Ot evaluation high complexity patient/family at MUSC Health Main Campus - Charleston
169 Ashley Ave, Charleston, SC · Muschealth · · NPI 1932382330
$194.00
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.
$388.00
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.
$75.53 with Bcbs vs $203.57 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 |
|---|---|---|---|
| Bcbs | Lowcountry Blue Exchange | $75.53 | ↓ -61% |
| Bcbs | Blueessentials Exchange | $79.50 | ↓ -59% |
| Bcbs | Bluechoice Exchange | $79.50 | ↓ -59% |
| Aetna | Medicare Managed Care Plan | $96.78 | ↓ -50% |
| Bcbs | Employee | $97.62 | ↓ -50% |
| Clover Health | Medicare Managed Care Plan | $98.72 | ↓ -49% |
| Absolute Total Care | Ambetter Exchange | $104.04 | ↓ -46% |
| Molina | Exchange | $106.46 | ↓ -45% |
| Bcbs | State Other Commercial Plan | $130.16 | ↓ -33% |
| Bcbs | Preferred Blue Ppo | $189.62 | ↓ -2% |
| Bcbs | Bluechoice Hmo | $203.57 | ↑ +5% |
Visitor-reported prices
Comments
Ot evaluation high complexity patient/family at other South-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Prisma Health Greer Memorial Hospital | GREER | $368.55 | $65.04 – $567.57 |
| MUSC Health Florence Medical Center | Florence | $496.00 | $96.78 – $106.46 |
| MUSC Health Kershaw Medical Center | Camden | $185.00 | $76.02 – $106.46 |
| St Francis Downtown | Greenville | $267.60 | not published |
| St Francis Eastside | Greenville | $267.60 | not published |
| MUSC Health Chester Medical Center | Chester | $174.50 | $96.78 – $106.46 |
| MUSC Health Orangeburg Medical Center | Orangeburg | $194.00 | $96.78 – $106.46 |
| MUSC Health Black River Medical Center | Cades | $142.50 | $96.78 – $106.46 |