M.pneumon dna quant at LIVE OAK MENTAL HEALTH AND WELLNESS
3445 Ingleside Blvd, Ladson, SC · HCA Trident Health System · · NPI 1124443478
not published by hospital
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.
not published by hospital
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.
$120.94 with BCBS vs $907.86 with Molina — 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 | PBHIX | $120.94 | — |
| Blue Choice Health Plan | HIX | $120.94 | — |
| SC State Employees | COMM | $229.30 | — |
| BCBS | BlueChoice | $238.68 | — |
| BCBS | PreferredBlue | $238.68 | — |
| Humana | Tricare | $258.29 | — |
| Agape Hospice | MCR | $302.62 | — |
| Agape Hospice | MCD | $302.62 | — |
| United Behavioral Health | VACCN | $302.62 | — |
| Advantage Hospice | MCR | $302.62 | — |
| Odyssey Hospice | MCR | $302.62 | — |
| Humana BH | MCR | $302.62 | — |
| BCBS | MCRPPO | $302.62 | — |
| Arcadian | MCR | $302.62 | — |
| United | VACCN | $302.62 | — |
| United | AllPayerAppendix | $302.62 | — |
| Devoted Health | MEDICARE | $302.62 | — |
| HUMANA | MCR | $302.62 | — |
| Companion | MCR | $302.62 | — |
| Advantage Hospice | MCD | $302.62 | — |
| Aetna | MCR | $305.65 | — |
| Absolute Total Care | MCR | $308.67 | — |
| WellCare | PPO | $308.67 | — |
| WellCare | SNP | $308.67 | — |
| WellCare | POS | $308.67 | — |
| WellCare | MCRHMO | $308.67 | — |
| WellCare | PFFS | $308.67 | — |
| Molina | MCRMMP | $308.67 | — |
| United | MCR | $308.67 | — |
| BoldAge PACE | MGMCR | $311.70 | — |
| Clover | MCR | $317.75 | — |
| Eon Health | MCR | $317.75 | — |
| Cigna | MCR | $326.83 | — |
| Universal Healthcare Group | MCR | $363.14 | — |
| CorVel Corporation | WORKERSCOMP | $415.19 | — |
| Prime Health | WORKERSCOMP | $415.19 | — |
| Employer's Health Network | WCOMP | $415.19 | — |
| Heritage Summit | WorkersComp | $444.85 | — |
| Aetna SC | NB | $454.61 | — |
| Aetna SC | AFA | $454.61 | — |
| Seven Corners | COMM | $529.59 | — |
| Absolute Total Care | HIX | $529.59 | — |
| Select Health | HIX | $587.08 | — |
| Aetna SC | FI | $609.93 | — |
| NaphCare | PRISN | $635.50 | — |
| Aetna SC | SI | $792.86 | — |
| Molina | HIX | $907.86 | — |
Visitor-reported prices
Comments
M.pneumon dna quant at other South-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER | not published | $120.94 – $635.50 |