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 |
|---|---|---|---|---|
| Tc-99m labeled rbc HCPCS A9560 | $354.60 | $591.00 | not published | 0 |
| Tc-99m maa HCPCS A9540 | $131.40 | $219.00 | not published | 0 |
| Tc-99m mebrofenin HCPCS A9537 | $258.60 | $431.00 | not published | 0 |
| Tc-99m medronate HCPCS A9503 | $69.60 | $116.00 | not published | 0 |
| Tc-99m mertiatide HCPCS A9562 | $648.00 | $1,080.00 | not published | 0 |
| Tc-99m oxidronate HCPCS A9561 | $73.80 | $123.00 | not published | 0 |
| Tc-99m pentetate dtpa HCPCS A9539 | $81.00 | $135.00 | not published | 0 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $51.60 | $86.00 | not published | 0 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $156.00 | $260.00 | not published | 0 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $396.00 | $660.00 | not published | 0 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $1,438.61 | $2,397.68 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $186.00 | $310.00 | not published | 0 |
| Tc-99m tilmanocept diag HCPCS A9520 | $744.00 | $1,240.00 | not published | 0 |
| T cells absolute cd 4 count CPT 86361 | $199.20 | $332.00 | not published | 0 |
| T cells total count CPT 86359 | $162.00 | $270.00 | not published | 0 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $9,961.60 | $16,602.66 | not published | 0 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $34,848.49 | $58,080.82 | not published | 0 |
| Tenodesis biceps tdn at elbw CPT 24340 | $19,547.57 | $32,579.28 | $6,950.34 – $7,019.84 | 3 |
| Tension based scoliosis orth HCPCS L1005 | $18,094.09 | $30,156.82 | not published | 0 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $45.00 | $75.00 | not published | 0 |
| Test for urine cystines CPT 82615 | $28.80 | $48.00 | not published | 0 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $54.00 | $90.00 | not published | 0 |
| Test socket below knee HCPCS L5620 | $1,459.15 | $2,431.92 | not published | 0 |
| Tetanus immune globulin inj HCPCS J1670 | $2,726.51 | $4,544.19 | not published | 0 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $2,929.80 | $4,883.00 | not published | 0 |
| Therapeutic procd strg endur HCPCS G0237 | $97.20 | $162.00 | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $45.00 | $75.00 | not published | 0 |
| Thigh/wght bear high roll cu HCPCS L2550 | $1,923.51 | $3,205.85 | not published | 0 |
| Thigh/wght bear lacer molded HCPCS L2540 | $2,565.50 | $4,275.83 | not published | 0 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | $1,355.76 | $2,259.60 | not published | 0 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | $1,769.08 | $2,948.47 | not published | 0 |
| Thorac cont lat support upri HCPCS L2680 | $827.20 | $1,378.67 | not published | 0 |
| Thorac cont paraspinal uprig HCPCS L2670 | $901.69 | $1,502.81 | not published | 0 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,404.00 | $2,340.00 | not published | 0 |
| Thoracic control thoracic ba HCPCS L2660 | $1,012.92 | $1,688.20 | not published | 0 |
| Thoracic pad HCPCS L1060 | $612.26 | $1,020.44 | not published | 0 |
| Thoracotomy with cardiac massage CPT 32160 | $1,701.00 | $2,835.00 | not published | 0 |
| Thor rib belt custom fabrica HCPCS L0220 | $6,499.23 | $10,832.05 | not published | 0 |
| Thrombin time CPT 85670 | $86.40 | $144.00 | not published | 0 |
| Th/wght bear nar m-l brim cu HCPCS L2526 | $3,620.68 | $6,034.46 | not published | 0 |
| Th/wght bear nar m-l brim mo HCPCS L2525 | $6,443.56 | $10,739.26 | not published | 0 |
| Th/wght bear quad-lat brim c HCPCS L2520 | $3,038.63 | $5,064.38 | not published | 0 |
| Th/wght bear quad-lat brim m HCPCS L2510 | $4,559.42 | $7,599.03 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $172.20 | $287.00 | not published | 0 |
| Thyroid Ultrasound CPT 76536 | $788.40 | $1,314.00 | not published | 0 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $1,570.84 | $2,618.07 | not published | 0 |
| Thyroxine binding globulin (tbg) CPT 84442 | $141.60 | $236.00 | not published | 0 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $2,222.70 | $3,704.50 | not published | 0 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $36,855.98 | $61,426.64 | not published | 0 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $18,186.14 | $30,310.23 | not published | 0 |
| Tissue culture placenta CPT 88235 | $472.80 | $788.00 | not published | 0 |
| Tissue culture skin/biopsy CPT 88233 | $647.40 | $1,079.00 | not published | 0 |
| Tissue culture tumor CPT 88239 | $603.00 | $1,005.00 | not published | 0 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $79,744.75 | $132,907.91 | not published | 0 |
| Tissue transglutaminase iga CPT 86364 | $34.80 | $58.00 | not published | 0 |
| Tlh uterus 250 g or less CPT 58570 | $31,113.84 | $51,856.40 | $10,181.75 – $10,283.57 | 3 |
| Tlh w/t/o 250 g or less CPT 58571 | $28,745.43 | $47,909.05 | $10,181.75 – $10,181.75 | 2 |
| Tlh w/t/o uterus over 250 g CPT 58573 | $32,796.58 | $54,660.97 | $10,181.75 – $10,283.57 | 3 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | $5,041.90 | $8,403.16 | not published | 0 |
| Tlso 2 piece rigid shell HCPCS L0491 | $4,341.66 | $7,236.10 | not published | 0 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | $5,161.97 | $8,603.28 | not published | 0 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | $6,420.86 | $10,701.43 | not published | 0 |
| Tlso 3 piece rigid shell HCPCS L0492 | $2,827.21 | $4,712.01 | not published | 0 |
| Tlso corset front HCPCS L0970 | $604.12 | $1,006.86 | not published | 0 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | $1,960.63 | $3,267.72 | not published | 0 |
| Tlso full corset HCPCS L0974 | $987.90 | $1,646.50 | not published | 0 |
| Tlso r fram soft ant pre cst HCPCS L0466 | $2,144.90 | $3,574.84 | not published | 0 |
| Tlso r fram soft pre ots HCPCS L0467 | $2,144.90 | $3,574.84 | not published | 0 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | $2,688.01 | $4,480.02 | not published | 0 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | $2,688.01 | $4,480.02 | not published | 0 |
| Tlso rigid frame pre subclav HCPCS L0470 | $3,719.62 | $6,199.36 | not published | 0 |
| Tlso rigid lined custom fab HCPCS L0482 | $8,148.18 | $13,580.30 | not published | 0 |
| Tlso rigid lined pre one pie HCPCS L0488 | $5,674.98 | $9,458.30 | not published | 0 |
| Tlso rigid plastic custom fa HCPCS L0480 | $8,538.99 | $14,231.65 | not published | 0 |
| Tlso rigid plastic pre one HCPCS L0490 | $1,599.16 | $2,665.27 | not published | 0 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | $2,671.02 | $4,451.70 | not published | 0 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $669.60 | $1,116.00 | not published | 0 |
| Tobramycin non-comp unit HCPCS J7682 | $87.07 | $145.12 | not published | 0 |
| Tobramycin peak therapeutic drug level CPT 80200 | $198.60 | $331.00 | not published | 0 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $11,154.44 | $18,590.74 | not published | 0 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $47.40 | $79.00 | not published | 0 |
| Tomosynthesis breast screen bilateral CPT 77063 | $47.40 | $79.00 | not published | 0 |
| Tonsillectomy (age 12+) CPT 42826 | $10,518.88 | $17,531.47 | $3,175.70 – $3,207.46 | 3 |
| Tonsillectomy (child under 12) CPT 42825 | $13,399.31 | $22,332.18 | $5,670.29 – $5,726.99 | 3 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $690.03 | $1,150.05 | not published | 0 |
| Torsion ank & half solid sti HCPCS L2375 | $695.59 | $1,159.32 | not published | 0 |
| Torsion straight knee joint HCPCS L2380 | $606.50 | $1,010.83 | not published | 0 |
| Total Hip Replacement CPT 27130 | $54,599.40 | $90,999.00 | $12,297.49 – $12,420.46 | 3 |
| Total hysterectomy CPT 58150 | $27,795.52 | $46,325.87 | $343.34 – $343.34 | 2 |
| Total Knee Replacement CPT 27447 | $56,983.52 | $94,972.53 | $12,297.49 – $12,420.46 | 3 |
| Total tau CPT 84394 | $544.20 | $907.00 | not published | 0 |
| Toxoplasma antibody igg CPT 86777 | $129.00 | $215.00 | not published | 0 |
| Toxoplasma antibody igm CPT 86778 | $136.80 | $228.00 | not published | 0 |
| Tp53 gene trgt sequence alys CPT 81352 | $988.20 | $1,647.00 | not published | 0 |
| Tpmt gene com vrnts CPT 81335 | $524.40 | $874.00 | not published | 0 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $18,372.92 | $30,621.53 | not published | 0 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $1,441.80 | $2,403.00 | not published | 0 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $45.00 | $75.00 | not published | 0 |
| Transcrv abltj utrn fibrd rf CPT 58580 | $36,325.19 | $60,541.98 | $7,102.85 – $7,173.88 | 3 |
| Transferrin CPT 84466 | $115.20 | $192.00 | 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.