St Francis Eastside
125 Commonwealth Dr., Greenville, SC · Bonsecours · · NPI 1467496802
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 |
|---|---|---|---|---|
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $6,510.00 | $10,850.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,705.80 | $2,843.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,408.20 | $2,347.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,189.80 | $1,983.00 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,029.20 | $3,382.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $1,913.40 | $3,189.00 | not published | 0 |
| Abdominal pad HCPCS L1270 | $468.56 | $780.93 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,933.20 | $3,222.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,092.00 | $1,820.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $517.20 | $862.00 | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,611.60 | $2,686.00 | not published | 0 |
| Abduct control hip semi-flex HCPCS L1630 | $1,194.31 | $1,990.52 | not published | 0 |
| Abduction bar jointed adjust HCPCS L2300 | $1,423.23 | $2,372.05 | not published | 0 |
| Abduction rotation bar shoe HCPCS L3140 | $503.29 | $838.82 | not published | 0 |
| Abduct rotation bar without shoe HCPCS L3150 | $460.22 | $767.03 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $865.80 | $1,443.00 | not published | 0 |
| Acetaminophen level CPT 80143 | $59.40 | $99.00 | not published | 0 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $292.95 | $488.25 | not published | 0 |
| Acetylcholine receptor modulating antibody CPT 86043 | $208.20 | $347.00 | not published | 0 |
| Acetylcholinesterase assay CPT 82013 | $112.80 | $188.00 | not published | 0 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $45.00 | $75.00 | not published | 0 |
| Acetylcysteine non-comp unit HCPCS J7608 | $188.74 | $314.56 | not published | 0 |
| Acne surgery 10040 CPT 10040 | $603.60 | $1,006.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $471.00 | $785.00 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $195.30 | $325.50 | not published | 0 |
| #acylcarnitineprfl CPT 82017 | $301.80 | $503.00 | not published | 0 |
| Adapter b 8 channel 10cm HCPCS C1883 | $23,974.91 | $39,958.19 | not published | 0 |
| Add le poly knee custom kafo HCPCS L2387 | $1,079.19 | $1,798.65 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $45.00 | $75.00 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $925.34 | $1,542.24 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $1,008.00 | $1,680.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $556.20 | $927.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $243.60 | $406.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $94.80 | $158.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $40.80 | $68.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $127.20 | $212.00 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $31,789.33 | $52,982.22 | not published | 0 |
| _afb id by dna probe rflx ast CPT 87149 | $132.00 | $220.00 | not published | 0 |
| #afb mycobacteria suscep. #1 CPT 87190 | $67.80 | $113.00 | not published | 0 |
| Afo molded ankle gauntlet HCPCS L1904 | $2,551.70 | $4,252.84 | not published | 0 |
| Afo molded plas rig ant tib HCPCS L1945 | $5,824.89 | $9,708.15 | not published | 0 |
| Afo molded to patient plasti HCPCS L1940 | $2,436.40 | $4,060.66 | not published | 0 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $5,044.59 | $8,407.65 | not published | 0 |
| Afo sing bar clasp attach sh HCPCS L1910 | $1,585.43 | $2,642.39 | not published | 0 |
| Afo sing solid stirrup calf HCPCS L1980 | $2,282.59 | $3,804.32 | not published | 0 |
| Afo sing upright with adjust s HCPCS L1920 | $2,322.41 | $3,870.68 | not published | 0 |
| Afo spiral molded to pt plas HCPCS L1950 | $4,347.68 | $7,246.13 | not published | 0 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | $1,612.90 | $2,688.16 | not published | 0 |
| Afo supramalleolar custom HCPCS L1907 | $3,181.15 | $5,301.91 | not published | 0 |
| Afo tib fx cast plaster mold HCPCS L2106 | $4,455.97 | $7,426.61 | not published | 0 |
| Afo tibial fracture rigid HCPCS L2116 | $4,357.27 | $7,262.12 | not published | 0 |
| Afo tibial fracture soft HCPCS L2112 | $2,852.10 | $4,753.50 | not published | 0 |
| Afo, walk boot type, cus fab HCPCS L4631 | $8,970.86 | $14,951.44 | not published | 0 |
| Afo w/ankle joint, prefab HCPCS L1971 | $3,611.52 | $6,019.20 | not published | 0 |
| Ak/knee disartic pelvic band HCPCS L5697 | $443.35 | $738.92 | not published | 0 |
| Ak/knee disartic silesian ba HCPCS L5698 | $551.38 | $918.97 | not published | 0 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | $998.87 | $1,664.79 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $52.20 | $87.00 | not published | 0 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $432.92 | $721.53 | not published | 0 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $683.55 | $1,139.25 | not published | 0 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $84.60 | $141.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $47.40 | $79.00 | not published | 0 |
| Albuterol ipratrop non-comp HCPCS J7620 | $27.00 | $45.00 | not published | 0 |
| Albuterol non-comp con HCPCS J7611 | $27.00 | $45.00 | not published | 0 |
| Albuterol non-comp unit HCPCS J7613 | $27.00 | $45.00 | not published | 0 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $54.60 | $91.00 | not published | 0 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $89,232.73 | $148,721.21 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $49.20 | $82.00 | not published | 0 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | $15,796.01 | $26,326.69 | not published | 0 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $31,149.36 | $51,915.60 | not published | 0 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $39,086.74 | $65,144.57 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $24,308.79 | $40,514.65 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $110,350.00 | $183,916.66 | not published | 0 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $74,083.19 | $123,471.98 | not published | 0 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $62,693.73 | $104,489.55 | not published | 0 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $59,195.07 | $98,658.45 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $19,405.65 | $32,342.75 | not published | 0 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $22,164.45 | $36,940.75 | not published | 0 |
| Alpha-fetoprotein amniotic CPT 82106 | $87.00 | $145.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $151.80 | $253.00 | not published | 0 |
| Alprostadil for injection HCPCS J0270 | $1,574.86 | $2,624.77 | not published | 0 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $81,843.35 | $136,405.58 | not published | 0 |
| Alt/sgpt CPT 84460 | $80.40 | $134.00 | not published | 0 |
| Aluminum - quest CPT 82108 | $94.80 | $158.00 | not published | 0 |
| Alveoloplasty each quadrant CPT 41874 | $9,037.33 | $15,062.22 | $3,175.70 – $3,207.46 | 3 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $108.35 | $180.58 | not published | 0 |
| Amino acids quant 2-5 CPT 82136 | $74.40 | $124.00 | not published | 0 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $67.70 | $112.84 | not published | 0 |
| Aminolevulinic acid delta CPT 82135 | $114.60 | $191.00 | not published | 0 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $45.00 | $75.00 | not published | 0 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $45.00 | $75.00 | not published | 0 |
| Amitriptyline (elavil) -sendout CPT 80335 | $54.00 | $90.00 | not published | 0 |
| Ammonia CPT 82140 | $118.80 | $198.00 | not published | 0 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $7,289.40 | $12,149.00 | not published | 0 |
| Amphetamine confirm urine -sendout CPT 80324 | $71.40 | $119.00 | not published | 0 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $446.40 | $744.00 | not published | 0 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $892.39 | $1,487.32 | not published | 0 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $641.47 | $1,069.12 | not published | 0 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $85.91 | $143.18 | not published | 0 |
| Amputation toe interphalangeal joint CPT 28825 | $14,059.26 | $23,432.10 | $3,134.07 – $3,165.42 | 2 |
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.