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 |
|---|---|---|---|---|
| Drug test def simple all cl HCPCS G0659 | not published | not published | $62.14 – $130.49 | 28 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $14.63 – $35.99 | 29 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $305.00 | $305.00 | $53.04 – $130.49 | 30 |
| Drvvt confirm - quest CPT 85597 | $217.00 | $217.00 | $5.99 – $38.38 | 32 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $1,019.57 – $4,752.12 | 5 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $387.54 – $1,019.57 | 5 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $387.54 – $1,019.57 | 5 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $387.54 – $1,019.57 | 5 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $387.54 – $1,019.57 | 5 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $740.55 – $1,111.90 | 3 |
| Ductogram sgl duct CPT 77053 | not published | not published | $34.68 – $423.15 | 8 |
| Duodenal motility study CPT 91022 | not published | not published | $94.66 – $845.19 | 5 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $246.66 – $330.10 | 3 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $142.70 – $156.19 | 3 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $89.45 – $314.59 | 5 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $247.56 – $304.62 | 3 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $4,376.00 | $4,376.00 | $240.66 – $394.69 | 3 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | not published | not published | $209.78 – $209.78 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $75.33 – $100.80 | 6 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $29.29 – $223.76 | 8 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $212.38 – $212.38 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,019.57 – $2,171.13 | 5 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $1,019.57 – $2,171.13 | 5 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $1,019.57 – $2,171.13 | 5 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $50.79 – $198.28 | 5 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $205.38 – $1,019.57 | 5 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $205.38 – $1,019.57 | 5 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $94.83 – $1,019.57 | 5 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $157.78 – $1,019.57 | 5 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $223.25 – $1,019.57 | 5 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,019.57 – $4,981.42 | 5 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $2,554.92 – $3,822.15 | 3 |
| Dynamic surface emg CPT 96002 | not published | not published | $172.11 – $252.56 | 3 |
| Ear and throat examination CPT 92502 | not published | not published | $321.24 – $630.41 | 5 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $1,019.57 – $3,669.88 | 5 |
| Ear cartilage graft CPT 21235 | not published | not published | $1,019.57 – $5,269.42 | 5 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $79.76 – $364.13 | 3 |
| Ear protector evaluation CPT 92596 | not published | not published | $70.28 – $100.80 | 3 |
| Ecallantide injection HCPCS J1290 | not published | not published | $259.15 – $682.93 | 6 |
| Ecg 12 lead tracing only CPT 93005 | $1,093.00 | $1,093.00 | $58.24 – $84.19 | 3 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $12.88 – $46.52 | 3 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $305.53 – $352.25 | 3 |
| Ecg external < 48 hours recording CPT 93225 | $3,167.00 | $3,167.00 | $157.78 – $211.57 | 3 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $2,339.00 | $2,339.00 | $157.78 – $211.57 | 3 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $157.78 – $211.57 | 3 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $157.78 – $211.57 | 3 |
| Ecg record/review CPT 93268 | not published | not published | $124.07 – $124.07 | 1 |
| Ecg/review interpret only CPT 93272 | not published | not published | $18.45 – $18.45 | 1 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $5,611.00 | $5,611.00 | $490.77 – $963.72 | 3 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $8,378.00 | $8,378.00 | $1,228.59 – $1,582.63 | 3 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $4,267.00 | $4,267.00 | $233.65 – $310.17 | 3 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $8,378.00 | $8,378.00 | $664.42 – $1,228.59 | 3 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $1,917.00 | $1,917.00 | $30.99 – $30.99 | 2 |
| Echo exam of eye CPT 76516 | not published | not published | $42.35 – $186.09 | 8 |
| Echo exam of eye CPT 76519 | not published | not published | $60.20 – $245.41 | 8 |
| Echo exam of eye CPT 76529 | not published | not published | $63.58 – $154.09 | 8 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $1.85 – $44.31 | 8 |
| Echo exam of fetal heart CPT 76825 | $4,801.00 | $4,801.00 | $127.91 – $959.52 | 8 |
| Echo exam of fetal heart CPT 76826 | $4,801.00 | $4,801.00 | $61.68 – $423.01 | 8 |
| Echo exam of fetal heart CPT 76827 | $2,848.00 | $2,848.00 | $55.88 – $186.09 | 8 |
| Echo exam of fetal heart CPT 76828 | $2,848.00 | $2,848.00 | $38.94 – $186.09 | 8 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $69.57 – $423.01 | 8 |
| Echograp trans r pros study CPT 76873 | not published | not published | $153.49 – $248.95 | 8 |
| Echo guidance radiotherapy CPT 76965 | $2,487.00 | $2,487.00 | $47.49 – $365.24 | 4 |
| Echo guide for amniocentesis CPT 76946 | $2,033.00 | $2,033.00 | $26.38 – $98.88 | 4 |
| Echo guide for artery repair CPT 76936 | not published | not published | $186.75 – $544.95 | 8 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $70.93 – $98.88 | 3 |
| Echo guide for transfusion CPT 76941 | $1,832.00 | $1,832.00 | $99.25 – $102.58 | 3 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $64.25 – $84.55 | 2 |
| Echo guide villus sampling CPT 76945 | $1,818.00 | $1,818.00 | $64.25 – $99.25 | 3 |
| Echo stress CPT 93350 | $5,389.00 | $5,389.00 | $490.77 – $1,390.19 | 3 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $530.17 – $917.39 | 3 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $4,809.00 | $4,809.00 | $638.00 – $917.39 | 3 |
| Echo transesophageal CPT 93313 | not published | not published | $490.77 – $562.44 | 3 |
| Echo transesophageal CPT 93315 | not published | not published | $490.77 – $664.72 | 3 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $798.89 – $917.39 | 3 |
| Echo transthoracic CPT 93303 | $5,004.00 | $5,004.00 | $513.93 – $917.39 | 3 |
| Echo transthoracic CPT 93304 | $1,917.00 | $1,917.00 | $298.21 – $490.77 | 3 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $5,327.00 | $5,327.00 | $347.99 – $490.77 | 3 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $53.17 – $53.17 | 1 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $10.81 – $34.74 | 32 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $1,660.42 – $3,563.54 | 5 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | not published | not published | $34.33 – $74.30 | 5 |
| Eculizumab injection HCPCS J1300 | not published | not published | $266.77 – $266.77 | 2 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $176.89 – $7,924.48 | 6 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $0.54 – $2.22 | 4 |
| Ed svc ckd grp per session HCPCS G0421 | not published | not published | $20.08 – $55.65 | 27 |
| Ed svc ckd ind per session HCPCS G0420 | not published | not published | $83.48 – $230.98 | 27 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $4,190.00 | $4,190.00 | $347.82 – $492.94 | 3 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | not published | not published | $401.38 – $567.15 | 3 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $347.82 – $492.94 | 3 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $172.11 – $252.56 | 3 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $3,921.00 | $3,921.00 | $347.82 – $492.94 | 3 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $4,341.00 | $4,341.00 | $347.82 – $492.94 | 3 |
| Eeg phy/qhp>36<60 hr without vid CPT 95721 | not published | not published | $1,744.47 – $1,744.47 | 2 |
| Eeg phy/qhp>36<60 hr w/veeg CPT 95722 | not published | not published | $1,744.47 – $1,744.47 | 2 |
| Eeg phy/qhp>60<84 hr without vid CPT 95723 | not published | not published | $1,744.47 – $1,744.47 | 2 |
| Eeg phy/qhp>60<84 hr w/veeg CPT 95724 | not published | not published | $1,744.47 – $1,744.47 | 2 |
| Eeg phy/qhp>84 hr without vid CPT 95725 | not published | not published | $1,744.47 – $1,744.47 | 2 |
| Eeg phy/qhp>84 hr w/veeg CPT 95726 | not published | not published | $1,744.47 – $1,744.47 | 2 |
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.