Oth resp proc, group 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.
$41.90 with Absolute Total Care vs $272.65 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 |
|---|---|---|---|
| Absolute Total Care | HIX | $41.90 | — |
| Molina | HIX | $51.66 | — |
| Absolute Total Care | MCD | $51.66 | — |
| BCBS | PBHIX | $52.96 | — |
| Blue Choice Health Plan | HIX | $52.96 | — |
| NHC Advantage | MGMCR | $54.53 | — |
| Pruitt Health | MCR | $54.53 | — |
| Aetna SC | NB | $61.13 | — |
| Aetna SC | AFA | $61.13 | — |
| Aetna SC | FI | $82.08 | — |
| SC State Employees | COMM | $85.29 | — |
| BCBS | PreferredBlue | $104.55 | — |
| BCBS | BlueChoice | $104.55 | — |
| Medcost | NEWULTRA | $109.63 | — |
| United | OptionsPPO | $114.80 | — |
| Select Health | HIX | $123.41 | — |
| Employers Health Network | COMM | $129.15 | — |
| United | GlobalBenefit | $129.15 | — |
| Aetna SC | SI | $135.75 | — |
| OccuNet | COMM | $143.50 | — |
| Medcost | NEWPAYER | $154.41 | — |
| Vocational Rehab | MCR | $154.98 | — |
| Medcost | STANDARD | $161.29 | — |
| Humana BH | COMM | $186.55 | — |
| First Health | PPO | $209.51 | — |
| Humana Choicecare | PPO | $215.25 | — |
| MHNet | COMM | $215.25 | — |
| Evernorth | BHCOMM | $229.60 | — |
| Multiplan | COMM | $243.95 | — |
| Prime Health | COMM | $243.95 | — |
| NovaNet | COMM | $258.30 | — |
| BCBS | COMM | $272.65 | — |
Visitor-reported prices
Comments
Oth resp proc, group at other South-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER | not published | $52.96 – $85.29 |