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 |
|---|---|---|---|---|
| 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 |
| Dialysis repeated eval CPT 90947 | not published | not published | $362.22 – $362.22 | 1 |
| Dialysis training complete CPT 90989 | not published | not published | $1,452.22 – $1,452.22 | 1 |
| 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 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $2,676.36 – $2,676.36 | 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 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | not published | not published | $0.64 – $1.36 | 3 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $247.00 | $247.00 | $30.31 – $30.31 | 1 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $3.72 – $4.86 | 3 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $29.75 – $75.32 | 3 |
| Disability dlco CPT 94727 | $1,244.00 | $1,244.00 | $22.02 – $119.63 | 5 |
| Disaccharidases CPT 82657 | not published | not published | $18.92 – $46.56 | 32 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,660.42 – $3,047.79 | 5 |
| Disarticulation shoulder CPT 23920 | not published | not published | $17,649.30 – $17,649.30 | 1 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $112.43 – $3,417.35 | 8 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $84.32 – $182.55 | 27 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $227.57 – $492.68 | 27 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $364.13 – $2,304.83 | 3 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | $74.19 – $74.19 | 1 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $1,019.57 – $8,580.40 | 5 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $1,660.42 – $8,912.72 | 5 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $0.02 – $0.02 | 1 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $279.00 – $585.90 | 28 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $274.83 – $577.14 | 28 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $137.00 – $287.70 | 28 |
| Dna antibody native/double stranded CPT 86225 | $58.00 | $58.00 | $11.73 – $59.72 | 32 |
| Dna gardnerella CPT 87510 | not published | not published | $17.11 – $58.10 | 32 |
| Dna probe chlamydia CPT 87490 | $292.00 | $292.00 | $19.42 – $47.77 | 32 |
| Dna probe gc CPT 87590 | $183.00 | $183.00 | $14.66 – $56.45 | 32 |
| Dna trichomonas CPT 87660 | not published | not published | $17.11 – $42.11 | 30 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $7.91 – $11.36 | 3 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.59 – $11.88 | 5 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $50.07 – $82.10 | 2 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $6.06 – $6.93 | 2 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $94.25 – $94.25 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $0.69 – $1.32 | 2 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | not published | not published | $247.56 – $304.62 | 3 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | not published | not published | $157.78 – $304.62 | 3 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $1.00 – $1.00 | 2 |
| Dornase alfa non-comp unit HCPCS J7639 | $425.00 | $425.00 | $51.98 – $67.22 | 3 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $22,734.76 – $49,219.59 | 27 |
| Dorsi & plantar flex ass/res HCPCS L2220 | not published | not published | $98.74 – $213.76 | 27 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $228.37 – $281.36 | 6 |
| Double transfer toe-hand CPT 26554 | not published | not published | $8,979.18 – $8,979.18 | 1 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $3.06 – $3.22 | 3 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $113.21 – $805.25 | 6 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | not published | not published | $0.12 – $0.17 | 2 |
| Dpyd gene common variants CPT 81232 | not published | not published | $174.81 – $367.10 | 28 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $23.74 – $51.39 | 27 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $233.35 – $1,019.57 | 5 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $233.35 – $364.13 | 5 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $1,019.57 – $4,126.26 | 5 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $233.35 – $1,019.57 | 5 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $1,019.57 – $2,680.68 | 5 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $1,019.57 – $4,126.26 | 5 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $321.24 – $1,019.57 | 5 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $1,019.57 – $4,126.26 | 5 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $1,019.57 – $4,126.26 | 5 |
| Drainage of bone lesion CPT 26992 | not published | not published | $8,979.18 – $8,979.18 | 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.