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 |
|---|---|---|---|---|
| Low cost skin substitute app HCPCS C5276 | $838.00 | $1,676.00 | $2,017.00 – $2,017.00 | 1 |
| Low cost skin substitute app HCPCS C5278 | $838.00 | $1,676.00 | $2,017.00 – $2,017.00 | 1 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,267.50 | $2,535.00 | $163.14 – $445.83 | 5 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,014.00 | $2,028.00 | $324.48 – $382.16 | 5 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $937.00 | $1,874.00 | $97.24 – $348.01 | 5 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,187.00 | $2,374.00 | $324.48 – $735.71 | 5 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $935.00 | $1,870.00 | $324.48 – $557.14 | 5 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $830.50 | $1,661.00 | $221.92 – $430.91 | 5 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $242.50 | $485.00 | $52.53 – $106.96 | 5 |
| Lower jaw bone graft CPT 21215 | not published | not published | $5,468.20 – $14,821.00 | 6 |
| Low frequency non-thermal Ultrasound CPT 97610 | $339.00 | $678.00 | $186.61 – $205.27 | 5 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.42 – $22.95 | 6 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $9,131.06 – $11,904.00 | 6 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $9,131.06 – $11,904.00 | 6 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $9,131.06 – $11,904.00 | 6 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $9,131.06 – $11,904.00 | 6 |
| Lso corset front HCPCS L0972 | $251.00 | $502.00 | not published | 0 |
| Lso flex no ri stays pre ots HCPCS L0628 | $274.00 | $548.00 | not published | 0 |
| Lso sag-coronal panel custom HCPCS L0638 | $2,245.50 | $4,491.00 | not published | 0 |
| Lso s/c shell/panel custom HCPCS L0640 | $2,316.50 | $4,633.00 | not published | 0 |
| Lso s/c shell/panel prefab HCPCS L0639 | $2,632.50 | $5,265.00 | not published | 0 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $12.60 – $73.70 | 6 |
| Lumbar diskogram s&i CPT 72295 | $1,506.00 | $3,012.00 | $1,215.24 – $1,997.81 | 5 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $6,347.42 – $17,938.60 | 6 |
| Lumizyme injection HCPCS J0221 | not published | not published | $166.45 – $302.96 | 7 |
| Lung function test (mbc/mvv) CPT 94200 | $158.00 | $316.00 | $54.87 – $73.49 | 5 |
| Lung Function Test (Spirometry) CPT 94010 | $164.50 | $329.00 | $108.72 – $220.91 | 5 |
| Lung perfusion imaging CPT 78580 | $569.50 | $1,139.00 | $236.41 – $409.00 | 5 |
| Lung transplant double CPT 32853 | not published | not published | $4,152.00 – $4,152.00 | 1 |
| Lung transplant single CPT 32851 | not published | not published | $4,152.00 – $4,152.00 | 1 |
| Lung transplant with bypass CPT 32852 | not published | not published | $4,152.00 – $4,152.00 | 1 |
| Lung transplant with bypass CPT 32854 | not published | not published | $4,152.00 – $4,152.00 | 1 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $4,152.00 – $4,152.00 | 1 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $140.82 – $305.40 | 7 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $31.68 – $60.93 | 7 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $212.23 – $448.98 | 7 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $169.58 – $363.87 | 7 |
| Lvad shower bag heartmate HCPCS Q0501 | $1,093.00 | $2,186.00 | not published | 0 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $26.90 – $2,017.00 | 6 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $11.49 – $67.71 | 6 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $7,601.89 – $11,904.00 | 6 |
| Lymphatics/lymph node imaging CPT 78195 | $709.00 | $1,418.00 | $275.37 – $555.50 | 5 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $32.35 – $115.72 | 6 |
| Lymphocyte transformation mitogen CPT 86353 | $543.00 | $1,086.00 | $28.09 – $128.91 | 6 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $29.96 – $208.46 | 6 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $27.27 – $97.64 | 6 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $318.44 – $641.78 | 5 |
| Lymph vessel x-ray arms/legs CPT 75803 | $795.50 | $1,591.00 | $324.76 – $1,610.50 | 5 |
| Lymph vessel x-ray trunk CPT 75805 | $639.50 | $1,279.00 | $326.75 – $3,230.37 | 5 |
| Lymph vessel x-ray trunk CPT 75807 | $1,259.00 | $2,518.00 | $333.07 – $3,230.37 | 5 |
| Lysis intranasal synechia 30560 CPT 30560 | $593.00 | $1,186.00 | $431.83 – $2,017.00 | 6 |
| Lysis of labial adhesions CPT 56441 | $2,425.50 | $4,851.00 | $2,583.51 – $9,269.00 | 6 |
| Lysis penil circumic lesion CPT 54162 | $2,084.50 | $4,169.00 | $1,944.22 – $9,269.00 | 6 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $15.53 – $23.30 | 2 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $2.71 – $2.71 | 1 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $2.44 – $8.30 | 6 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $2.44 – $8.30 | 6 |
| Magnesium CPT 83735 | $41.50 | $83.00 | $3.84 – $19.08 | 6 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.71 – $0.71 | 1 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $221.92 – $663.12 | 5 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $14.46 – $28.48 | 2 |
| Malaria antibody CPT 86750 | not published | not published | $7.56 – $26.99 | 6 |
| Male sling procedure CPT 53440 | not published | not published | $7,889.00 – $13,498.04 | 6 |
| Mammosite ced HCPCS C1728 | $4,358.00 | $8,716.00 | not published | 0 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $4,152.00 – $4,152.00 | 1 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $802.82 – $2,017.00 | 6 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,495.56 – $3,931.00 | 6 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $111.50 | $223.00 | $52.56 – $136.12 | 5 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $125.50 | $251.00 | $52.56 – $136.12 | 5 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,495.56 – $3,931.00 | 6 |
| Manipulation of spine CPT 22505 | not published | not published | $1,495.56 – $3,931.00 | 6 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $229.42 – $2,017.00 | 6 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $3.92 – $3.92 | 1 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $10.07 – $10.07 | 1 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $2.13 – $11.22 | 6 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $1,443.00 | $2,886.00 | $348.03 – $348.03 | 1 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $2,017.00 – $2,017.00 | 1 |
| Map tachycard site(s) CPT 93609 | $2,253.50 | $4,507.00 | $8,117.00 – $8,117.00 | 1 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $35.28 – $72.32 | 7 |
| Marker biop eviva buckle ss HCPCS A4648 | $2,345.50 | $4,691.00 | not published | 0 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $4,152.00 – $4,152.00 | 1 |
| Mastectomy partial CPT 19301 | not published | not published | $2,400.38 – $9,269.00 | 6 |
| Mast mod rad CPT 19307 | not published | not published | $5,292.43 – $14,821.00 | 6 |
| Mastoidectomy CPT 69501 | not published | not published | $5,468.20 – $14,821.00 | 6 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $3,232.78 – $9,269.00 | 6 |
| Mastoids complete CPT 70130 | $102.00 | $204.00 | $55.42 – $106.96 | 5 |
| Mastoid surgery revision CPT 69603 | not published | not published | $5,468.20 – $14,821.00 | 6 |
| Mastopexy CPT 19316 | not published | not published | $4,384.37 – $11,692.00 | 6 |
| Mast radical CPT 19305 | not published | not published | $4,152.00 – $4,152.00 | 1 |
| Mast rad urban type CPT 19306 | not published | not published | $4,152.00 – $4,152.00 | 1 |
| Mast simple complete CPT 19303 | not published | not published | $4,384.37 – $11,692.00 | 6 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $115.74 – $144.42 | 5 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $2,805.00 – $2,805.00 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $66.50 | $133.00 | $29.66 – $127.32 | 5 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $20.11 – $69.00 | 6 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $11.49 – $40.97 | 6 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $24.54 – $144.63 | 6 |
| Maxillofacial fixation CPT 21100 | not published | not published | $5,468.20 – $14,821.00 | 6 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $29.00 | $58.00 | $8.29 – $53.98 | 6 |
| Mayo aathr protein s free CPT 85306 | $58.00 | $116.00 | $8.78 – $30.97 | 6 |
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.