Ot evaluation high complexity patient/family 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.
$59.74 with United vs $726.75 with BCBS — 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 |
|---|---|---|---|
| United | MCD | $59.74 | — |
| BLUE CHOICE | MGMCD | $59.74 | — |
| Blue Choice Health Plan | HIX | $74.90 | — |
| BCBS | PBHIX | $74.90 | — |
| Advantage Hospice | MCR | $85.17 | — |
| Devoted Health | MEDICARE | $85.17 | — |
| United Behavioral Health | VACCN | $85.17 | — |
| Odyssey Hospice | MCR | $85.17 | — |
| Humana BH | MCR | $85.17 | — |
| Companion | MCR | $85.17 | — |
| United | VACCN | $85.17 | — |
| HUMANA | MCR | $85.17 | — |
| BCBS | MCRPPO | $85.17 | — |
| Arcadian | MCR | $85.17 | — |
| Agape Hospice | MCR | $85.17 | — |
| Agape Hospice | MCD | $85.17 | — |
| Advantage Hospice | MCD | $85.17 | — |
| Aetna | MCR | $86.02 | — |
| WellCare | POS | $86.87 | — |
| WellCare | MCRHMO | $86.87 | — |
| WellCare | PFFS | $86.87 | — |
| WellCare | SNP | $86.87 | — |
| United | MCR | $86.87 | — |
| Absolute Total Care | MCR | $86.87 | — |
| Molina | MCRMMP | $86.87 | — |
| WellCare | PPO | $86.87 | — |
| BoldAge PACE | MGMCR | $87.72 | — |
| Clover | MCR | $89.42 | — |
| Eon Health | MCR | $89.42 | — |
| SC State Employees | COMM | $91.34 | — |
| Cigna | MCR | $91.98 | — |
| BCBS | BlueChoice | $92.48 | — |
| BCBS | PreferredBlue | $92.48 | — |
| Humana | Tricare | $93.18 | — |
| Universal Healthcare Group | MCR | $102.20 | — |
| Absolute Total Care | HIX | $111.69 | — |
| Prime Health | WORKERSCOMP | $116.85 | — |
| Employer's Health Network | WCOMP | $116.85 | — |
| CorVel Corporation | WORKERSCOMP | $116.85 | — |
| Heritage Summit | WorkersComp | $125.19 | — |
| Absolute Total Care | MCD | $137.70 | — |
| Molina | HIX | $137.70 | — |
| NHC Advantage | MGMCR | $145.35 | — |
| Pruitt Health | MCR | $145.35 | — |
| Seven Corners | COMM | $149.04 | — |
| NaphCare | PRISN | $178.85 | — |
| Medcost | NEWULTRA | $292.23 | — |
| United | OptionsPPO | $306.00 | — |
| Select Health | HIX | $328.95 | — |
| Employers Health Network | COMM | $344.25 | — |
| United | GlobalBenefit | $344.25 | — |
| Medcost | NEWPAYER | $411.57 | — |
| Vocational Rehab | MCR | $413.10 | — |
| Medcost | STANDARD | $429.93 | — |
| Humana BH | COMM | $497.25 | — |
| First Health | PPO | $558.45 | — |
| MHNet | COMM | $573.75 | — |
| Humana Choicecare | PPO | $573.75 | — |
| Evernorth | BHCOMM | $612.00 | — |
| Multiplan | COMM | $650.25 | — |
| Prime Health | COMM | $650.25 | — |
| NovaNet | COMM | $688.50 | — |
| BCBS | COMM | $726.75 | — |
| Aetna SC | AFA | not published by hospital | — |
| Aetna SC | FI | not published by hospital | — |
| Aetna SC | SI | not published by hospital | — |
| Aetna SC | NB | not published by hospital | — |
Visitor-reported prices
Comments
Ot evaluation high complexity patient/family at other South-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Prisma Health Greer Memorial Hospital | GREER | $368.55 | $65.04 – $567.57 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER | not published | $59.74 – $178.85 |