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 |
|---|---|---|---|---|
| Liver Function Test CPT 80076 | $210.00 | $350.00 | not published | 0 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $45.00 | $75.00 | not published | 0 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | $975.23 | $1,625.39 | not published | 0 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $400.78 | $667.96 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,715.40 | $2,859.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,517.60 | $4,196.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,169.60 | $3,616.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,342.80 | $2,238.00 | not published | 0 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $459.00 | $765.00 | not published | 0 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $43,254.79 | $72,091.32 | $10,181.75 – $10,283.57 | 3 |
| Lsh w/t/o uterus above 250 g CPT 58544 | $32,384.42 | $53,974.03 | $10,181.75 – $10,283.57 | 3 |
| Lso corset front HCPCS L0972 | $595.03 | $991.71 | not published | 0 |
| Lso flex no ri stays pre ots HCPCS L0628 | $642.92 | $1,071.54 | not published | 0 |
| Lso full corset HCPCS L0976 | $845.26 | $1,408.76 | not published | 0 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | $959.31 | $1,598.85 | not published | 0 |
| Lso sag-coronal panel custom HCPCS L0638 | $9,486.51 | $15,810.85 | not published | 0 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | $7,323.86 | $12,206.44 | not published | 0 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | $915.67 | $1,526.12 | not published | 0 |
| Lso sagit rigid panel prefab HCPCS L0635 | $5,648.89 | $9,414.82 | not published | 0 |
| Lso sagittal rigid panel cus HCPCS L0636 | $7,664.63 | $12,774.39 | not published | 0 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $1,474.64 | $2,457.74 | not published | 0 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | $1,621.11 | $2,701.85 | not published | 0 |
| Lso s/c shell/panel custom HCPCS L0640 | $5,381.04 | $8,968.40 | not published | 0 |
| Lumbar bolster pad HCPCS L1030 | $442.66 | $737.77 | not published | 0 |
| Lumbar derotation pad HCPCS L1240 | $514.14 | $856.90 | not published | 0 |
| Lumbar or lumbar rib pad HCPCS L1040 | $501.22 | $835.37 | not published | 0 |
| Lumbar sling HCPCS L1090 | $568.88 | $948.13 | not published | 0 |
| Lung perfusion imaging CPT 78580 | $847.20 | $1,412.00 | not published | 0 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $41,085.00 | $68,475.00 | not published | 0 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $146,411.74 | $244,019.56 | not published | 0 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $121,564.51 | $202,607.52 | not published | 0 |
| Lvad shower bag heartmate HCPCS Q0501 | $1,881.00 | $3,135.00 | not published | 0 |
| Lymphatics/lymph node imaging CPT 78195 | $1,251.60 | $2,086.00 | not published | 0 |
| Lymphocyte transformation mitogen CPT 86353 | $239.40 | $399.00 | not published | 0 |
| Macroscopic exam arthropod CPT 87168 | $135.60 | $226.00 | not published | 0 |
| Macroscopic exam parasite CPT 87169 | $13.20 | $22.00 | not published | 0 |
| Magnesium CPT 83735 | $82.20 | $137.00 | not published | 0 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $86.49 | $144.15 | not published | 0 |
| Mammosite ced HCPCS C1728 | $18,966.75 | $31,611.25 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $127.20 | $212.00 | not published | 0 |
| Man's shoe oxford brace HCPCS L3225 | $417.27 | $695.45 | not published | 0 |
| Mapping io sentinel lymph node CPT 38900 | $23,889.19 | $39,815.32 | $6,360.26 – $6,423.86 | 3 |
| Marker biop eviva buckle ss HCPCS A4648 | $35,425.50 | $59,042.50 | not published | 0 |
| Mastectomy partial CPT 19301 | $21,320.19 | $35,533.65 | $3,750.39 – $3,787.89 | 3 |
| Mastopexy CPT 19316 | $59,568.03 | $99,280.05 | $6,360.26 – $6,423.86 | 3 |
| Mast simple complete CPT 19303 | $80,811.30 | $134,685.50 | $6,360.26 – $6,423.86 | 3 |
| Matrion 1 sq cm HCPCS Q4201 | $48,498.45 | $80,830.75 | not published | 0 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $203,712.30 | $339,520.50 | not published | 0 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $115.80 | $193.00 | not published | 0 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $98.40 | $164.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $71.40 | $119.00 | not published | 0 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $34.80 | $58.00 | not published | 0 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $89.40 | $149.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $712.80 | $1,188.00 | not published | 0 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $712.80 | $1,188.00 | not published | 0 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $791.40 | $1,319.00 | not published | 0 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,585.40 | $4,309.00 | not published | 0 |
| Mayo androstenedione CPT 82157 | $87.60 | $146.00 | not published | 0 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $119.40 | $199.00 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $76.20 | $127.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $287.40 | $479.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $644.40 | $1,074.00 | not published | 0 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $85.80 | $143.00 | not published | 0 |
| Mayo brcmg brucella antibody igm CPT 86622 | $57.60 | $96.00 | not published | 0 |
| Mayo c1 esterase inhibitor CPT 83883 | $94.80 | $158.00 | not published | 0 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $122.40 | $204.00 | not published | 0 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $142.20 | $237.00 | not published | 0 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $188.40 | $314.00 | not published | 0 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $184.80 | $308.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $59.40 | $99.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $57.60 | $96.00 | not published | 0 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $499.20 | $832.00 | not published | 0 |
| Mayo chromium CPT 82495 | $123.00 | $205.00 | not published | 0 |
| Mayo cocou cortisone urine CPT 82542 | $214.20 | $357.00 | not published | 0 |
| Mayo cortisol free CPT 82530 | $112.20 | $187.00 | not published | 0 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $133.20 | $222.00 | not published | 0 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $76.80 | $128.00 | not published | 0 |
| Mayo cyanide CPT 82600 | $58.20 | $97.00 | not published | 0 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $488.40 | $814.00 | not published | 0 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $61.20 | $102.00 | not published | 0 |
| Mayo dihydrotestosterone CPT 82642 | $228.00 | $380.00 | not published | 0 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $391.80 | $653.00 | not published | 0 |
| Mayo efpo chloride stool CPT 82438 | $51.60 | $86.00 | not published | 0 |
| Mayo estrone CPT 82679 | $210.60 | $351.00 | not published | 0 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $58.80 | $98.00 | not published | 0 |
| Mayo everolimus therapeutic drug level CPT 80169 | $41.40 | $69.00 | not published | 0 |
| Mayo factor ii CPT 85210 | $304.20 | $507.00 | not published | 0 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $444.00 | $740.00 | not published | 0 |
| Mayo factor x CPT 85260 | $399.60 | $666.00 | not published | 0 |
| Mayo factor xi CPT 85270 | $208.20 | $347.00 | not published | 0 |
| Mayo fbl culture fungi blood CPT 87103 | $106.80 | $178.00 | not published | 0 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $78.60 | $131.00 | not published | 0 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $3,150.00 | $5,250.00 | not published | 0 |
| Mayo hemosiderin qualitative urine CPT 83070 | $35.40 | $59.00 | not published | 0 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $340.80 | $568.00 | not published | 0 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $105.60 | $176.00 | not published | 0 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $93.60 | $156.00 | not published | 0 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $113.40 | $189.00 | not published | 0 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $159.00 | $265.00 | not published | 0 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $596.40 | $994.00 | not published | 0 |
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.