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 |
|---|---|---|---|---|
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $21.69 – $29.59 | 5 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $21.69 – $29.59 | 5 |
| Acute hepatitis panel CPT 80074 | $95.50 | $191.00 | $27.30 – $118.89 | 6 |
| Acute venous thrombus image CPT 78456 | not published | not published | $198.31 – $1,324.54 | 5 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | not published | $0.05 – $0.05 | 1 |
| #acylcarnitineprfl CPT 82017 | $124.00 | $248.00 | $9.66 – $30.09 | 6 |
| Acylcarnitines qual CPT 82016 | not published | not published | $7.94 – $28.46 | 6 |
| Adalimumab injection HCPCS J0135 | not published | not published | $359.49 – $1,834.49 | 3 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $65.83 – $181.59 | 5 |
| Adapter b 8 channel 10cm HCPCS C1883 | $3,906.00 | $7,812.00 | not published | 0 |
| Adaptive behavior tx by tech CPT 97153 | not published | not published | $65.83 – $103.93 | 5 |
| Adding walker to prev cast CPT 29440 | not published | not published | $141.64 – $2,017.00 | 6 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $0.60 – $0.60 | 1 |
| Adenovirus ag ia CPT 87301 | not published | not published | $6.87 – $24.54 | 6 |
| Adenovirus antibody,serum - quest CPT 86603 | $110.00 | $220.00 | $7.37 – $26.26 | 6 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $6.87 – $23.94 | 5 |
| Adenovirus vaccine type 4 CPT 90476 | not published | not published | $46.00 – $46.00 | 1 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $9,269.00 – $9,269.00 | 1 |
| Adh-sendout CPT 84588 | $79.00 | $158.00 | $19.45 – $69.47 | 6 |
| Adj gastric band via subq port CPT 43999 | $831.00 | $1,662.00 | $843.57 – $3,931.00 | 6 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $2,844.32 – $11,692.00 | 6 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $1,629.00 | $3,258.00 | $1,919.01 – $3,931.00 | 6 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | not published | not published | $0.35 – $0.35 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $48.50 | $97.00 | $64.84 – $73.66 | 5 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $34.50 | $69.00 | $66.97 – $116.63 | 5 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $99.50 | $199.00 | $280.32 – $337.93 | 5 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $77.50 | $155.00 | $190.47 – $337.93 | 5 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $77.50 | $155.00 | $55.72 – $73.66 | 5 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $77.50 | $155.00 | $62.22 – $73.66 | 5 |
| Administration immunization 1 vaccine CPT 90471 | $18.00 | $36.00 | $49.20 – $73.66 | 5 |
| Administration immunization each additional vaccine CPT 90472 | $12.00 | $24.00 | $49.20 – $49.20 | 1 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $18.00 | $36.00 | $49.20 – $73.66 | 5 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $9.50 | $19.00 | $49.20 – $49.20 | 1 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $21.00 | $42.00 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | $12.00 | $24.00 | $35.18 – $47.91 | 5 |
| Administration vaccine influenza virus HCPCS G0008 | $12.00 | $24.00 | $43.55 – $49.20 | 5 |
| Administration vaccine pneumococcal HCPCS G0009 | $12.00 | $24.00 | $43.55 – $49.20 | 5 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $21.00 | $42.00 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $30.23 – $60.68 | 7 |
| Adrenal cortex & medulla img CPT 78075 | $1,416.00 | $2,832.00 | $786.93 – $1,324.54 | 5 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $4,152.00 – $4,152.00 | 1 |
| Adrenalin epinephrine inject HCPCS J0171 | not published | not published | $1.25 – $1.25 | 1 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $22.50 | $45.00 | not published | 0 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $154.78 – $220.91 | 5 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $200.83 – $348.03 | 5 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $200.83 – $348.03 | 5 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,524.01 – $4,547.54 | 7 |
| _afb id by dna probe rflx ast CPT 87149 | $128.00 | $256.00 | $11.49 – $67.71 | 6 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $3.24 – $12.82 | 6 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $66.10 – $126.90 | 5 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $57.54 – $150.70 | 5 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $115.43 – $302.31 | 5 |
| Aflibercept injection HCPCS J0178 | not published | not published | $771.56 – $1,232.97 | 7 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $11.62 – $17.84 | 3 |
| Afo molded to patient plasti HCPCS L1940 | $382.50 | $765.00 | not published | 0 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $1,686.00 | $3,372.00 | not published | 0 |
| Afo supramalleolar custom HCPCS L1907 | $1,284.50 | $2,569.00 | not published | 0 |
| After cataract laser surgery CPT 66821 | $511.50 | $1,023.00 | $511.54 – $3,532.00 | 6 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $153.06 – $335.28 | 7 |
| Air conduction bilat CPT 92552 | not published | not published | $61.77 – $136.12 | 5 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $2,017.00 – $2,017.00 | 1 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $297.00 | $594.00 | $73.49 – $131.64 | 5 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | $384.00 | $768.00 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $22.00 | $44.00 | $2.97 – $19.32 | 6 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $46.12 – $68.85 | 7 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $18.45 – $42.32 | 7 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $46.12 – $71.24 | 7 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.62 – $50.18 | 6 |
| Albumin ischemia modified CPT 82045 | not published | not published | $19.45 – $37.33 | 5 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $52.00 | $104.00 | $3.31 – $19.96 | 6 |
| Albumin serum plasma or whole blood CPT 82040 | $22.00 | $44.00 | $2.84 – $15.20 | 6 |
| Albuterol comp con HCPCS J7610 | not published | not published | $1.85 – $1.85 | 1 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.77 – $0.77 | 1 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.29 – $0.29 | 1 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.27 – $0.27 | 1 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.11 – $0.11 | 1 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $133.50 | $267.00 | $7.25 – $19.00 | 5 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $6.17 – $6.17 | 1 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $21.69 – $29.59 | 5 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $34.85 – $53.09 | 5 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $53.09 – $181.59 | 5 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $951.41 – $8,493.75 | 7 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $71.91 – $252.53 | 6 |
| Alefacept HCPCS J0215 | not published | not published | $45.09 – $62.46 | 2 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $1,759.25 – $3,506.54 | 7 |
| Alginate dressing <=16 sq in HCPCS A6196 | $53.00 | $106.00 | not published | 0 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $83.50 | $167.00 | not published | 0 |
| Alglucerase injection HCPCS J0205 | not published | not published | $45.51 – $63.05 | 2 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $148.86 – $310.05 | 3 |
| Alkaline phosphatase CPT 84075 | $22.00 | $44.00 | $2.97 – $15.53 | 6 |
| Allergen alpha lactalbumin ige CPT 86008 | $187.00 | $374.00 | $9.30 – $19.72 | 5 |
| Allergen egg white ige CPT 86003 | $88.50 | $177.00 | $2.99 – $18.56 | 6 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $4.57 – $16.53 | 6 |
| Allergy injections; 2 or more 95117 CPT 95117 | $25.00 | $50.00 | $43.55 – $49.20 | 5 |
| Allergy injection; single 95115 CPT 95115 | $25.00 | $50.00 | $43.55 – $49.20 | 5 |
| Allergy Skin Testing CPT 95004 | $488.00 | $976.00 | $45.94 – $878.56 | 5 |
| Allg patch or app # of tests 95044 CPT 95044 | $4.50 | $9.00 | $45.94 – $878.56 | 5 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $6,426.86 – $13,135.07 | 6 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | $31.50 | $63.00 | $25.58 – $25.58 | 1 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $115.74 – $128.79 | 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.