $97.24 – $124.52 | 5 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $306.00 | $612.00 | $97.24 – $124.52 | 5 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $359.00 | $718.00 | $97.24 – $124.52 | 5 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $161.00 | $322.00 | $74.77 – $89.03 | 5 |
| X-ray humerus >= 2 views left CPT 73060 | $180.00 | $360.00 | $47.10 – $89.03 | 5 |
| X-ray joint survey 1 view CPT 77077 | $102.00 | $204.00 | $63.57 – $106.96 | 5 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $158.00 | $316.00 | $47.09 – $89.03 | 5 |
| X-ray knee 3 views (both sides) CPT 73562 | $191.50 | $383.00 | $51.88 – $89.03 | 5 |
| X-ray knee ap standing bilateral CPT 73565 | $158.00 | $316.00 | $45.42 – $89.03 | 5 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $97.50 | $195.00 | $45.42 – $89.03 | 5 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $228.00 | $456.00 | $83.03 – $106.96 | 5 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $274.00 | $548.00 | $83.03 – $106.96 | 5 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $294.00 | $588.00 | $97.24 – $109.44 | 5 |
| X-ray male genital tract CPT 74440 | not published | not published | $143.24 – $244.11 | 5 |
| X-ray mandible complete > 4 views CPT 70110 | $231.00 | $462.00 | $54.11 – $106.96 | 5 |
| X-ray mandible ltd <4 views CPT 70100 | $212.50 | $425.00 | $50.29 – $89.03 | 5 |
| X-ray nasal bones complete > 3 views CPT 70160 | $178.00 | $356.00 | $52.21 – $89.03 | 5 |
| X-ray neck soft tissue CPT 70360 | $131.50 | $263.00 | $45.82 – $89.03 | 5 |
| X-ray nose to rectum for foreign body child CPT 76010 | not published | not published | $41.10 – $89.03 | 5 |
| X-ray of mammary ducts CPT 77054 | $289.50 | $579.00 | $221.92 – $266.53 | 5 |
| X-ray optic foramina CPT 70190 | not published | not published | $42.76 – $89.03 | 5 |
| X-ray pelvis 1-2 views CPT 72170 | $146.50 | $293.00 | $46.46 – $106.96 | 5 |
| X-ray pelvis complete > 3 views CPT 72190 | $212.50 | $425.00 | $51.58 – $106.96 | 5 |
| Xray place dist ext thor ao CPT 75959 | $327.00 | $654.00 | not published | 0 |
| Xray place prox ext thor ao CPT 75958 | $722.50 | $1,445.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $236.00 | $472.00 | $161.03 – $356.93 | 5 |
| X-ray ribs 2 views left CPT 71100 | $171.50 | $343.00 | $51.88 – $89.03 | 5 |
| X-ray ribs 3 views bilateral CPT 71110 | $192.50 | $385.00 | $56.55 – $106.96 | 5 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $216.00 | $432.00 | $55.03 – $106.96 | 5 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $291.00 | $582.00 | $80.65 – $106.96 | 5 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $197.50 | $395.00 | $50.09 – $106.96 | 5 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $180.00 | $360.00 | $50.29 – $89.03 | 5 |
| X-ray scapula complete (both sides) CPT 73010 | $177.50 | $355.00 | $50.29 – $106.96 | 5 |
| X-ray sella turcica CPT 70240 | not published | not published | $40.18 – $89.03 | 5 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $153.00 | $306.00 | $45.19 – $89.03 | 5 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $221.00 | $442.00 | $54.03 – $89.03 | 5 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $240.00 | $480.00 | $173.92 – $559.03 | 5 |
| X-ray skull < 4 views CPT 70250 | $133.00 | $266.00 | $52.53 – $106.96 | 5 |
| X-ray skull > 4 views complete CPT 70260 | $221.00 | $442.00 | $78.56 – $106.96 | 5 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $128.00 | $256.00 | $97.24 – $135.94 | 5 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $304.50 | $609.00 | $98.74 – $179.45 | 5 |
| X-ray small intestine follow-through study CPT 74248 | $347.50 | $695.00 | $188.35 – $188.35 | 1 |
| X-ray spine single view CPT 72020 | $117.50 | $235.00 | $43.10 – $89.03 | 5 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $166.00 | $332.00 | $51.25 – $89.03 | 5 |
| X-ray sternum > 2 views CPT 71120 | $142.00 | $284.00 | $51.25 – $89.03 | 5 |
| X-ray surgical specimen CPT 76098 | $496.00 | $992.00 | $247.49 – $559.03 | 5 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $272.50 | $545.00 | $87.99 – $179.45 | 5 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $122.00 | $244.00 | $80.94 – $89.03 | 5 |
| X-ray thoracic spine 2 views CPT 72070 | $187.50 | $375.00 | $51.57 – $106.96 | 5 |
| X-ray thoracic spine 3 views CPT 72072 | $231.00 | $462.00 | $53.25 – $106.96 | 5 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $187.50 | $375.00 | $51.57 – $89.03 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $187.50 | $375.00 | $74.77 – $89.03 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $476.00 | $952.00 | $97.24 – $124.52 | 5 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $189.00 | $378.00 | $47.10 – $89.03 | 5 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $135.00 | $270.00 | $45.09 – $89.03 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $373.50 | $747.00 | $115.01 – $179.45 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $353.00 | $706.00 | $105.50 – $179.45 | 5 |
| X-ray wrist 2 views (both sides) CPT 73100 | $139.50 | $279.00 | $45.09 – $89.03 | 5 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $184.50 | $369.00 | $83.97 – $179.45 | 5 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $115.74 – $4,483.80 | 5 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $6.79 – $33.10 | 6 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.42 – $2.22 | 7 |
| Yersinia antibody CPT 86793 | not published | not published | $7.56 – $26.99 | 6 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $51,799.33 – $94,508.66 | 7 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $115.74 – $217.44 | 5 |
| Ziconotide injection HCPCS J2278 | not published | not published | $7.34 – $14.48 | 7 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.51 – $2.27 | 5 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $2.33 – $2.33 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $26.61 – $56.44 | 5 |
| Zika virus igm antibody CPT 86794 | not published | not published | $8.74 – $18.54 | 5 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $11.15 – $11.15 | 1 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.09 – $9.80 | 7 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | not published | $9.71 – $82.97 | 2 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $182.88 – $357.29 | 2 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $81.17 – $212.58 | 5 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.