Control oropharyngeal hemorr/simp 42960 at MUSC Health Orangeburg Medical Center
3000 St Matthews Rd Box 1806, Orangeburg, SC · Muschealth · · NPI 1770280299
$473.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$946.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$501.62 with Aetna vs $551.78 with Molina — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $501.62 | ↑ +6% |
| Clover Health | Medicare Managed Care Plan | $511.65 | ↑ +8% |
| Absolute Total Care | Ambetter Exchange | $539.24 | ↑ +14% |
| Molina | Exchange | $551.78 | ↑ +17% |
Visitor-reported prices
Comments
Control oropharyngeal hemorr/simp 42960 at other South-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St Francis Downtown | Greenville | $582.00 | not published |
| St Francis Eastside | Greenville | $582.00 | not published |
| MUSC Health Main Campus - Charleston | Charleston | $473.00 | $118.91 – $551.78 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER | not published | $189.14 – $1,019.57 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson | not published | $189.14 – $1,019.57 |
| MUSC Health Florence Medical Center | Florence | not published | $162.95 – $2,118.00 |
| MUSC Health Kershaw Medical Center | Camden | not published | $119.68 – $573.45 |
| MUSC Health Chester Medical Center | Chester | not published | $161.83 – $4,604.00 |