Does Carolina Pines Regional Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Carolina Pines Regional Medical Center. In a medical emergency, call 911.

Where is Carolina Pines Regional Medical Center?

1304 W Bobo Newsom Hwy, Hartsville, SC 29550, in Darlington County, South Carolina.

What is the phone number of Carolina Pines Regional Medical Center?

(864) 339-2100, as listed by Medicare (CMS).

What is the Medicare star rating of Carolina Pines Regional Medical Center?

2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Carolina Pines Regional Medical Center

Quick answers

Does Carolina Pines Regional Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Carolina Pines Regional Medical Center. In a medical emergency, call 911.
Where is Carolina Pines Regional Medical Center?: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550, in Darlington County, South Carolina.
What is the phone number of Carolina Pines Regional Medical Center?: (864) 339-2100, as listed by Medicare (CMS).
What is the Medicare star rating of Carolina Pines Regional Medical Center?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[6][7]

Cardiology
Dialysis
Digestive Health
Ear, Nose & Throat Care
Emergency Medicine
Imaging & Radiology
Inpatient & Outpatient Rehabilitation
Intensive & Progressive Care
Interventional Pain Management
Labor & Delivery
Laboratory
Nephrology
Occupational Health
Orthopaedic Care
Pain & Spine
Pediatrics
Primary Care
Pulmonology
Respiratory Care
Sleep Center
Speech Therapy
Surgery
Wound Center
Urology
Vascular Surgery
Vein Clinic
Walk-in Clinic
Women's Health

Conditions treated^[10]

Heart failure
Stroke
Sepsis
Chest pain / heart attack
Sleep disorders
Type 2 diabetes (inpatient care with stroke)

Procedures^[10]

Total hip replacement
Total knee replacement

Programs and centers^[4][7][10]

Chest Pain Center (ACC accredited)
Primary Stroke Center Advanced Certification (Joint Commission)
Heart Failure Certification (Joint Commission)
Sepsis Certification (Joint Commission)
Advanced Certification for Total Hip and Total Knee Replacement (Joint Commission)
Geriatric Emergency Department Accreditation (ACEP)
Sleep center accredited by American Academy of Sleep Medicine
Echocardiography accreditation (IAC)
Vascular Testing accreditation (IAC)
Wound Center (Healogics Center of Distinction)
Hospitalist Program

Emergency care (hospital website)^[7][10]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Primary Stroke Center (Joint Commission Advanced Certification)

Visiting and practical information

Visiting	General and pediatric units 8:00 a.m.-8:30 p.m.; two visitors at a time; ICU no children under 12^[8]
Patient portal	Hospital Patient Portal (Meditech); separate clinic portal (athenahealth)

Recognition^[10]

Leapfrog Hospital Safety Grade 'A' (nine consecutive grades)
Leapfrog Top General Hospital
Becker's 2025 Great Community Hospitals
Blue Distinction Center for Total Hip and Knee Replacement
Blue Distinction Center for Maternity
Purple Heart Hospital
Joint Commission Gold Seal of Approval
AHA Get With The Guidelines Gold Plus (Stroke, Heart Failure)

Doctors and clinicians (180)

180 doctors and other clinicians list Carolina Pines Regional Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 156 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

McLeod Regional Medical Center-Pee Dee22 mi · Florence, SC · Acute Care Hospital
MUSC Health Florence Medical Center24 mi · Florence, SC · Acute Care Hospital
McLeod Health Cheraw26 mi · Cheraw, SC · Acute Care Hospital
Kershawhealth28 mi · Camden, SC · Acute Care Hospital
Prisma Health Tuomey Hospital32 mi · Sumter, SC · Acute Care Hospital

Other hospitals nearby

Regency Hospital of Florence22 mi · Florence, SC · Long-Term Acute Care Hospital
Encompass Health Rehabilitation Hospital of Flore23 mi · Florence, SC · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Morrell Nursing Center5.7 mi · Hartsville, SC · 4 of 5 stars
McCoy Memorial Nursing Center12 mi · Bishopville, SC · 2 of 5 stars
Medford Nursing Center13 mi · Darlington, SC · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Amedisys Hospice of South Carolina19 mi · Florence, SC · 4 of 5 stars
McLeod HCS - Hospice of the Pee Dee19 mi · Florence, SC · 5 of 5 stars
United Hospice of the Pee Dee19 mi · Florence, SC

All hospice providers in the state →

Home health agencies

Carolinas Home Health19 mi · Florence, SC · 4 of 5 stars
Coastal Health LLC19 mi · Florence, SC
McLeod Home Health Inc19 mi · Florence, SC · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

FMC Black Creek Dialysis Center3.5 mi · Hartsville, SC · 1 of 5 stars
Fresenius Medical Care of Lee County13 mi · Bishopville, SC · 2 of 5 stars
FMC Darlington Dialysis Center Inc15 mi · Darlington, SC · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Florence Surgery & Laser Center19 mi · Florence, SC

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Care ROADS2.6 mi · Hartsville, SC · Community health center
CSC Hartsville Center2.6 mi · Hartsville, SC · Community health center
Freedom ROADS2.6 mi · Hartsville, SC · Community health center

Clinics and urgent care

PH Family Medicine-Bishopville13 mi · Bishopville, SC · Rural health clinic
McLeod Family Medicine-Darlington15 mi · Darlington, SC · Rural health clinic
McLeod Physician Associates II15 mi · Darlington, SC · Urgent care center

Pharmacies

Caresouth3.5 mi · Hartsville, SC · Community/retail pharmacy
Piggly Wiggly #353.5 mi · Hartsville, SC · Community/retail pharmacy
South Carolina CVS Pharmacy LLC3.5 mi · Hartsville, SC · Pharmacy

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

Calveria Living at Hartsville3.5 mi · Hartsville, SC
Legacy of Hartsville3.5 mi · Hartsville, SC
A Place to Call Home of Bishopville13 mi · Bishopville, SC
Bishopville Manor13 mi · Bishopville, SC

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Carolina Pines Regional Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	5 of 5 stars
Rated the hospital 9 or 10 out of 10	73%National average: 72%
Would definitely recommend the hospital	65%National average: 71%
Nurses “always” communicated well	83%National average: 80%
Doctors “always” communicated well	83%National average: 80%
Staff “always” explained medicines before giving them	63%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	76%National average: 74%
Area around the room “always” quiet at night	70%National average: 60%
Completed surveys	359Response rate: 15%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0.242No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	11%
Deaths within 30 days: heart failure patients	15.4%
Deaths within 30 days: pneumonia patients	16.1%
Deaths within 30 days: COPD patients	8.6%
Deaths within 30 days: stroke patients	17.8%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.12No different from the national rate
Complications after hip or knee replacement	Too few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.3%
Readmitted within 30 days: heart failure	21.3%
Readmitted within 30 days: pneumonia	20.6%
Readmitted within 30 days: COPD	20.6%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	142 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	91%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in South Carolina Best hospitals in South Carolina

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 82 common services exactly as Carolina Pines Regional Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new	Not listed in the file	Not listed in the file	$136.36
New patient office visit (about 30–44 minutes): rates for 1 insurance plan BCBS — SHP: $136.36
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new	Not listed in the file	Not listed in the file	$188.70
New patient office visit (about 45–59 minutes): rates for 1 insurance plan BCBS — SHP: $188.70
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new	Not listed in the file	Not listed in the file	$255.41
New patient office visit (about 60–74 minutes): rates for 1 insurance plan BCBS — SHP: $255.41
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est	Not listed in the file	Not listed in the file	$108.50
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan BCBS — SHP: $108.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est	Not listed in the file	Not listed in the file	$145.87
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan BCBS — SHP: $145.87
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$263.18 – $513.20
Emergency room visit (moderate): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $271.07 BCBS — Blue Choice: $482.52 BCBS — Blue Preferred: $397.63 BCBS — Medicare Managed Care Plan: $263.18 BCBS — SHP: $440.87 Centene — Exchange: $513.20 Molina Healthcare — Medicare Managed Care Plan: $276.34
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$402.28 – $784.45
Emergency room visit (moderately high): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $414.35 BCBS — Blue Choice: $769.16 BCBS — Blue Preferred: $633.85 BCBS — Medicare Managed Care Plan: $402.28 BCBS — SHP: $702.29 Centene — Exchange: $784.45 Molina Healthcare — Medicare Managed Care Plan: $422.40
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$574.15 – $1,143.27
Emergency room visit (high): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $591.38 BCBS — Blue Choice: $1,143.27 BCBS — Blue Preferred: $942.14 BCBS — Medicare Managed Care Plan: $574.15 BCBS — SHP: $1,043.47 Centene — Exchange: $1,119.59 Molina Healthcare — Medicare Managed Care Plan: $602.86

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca	Not listed in the file	Not listed in the file	$8.46 – $41.87
Basic metabolic panel (blood test): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $8.71 BCBS — Blue Choice: $41.87 BCBS — Blue Preferred: $34.50 BCBS — Medicare Managed Care Plan: $8.46 BCBS — SHP: $31.25 Centene — Exchange: $16.50 Molina Healthcare — Medicare Managed Care Plan: $8.88
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$10.56 – $48.79
Comprehensive metabolic panel (blood test): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $10.88 BCBS — Blue Choice: $48.79 BCBS — Blue Preferred: $40.21 BCBS — Medicare Managed Care Plan: $10.56 BCBS — SHP: $35.71 Centene — Exchange: $20.59 Molina Healthcare — Medicare Managed Care Plan: $11.09
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$47.81 – $93.23
Obstetric blood test panel: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $49.24 BCBS — Blue Choice: $80.34 BCBS — Blue Preferred: $66.21 BCBS — Medicare Managed Care Plan: $47.81 BCBS — SHP: $58.99 Centene — Exchange: $93.23 Molina Healthcare — Medicare Managed Care Plan: $50.20
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$13.39 – $57.23
Cholesterol panel (lipid panel): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $13.79 BCBS — Blue Choice: $57.23 BCBS — Blue Preferred: $47.16 BCBS — Medicare Managed Care Plan: $13.39 BCBS — SHP: $41.90 Centene — Exchange: $26.11 Molina Healthcare — Medicare Managed Care Plan: $14.06
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$8.68 – $49
Kidney function panel: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $8.94 BCBS — Blue Choice: $49 BCBS — Blue Preferred: $40.38 BCBS — Medicare Managed Care Plan: $8.68 BCBS — SHP: $35.68 Centene — Exchange: $16.93 Molina Healthcare — Medicare Managed Care Plan: $9.11
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$8.17 – $52.41
Liver function panel: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $8.42 BCBS — Blue Choice: $52.41 BCBS — Blue Preferred: $43.19 BCBS — Medicare Managed Care Plan: $8.17 BCBS — SHP: $38.30 Centene — Exchange: $15.93 Molina Healthcare — Medicare Managed Care Plan: $8.58
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$3.17 – $17.58
Urine test (automated, with microscope): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $3.27 BCBS — Blue Choice: $17.58 BCBS — Blue Preferred: $14.49 BCBS — Medicare Managed Care Plan: $3.17 BCBS — SHP: $12.49 Centene — Exchange: $6.18 Molina Healthcare — Medicare Managed Care Plan: $3.33
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$3.48 – $13.85
Urine test (manual, without microscope): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $3.58 BCBS — Blue Choice: $13.85 BCBS — Blue Preferred: $11.41 BCBS — Medicare Managed Care Plan: $3.48 BCBS — SHP: $9.81 Centene — Exchange: $6.79 Molina Healthcare — Medicare Managed Care Plan: $3.65
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$2.25 – $15.16
Urine test (automated, without microscope): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $2.32 BCBS — Blue Choice: $15.16 BCBS — Blue Preferred: $12.49 BCBS — Medicare Managed Care Plan: $2.25 BCBS — SHP: $10.69 Centene — Exchange: $4.39 Molina Healthcare — Medicare Managed Care Plan: $2.36
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$18.39 – $104.36
PSA (prostate specific antigen) blood test: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $18.94 BCBS — Blue Choice: $104.36 BCBS — Blue Preferred: $86 BCBS — Medicare Managed Care Plan: $18.39 BCBS — SHP: $76.68 Centene — Exchange: $35.86 Molina Healthcare — Medicare Managed Care Plan: $19.31
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$16.80 – $81.11
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $17.30 BCBS — Blue Choice: $81.11 BCBS — Blue Preferred: $66.84 BCBS — Medicare Managed Care Plan: $16.80 BCBS — SHP: $59.85 Centene — Exchange: $32.76 Molina Healthcare — Medicare Managed Care Plan: $17.64
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$7.77 – $36.82
Complete blood count (CBC) with differential: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $8 BCBS — Blue Choice: $36.82 BCBS — Blue Preferred: $30.34 BCBS — Medicare Managed Care Plan: $7.77 BCBS — SHP: $26.80 Centene — Exchange: $15.15 Molina Healthcare — Medicare Managed Care Plan: $8.16
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$6.47 – $29.34
Complete blood count (CBC), automated: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $6.66 BCBS — Blue Choice: $29.34 BCBS — Blue Preferred: $24.18 BCBS — Medicare Managed Care Plan: $6.47 BCBS — SHP: $21.44 Centene — Exchange: $12.62 Molina Healthcare — Medicare Managed Care Plan: $6.79
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$4.29 – $23.94
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $4.42 BCBS — Blue Choice: $23.94 BCBS — Blue Preferred: $19.73 BCBS — Medicare Managed Care Plan: $4.29 BCBS — SHP: $17.82 Centene — Exchange: $8.37 Molina Healthcare — Medicare Managed Care Plan: $4.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$6.01 – $30.66
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $6.19 BCBS — Blue Choice: $30.66 BCBS — Blue Preferred: $25.27 BCBS — Medicare Managed Care Plan: $6.01 BCBS — SHP: $22.32 Centene — Exchange: $11.72 Molina Healthcare — Medicare Managed Care Plan: $6.31

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$100.79 – $474.90
CT scan of the head or brain, without contrast: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $103.82 BCBS — Blue Choice: $474.90 BCBS — Blue Preferred: $391.35 BCBS — Medicare Managed Care Plan: $100.79 BCBS — SHP: $421.37 Centene — Exchange: $196.55 Molina Healthcare — Medicare Managed Care Plan: $105.83
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$336.35 – $1,275.38
MRI of the brain, before and after contrast: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $346.44 BCBS — Blue Choice: $1,275.38 BCBS — Blue Preferred: $1,051.01 BCBS — Medicare Managed Care Plan: $336.35 BCBS — SHP: $1,131.61 Centene — Exchange: $655.88 Molina Healthcare — Medicare Managed Care Plan: $353.17
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$83.90 – $163.61
Chest X-ray, 2 views: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $86.42 BCBS — Blue Choice: $120.24 BCBS — Blue Preferred: $99.09 BCBS — Medicare Managed Care Plan: $83.90 BCBS — SHP: $109.66 Centene — Exchange: $163.61 Molina Healthcare — Medicare Managed Care Plan: $88.10
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$100.79 – $196.55
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $103.82 BCBS — Blue Choice: $143.93 BCBS — Blue Preferred: $118.61 BCBS — Medicare Managed Care Plan: $100.79 BCBS — SHP: $106.69 Centene — Exchange: $196.55 Molina Healthcare — Medicare Managed Care Plan: $105.83
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$230.04 – $747.01
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $236.94 BCBS — Blue Choice: $747.01 BCBS — Blue Preferred: $615.59 BCBS — Medicare Managed Care Plan: $230.04 BCBS — SHP: $659.73 Centene — Exchange: $448.57 Molina Healthcare — Medicare Managed Care Plan: $241.54
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$169.10 – $641.19
CT scan of the pelvis, with contrast: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $174.18 BCBS — Blue Choice: $641.19 BCBS — Blue Preferred: $528.39 BCBS — Medicare Managed Care Plan: $169.10 BCBS — SHP: $527.80 Centene — Exchange: $329.75 Molina Healthcare — Medicare Managed Care Plan: $177.56
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$230.04 – $728.11
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $236.94 BCBS — Blue Choice: $728.11 BCBS — Blue Preferred: $600.02 BCBS — Medicare Managed Care Plan: $230.04 BCBS — SHP: $622.39 Centene — Exchange: $448.57 Molina Healthcare — Medicare Managed Care Plan: $241.54
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$336.35 – $1,181.47
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $346.44 BCBS — Blue Choice: $1,181.47 BCBS — Blue Preferred: $973.62 BCBS — Medicare Managed Care Plan: $336.35 BCBS — SHP: $873.07 Centene — Exchange: $655.88 Molina Healthcare — Medicare Managed Care Plan: $353.17
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$100.79 – $237.21
Ultrasound of the abdomen, complete: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $103.82 BCBS — Blue Choice: $237.21 BCBS — Blue Preferred: $195.48 BCBS — Medicare Managed Care Plan: $100.79 BCBS — SHP: $210.48 Centene — Exchange: $196.55 Molina Healthcare — Medicare Managed Care Plan: $105.83
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$100.79 – $200.69
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $103.82 BCBS — Blue Choice: $200.69 BCBS — Blue Preferred: $165.38 BCBS — Medicare Managed Care Plan: $100.79 BCBS — SHP: $148.18 Centene — Exchange: $196.55 Molina Healthcare — Medicare Managed Care Plan: $105.83
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$100.79 – $303.44
Transvaginal ultrasound: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $103.82 BCBS — Blue Choice: $303.44 BCBS — Blue Preferred: $250.06 BCBS — Medicare Managed Care Plan: $100.79 BCBS — SHP: $263.90 Centene — Exchange: $196.55 Molina Healthcare — Medicare Managed Care Plan: $105.83
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$79.60 – $155.22
Diagnostic mammogram, one breast: rates for 4 insurance plans Aetna — Medicare Managed Care Plan: $81.99 BCBS — Medicare Managed Care Plan: $79.60 Centene — Exchange: $155.22 Molina Healthcare — Medicare Managed Care Plan: $83.58
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$102.11 – $199.11
Diagnostic mammogram, both breasts: rates for 4 insurance plans Aetna — Medicare Managed Care Plan: $105.17 BCBS — Medicare Managed Care Plan: $102.11 Centene — Exchange: $199.11 Molina Healthcare — Medicare Managed Care Plan: $107.22
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$139.82 – $169.67
Screening mammogram, both breasts: rates for 3 insurance plans BCBS — Blue Choice: $169.67 BCBS — Blue Preferred: $139.82 BCBS — SHP: $148.42
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$84.23 – $164.25
Screening mammogram, both breasts: rates for 4 insurance plans Aetna — Medicare Managed Care Plan: $86.76 BCBS — Medicare Managed Care Plan: $84.23 Centene — Exchange: $164.25 Molina Healthcare — Medicare Managed Care Plan: $88.44

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$3,125.54 – $20,730
Left heart catheterization (diagnostic): rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $3,219.31 BCBS — Blue Choice: $9,155.65 BCBS — Blue Preferred: $7,544.95 BCBS — Medicare Managed Care Plan: $3,125.54 BCBS — SHP: $8,357.75 Centene — Exchange: $6,094.81 Cigna — All Commercial Plans: $14,554 Molina Healthcare — Medicare Managed Care Plan: $3,281.82 UnitedHealthCare — All Commercial Plans: $20,730
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$7,519.65 – $23,278
Heart rhythm study (electrophysiology evaluation): rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $7,745.24 BCBS — Blue Choice: $11,506.84 BCBS — Blue Preferred: $9,482.51 BCBS — Medicare Managed Care Plan: $7,519.65 BCBS — SHP: $10,504.51 Centene — Exchange: $14,663.32 Molina Healthcare — Medicare Managed Care Plan: $7,895.63 UnitedHealthCare — All Commercial Plans: $23,278
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$19,242.38 – $49,139
Heart rhythm study with ablation for atrial fibrillation: rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $25,955.47 BCBS — Blue Choice: $23,350.24 BCBS — Blue Preferred: $19,242.38 BCBS — Medicare Managed Care Plan: $25,199.49 BCBS — SHP: $21,314.75 Centene — Exchange: $49,139 Molina Healthcare — Medicare Managed Care Plan: $26,459.46 UnitedHealthCare — All Commercial Plans: $33,519
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$827.91 – $2,662.85
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $852.75 BCBS — Blue Choice: $2,662.85 BCBS — Blue Preferred: $2,194.39 BCBS — Medicare Managed Care Plan: $827.91 BCBS — SHP: $2,430.34 Centene — Exchange: $1,614.43 Molina Healthcare — Medicare Managed Care Plan: $869.31

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$27.97 – $69.61
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $28.81 BCBS — Blue Choice: $69.61 BCBS — Blue Preferred: $57.36 BCBS — Medicare Managed Care Plan: $27.97 BCBS — SHP: $38.40 Centene — Exchange: $54.54 Molina Healthcare — Medicare Managed Care Plan: $29.37
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$94.31 – $183.90
Physical therapy evaluation (low complexity): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $97.14 BCBS — Blue Choice: $164.24 BCBS — Blue Preferred: $135.35 BCBS — Medicare Managed Care Plan: $94.31 BCBS — SHP: $102.22 Centene — Exchange: $183.90 Molina Healthcare — Medicare Managed Care Plan: $99.03
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$94.31 – $183.90
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $97.14 BCBS — Blue Choice: $164.24 BCBS — Blue Preferred: $135.35 BCBS — Medicare Managed Care Plan: $94.31 BCBS — SHP: $102.22 Centene — Exchange: $183.90 Molina Healthcare — Medicare Managed Care Plan: $99.03
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$94.31 – $183.90
Physical therapy evaluation (high complexity): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $97.14 BCBS — Blue Choice: $164.24 BCBS — Blue Preferred: $135.35 BCBS — Medicare Managed Care Plan: $94.31 BCBS — SHP: $102.22 Centene — Exchange: $183.90 Molina Healthcare — Medicare Managed Care Plan: $99.03
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes	Not listed in the file	Not listed in the file	$171.12 – $333.69
Psychotherapy, 30 minutes: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $176.26 BCBS — Blue Choice: $305.36 BCBS — Blue Preferred: $251.64 BCBS — Medicare Managed Care Plan: $171.12 BCBS — SHP: $279.15 Centene — Exchange: $333.69 Molina Healthcare — Medicare Managed Care Plan: $179.68
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes	Not listed in the file	Not listed in the file	$171.12 – $380.49
Psychotherapy, 45 minutes: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $176.26 BCBS — Blue Choice: $380.49 BCBS — Blue Preferred: $313.55 BCBS — Medicare Managed Care Plan: $171.12 BCBS — SHP: $347.82 Centene — Exchange: $333.69 Molina Healthcare — Medicare Managed Care Plan: $179.68
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes	Not listed in the file	Not listed in the file	$171.12 – $380.49
Psychotherapy, 60 minutes: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $176.26 BCBS — Blue Choice: $380.49 BCBS — Blue Preferred: $313.55 BCBS — Medicare Managed Care Plan: $171.12 BCBS — SHP: $347.82 Centene — Exchange: $333.69 Molina Healthcare — Medicare Managed Care Plan: $179.68
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min	Not listed in the file	Not listed in the file	$171.12 – $579.64
Family psychotherapy, without the patient: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $176.26 BCBS — Blue Choice: $579.64 BCBS — Blue Preferred: $477.67 BCBS — Medicare Managed Care Plan: $171.12 BCBS — SHP: $529.49 Centene — Exchange: $333.69 Molina Healthcare — Medicare Managed Care Plan: $179.68
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min	Not listed in the file	Not listed in the file	$171.12 – $579.64
Family psychotherapy, with the patient: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $176.26 BCBS — Blue Choice: $579.64 BCBS — Blue Preferred: $477.67 BCBS — Medicare Managed Care Plan: $171.12 BCBS — SHP: $529.49 Centene — Exchange: $333.69 Molina Healthcare — Medicare Managed Care Plan: $179.68
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy	Not listed in the file	Not listed in the file	$97.94 – $228.51
Group psychotherapy: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $100.88 BCBS — Blue Choice: $228.51 BCBS — Blue Preferred: $188.31 BCBS — Medicare Managed Care Plan: $97.94 BCBS — SHP: $208.25 Centene — Exchange: $190.99 Molina Healthcare — Medicare Managed Care Plan: $102.84

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$3,774.87 – $14,554
Removal of breast growth (open surgery): rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $3,888.11 BCBS — Blue Choice: $5,009.66 BCBS — Blue Preferred: $4,128.34 BCBS — Medicare Managed Care Plan: $3,774.87 BCBS — SHP: $4,572.67 Centene — Exchange: $7,360.99 Cigna — All Commercial Plans: $14,554 Molina Healthcare — Medicare Managed Care Plan: $3,963.61 UnitedHealthCare — All Commercial Plans: $13,486
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$12,377.76 – $31,584.34
Total hip replacement: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $12,749.09 BCBS — Blue Choice: $31,584.34 BCBS — Blue Preferred: $26,027.90 BCBS — Medicare Managed Care Plan: $12,377.76 BCBS — SHP: $27,052.48 Centene — Exchange: $24,136.64 Cigna — All Commercial Plans: $14,554 Molina Healthcare — Medicare Managed Care Plan: $12,996.65 UnitedHealthCare — All Commercial Plans: $27,932
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$12,377.76 – $27,932
Total knee replacement: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $12,749.09 BCBS — Blue Choice: $25,175.29 BCBS — Blue Preferred: $20,746.36 BCBS — Medicare Managed Care Plan: $12,377.76 BCBS — SHP: $21,564.37 Centene — Exchange: $24,136.64 Cigna — All Commercial Plans: $14,554 Molina Healthcare — Medicare Managed Care Plan: $12,996.65 UnitedHealthCare — All Commercial Plans: $27,932
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$954 – $14,554
Shoulder arthroscopy: shaving of shoulder bone: rates for 4 insurance plans BCBS — Blue Choice: $4,440.88 BCBS — Blue Preferred: $3,659.62 Cigna — All Commercial Plans: $14,554 UnitedHealthCare — All Commercial Plans: $954
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$3,154.53 – $19,665
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $3,249.17 BCBS — Blue Choice: $4,289.99 BCBS — Blue Preferred: $3,535.28 BCBS — Medicare Managed Care Plan: $3,154.53 BCBS — SHP: $3,614.35 Centene — Exchange: $6,151.34 Cigna — All Commercial Plans: $18,711 Molina Healthcare — Medicare Managed Care Plan: $3,312.26 UnitedHealthCare — All Commercial Plans: $19,665
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$2,148.90 – $14,554
Removal of tonsils and adenoids (under age 12): rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $5,878.52 BCBS — Blue Choice: $2,607.65 BCBS — Blue Preferred: $2,148.90 BCBS — Medicare Managed Care Plan: $5,707.30 BCBS — SHP: $2,230.62 Centene — Exchange: $11,129.24 Cigna — All Commercial Plans: $14,554 Molina Healthcare — Medicare Managed Care Plan: $5,992.67 UnitedHealthCare — All Commercial Plans: $13,486
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$759.47 – $7,698
Upper GI endoscopy (diagnostic): rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $900.66 BCBS — Blue Choice: $928.66 BCBS — Blue Preferred: $765.29 BCBS — Medicare Managed Care Plan: $874.42 BCBS — SHP: $759.47 Centene — Exchange: $1,705.13 Cigna — All Commercial Plans: $7,278 Molina Healthcare — Medicare Managed Care Plan: $918.14 UnitedHealthCare — All Commercial Plans: $7,698
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$832.93 – $10,395
Upper GI endoscopy with biopsy: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $900.66 BCBS — Blue Choice: $1,018.66 BCBS — Blue Preferred: $839.45 BCBS — Medicare Managed Care Plan: $874.42 BCBS — SHP: $832.93 Centene — Exchange: $1,705.13 Cigna — All Commercial Plans: $10,395 Molina Healthcare — Medicare Managed Care Plan: $918.14 UnitedHealthCare — All Commercial Plans: $7,698
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$832.93 – $10,395
Colonoscopy (diagnostic): rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $923.47 BCBS — Blue Choice: $1,018.66 BCBS — Blue Preferred: $839.45 BCBS — Medicare Managed Care Plan: $896.57 BCBS — SHP: $832.93 Centene — Exchange: $1,748.31 Cigna — All Commercial Plans: $10,395 Molina Healthcare — Medicare Managed Care Plan: $941.40 UnitedHealthCare — All Commercial Plans: $7,698
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$832.93 – $10,395
Colonoscopy with biopsy: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $1,188.29 BCBS — Blue Choice: $1,018.66 BCBS — Blue Preferred: $839.45 BCBS — Medicare Managed Care Plan: $1,153.68 BCBS — SHP: $832.93 Centene — Exchange: $2,249.68 Cigna — All Commercial Plans: $10,395 Molina Healthcare — Medicare Managed Care Plan: $1,211.37 UnitedHealthCare — All Commercial Plans: $7,698
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$832.93 – $10,395
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $1,188.29 BCBS — Blue Choice: $1,018.66 BCBS — Blue Preferred: $839.45 BCBS — Medicare Managed Care Plan: $1,153.68 BCBS — SHP: $832.93 Centene — Exchange: $2,249.68 Cigna — All Commercial Plans: $10,395 Molina Healthcare — Medicare Managed Care Plan: $1,211.37 UnitedHealthCare — All Commercial Plans: $7,698
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$840.87 – $10,395
Ultrasound of the lower bowel by endoscope: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $1,188.29 BCBS — Blue Choice: $1,028.05 BCBS — Blue Preferred: $847.19 BCBS — Medicare Managed Care Plan: $1,153.68 BCBS — SHP: $840.87 Centene — Exchange: $2,249.68 Cigna — All Commercial Plans: $10,395 Molina Healthcare — Medicare Managed Care Plan: $1,211.37 UnitedHealthCare — All Commercial Plans: $7,698
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$896.57 – $10,395
Screening colonoscopy (not high risk): rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $923.47 BCBS — Blue Choice: $1,378.63 BCBS — Blue Preferred: $1,136.10 BCBS — Medicare Managed Care Plan: $896.57 BCBS — SHP: $1,127.78 Centene — Exchange: $1,748.31 Cigna — All Commercial Plans: $10,395 Molina Healthcare — Medicare Managed Care Plan: $941.40 UnitedHealthCare — All Commercial Plans: $3,070
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$5,828.49 – $44,650
Gallbladder removal by laparoscope: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $6,003.34 BCBS — Blue Choice: $8,176.22 BCBS — Blue Preferred: $6,737.83 BCBS — Medicare Managed Care Plan: $5,828.49 BCBS — SHP: $6,899.93 Centene — Exchange: $11,365.55 Cigna — All Commercial Plans: $44,650 Molina Healthcare — Medicare Managed Care Plan: $6,119.91 UnitedHealthCare — All Commercial Plans: $23,278
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$1,925.78 – $19,665
Groin (inguinal) hernia repair, age 5 or older: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $3,555.42 BCBS — Blue Choice: $2,492.28 BCBS — Blue Preferred: $2,053.83 BCBS — Medicare Managed Care Plan: $3,451.86 BCBS — SHP: $1,925.78 Centene — Exchange: $6,731.13 Cigna — All Commercial Plans: $18,711 Molina Healthcare — Medicare Managed Care Plan: $3,624.45 UnitedHealthCare — All Commercial Plans: $19,665
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$7,698 – $10,395
Prostate biopsy: rates for 2 insurance plans Cigna — All Commercial Plans: $10,395 UnitedHealthCare — All Commercial Plans: $7,698
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$10,248.21 – $27,932
Prostate removal by laparoscope (radical prostatectomy): rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $10,555.66 BCBS — Blue Choice: $13,985.21 BCBS — Blue Preferred: $11,524.88 BCBS — Medicare Managed Care Plan: $10,248.21 BCBS — SHP: $12,766.47 Centene — Exchange: $19,984.02 Cigna — All Commercial Plans: $14,554 Molina Healthcare — Medicare Managed Care Plan: $10,760.62 UnitedHealthCare — All Commercial Plans: $27,932
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$1,751.82 – $14,554
Hysteroscopy with biopsy of the uterus lining: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $3,214.54 BCBS — Blue Choice: $2,125.80 BCBS — Blue Preferred: $1,751.82 BCBS — Medicare Managed Care Plan: $3,120.91 BCBS — SHP: $1,771.80 Centene — Exchange: $6,085.77 Cigna — All Commercial Plans: $14,554 Molina Healthcare — Medicare Managed Care Plan: $3,276.96 UnitedHealthCare — All Commercial Plans: $13,486
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$680.54 – $7,278
Spinal injection, lower back (epidural), with imaging guidance: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $700.96 BCBS — Blue Choice: $971.62 BCBS — Blue Preferred: $800.69 BCBS — Medicare Managed Care Plan: $680.54 BCBS — SHP: $795.91 Centene — Exchange: $1,327.05 Cigna — All Commercial Plans: $7,278 Molina Healthcare — Medicare Managed Care Plan: $714.57 UnitedHealthCare — All Commercial Plans: $3,070
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$776.53 – $7,278
Nerve root injection, lower back, with imaging guidance: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $878.30 BCBS — Blue Choice: $942.30 BCBS — Blue Preferred: $776.53 BCBS — Medicare Managed Care Plan: $852.72 BCBS — SHP: $795.91 Centene — Exchange: $1,662.80 Cigna — All Commercial Plans: $7,278 Molina Healthcare — Medicare Managed Care Plan: $895.36 UnitedHealthCare — All Commercial Plans: $3,070
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$872.90 – $13,486
Carpal tunnel release: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $1,939.10 BCBS — Blue Choice: $1,226.45 BCBS — Blue Preferred: $1,010.69 BCBS — Medicare Managed Care Plan: $1,882.62 BCBS — SHP: $872.90 Centene — Exchange: $3,671.11 Cigna — All Commercial Plans: $10,395 Molina Healthcare — Medicare Managed Care Plan: $1,976.75 UnitedHealthCare — All Commercial Plans: $13,486
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$530.25 – $10,395
Laser treatment of clouding after cataract surgery: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $546.16 BCBS — Blue Choice: $1,037.22 BCBS — Blue Preferred: $854.75 BCBS — Medicare Managed Care Plan: $530.25 BCBS — SHP: $872.90 Centene — Exchange: $1,033.99 Cigna — All Commercial Plans: $10,395 Molina Healthcare — Medicare Managed Care Plan: $556.76 UnitedHealthCare — All Commercial Plans: $3,070
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$2,076.48 – $39,258
Cataract removal with lens implant: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $2,291.72 BCBS — Blue Choice: $2,519.77 BCBS — Blue Preferred: $2,076.48 BCBS — Medicare Managed Care Plan: $2,224.97 BCBS — SHP: $2,145.30 Centene — Exchange: $4,338.69 Cigna — All Commercial Plans: $39,258 Molina Healthcare — Medicare Managed Care Plan: $2,336.22 UnitedHealthCare — All Commercial Plans: $13,486

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care	Not listed in the file	Not listed in the file	$14,554
Vaginal delivery, with care before and after: rates for 1 insurance plan Cigna — All Commercial Plans: $14,554
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery	Not listed in the file	Not listed in the file	$14,554
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan Cigna — All Commercial Plans: $14,554
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery	Not listed in the file	Not listed in the file	$14,554
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan Cigna — All Commercial Plans: $14,554

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	Not listed in the file	Not listed in the file	$71,245.02 – $255,066.94
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $73,382.37 BCBS — Medicare Managed Care Plan: $71,245.02 BCBS — SHP: $136,301 Centene — Exchange: $89,768.73 Centene — Medicare Managed Care Plan: $73,382.37 Cigna — All Commercial Plans: $255,066.94 Molina Healthcare — Medicare Managed Care Plan: $74,807.27 Optum — VACCN Medicare Managed Care Plan: $71,245.02 UnitedHealthCare — All Commercial Plans: $216,268.36 UnitedHealthCare — Medicare Managed Care Plan: $71,245.02
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc	Not listed in the file	Not listed in the file	Not listed in the file
Spinal fusion (not neck), without major complications: rates for 2 insurance plans Aetna — All Commercial Plans: 70% (a percentage in the contract, not a dollar amount) BCBS — Exchange: 75% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	Not listed in the file	Not listed in the file	$15,174.42 – $50,292.21
Hip or knee replacement (major joint of the leg), without major complications: 10 of 14 insurance plan rates Aetna — Medicare Managed Care Plan: $15,629.65 BCBS — Blue Choice: $31,098.77 BCBS — Blue Preferred: $31,098.77 BCBS — Medicare Managed Care Plan: $15,174.42 BCBS — SHP: $26,077 Centene — Exchange: $19,119.77 Centene — Medicare Managed Care Plan: $15,629.65 Cigna — All Commercial Plans: $50,292.21 Molina Healthcare — Medicare Managed Care Plan: $15,933.14 Optum — VACCN Medicare Managed Care Plan: $15,174.42
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc	Not listed in the file	Not listed in the file	$18,832.55 – $63,652.01
Neck (cervical) spinal fusion, without complications: 10 of 14 insurance plan rates Aetna — Medicare Managed Care Plan: $19,397.53 BCBS — Blue Choice: $42,030.18 BCBS — Blue Preferred: $42,030.18 BCBS — Medicare Managed Care Plan: $18,832.55 BCBS — SHP: $29,689 Centene — Exchange: $23,729.01 Centene — Medicare Managed Care Plan: $19,397.53 Cigna — All Commercial Plans: $63,652.01 Molina Healthcare — Medicare Managed Care Plan: $19,774.18 Optum — VACCN Medicare Managed Care Plan: $18,832.55
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc	Not listed in the file	Not listed in the file	$10,261.22 – $32,348.77
Uterus and ovary surgery (not for cancer), without complications: 10 of 14 insurance plan rates Aetna — Medicare Managed Care Plan: $10,569.06 BCBS — Blue Choice: $19,513.92 BCBS — Blue Preferred: $19,513.92 BCBS — Medicare Managed Care Plan: $10,261.22 BCBS — SHP: $15,741 Centene — Exchange: $12,929.14 Centene — Medicare Managed Care Plan: $10,569.06 Cigna — All Commercial Plans: $32,348.77 Molina Healthcare — Medicare Managed Care Plan: $10,774.28 Optum — VACCN Medicare Managed Care Plan: $10,261.22

Source: Carolina Pines Regional Medical Center’s standard charges file (hospitalpricedisclosure.com, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	1304 W Bobo Newsom Hwy, Hartsville, SC 29550
County	Darlington County
State	South Carolina
Phone	(864) 339‑2100
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	420010
Name in Medicare records	CAROLINA PINES REGIONAL MEDICAL CENTER
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(843) 339‑2100^[5]
Official website	cprmc.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

Carolina Pines Regional Medical Center | Hartsville, SC — cprmc.com
Contact Carolina Pines Regional Medical Center — cprmc.com
Health Care Services | Hartsville, SC — cprmc.com
Emergency Room (ER) in Hartsville, SC | 24/7 Emergency Care — cprmc.com
Visitor Information | Carolina Pines Regional Medical Center — cprmc.com
Awards & Accreditations | Carolina Pines Regional Med Center — cprmc.com