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 |
|---|---|---|---|---|
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $5.11 – $15.71 | 6 |
| Ghs sensitivity (per antimicro) CPT 87184 | $73.00 | $146.00 | $3.95 – $16.04 | 6 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $400.00 | $800.00 | $171.38 – $2,017.00 | 6 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $240.00 | $480.00 | $171.38 – $2,017.00 | 6 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $424.00 | $848.00 | $171.38 – $2,017.00 | 6 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $299.00 | $598.00 | $171.38 – $2,017.00 | 6 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $224.50 | $449.00 | $171.38 – $2,017.00 | 6 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $356.50 | $713.00 | $171.38 – $2,017.00 | 6 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $230.50 | $461.00 | $171.38 – $2,017.00 | 6 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $444.50 | $889.00 | $171.38 – $2,017.00 | 6 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $171.38 – $2,017.00 | 6 |
| Ghs sleep study unattended CPT 95800 | $712.50 | $1,425.00 | $200.83 – $302.55 | 5 |
| Ghs somatosensory testing lower extremit CPT 95926 | $681.50 | $1,363.00 | $200.83 – $348.03 | 5 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,361.00 | $2,722.00 | $348.03 – $878.56 | 5 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $107.00 | $214.00 | $45.91 – $50.50 | 4 |
| Ghs sphenopalatine ganglion block CPT 64505 | $301.50 | $603.00 | $285.49 – $2,017.00 | 6 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $118.07 – $136.12 | 5 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $91.00 | $182.00 | $98.53 – $108.38 | 4 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $34.74 – $61.77 | 5 |
| Ghs strapping shoulder - 29240 CPT 29240 | $161.50 | $323.00 | $123.75 – $2,017.00 | 6 |
| Ghs st - re-eval for alt comm CPT 92597 | $204.00 | $408.00 | $68.81 – $166.24 | 5 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $47.00 | $94.00 | $43.55 – $52.16 | 5 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $54.50 | $109.00 | $131.42 – $217.61 | 5 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $328.00 | $656.00 | $578.56 – $2,017.00 | 6 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $288.00 | $576.00 | $378.09 – $2,017.00 | 6 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $983.71 – $3,931.00 | 6 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $4.18 – $12.22 | 6 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $353.00 | $706.00 | $208.64 – $2,017.00 | 6 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $208.64 – $2,017.00 | 6 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $13.93 – $79.40 | 6 |
| Ghs urine, porphyrins quant CPT 84120 | $70.50 | $141.00 | $8.43 – $41.40 | 6 |
| Ghs vaginal delivery only CPT 59409 | $1,420.50 | $2,841.00 | $2,583.51 – $9,269.00 | 6 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $2,077.50 | $4,155.00 | $302.55 – $381.77 | 5 |
| Ghs windowing of cast CPT 29730 | $98.50 | $197.00 | $141.64 – $2,017.00 | 6 |
| Giardia ag if CPT 87269 | not published | not published | $6.87 – $14.97 | 5 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $8.43 – $33.82 | 6 |
| Gi endoscopic ultrasound CPT 76975 | $280.00 | $560.00 | $141.04 – $244.11 | 5 |
| Gi inhouse confirmation CPT 87045 | $91.50 | $183.00 | $5.41 – $30.43 | 6 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $2,251.35 – $14,821.00 | 6 |
| Gi protein loss CPT 78282 | not published | not published | $371.82 – $463.18 | 5 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $608.00 | $1,216.00 | $843.57 – $3,931.00 | 6 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $864.93 – $951.43 | 4 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $843.57 – $3,931.00 | 6 |
| Gi wireless capsule measure CPT 91112 | $374.50 | $749.00 | $518.86 – $3,931.00 | 6 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $42.47 – $111.23 | 5 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $25.84 – $67.67 | 5 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $14.70 – $38.50 | 5 |
| Glassia injection HCPCS J0257 | not published | not published | $5.35 – $8.37 | 7 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $26.90 – $121.94 | 5 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $34.74 – $84.36 | 5 |
| Glaucoma surgery CPT 66150 | not published | not published | $3,120.54 – $9,269.00 | 6 |
| Glaucoma surgery CPT 66155 | not published | not published | $3,120.54 – $9,269.00 | 6 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,146.46 – $9,269.00 | 6 |
| Glaucoma surgery CPT 66170 | $2,011.00 | $4,022.00 | $2,146.46 – $9,269.00 | 6 |
| Glove finger flexion right lg xl HCPCS L3912 | $36.50 | $73.00 | not published | 0 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $114.79 – $288.45 | 7 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $129.67 – $163.89 | 7 |
| Glucagon plasma - sendout CPT 82943 | $97.00 | $194.00 | $8.19 – $63.08 | 6 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $26.40 – $94.49 | 6 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $28.93 – $103.52 | 6 |
| Glucagon tolerance test CPT 82946 | not published | not published | $8.64 – $19.55 | 6 |
| Glucose 1 hr post dose CPT 82950 | $26.00 | $52.00 | $2.72 – $15.20 | 6 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $3.47 – $12.18 | 6 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $8.00 | $16.00 | $1.34 – $4.84 | 6 |
| Glucose blood quantitative CPT 82947 | $26.00 | $52.00 | $2.25 – $11.54 | 6 |
| Glucose body fluid CPT 82945 | $32.00 | $64.00 | $2.25 – $13.05 | 6 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $138.00 | $276.00 | $54.87 – $165.68 | 5 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $79.00 | $158.00 | $7.38 – $36.01 | 6 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $26.00 | $52.00 | $2.25 – $15.01 | 6 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.77 – $0.77 | 1 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $45.23 – $45.23 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.04 – $22.45 | 7 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $81.00 | $162.00 | $10.65 – $55.97 | 6 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $85.04 – $304.18 | 6 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $97.00 | $194.00 | $10.61 – $53.70 | 6 |
| Gonioscopy CPT 92020 | $37.50 | $75.00 | $84.36 – $136.12 | 5 |
| Goniotomy CPT 65820 | not published | not published | $527.58 – $9,269.00 | 6 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $431.61 – $1,012.16 | 7 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $63.00 | $126.00 | $36.48 – $127.32 | 6 |
| Graft axiofill 1000mg HCPCS J3590 | $2,091.00 | $4,182.00 | not published | 0 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $115.74 – $1,965.68 | 5 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $601.50 | $1,203.00 | $115.74 – $127.32 | 5 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,043.22 – $11,692.00 | 6 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $943.00 | $1,886.00 | $46.67 – $127.32 | 5 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $1,144.32 – $1,144.32 | 1 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $26,601.50 | $53,203.00 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $22,766.50 | $45,533.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $8,300.00 | $16,600.00 | $98.12 – $127.32 | 5 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $541.00 | $1,082.00 | $105.87 – $158.03 | 6 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $4,152.00 – $4,152.00 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $635.50 | $1,271.00 | $115.74 – $205.44 | 5 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $718.00 | $1,436.00 | $73.31 – $127.32 | 5 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $115.74 – $243.12 | 5 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $2,614.50 | $5,229.00 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $232.00 | $464.00 | $115.74 – $226.70 | 5 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $42,814.50 | $85,629.00 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,225.50 | $4,451.00 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $4.59 – $4.59 | 1 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.42 – $0.42 | 1 |
| Granulocyte pheresis ea unit HCPCS P9050 | $1,857.50 | $3,715.00 | $3,301.27 – $3,301.27 | 1 |
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.