Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at MUSC Health Main Campus - Charleston
169 Ashley Ave, Charleston, SC · Muschealth · · NPI 1932382330
$5,554.50
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.
$11,109.00
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.
$29,194.09 with Aetna vs $123,367.00 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $29,194.09 | ↑ +426% |
| Clover Health | Medicare Managed Care Plan | $29,777.97 | ↑ +436% |
| Absolute Total Care | Ambetter Exchange | $31,383.65 | ↑ +465% |
| Molina | Exchange | $32,113.50 | ↑ +478% |
| Bcbs | Lowcountry Blue Exchange | $45,771.25 | ↑ +724% |
| Bcbs | Bluechoice Exchange | $48,180.26 | ↑ +767% |
| Bcbs | Blueessentials Exchange | $48,180.26 | ↑ +767% |
| Bcbs | Employee | $62,863.11 | ↑ +1032% |
| Bcbs | State Other Commercial Plan | $83,817.48 | ↑ +1409% |
| Bcbs | Preferred Blue Ppo | $114,909.66 | ↑ +1969% |
| Bcbs | Bluechoice Hmo | $123,367.00 | ↑ +2121% |
Visitor-reported prices
Comments
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other South-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MUSC Health Florence Medical Center | Florence | $41,199.50 | $29,194.09 – $38,752.00 |
| St Francis Downtown | Greenville | $187,881.47 | $30,065.72 – $30,366.37 |
| MUSC Health Chester Medical Center | Chester | $6,721.00 | $12,075.00 – $33,374.95 |
| MUSC Health Orangeburg Medical Center | Orangeburg | $5,554.50 | not published |
| MUSC Health Black River Medical Center | Cades | $4,499.00 | $29,194.09 – $55,846.41 |
| MUSC Health Lancaster Medical Center | Lancaster | $70,629.00 | $29,743.00 – $33,552.74 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER | not published | $1,966.31 – $91,025.78 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson | not published | $1,966.31 – $91,025.78 |