Closed tx humerus fx with manip 23605 at MUSC Health Chester Medical Center
1 Medical Park Drive, Chester, SC · Muschealth · · NPI 1558937474
$2,439.50
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.
$4,879.00
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.
$1,554.30 with Bcbs vs $9,839.00 with Unitedhealthcare — 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 | Medicare Managed Care Plan | $1,554.30 | ↓ -36% |
| Humana | Medicare Managed Care - Ppo | $1,578.21 | ↓ -35% |
| Clover Health | Medicare Managed Care Plan | $1,585.39 | ↓ -35% |
| Aetna | Medicare Managed Care Plan | $1,593.84 | ↓ -35% |
| Absolute Total Care | Ambetter Exchange | $1,670.88 | ↓ -32% |
| Molina | Exchange | $1,709.74 | ↓ -30% |
| Bcbs | Lowcountry Blue Exchange | $2,894.65 | ↑ +19% |
| Bcbs | Employee | $2,920.77 | ↑ +20% |
| Bcbs | Blueessentials Exchange | $3,820.98 | ↑ +57% |
| Bcbs | Bluechoice Exchange | $3,820.98 | ↑ +57% |
| Bcbs | State Other Commercial Plan | $3,894.36 | ↑ +60% |
| Aetna | All Commercial Plans | $5,192.00 | ↑ +113% |
| Cigna | All Commercial Plans | $6,492.00 | ↑ +166% |
| Bcbs | Preferred Blue Ppo | $6,558.97 | ↑ +169% |
| Bcbs | Bluechoice Hmo | $7,205.01 | ↑ +195% |
| Unitedhealthcare | All Commercial Plans | $9,839.00 | ↑ +303% |
Visitor-reported prices
Comments
Closed tx humerus fx with manip 23605 at other South-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MUSC Health Florence Medical Center | Florence | $1,927.50 | $1,495.56 – $9,733.00 |
| MUSC Health Kershaw Medical Center | Camden | $2,882.50 | $1,554.30 – $8,282.00 |
| St Francis Downtown | Greenville | $1,792.80 | not published |
| St Francis Eastside | Greenville | $1,792.80 | not published |
| MUSC Health Orangeburg Medical Center | Orangeburg | $3,777.00 | $1,495.56 – $1,645.11 |
| MUSC Health Main Campus - Charleston | Charleston | $3,777.00 | $1,495.56 – $2,126.90 |
| MUSC Health Black River Medical Center | Cades | $2,731.50 | $1,495.56 – $9,269.00 |
| MUSC Health Lancaster Medical Center | Lancaster | $1,581.00 | $1,562.58 – $16,088.00 |