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 |
|---|---|---|---|---|
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $22.71 – $78.65 | 32 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $418.00 | $418.00 | $17.30 – $42.55 | 32 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $191.00 | $191.00 | $12.73 – $50.96 | 6 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $205.00 | $205.00 | $11.67 – $50.96 | 6 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $227.00 | $227.00 | $7.33 – $22.41 | 5 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $227.00 | $227.00 | $19.15 – $60.19 | 6 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $383.00 | $383.00 | $22.88 – $107.45 | 6 |
| Cytopath smear other source CPT 88160 | not published | not published | $24.67 – $50.96 | 6 |
| Cytopath smear other source CPT 88162 | $741.00 | $741.00 | $49.76 – $70.36 | 6 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $24.67 – $51.61 | 6 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $13.62 – $38.93 | 32 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $13.62 – $38.93 | 32 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $13.62 – $88.66 | 32 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $13.62 – $38.93 | 32 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $51.01 – $165.17 | 32 |
| Cytotoxic antibody screening CPT 86808 | $2,254.00 | $2,254.00 | $25.34 – $85.99 | 32 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $69.24 – $284.93 | 6 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $4.37 – $5.21 | 3 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $280.14 – $1,045.82 | 6 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $15.10 – $25.48 | 6 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $15.56 – $21.37 | 3 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | not published | $0.03 – $0.47 | 5 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.05 – $0.16 | 5 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $46.33 – $60.91 | 6 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $2.83 – $6.08 | 6 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.83 – $6.08 | 6 |
| Dark field exam spec collj CPT 87164 | not published | not published | $6.34 – $26.45 | 32 |
| Dark field exam without collj CPT 87166 | not published | not published | $5.38 – $23.73 | 32 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $190.69 – $281.77 | 6 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $20.48 – $58.70 | 6 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $101.91 – $203.43 | 3 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $176.13 – $252.47 | 3 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $1,019.57 – $4,210.44 | 5 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $1,019.57 – $4,210.44 | 5 |
| Dch glucoscan CPT 82948 | not published | not published | $4.09 – $17.63 | 32 |
| Dch pulmonary stress test CPT 94621 | $3,917.00 | $3,917.00 | $417.92 – $594.85 | 3 |
| Dch validity tests CPT 81002 | not published | not published | $2.97 – $14.10 | 32 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $1,966.31 – $7,654.35 | 5 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $1,966.31 – $8,912.72 | 5 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,660.42 – $3,940.16 | 5 |
| D&c of cervical stump CPT 57558 | not published | not published | $109.02 – $4,210.44 | 5 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $10.28 – $25.31 | 29 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $289.89 – $706.80 | 5 |
| Debridement (>20 cm) charge pt CPT 97598 | not published | not published | $45.23 – $252.47 | 28 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $1,072.53 – $1,660.42 | 5 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | not published | $387.54 – $1,660.42 | 4 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | not published | $1,072.53 – $1,660.42 | 4 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $387.54 – $1,660.42 | 5 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $163.84 – $364.13 | 5 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $163.84 – $364.13 | 5 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $640.96 – $1,019.57 | 5 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $640.96 – $1,019.57 | 5 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | not published | not published | $387.54 – $1,660.42 | 4 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $163.84 – $1,019.57 | 5 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $640.96 – $1,019.57 | 5 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $163.84 – $163.84 | 2 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $387.54 – $1,660.42 | 5 |
| Decalcification CPT 88311 | $298.00 | $298.00 | $5.33 – $22.41 | 5 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $1.07 – $29.76 | 5 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | not published | not published | $351.42 – $1,019.57 | 5 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $1,660.42 – $4,635.81 | 5 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,660.42 – $4,635.81 | 5 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,660.42 – $6,360.53 | 5 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $1,660.42 – $3,535.84 | 5 |
| Decompress fingers/hand CPT 26035 | not published | not published | $1,019.57 – $3,535.84 | 5 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $1,660.42 – $6,360.53 | 5 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $1,660.42 – $6,360.53 | 5 |
| Decompression fasct forearm CPT 24495 | not published | not published | $1,660.42 – $6,360.53 | 5 |
| Decompression of leg CPT 27892 | not published | not published | $1,660.42 – $4,635.81 | 5 |
| Decompression of leg CPT 27893 | not published | not published | $1,660.42 – $4,635.81 | 5 |
| Decompression of leg CPT 27894 | not published | not published | $1,660.42 – $4,635.81 | 5 |
| Decompression of lower leg CPT 27600 | not published | not published | $1,660.42 – $4,635.81 | 5 |
| Decompression of lower leg CPT 27601 | not published | not published | $1,660.42 – $4,635.81 | 5 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $1,660.42 – $4,635.81 | 5 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $1,660.42 – $4,635.81 | 5 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,660.42 – $4,635.81 | 5 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $1,660.42 – $4,635.81 | 5 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $1,660.42 – $3,940.16 | 5 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $1,660.42 – $3,940.16 | 5 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,660.42 – $8,198.24 | 5 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $1,966.31 – $10,346.10 | 5 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $1,966.31 – $10,346.10 | 5 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $1,966.31 – $10,346.10 | 5 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $6,570.25 – $6,570.25 | 2 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $6,570.25 – $6,570.25 | 2 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $1,019.57 – $3,384.08 | 5 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $7.96 – $10.65 | 3 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $4.23 – $7.68 | 6 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $1,019.57 – $12,795.27 | 5 |
| Delay flap arms/legs CPT 15610 | not published | not published | $1,660.42 – $4,018.72 | 5 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $1,660.42 – $4,018.72 | 5 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $1,660.42 – $4,018.72 | 5 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $1,660.42 – $4,018.72 | 5 |
| Delivery of placenta 59414 CPT 59414 | not published | not published | $364.13 – $4,210.44 | 5 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $287.82 – $365.55 | 3 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $407.00 | $407.00 | $52.96 – $85.29 | 3 |
| Denervation of hip joint CPT 27035 | not published | not published | $1,660.42 – $9,653.78 | 5 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $67.86 – $130.68 | 2 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $12.80 – $30.00 | 6 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | not published | not published | $233.35 – $1,019.57 | 5 |
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.