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 |
|---|---|---|---|---|
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | $8.00 | $8.00 | $3.58 – $7.75 | 27 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $39.48 – $41.05 | 3 |
| Dermabrasion other than face CPT 15782 | not published | not published | $640.96 – $952.64 | 3 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $640.96 – $853.78 | 3 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $387.54 – $520.21 | 3 |
| Dermabrasion total face CPT 15780 | not published | not published | $3,024.23 – $4,649.10 | 3 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $1,019.57 – $4,018.72 | 5 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $209.78 – $291.17 | 2 |
| Dermagraft HCPCS Q4106 | $383.00 | $383.00 | $42.76 – $211.75 | 4 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $69.03 – $2,202.95 | 3 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $52.98 – $62.22 | 3 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $1,660.42 – $3,047.79 | 5 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $1,660.42 – $3,047.79 | 5 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $124.24 – $165.95 | 3 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $209.78 – $1,595.64 | 3 |
| Design custom breast implant CPT 19396 | not published | not published | $4,864.75 – $7,145.90 | 3 |
| Design mlc device for imrt CPT 77338 | $7,933.00 | $7,933.00 | $369.76 – $640.62 | 8 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $4.36 – $9.36 | 3 |
| Desoxycorticosterone CPT 82633 | $373.00 | $373.00 | $26.44 – $89.73 | 32 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $252.47 – $1,019.57 | 5 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $387.54 – $1,019.57 | 5 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $387.54 – $1,019.57 | 5 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $252.47 – $1,019.57 | 5 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $252.47 – $1,019.57 | 5 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $252.47 – $1,019.57 | 5 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $252.47 – $1,019.57 | 5 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $252.47 – $1,019.57 | 5 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $252.47 – $1,019.57 | 5 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $252.47 – $1,019.57 | 5 |
| Destroy cervthor facet jnt 64633 CPT 64633 | not published | not published | $795.91 – $1,019.57 | 5 |
| Destroy cth facet jnt addl 64634 CPT 64634 | not published | not published | $350.25 – $1,019.57 | 4 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $541.55 – $1,116.86 | 5 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $163.84 – $1,019.57 | 5 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $1,019.57 – $3,864.84 | 5 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $1,019.57 – $3,864.84 | 5 |
| 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 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $27.66 – $27.66 | 1 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $86.40 – $98.83 | 3 |
| 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 |
| Dexamethasone panel CPT 80420 | not published | not published | $92.84 – $339.95 | 32 |
| 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 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $263.65 – $570.78 | 27 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $44.42 – $96.16 | 27 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $44.42 – $96.16 | 27 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $44.42 – $96.16 | 27 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $14.11 – $32.38 | 29 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $87.91 – $190.32 | 27 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $44.42 – $96.16 | 27 |
| 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 |
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.