LIVE OAK MENTAL HEALTH AND WELLNESS
3445 Ingleside Blvd, Ladson, SC · HCA Trident Health System · · NPI 1124443478
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 |
|---|---|---|---|---|
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $252.47 – $1,019.57 | 5 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $387.54 – $1,019.57 | 5 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $387.54 – $1,019.57 | 5 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $387.54 – $1,019.57 | 5 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $130.99 – $130.99 | 2 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $1,019.57 – $3,864.84 | 5 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $1,019.57 – $4,312.35 | 5 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $387.54 – $1,019.57 | 5 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $163.84 – $1,019.57 | 5 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $929.29 – $1,368.03 | 5 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $929.29 – $1,019.57 | 4 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $795.91 – $1,560.13 | 5 |
| Destruction ciliary body CPT 66700 | not published | not published | $1,660.42 – $3,563.54 | 5 |
| Destruction ciliary body CPT 66720 | not published | not published | $1,660.42 – $3,563.54 | 5 |
| Destruction ciliary body CPT 66740 | not published | not published | $1,660.42 – $5,086.65 | 5 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $252.47 – $1,019.57 | 5 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $1,019.57 – $4,312.35 | 5 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $1,019.57 – $1,638.32 | 5 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $387.54 – $1,019.57 | 5 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $387.54 – $1,019.57 | 5 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $252.47 – $1,019.57 | 5 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $387.54 – $1,019.57 | 5 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $176.13 – $1,019.57 | 5 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $1,019.57 – $3,864.84 | 5 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $387.54 – $1,019.57 | 5 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $1,019.57 – $4,934.89 | 5 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $1,019.57 – $4,210.44 | 5 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $1,019.57 – $4,210.44 | 5 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $1,019.57 – $3,864.84 | 5 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $17.63 – $63.06 | 32 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $20.27 – $91.71 | 32 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $285.79 – $285.79 | 1 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $193.38 – $499.58 | 3 |
| Device intraute mirena HCPCS J7298 | $3,815.00 | $3,815.00 | $654.60 – $1,500.97 | 5 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $19.70 – $154.09 | 8 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $107.36 – $194.73 | 6 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.25 – $4.47 | 3 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.02 – $0.06 | 2 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | not published | not published | $0.09 – $0.16 | 3 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $172.24 – $345.61 | 6 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.64 – $1.45 | 4 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $78.53 – $213.95 | 6 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $39.36 – $39.36 | 2 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $1.21 – $1.51 | 3 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $375.00 | $375.00 | $9.44 – $9.44 | 2 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $1.77 – $2.33 | 3 |
| Dextrose 5 % IV bolus HCPCS J7070 | $306.00 | $306.00 | $3.53 – $4.66 | 3 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $418.00 | $418.00 | $18.97 – $108.61 | 32 |
| Diabetes (HbA1c) Test CPT 83036 | $408.00 | $408.00 | $8.28 – $37.48 | 32 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $38.49 – $38.49 | 1 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $14.11 – $32.38 | 29 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,019.57 – $2,171.13 | 5 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $1,660.42 – $9,053.37 | 5 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $94.83 – $132.93 | 3 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $727.58 – $1,034.46 | 3 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $94.83 – $364.13 | 5 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $87.90 – $109.37 | 4 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $69.70 – $88.75 | 4 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $124.15 – $1,019.57 | 5 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $223.25 – $1,019.57 | 5 |
| Diagnostic Mammogram (both breasts) CPT 77066 | not published | not published | $48.84 – $214.43 | 30 |
| Diagnostic Mammogram (one breast) CPT 77065 | not published | not published | $38.86 – $167.16 | 31 |
| Diagnostic radio unlisted proc CPT 76499 | $1,577.00 | $1,577.00 | $112.74 – $154.09 | 6 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $1,801.32 – $14,118.89 | 4 |
| Dialysis one evaluation CPT 90945 | $4,805.00 | $4,805.00 | $365.55 – $389.56 | 3 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.44 – $61.18 | 30 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.08 – $0.12 | 2 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $5.62 – $6.76 | 3 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $12.47 – $32.74 | 3 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.26 – $0.29 | 4 |
| Diffusing capacity CPT 94729 | $1,209.00 | $1,209.00 | $147.86 – $147.86 | 2 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | not published | not published | $4.73 – $13.91 | 3 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $13,715.00 | $13,715.00 | $701.33 – $8,525.53 | 5 |
| Digoxin total therapeutic drug level CPT 80162 | $408.00 | $408.00 | $11.34 – $51.20 | 32 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $65.10 – $83.18 | 3 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $360.15 – $360.15 | 2 |
| Dilate esophagus CPT 43453 | not published | not published | $818.51 – $1,395.73 | 5 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $795.91 – $1,019.57 | 5 |
| Dilate tear duct opening CPT 68801 | not published | not published | $191.29 – $1,019.57 | 5 |
| Dilate urethra stricture CPT 53600 | not published | not published | $403.66 – $549.99 | 3 |
| Dilate urethra stricture CPT 53601 | not published | not published | $171.25 – $222.65 | 3 |
| Dilate urethra stricture CPT 53605 | not published | not published | $1,019.57 – $3,999.98 | 5 |
| Dilate urethra stricture CPT 53621 | not published | not published | $179.25 – $356.40 | 3 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $171.25 – $1,019.57 | 5 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,019.57 – $4,422.77 | 5 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $1,019.57 – $4,210.44 | 5 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,019.57 – $4,422.77 | 5 |
| Dilation of salivary duct CPT 42660 | not published | not published | $321.24 – $1,019.57 | 5 |
| Dilation of urethra CPT 53661 | not published | not published | $171.25 – $1,019.57 | 5 |
| Dilation of urethra CPT 53665 | not published | not published | $1,019.57 – $4,228.17 | 5 |
| Dilation of vagina CPT 57400 | not published | not published | $1,019.57 – $4,210.44 | 5 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,019.57 – $1,602.87 | 5 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $2,554.92 – $4,264.72 | 3 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $147.77 – $3,846.00 | 5 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $247.17 – $3,846.00 | 5 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.05 – $0.05 | 1 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $65.26 – $65.26 | 2 |
| Dimenhydrinate injection HCPCS J1240 | $219.00 | $219.00 | $1.52 – $11.56 | 3 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $88.00 – $878.25 | 6 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $2.34 – $2.34 | 1 |
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.