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Acute Care Hospital

Newberry County Memorial Hospital

Newberry, South Carolina · Newberry County · Emergency services listed

Summary

Newberry County Memorial Hospital is an acute care hospital in Newberry, South Carolina. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 56 services, specialties and programs. Medicare lists 172 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

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Exterior of Newberry County Memorial Hospital
Photo: Bill Fitzpatrick, CC BY-SA 3.0, via Wikimedia Commons · source · licence

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
90Beds (hospital website)
56Services listed

Quick answers

Does Newberry County Memorial Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Newberry County Memorial Hospital. In a medical emergency, call 911.
Where is Newberry County Memorial Hospital?
2669 Kinard St PO Box 497, Newberry, SC 29108, in Newberry County, South Carolina.
What is the phone number of Newberry County Memorial Hospital?
(803) 405-7145, as listed by Medicare (CMS).
What is the Medicare star rating of Newberry County Memorial Hospital?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][6][8][10][11]

Conditions treated[6][10][11][12]

Treatments[8][13][14]

  • Infusion services
  • Cardiac stress testing
  • Echocardiography
  • CT scan
  • MRI
  • Nuclear medicine
  • Vascular and diagnostic ultrasound
  • X-ray and fluoroscopy
  • Bone densitometry
  • Digital mammography
  • 3D mammography

Procedures[8][10][11][14]

  • Hip and knee joint replacement
  • Arthroscopic knee surgery
  • Carpal tunnel surgery
  • Fracture repair
  • Laparoscopic surgery
  • Appendectomy
  • Cholecystectomy
  • Thyroidectomy
  • Tonsillectomy
  • Hysterectomy
  • Cesarean section
  • Normal delivery
  • Endometrial ablation
  • Tubal ligation
  • Colonoscopy
  • EGD (upper endoscopy)
  • Breast biopsy
  • Sleep apnea surgery

Programs and centers[7][10][12][14]

  • New Beginnings Birthing Unit
  • Back on Track Program (joint replacement education)
  • Cardiac and pulmonary rehabilitation
  • Discharge planning

Emergency care (hospital website)[4][5][6]

Emergency roomYes
Open 24/7Yes
Stroke designationGet with the Guidelines Silver Certification Rural Stroke

Visiting and practical information

VisitingMon-Fri 7 a.m.-7 p.m.; Sat-Sun 9 a.m.-4 p.m[4][5]

Recognition[6]

  • Get with the Guidelines Silver Certification Rural Stroke
  • Get with the Guidelines Silver Certification Rural Coronary Artery Disease (STEMI)

Doctors and clinicians (172)

172 doctors and other clinicians list Newberry County Memorial Hospital 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

Doctors with a page on this site (172)

And 148 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

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

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

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

Clinics and urgent care

Pharmacies

Assisted living nearby

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

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 Newberry County Memorial Hospital 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 hospital5 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well5 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean5 of 5 stars
Quiet at night5 of 5 stars
Rated the hospital 9 or 10 out of 1085%National average: 72%
Would definitely recommend the hospital79%National average: 71%
Nurses “always” communicated well87%National average: 80%
Doctors “always” communicated well85%National average: 80%
Staff “always” explained medicines before giving them68%National average: 62%
Were given information about recovery at home88%National average: 86%
Room and bathroom “always” clean85%National average: 74%
Area around the room “always” quiet at night69%National average: 60%
Completed surveys212Response rate: 26%

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 surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0No 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 patientsToo few cases to report
Deaths within 30 days: heart failure patients13.1%
Deaths within 30 days: pneumonia patients21.1%
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.87No different from the national rate
Complications after hip or knee replacement3.2%

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 attackToo few cases to report
Readmitted within 30 days: heart failure21.2%
Readmitted within 30 days: pneumonia16.4%
Readmitted within 30 days: COPD20%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement5.7%

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)110 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)74%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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 48 common services exactly as Newberry County Memorial Hospital 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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: OUTPATIENT NEW VISIT - 30 MIN $221 $81.77 $79 – $205.53
New patient office visit (about 30–44 minutes): rates for 8 insurance plans
  • Aetna Commercial — PPO: $149.62
  • BCBS Blue Choice — PPO: $128.84
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $142.43
  • Humana Medicaid Replacement — HMO: $142.43
  • Self Pay — PPO: $81.77
  • South Carolina Medicaid — HMO: $142.43
  • United Payers and United Providers (UP & UP) — PPO: $205.53
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: OP VISIT NEW INTERMEDIATE $240 $88.80 $79 – $223.20
New patient office visit (about 30–44 minutes): rates for 8 insurance plans
  • Aetna Commercial — PPO: $162.48
  • BCBS Blue Choice — PPO: $139.92
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $154.68
  • Humana Medicaid Replacement — HMO: $154.68
  • Self Pay — PPO: $88.80
  • South Carolina Medicaid — HMO: $154.68
  • United Payers and United Providers (UP & UP) — PPO: $223.20
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OUTPATIENT NEW VISIT - 30 MIN $221 $81.77 $81.77 – $205.53
New patient office visit (about 30–44 minutes): rates for 6 insurance plans
  • Aetna Commercial — PPO: $149.62
  • BCBS Blue Choice — PPO: $149.18
  • Cigna Commercial — PPO: $176.14
  • Self Pay — PPO: $81.77
  • UHC Options PPO — PPO: $166.41
  • United Payers and United Providers (UP & UP) — PPO: $205.53
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: OP VISIT NEW EXTENDED $362 $133.94 $79 – $336.66
New patient office visit (about 45–59 minutes): rates for 8 insurance plans
  • Aetna Commercial — PPO: $245.07
  • BCBS Blue Choice — PPO: $211.05
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $233.31
  • Humana Medicaid Replacement — HMO: $233.31
  • Self Pay — PPO: $133.94
  • South Carolina Medicaid — HMO: $233.31
  • United Payers and United Providers (UP & UP) — PPO: $336.66
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: OUTPATIENT NEW VISIT - 45 MIN $371 $137.27 $79 – $345.03
New patient office visit (about 45–59 minutes): rates for 8 insurance plans
  • Aetna Commercial — PPO: $251.17
  • BCBS Blue Choice — PPO: $216.29
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $239.11
  • Humana Medicaid Replacement — HMO: $239.11
  • Self Pay — PPO: $137.27
  • South Carolina Medicaid — HMO: $239.11
  • United Payers and United Providers (UP & UP) — PPO: $345.03
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OP VISIT NEW EXTENDED $362 $133.94 $133.94 – $336.66
New patient office visit (about 45–59 minutes): rates for 6 insurance plans
  • Aetna Commercial — PPO: $245.07
  • BCBS Blue Choice — PPO: $244.35
  • Cigna Commercial — PPO: $288.51
  • Self Pay — PPO: $133.94
  • UHC Options PPO — PPO: $272.59
  • United Payers and United Providers (UP & UP) — PPO: $336.66
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: OUTPATIENT NEW VISIT - 60 MIN $483 $178.71 $79 – $449.19
New patient office visit (about 60–74 minutes): rates for 8 insurance plans
  • Aetna Commercial — PPO: $326.99
  • BCBS Blue Choice — PPO: $281.59
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $311.29
  • Humana Medicaid Replacement — HMO: $311.29
  • Self Pay — PPO: $178.71
  • South Carolina Medicaid — HMO: $311.29
  • United Payers and United Providers (UP & UP) — PPO: $449.19
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OUTPATIENT NEW VISIT - 60 MIN $483 $178.71 $178.71 – $449.19
New patient office visit (about 60–74 minutes): rates for 6 insurance plans
  • Aetna Commercial — PPO: $326.99
  • BCBS Blue Choice — PPO: $326.03
  • Cigna Commercial — PPO: $384.95
  • Self Pay — PPO: $178.71
  • UHC Options PPO — PPO: $363.70
  • United Payers and United Providers (UP & UP) — PPO: $449.19
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: VISIT ESTABLISHED INTERMEDIATE $335 $123.95 $79 – $311.55
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans
  • Aetna Commercial — PPO: $226.80
  • BCBS Blue Choice — PPO: $195.31
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $215.91
  • Humana Medicaid Replacement — HMO: $215.91
  • Self Pay — PPO: $123.95
  • South Carolina Medicaid — HMO: $215.91
  • United Payers and United Providers (UP & UP) — PPO: $311.55
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: OUTPT ESTABLISHED VISIT 15 MIN $148 $54.76 $54.76 – $137.64
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans
  • Aetna Commercial — PPO: $100.20
  • BCBS Blue Choice — PPO: $86.28
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $95.39
  • Humana Medicaid Replacement — HMO: $95.39
  • Self Pay — PPO: $54.76
  • South Carolina Medicaid — HMO: $95.39
  • United Payers and United Providers (UP & UP) — PPO: $137.64
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: EVAL & MANAGEMENT 15 MINUTES $335 $123.95 $79 – $311.55
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans
  • Aetna Commercial — PPO: $226.80
  • BCBS Blue Choice — PPO: $195.31
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $215.91
  • Humana Medicaid Replacement — HMO: $215.91
  • Self Pay — PPO: $123.95
  • South Carolina Medicaid — HMO: $215.91
  • United Payers and United Providers (UP & UP) — PPO: $311.55
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: E&M 25 MINUTES PROFESSIONAL $189 $69.93 $69.93 – $175.77
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans
  • Aetna Commercial — PPO: $127.95
  • BCBS Blue Choice — PPO: $110.19
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $121.81
  • Humana Medicaid Replacement — HMO: $121.81
  • Self Pay — PPO: $69.93
  • South Carolina Medicaid — HMO: $121.81
  • United Payers and United Providers (UP & UP) — PPO: $175.77
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: LD ESTABLISHED PATIENT LEVEL 4 $509 $188.33 $79 – $473.37
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans
  • Aetna Commercial — PPO: $344.59
  • BCBS Blue Choice — PPO: $296.75
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $328.05
  • Humana Medicaid Replacement — HMO: $328.05
  • Self Pay — PPO: $188.33
  • South Carolina Medicaid — HMO: $328.05
  • United Payers and United Providers (UP & UP) — PPO: $473.37
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: EVAL & MANAGEMENT 25 MINUTES $403 $149.11 $79 – $374.79
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans
  • Aetna Commercial — PPO: $272.83
  • BCBS Blue Choice — PPO: $234.95
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $259.73
  • Humana Medicaid Replacement — HMO: $259.73
  • Self Pay — PPO: $149.11
  • South Carolina Medicaid — HMO: $259.73
  • United Payers and United Providers (UP & UP) — PPO: $374.79
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: INTERMEDIATE E & M $778 $287.86 $270.59 – $723.54
Emergency room visit (moderate): 10 of 16 insurance plan rates
  • Aetna Commercial — PPO: $526.71
  • Aetna Medicare Advantage — HMO: $270.59
  • Ambetter Exchange — PPO: $284.12
  • BCBS Blue Choice — PPO: $525.15
  • BCBS Medicare Advantrage — HMO: $270.59
  • Cigna Commercial — PPO: $620.07
  • Devoted Health — PPO: $278.71
  • Humana Medicare Advantage — HMO: $278.71
  • Liberty Medicare Advantage — HMO: $286.83
  • Molina Marketplace — PPO: $284.12
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: INTERMEDIATE E & M $778 $287.86 $79 – $723.54
Emergency room visit (moderate): rates for 8 insurance plans
  • Aetna Commercial — PPO: $526.71
  • BCBS Blue Choice — PPO: $453.57
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $501.42
  • Humana Medicaid Replacement — HMO: $501.42
  • Self Pay — PPO: $287.86
  • South Carolina Medicaid — HMO: $501.42
  • United Payers and United Providers (UP & UP) — PPO: $723.54
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier 25 In the file: INTERMEDIATE W/MOD 25 $778 $287.86 $270.59 – $723.54
Emergency room visit (moderate): 10 of 16 insurance plan rates
  • Aetna Commercial — PPO: $526.71
  • Aetna Medicare Advantage — HMO: $270.59
  • Ambetter Exchange — PPO: $284.12
  • BCBS Blue Choice — PPO: $525.15
  • BCBS Medicare Advantrage — HMO: $270.59
  • Cigna Commercial — PPO: $620.07
  • Devoted Health — PPO: $278.71
  • Humana Medicare Advantage — HMO: $278.71
  • Liberty Medicare Advantage — HMO: $286.83
  • Molina Marketplace — PPO: $284.12
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: EXTENDED E & M $1,237 $457.69 $413.60 – $1,150.41
Emergency room visit (moderately high): 10 of 16 insurance plan rates
  • Aetna Commercial — PPO: $837.45
  • Aetna Medicare Advantage — HMO: $413.60
  • Ambetter Exchange — PPO: $434.28
  • BCBS Blue Choice — PPO: $834.98
  • BCBS Medicare Advantrage — HMO: $413.60
  • Cigna Commercial — PPO: $985.89
  • Devoted Health — PPO: $426.01
  • Humana Medicare Advantage — HMO: $426.01
  • Liberty Medicare Advantage — HMO: $438.42
  • Molina Marketplace — PPO: $434.28
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: EXTENDED E & M $1,237 $457.69 $79 – $1,150.41
Emergency room visit (moderately high): rates for 8 insurance plans
  • Aetna Commercial — PPO: $837.45
  • BCBS Blue Choice — PPO: $721.17
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $797.25
  • Humana Medicaid Replacement — HMO: $797.25
  • Self Pay — PPO: $457.69
  • South Carolina Medicaid — HMO: $797.25
  • United Payers and United Providers (UP & UP) — PPO: $1,150.41
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier 25 In the file: EXTENDED W/MOD 25 $1,237 $457.69 $413.60 – $1,150.41
Emergency room visit (moderately high): 10 of 16 insurance plan rates
  • Aetna Commercial — PPO: $837.45
  • Aetna Medicare Advantage — HMO: $413.60
  • Ambetter Exchange — PPO: $434.28
  • BCBS Blue Choice — PPO: $834.98
  • BCBS Medicare Advantrage — HMO: $413.60
  • Cigna Commercial — PPO: $985.89
  • Devoted Health — PPO: $426.01
  • Humana Medicare Advantage — HMO: $426.01
  • Liberty Medicare Advantage — HMO: $438.42
  • Molina Marketplace — PPO: $434.28
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: COMPREHENSIVE E & M $1,827 $675.99 $590.31 – $1,699.11
Emergency room visit (high): 10 of 16 insurance plan rates
  • Aetna Commercial — PPO: $1,236.88
  • Aetna Medicare Advantage — HMO: $590.31
  • Ambetter Exchange — PPO: $619.83
  • BCBS Blue Choice — PPO: $1,233.23
  • BCBS Medicare Advantrage — HMO: $590.31
  • Cigna Commercial — PPO: $1,456.12
  • Devoted Health — PPO: $608.02
  • Humana Medicare Advantage — HMO: $608.02
  • Liberty Medicare Advantage — HMO: $625.73
  • Molina Marketplace — PPO: $619.83
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: COMPREHENSIVE E & M $1,827 $675.99 $79 – $1,699.11
Emergency room visit (high): rates for 8 insurance plans
  • Aetna Commercial — PPO: $1,236.88
  • BCBS Blue Choice — PPO: $1,065.14
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $1,177.50
  • Humana Medicaid Replacement — HMO: $1,177.50
  • Self Pay — PPO: $675.99
  • South Carolina Medicaid — HMO: $1,177.50
  • United Payers and United Providers (UP & UP) — PPO: $1,699.11
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier 25 In the file: COMPREHENSIVE W/MOD 25 $1,827 $675.99 $590.31 – $1,699.11
Emergency room visit (high): 10 of 16 insurance plan rates
  • Aetna Commercial — PPO: $1,236.88
  • Aetna Medicare Advantage — HMO: $590.31
  • Ambetter Exchange — PPO: $619.83
  • BCBS Blue Choice — PPO: $1,233.23
  • BCBS Medicare Advantrage — HMO: $590.31
  • Cigna Commercial — PPO: $1,456.12
  • Devoted Health — PPO: $608.02
  • Humana Medicare Advantage — HMO: $608.02
  • Liberty Medicare Advantage — HMO: $625.73
  • Molina Marketplace — PPO: $619.83

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANEL $412 $152.44 $10.91 – $383.16
Basic metabolic panel (blood test): rates for 9 insurance plans
  • Aetna Commercial — PPO: $278.92
  • BCBS Blue Choice — PPO: $278.10
  • Cigna Commercial — PPO: $328.36
  • Cigna Medicaid Replacement — HMO: $11.46
  • Humana Medicaid Replacement — HMO: $10.91
  • Self Pay — PPO: $152.44
  • South Carolina Medicaid — HMO: $10.91
  • UHC Options PPO — PPO: $310.24
  • United Payers and United Providers (UP & UP) — PPO: $383.16
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: BASIC METABOLIC PANEL $412 $152.44 $79 – $383.16
Basic metabolic panel (blood test): rates for 8 insurance plans
  • Aetna Commercial — PPO: $278.92
  • BCBS Blue Choice — PPO: $240.20
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $265.53
  • Humana Medicaid Replacement — HMO: $265.53
  • Self Pay — PPO: $152.44
  • South Carolina Medicaid — HMO: $265.53
  • United Payers and United Providers (UP & UP) — PPO: $383.16
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHENSIVE METABOLIC $486 $179.82 $12.32 – $451.98
Comprehensive metabolic panel (blood test): rates for 9 insurance plans
  • Aetna Commercial — PPO: $329.02
  • BCBS Blue Choice — PPO: $328.05
  • Cigna Commercial — PPO: $387.34
  • Cigna Medicaid Replacement — HMO: $12.94
  • Humana Medicaid Replacement — HMO: $12.32
  • Self Pay — PPO: $179.82
  • South Carolina Medicaid — HMO: $12.32
  • UHC Options PPO — PPO: $365.96
  • United Payers and United Providers (UP & UP) — PPO: $451.98
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: COMPREHENSIVE METABOLIC $486 $179.82 $79 – $451.98
Comprehensive metabolic panel (blood test): rates for 8 insurance plans
  • Aetna Commercial — PPO: $329.02
  • BCBS Blue Choice — PPO: $283.34
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $313.23
  • Humana Medicaid Replacement — HMO: $313.23
  • Self Pay — PPO: $179.82
  • South Carolina Medicaid — HMO: $313.23
  • United Payers and United Providers (UP & UP) — PPO: $451.98
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: PRENATAL PROFILE $330 $122.10 $30.02 – $306.90
Obstetric blood test panel: rates for 9 insurance plans
  • Aetna Commercial — PPO: $223.41
  • BCBS Blue Choice — PPO: $222.75
  • Cigna Commercial — PPO: $263.01
  • Cigna Medicaid Replacement — HMO: $31.52
  • Humana Medicaid Replacement — HMO: $30.02
  • Self Pay — PPO: $122.10
  • South Carolina Medicaid — HMO: $30.02
  • UHC Options PPO — PPO: $248.49
  • United Payers and United Providers (UP & UP) — PPO: $306.90
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) In the file: PRENATAL PROFILE $330 $122.10 $79 – $306.90
Obstetric blood test panel: rates for 8 insurance plans
  • Aetna Commercial — PPO: $223.41
  • BCBS Blue Choice — PPO: $192.39
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $212.69
  • Humana Medicaid Replacement — HMO: $212.69
  • Self Pay — PPO: $122.10
  • South Carolina Medicaid — HMO: $212.69
  • United Payers and United Providers (UP & UP) — PPO: $306.90
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HF LIPID PROFILE $19 $7.03 $7.03 – $17.67
Cholesterol panel (lipid panel): rates for 9 insurance plans
  • Aetna Commercial — PPO: $12.86
  • BCBS Blue Choice — PPO: $12.83
  • Cigna Commercial — PPO: $15.14
  • Cigna Medicaid Replacement — HMO: $13.27
  • Humana Medicaid Replacement — HMO: $12.64
  • Self Pay — PPO: $7.03
  • South Carolina Medicaid — HMO: $12.64
  • UHC Options PPO — PPO: $14.31
  • United Payers and United Providers (UP & UP) — PPO: $17.67
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PROF $285 $105.45 $12.64 – $265.05
Cholesterol panel (lipid panel): rates for 9 insurance plans
  • Aetna Commercial — PPO: $192.95
  • BCBS Blue Choice — PPO: $192.38
  • Cigna Commercial — PPO: $227.15
  • Cigna Medicaid Replacement — HMO: $13.27
  • Humana Medicaid Replacement — HMO: $12.64
  • Self Pay — PPO: $105.45
  • South Carolina Medicaid — HMO: $12.64
  • UHC Options PPO — PPO: $214.61
  • United Payers and United Providers (UP & UP) — PPO: $265.05
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: HF LIPID PROFILE $19 $7.03 $7.03 – $79
Cholesterol panel (lipid panel): rates for 8 insurance plans
  • Aetna Commercial — PPO: $12.86
  • BCBS Blue Choice — PPO: $11.08
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $12.25
  • Humana Medicaid Replacement — HMO: $12.25
  • Self Pay — PPO: $7.03
  • South Carolina Medicaid — HMO: $12.25
  • United Payers and United Providers (UP & UP) — PPO: $17.67
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL PANEL $470 $173.90 $11.19 – $437.10
Kidney function panel: rates for 9 insurance plans
  • Aetna Commercial — PPO: $318.19
  • BCBS Blue Choice — PPO: $317.25
  • Cigna Commercial — PPO: $374.59
  • Cigna Medicaid Replacement — HMO: $11.75
  • Humana Medicaid Replacement — HMO: $11.19
  • Self Pay — PPO: $173.90
  • South Carolina Medicaid — HMO: $11.19
  • UHC Options PPO — PPO: $353.91
  • United Payers and United Providers (UP & UP) — PPO: $437.10
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL PANEL $470 $173.90 $79 – $437.10
Kidney function panel: rates for 8 insurance plans
  • Aetna Commercial — PPO: $318.19
  • BCBS Blue Choice — PPO: $274.01
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $302.92
  • Humana Medicaid Replacement — HMO: $302.92
  • Self Pay — PPO: $173.90
  • South Carolina Medicaid — HMO: $302.92
  • United Payers and United Providers (UP & UP) — PPO: $437.10
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: LIVER PANEL I $222 $82.14 $10.53 – $206.46
Liver function panel: rates for 9 insurance plans
  • Aetna Commercial — PPO: $150.29
  • BCBS Blue Choice — PPO: $149.85
  • Cigna Commercial — PPO: $176.93
  • Cigna Medicaid Replacement — HMO: $11.06
  • Humana Medicaid Replacement — HMO: $10.53
  • Self Pay — PPO: $82.14
  • South Carolina Medicaid — HMO: $10.53
  • UHC Options PPO — PPO: $167.17
  • United Payers and United Providers (UP & UP) — PPO: $206.46
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: LIVER PANEL I $222 $82.14 $79 – $206.46
Liver function panel: rates for 8 insurance plans
  • Aetna Commercial — PPO: $150.29
  • BCBS Blue Choice — PPO: $129.43
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $143.08
  • Humana Medicaid Replacement — HMO: $143.08
  • Self Pay — PPO: $82.14
  • South Carolina Medicaid — HMO: $143.08
  • United Payers and United Providers (UP & UP) — PPO: $206.46
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS AUTO W/SCOPE $140 $51.80 $4.07 – $130.20
Urine test (automated, with microscope): rates for 9 insurance plans
  • Aetna Commercial — PPO: $94.78
  • BCBS Blue Choice — PPO: $94.50
  • Cigna Commercial — PPO: $111.58
  • Cigna Medicaid Replacement — HMO: $4.27
  • Humana Medicaid Replacement — HMO: $4.07
  • Self Pay — PPO: $51.80
  • South Carolina Medicaid — HMO: $4.07
  • UHC Options PPO — PPO: $105.42
  • United Payers and United Providers (UP & UP) — PPO: $130.20
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: URINALYSIS AUTO W/SCOPE $140 $51.80 $51.80 – $130.20
Urine test (automated, with microscope): rates for 8 insurance plans
  • Aetna Commercial — PPO: $94.78
  • BCBS Blue Choice — PPO: $81.62
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $90.23
  • Humana Medicaid Replacement — HMO: $90.23
  • Self Pay — PPO: $51.80
  • South Carolina Medicaid — HMO: $90.23
  • United Payers and United Providers (UP & UP) — PPO: $130.20
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS AUTO WITH OUT SCOPE $125 $46.25 $2.90 – $116.25
Urine test (automated, without microscope): rates for 9 insurance plans
  • Aetna Commercial — PPO: $84.63
  • BCBS Blue Choice — PPO: $84.38
  • Cigna Commercial — PPO: $99.63
  • Cigna Medicaid Replacement — HMO: $3.05
  • Humana Medicaid Replacement — HMO: $2.90
  • Self Pay — PPO: $46.25
  • South Carolina Medicaid — HMO: $2.90
  • UHC Options PPO — PPO: $94.13
  • United Payers and United Providers (UP & UP) — PPO: $116.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: SPECIFIC GRAVITY-URINE $125 $46.25 $2.90 – $116.25
Urine test (automated, without microscope): rates for 9 insurance plans
  • Aetna Commercial — PPO: $84.63
  • BCBS Blue Choice — PPO: $84.38
  • Cigna Commercial — PPO: $99.63
  • Cigna Medicaid Replacement — HMO: $3.05
  • Humana Medicaid Replacement — HMO: $2.90
  • Self Pay — PPO: $46.25
  • South Carolina Medicaid — HMO: $2.90
  • UHC Options PPO — PPO: $94.13
  • United Payers and United Providers (UP & UP) — PPO: $116.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: PH URINE $125 $46.25 $2.90 – $116.25
Urine test (automated, without microscope): rates for 9 insurance plans
  • Aetna Commercial — PPO: $84.63
  • BCBS Blue Choice — PPO: $84.38
  • Cigna Commercial — PPO: $99.63
  • Cigna Medicaid Replacement — HMO: $3.05
  • Humana Medicaid Replacement — HMO: $2.90
  • Self Pay — PPO: $46.25
  • South Carolina Medicaid — HMO: $2.90
  • UHC Options PPO — PPO: $94.13
  • United Payers and United Providers (UP & UP) — PPO: $116.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA-TOTAL 010322 $214 $79.18 $23.71 – $199.02
PSA (prostate specific antigen) blood test: rates for 9 insurance plans
  • Aetna Commercial — PPO: $144.88
  • BCBS Blue Choice — PPO: $144.45
  • Cigna Commercial — PPO: $170.56
  • Cigna Medicaid Replacement — HMO: $24.90
  • Humana Medicaid Replacement — HMO: $23.71
  • Self Pay — PPO: $79.18
  • South Carolina Medicaid — HMO: $23.71
  • UHC Options PPO — PPO: $161.14
  • United Payers and United Providers (UP & UP) — PPO: $199.02
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HF PSA TOTAL $19 $7.03 $7.03 – $24.90
PSA (prostate specific antigen) blood test: rates for 9 insurance plans
  • Aetna Commercial — PPO: $12.86
  • BCBS Blue Choice — PPO: $12.83
  • Cigna Commercial — PPO: $15.14
  • Cigna Medicaid Replacement — HMO: $24.90
  • Humana Medicaid Replacement — HMO: $23.71
  • Self Pay — PPO: $7.03
  • South Carolina Medicaid — HMO: $23.71
  • UHC Options PPO — PPO: $14.31
  • United Payers and United Providers (UP & UP) — PPO: $17.67
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: PSA-TOTAL 010322 $214 $79.18 $79 – $199.02
PSA (prostate specific antigen) blood test: rates for 8 insurance plans
  • Aetna Commercial — PPO: $144.88
  • BCBS Blue Choice — PPO: $124.76
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $137.92
  • Humana Medicaid Replacement — HMO: $137.92
  • Self Pay — PPO: $79.18
  • South Carolina Medicaid — HMO: $137.92
  • United Payers and United Providers (UP & UP) — PPO: $199.02
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH 142299 $200 $74 $21.65 – $186
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans
  • Aetna Commercial — PPO: $135.40
  • BCBS Blue Choice — PPO: $135
  • Cigna Commercial — PPO: $159.40
  • Cigna Medicaid Replacement — HMO: $22.73
  • Humana Medicaid Replacement — HMO: $21.65
  • Self Pay — PPO: $74
  • South Carolina Medicaid — HMO: $21.65
  • UHC Options PPO — PPO: $150.60
  • United Payers and United Providers (UP & UP) — PPO: $186
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HF TSH $19 $7.03 $7.03 – $22.73
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans
  • Aetna Commercial — PPO: $12.86
  • BCBS Blue Choice — PPO: $12.83
  • Cigna Commercial — PPO: $15.14
  • Cigna Medicaid Replacement — HMO: $22.73
  • Humana Medicaid Replacement — HMO: $21.65
  • Self Pay — PPO: $7.03
  • South Carolina Medicaid — HMO: $21.65
  • UHC Options PPO — PPO: $14.31
  • United Payers and United Providers (UP & UP) — PPO: $17.67
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: TSH 142299 $200 $74 $74 – $186
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans
  • Aetna Commercial — PPO: $135.40
  • BCBS Blue Choice — PPO: $116.60
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $128.90
  • Humana Medicaid Replacement — HMO: $128.90
  • Self Pay — PPO: $74
  • South Carolina Medicaid — HMO: $128.90
  • United Payers and United Providers (UP & UP) — PPO: $186
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC WITH MANUAL DIFF $185 $68.45 $9.56 – $172.05
Complete blood count (CBC) with differential: rates for 9 insurance plans
  • Aetna Commercial — PPO: $125.25
  • BCBS Blue Choice — PPO: $124.88
  • Cigna Commercial — PPO: $147.45
  • Cigna Medicaid Replacement — HMO: $10.04
  • Humana Medicaid Replacement — HMO: $9.56
  • Self Pay — PPO: $68.45
  • South Carolina Medicaid — HMO: $9.56
  • UHC Options PPO — PPO: $139.31
  • United Payers and United Providers (UP & UP) — PPO: $172.05
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC WITH AUTO DIFF $185 $68.45 $9.56 – $172.05
Complete blood count (CBC) with differential: rates for 9 insurance plans
  • Aetna Commercial — PPO: $125.25
  • BCBS Blue Choice — PPO: $124.88
  • Cigna Commercial — PPO: $147.45
  • Cigna Medicaid Replacement — HMO: $10.04
  • Humana Medicaid Replacement — HMO: $9.56
  • Self Pay — PPO: $68.45
  • South Carolina Medicaid — HMO: $9.56
  • UHC Options PPO — PPO: $139.31
  • United Payers and United Providers (UP & UP) — PPO: $172.05
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: CBC WITH MANUAL DIFF $185 $68.45 $68.45 – $172.05
Complete blood count (CBC) with differential: rates for 8 insurance plans
  • Aetna Commercial — PPO: $125.25
  • BCBS Blue Choice — PPO: $107.86
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $119.23
  • Humana Medicaid Replacement — HMO: $119.23
  • Self Pay — PPO: $68.45
  • South Carolina Medicaid — HMO: $119.23
  • United Payers and United Providers (UP & UP) — PPO: $172.05
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC W/O DIFF (H&H) $173 $64.01 $7.68 – $160.89
Complete blood count (CBC), automated: rates for 9 insurance plans
  • Aetna Commercial — PPO: $117.12
  • BCBS Blue Choice — PPO: $116.78
  • Cigna Commercial — PPO: $137.88
  • Cigna Medicaid Replacement — HMO: $8.06
  • Humana Medicaid Replacement — HMO: $7.68
  • Self Pay — PPO: $64.01
  • South Carolina Medicaid — HMO: $7.68
  • UHC Options PPO — PPO: $130.27
  • United Payers and United Providers (UP & UP) — PPO: $160.89
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HF CMP $31 $11.47 $7.68 – $28.83
Complete blood count (CBC), automated: rates for 9 insurance plans
  • Aetna Commercial — PPO: $20.99
  • BCBS Blue Choice — PPO: $20.93
  • Cigna Commercial — PPO: $24.71
  • Cigna Medicaid Replacement — HMO: $8.06
  • Humana Medicaid Replacement — HMO: $7.68
  • Self Pay — PPO: $11.47
  • South Carolina Medicaid — HMO: $7.68
  • UHC Options PPO — PPO: $23.34
  • United Payers and United Providers (UP & UP) — PPO: $28.83
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HF CBC WO DIFF $18 $6.66 $6.66 – $16.74
Complete blood count (CBC), automated: rates for 9 insurance plans
  • Aetna Commercial — PPO: $12.19
  • BCBS Blue Choice — PPO: $12.15
  • Cigna Commercial — PPO: $14.35
  • Cigna Medicaid Replacement — HMO: $8.06
  • Humana Medicaid Replacement — HMO: $7.68
  • Self Pay — PPO: $6.66
  • South Carolina Medicaid — HMO: $7.68
  • UHC Options PPO — PPO: $13.55
  • United Payers and United Providers (UP & UP) — PPO: $16.74
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PT-PROTHROMBIN $113 $41.81 $5.06 – $105.09
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans
  • Aetna Commercial — PPO: $76.50
  • BCBS Blue Choice — PPO: $76.28
  • Cigna Commercial — PPO: $90.06
  • Cigna Medicaid Replacement — HMO: $5.31
  • Humana Medicaid Replacement — HMO: $5.06
  • Self Pay — PPO: $41.81
  • South Carolina Medicaid — HMO: $5.06
  • UHC Options PPO — PPO: $85.09
  • United Payers and United Providers (UP & UP) — PPO: $105.09
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: PT-PROTHROMBIN $113 $41.81 $41.81 – $105.09
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans
  • Aetna Commercial — PPO: $76.50
  • BCBS Blue Choice — PPO: $65.88
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $72.83
  • Humana Medicaid Replacement — HMO: $72.83
  • Self Pay — PPO: $41.81
  • South Carolina Medicaid — HMO: $72.83
  • United Payers and United Providers (UP & UP) — PPO: $105.09
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: LUPUS ANTICOAGULANT 084178 $151 $55.87 $7.74 – $140.43
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans
  • Aetna Commercial — PPO: $102.23
  • BCBS Blue Choice — PPO: $101.93
  • Cigna Commercial — PPO: $120.35
  • Cigna Medicaid Replacement — HMO: $8.13
  • Humana Medicaid Replacement — HMO: $7.74
  • Self Pay — PPO: $55.87
  • South Carolina Medicaid — HMO: $7.74
  • UHC Options PPO — PPO: $113.70
  • United Payers and United Providers (UP & UP) — PPO: $140.43
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT $140 $51.80 $7.74 – $130.20
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans
  • Aetna Commercial — PPO: $94.78
  • BCBS Blue Choice — PPO: $94.50
  • Cigna Commercial — PPO: $111.58
  • Cigna Medicaid Replacement — HMO: $8.13
  • Humana Medicaid Replacement — HMO: $7.74
  • Self Pay — PPO: $51.80
  • South Carolina Medicaid — HMO: $7.74
  • UHC Options PPO — PPO: $105.42
  • United Payers and United Providers (UP & UP) — PPO: $130.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: LUPUS ANTICOAGULANT 084178 $151 $55.87 $55.87 – $140.43
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans
  • Aetna Commercial — PPO: $102.23
  • BCBS Blue Choice — PPO: $88.03
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $97.32
  • Humana Medicaid Replacement — HMO: $97.32
  • Self Pay — PPO: $55.87
  • South Carolina Medicaid — HMO: $97.32
  • United Payers and United Providers (UP & UP) — PPO: $140.43

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD/BRAIN W/O CONT. $2,629 $972.73 $103.63 – $2,444.97
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates
  • Aetna Commercial — PPO: $1,779.83
  • Aetna Medicare Advantage — HMO: $103.63
  • Ambetter Exchange — PPO: $108.81
  • BCBS Blue Choice — PPO: $1,774.58
  • BCBS Medicare Advantrage — HMO: $103.63
  • Cigna Commercial — PPO: $2,095.31
  • Cigna Medicaid Replacement — HMO: $259.32
  • Devoted Health — PPO: $106.74
  • Humana Medicaid Replacement — HMO: $246.97
  • Humana Medicare Advantage — HMO: $106.74
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT HEAD/BRAIN W/O CONT. $2,629 $972.73 $79 – $2,444.97
CT scan of the head or brain, without contrast: rates for 8 insurance plans
  • Aetna Commercial — PPO: $1,779.83
  • BCBS Blue Choice — PPO: $1,532.71
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $1,694.39
  • Humana Medicaid Replacement — HMO: $1,694.39
  • Self Pay — PPO: $972.73
  • South Carolina Medicaid — HMO: $1,694.39
  • United Payers and United Providers (UP & UP) — PPO: $2,444.97
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN W/WO CONT. $4,839 $1,790.43 $345.82 – $4,500.27
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates
  • Aetna Commercial — PPO: $3,276
  • Aetna Medicare Advantage — HMO: $345.82
  • Ambetter Exchange — PPO: $363.11
  • BCBS Blue Choice — PPO: $3,266.33
  • BCBS Medicare Advantrage — HMO: $345.82
  • Cigna Commercial — PPO: $3,856.68
  • Cigna Medicaid Replacement — HMO: $1,365.95
  • Devoted Health — PPO: $356.19
  • Humana Medicaid Replacement — HMO: $1,300.90
  • Humana Medicare Advantage — HMO: $356.19
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MRI BRAIN W/WO CONT. $4,839 $1,790.43 $79 – $4,500.27
MRI of the brain, before and after contrast: rates for 8 insurance plans
  • Aetna Commercial — PPO: $3,276
  • BCBS Blue Choice — PPO: $2,821.14
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $3,118.74
  • Humana Medicaid Replacement — HMO: $3,118.74
  • Self Pay — PPO: $1,790.43
  • South Carolina Medicaid — HMO: $3,118.74
  • United Payers and United Providers (UP & UP) — PPO: $4,500.27
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST 2 VIEWS $530 $196.10 $14.34 – $492.90
Chest X-ray, 2 views: 10 of 19 insurance plan rates
  • Aetna Commercial — PPO: $358.81
  • Aetna Medicare Advantage — HMO: $86.26
  • Ambetter Exchange — PPO: $90.57
  • BCBS Blue Choice — PPO: $357.75
  • BCBS Medicare Advantrage — HMO: $86.26
  • Cigna Commercial — PPO: $422.41
  • Cigna Medicaid Replacement — HMO: $15.06
  • Devoted Health — PPO: $88.85
  • Humana Medicaid Replacement — HMO: $14.34
  • Humana Medicare Advantage — HMO: $88.85
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: CHEST 2 VIEWS $530 $196.10 $79 – $492.90
Chest X-ray, 2 views: rates for 8 insurance plans
  • Aetna Commercial — PPO: $358.81
  • BCBS Blue Choice — PPO: $308.99
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $341.59
  • Humana Medicaid Replacement — HMO: $341.59
  • Self Pay — PPO: $196.10
  • South Carolina Medicaid — HMO: $341.59
  • United Payers and United Providers (UP & UP) — PPO: $492.90
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: LUMBAR SPINE W/OBL MIN 4 VWS $584 $216.08 $47.83 – $543.12
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates
  • Aetna Commercial — PPO: $395.37
  • Aetna Medicare Advantage — HMO: $103.63
  • Ambetter Exchange — PPO: $108.81
  • BCBS Blue Choice — PPO: $394.20
  • BCBS Medicare Advantrage — HMO: $103.63
  • Cigna Commercial — PPO: $465.45
  • Cigna Medicaid Replacement — HMO: $50.22
  • Devoted Health — PPO: $106.74
  • Humana Medicaid Replacement — HMO: $47.83
  • Humana Medicare Advantage — HMO: $106.74
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: LUMBAR SPINE W/OBL MIN 4 VWS $584 $216.08 $79 – $543.12
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans
  • Aetna Commercial — PPO: $395.37
  • BCBS Blue Choice — PPO: $340.47
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $376.39
  • Humana Medicaid Replacement — HMO: $376.39
  • Self Pay — PPO: $216.08
  • South Carolina Medicaid — HMO: $376.39
  • United Payers and United Providers (UP & UP) — PPO: $543.12
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI LUMBAR SP W/O CONTRAST $4,148 $1,534.76 $236.52 – $3,857.64
MRI of the lower back (lumbar spine), without contrast: 10 of 19 insurance plan rates
  • Aetna Commercial — PPO: $2,808.20
  • Aetna Medicare Advantage — HMO: $236.52
  • Ambetter Exchange — PPO: $248.35
  • BCBS Blue Choice — PPO: $2,799.90
  • BCBS Medicare Advantrage — HMO: $236.52
  • Cigna Commercial — PPO: $3,305.96
  • Cigna Medicaid Replacement — HMO: $686.41
  • Devoted Health — PPO: $243.62
  • Humana Medicaid Replacement — HMO: $653.72
  • Humana Medicare Advantage — HMO: $243.62
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MRI LUMBAR SP W/O CONTRAST $4,148 $1,534.76 $79 – $3,857.64
MRI of the lower back (lumbar spine), without contrast: rates for 8 insurance plans
  • Aetna Commercial — PPO: $2,808.20
  • BCBS Blue Choice — PPO: $2,418.28
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $2,673.39
  • Humana Medicaid Replacement — HMO: $2,673.39
  • Self Pay — PPO: $1,534.76
  • South Carolina Medicaid — HMO: $2,673.39
  • United Payers and United Providers (UP & UP) — PPO: $3,857.64
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/CONT $2,766 $1,023.42 $173.86 – $2,572.38
CT scan of the pelvis, with contrast: 10 of 19 insurance plan rates
  • Aetna Commercial — PPO: $1,872.58
  • Aetna Medicare Advantage — HMO: $173.86
  • Ambetter Exchange — PPO: $182.55
  • BCBS Blue Choice — PPO: $1,867.05
  • BCBS Medicare Advantrage — HMO: $173.86
  • Cigna Commercial — PPO: $2,204.50
  • Cigna Medicaid Replacement — HMO: $375.48
  • Devoted Health — PPO: $179.08
  • Humana Medicaid Replacement — HMO: $357.60
  • Humana Medicare Advantage — HMO: $179.08
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT PELVIS W/CONT $2,766 $1,023.42 $79 – $2,572.38
CT scan of the pelvis, with contrast: rates for 8 insurance plans
  • Aetna Commercial — PPO: $1,872.58
  • BCBS Blue Choice — PPO: $1,612.58
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $1,782.69
  • Humana Medicaid Replacement — HMO: $1,782.69
  • Self Pay — PPO: $1,023.42
  • South Carolina Medicaid — HMO: $1,782.69
  • United Payers and United Providers (UP & UP) — PPO: $2,572.38
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier LT In the file: MRI JT LOWER EXT W/O CONT LT $4,011 $1,484.07 $236.52 – $3,730.23
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
  • Aetna Commercial — PPO: $2,715.45
  • Aetna Medicare Advantage — HMO: $236.52
  • Ambetter Exchange — PPO: $248.35
  • BCBS Blue Choice — PPO: $2,707.43
  • BCBS Medicare Advantrage — HMO: $236.52
  • Cigna Commercial — PPO: $3,196.77
  • Cigna Medicaid Replacement — HMO: $614.99
  • Devoted Health — PPO: $243.62
  • Humana Medicaid Replacement — HMO: $585.70
  • Humana Medicare Advantage — HMO: $243.62
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier 50 In the file: MRI JT LOWER EXT BILAT W/O CON $8,019 $2,967.03 $521.83 – $7,457.67
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
  • Aetna Commercial — PPO: $5,428.86
  • Aetna Medicare Advantage — HMO: $521.83
  • Ambetter Exchange — PPO: $547.92
  • BCBS Blue Choice — PPO: $5,412.83
  • BCBS Medicare Advantrage — HMO: $521.83
  • Cigna Commercial — PPO: $6,391.14
  • Cigna Medicaid Replacement — HMO: $614.99
  • Devoted Health — PPO: $537.48
  • Humana Medicaid Replacement — HMO: $585.70
  • Humana Medicare Advantage — HMO: $537.48
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier RT In the file: MRI JT. LOWER EXT W/O CONT RT $4,011 $1,484.07 $236.52 – $3,730.23
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
  • Aetna Commercial — PPO: $2,715.45
  • Aetna Medicare Advantage — HMO: $236.52
  • Ambetter Exchange — PPO: $248.35
  • BCBS Blue Choice — PPO: $2,707.43
  • BCBS Medicare Advantrage — HMO: $236.52
  • Cigna Commercial — PPO: $3,196.77
  • Cigna Medicaid Replacement — HMO: $614.99
  • Devoted Health — PPO: $243.62
  • Humana Medicaid Replacement — HMO: $585.70
  • Humana Medicare Advantage — HMO: $243.62
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD./PELV. W/CONT. $3,289 $1,216.93 $345.82 – $3,058.77
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates
  • Aetna Commercial — PPO: $2,226.65
  • Aetna Medicare Advantage — HMO: $345.82
  • Ambetter Exchange — PPO: $363.11
  • BCBS Blue Choice — PPO: $2,220.08
  • BCBS Medicare Advantrage — HMO: $345.82
  • Cigna Commercial — PPO: $2,621.33
  • Cigna Medicaid Replacement — HMO: $375.48
  • Devoted Health — PPO: $356.19
  • Humana Medicaid Replacement — HMO: $357.60
  • Humana Medicare Advantage — HMO: $356.19
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT ABD./PELV. W/CONT. $3,289 $1,216.93 $79 – $3,058.77
CT scan of the abdomen and pelvis, with contrast: rates for 8 insurance plans
  • Aetna Commercial — PPO: $2,226.65
  • BCBS Blue Choice — PPO: $1,917.49
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $2,119.76
  • Humana Medicaid Replacement — HMO: $2,119.76
  • Self Pay — PPO: $1,216.93
  • South Carolina Medicaid — HMO: $2,119.76
  • United Payers and United Providers (UP & UP) — PPO: $3,058.77
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMP $1,358 $502.46 $103.15 – $1,262.94
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates
  • Aetna Commercial — PPO: $919.37
  • Aetna Medicare Advantage — HMO: $103.63
  • Ambetter Exchange — PPO: $108.81
  • BCBS Blue Choice — PPO: $916.65
  • BCBS Medicare Advantrage — HMO: $103.63
  • Cigna Commercial — PPO: $1,082.33
  • Cigna Medicaid Replacement — HMO: $108.31
  • Devoted Health — PPO: $106.74
  • Humana Medicaid Replacement — HMO: $103.15
  • Humana Medicare Advantage — HMO: $106.74
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US ABDOMEN COMP $1,358 $502.46 $79 – $1,262.94
Ultrasound of the abdomen, complete: rates for 8 insurance plans
  • Aetna Commercial — PPO: $919.37
  • BCBS Blue Choice — PPO: $791.71
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $875.23
  • Humana Medicaid Replacement — HMO: $875.23
  • Self Pay — PPO: $502.46
  • South Carolina Medicaid — HMO: $875.23
  • United Payers and United Providers (UP & UP) — PPO: $1,262.94
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US OB > OR = 14WKS SINGLE $1,038 $384.06 $103.63 – $965.34
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates
  • Aetna Commercial — PPO: $702.73
  • Aetna Medicare Advantage — HMO: $103.63
  • Ambetter Exchange — PPO: $108.81
  • BCBS Blue Choice — PPO: $700.65
  • BCBS Medicare Advantrage — HMO: $103.63
  • Cigna Commercial — PPO: $827.29
  • Cigna Medicaid Replacement — HMO: $115.30
  • Devoted Health — PPO: $106.74
  • Humana Medicaid Replacement — HMO: $109.81
  • Humana Medicare Advantage — HMO: $106.74
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: US OB > OR = 14WKS SINGLE $1,038 $384.06 $79 – $965.34
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans
  • Aetna Commercial — PPO: $702.73
  • BCBS Blue Choice — PPO: $605.15
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $668.99
  • Humana Medicaid Replacement — HMO: $668.99
  • Self Pay — PPO: $384.06
  • South Carolina Medicaid — HMO: $668.99
  • United Payers and United Providers (UP & UP) — PPO: $965.34
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL NON-OB $806 $298.22 $79.74 – $749.58
Transvaginal ultrasound: 10 of 19 insurance plan rates
  • Aetna Commercial — PPO: $545.66
  • Aetna Medicare Advantage — HMO: $103.63
  • Ambetter Exchange — PPO: $108.81
  • BCBS Blue Choice — PPO: $544.05
  • BCBS Medicare Advantrage — HMO: $103.63
  • Cigna Commercial — PPO: $642.38
  • Cigna Medicaid Replacement — HMO: $83.73
  • Devoted Health — PPO: $106.74
  • Humana Medicaid Replacement — HMO: $79.74
  • Humana Medicare Advantage — HMO: $106.74
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: US TRANSVAGINAL NON-OB $806 $298.22 $79 – $749.58
Transvaginal ultrasound: rates for 8 insurance plans
  • Aetna Commercial — PPO: $545.66
  • BCBS Blue Choice — PPO: $469.90
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $519.47
  • Humana Medicaid Replacement — HMO: $519.47
  • Self Pay — PPO: $298.22
  • South Carolina Medicaid — HMO: $519.47
  • United Payers and United Providers (UP & UP) — PPO: $749.58
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: POST PROC UNI MAMM CAD $357 $132.09 $31.34 – $332.01
Diagnostic mammogram, one breast: rates for 9 insurance plans
  • Aetna Commercial — PPO: $241.69
  • BCBS Blue Choice — PPO: $240.98
  • Cigna Commercial — PPO: $284.53
  • Cigna Medicaid Replacement — HMO: $32.91
  • Humana Medicaid Replacement — HMO: $31.34
  • Self Pay — PPO: $132.09
  • South Carolina Medicaid — HMO: $31.34
  • UHC Options PPO — PPO: $268.82
  • United Payers and United Providers (UP & UP) — PPO: $332.01
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: UNILAT DIGITAL DIAG MAM CAD $357 $132.09 $31.34 – $332.01
Diagnostic mammogram, one breast: rates for 9 insurance plans
  • Aetna Commercial — PPO: $241.69
  • BCBS Blue Choice — PPO: $240.98
  • Cigna Commercial — PPO: $284.53
  • Cigna Medicaid Replacement — HMO: $32.91
  • Humana Medicaid Replacement — HMO: $31.34
  • Self Pay — PPO: $132.09
  • South Carolina Medicaid — HMO: $31.34
  • UHC Options PPO — PPO: $268.82
  • United Payers and United Providers (UP & UP) — PPO: $332.01
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) In the file: POST PROC UNI MAMM CAD $357 $132.09 $79 – $332.01
Diagnostic mammogram, one breast: rates for 8 insurance plans
  • Aetna Commercial — PPO: $241.69
  • BCBS Blue Choice — PPO: $208.13
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $230.09
  • Humana Medicaid Replacement — HMO: $230.09
  • Self Pay — PPO: $132.09
  • South Carolina Medicaid — HMO: $230.09
  • United Payers and United Providers (UP & UP) — PPO: $332.01
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: BILAT DIGITAL DIAG MAM CAD $461 $170.57 $39.39 – $428.73
Diagnostic mammogram, both breasts: rates for 9 insurance plans
  • Aetna Commercial — PPO: $312.10
  • BCBS Blue Choice — PPO: $311.18
  • Cigna Commercial — PPO: $367.42
  • Cigna Medicaid Replacement — HMO: $41.36
  • Humana Medicaid Replacement — HMO: $39.39
  • Self Pay — PPO: $170.57
  • South Carolina Medicaid — HMO: $39.39
  • UHC Options PPO — PPO: $347.13
  • United Payers and United Providers (UP & UP) — PPO: $428.73
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: POST PROC BIL MAMM $461 $170.57 $39.39 – $428.73
Diagnostic mammogram, both breasts: rates for 9 insurance plans
  • Aetna Commercial — PPO: $312.10
  • BCBS Blue Choice — PPO: $311.18
  • Cigna Commercial — PPO: $367.42
  • Cigna Medicaid Replacement — HMO: $41.36
  • Humana Medicaid Replacement — HMO: $39.39
  • Self Pay — PPO: $170.57
  • South Carolina Medicaid — HMO: $39.39
  • UHC Options PPO — PPO: $347.13
  • United Payers and United Providers (UP & UP) — PPO: $428.73
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: BILAT DIGITAL DIAG MAM CAD $461 $170.57 $79 – $428.73
Diagnostic mammogram, both breasts: rates for 8 insurance plans
  • Aetna Commercial — PPO: $312.10
  • BCBS Blue Choice — PPO: $268.76
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $297.11
  • Humana Medicaid Replacement — HMO: $297.11
  • Self Pay — PPO: $170.57
  • South Carolina Medicaid — HMO: $297.11
  • United Payers and United Providers (UP & UP) — PPO: $428.73
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: BILAT DIGITAL SCRN MAM CAD $391 $144.67 $33.92 – $363.63
Screening mammogram, both breasts: rates for 9 insurance plans
  • Aetna Commercial — PPO: $264.71
  • BCBS Blue Choice — PPO: $263.93
  • Cigna Commercial — PPO: $311.63
  • Cigna Medicaid Replacement — HMO: $35.62
  • Humana Medicaid Replacement — HMO: $33.92
  • Self Pay — PPO: $144.67
  • South Carolina Medicaid — HMO: $33.92
  • UHC Options PPO — PPO: $294.42
  • United Payers and United Providers (UP & UP) — PPO: $363.63
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: BILAT DIGITAL SCRN MAM CAD $391 $144.67 $79 – $363.63
Screening mammogram, both breasts: rates for 8 insurance plans
  • Aetna Commercial — PPO: $264.71
  • BCBS Blue Choice — PPO: $227.95
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $252
  • Humana Medicaid Replacement — HMO: $252
  • Self Pay — PPO: $144.67
  • South Carolina Medicaid — HMO: $252
  • United Payers and United Providers (UP & UP) — PPO: $363.63
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier 52 In the file: UNILAT DIGITAL SCRN MAM CAD $357 $132.09 $33.92 – $332.01
Screening mammogram, both breasts: rates for 9 insurance plans
  • Aetna Commercial — PPO: $241.69
  • BCBS Blue Choice — PPO: $240.98
  • Cigna Commercial — PPO: $284.53
  • Cigna Medicaid Replacement — HMO: $35.62
  • Humana Medicaid Replacement — HMO: $33.92
  • Self Pay — PPO: $132.09
  • South Carolina Medicaid — HMO: $33.92
  • UHC Options PPO — PPO: $268.82
  • United Payers and United Providers (UP & UP) — PPO: $332.01

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: THERAP EX (OT) EA 15 MIN $170 $62.90 $12.33 – $158.10
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans
  • Aetna Commercial — PPO: $115.09
  • BCBS Blue Choice — PPO: $114.75
  • Cigna Commercial — PPO: $135.49
  • Cigna Medicaid Replacement — HMO: $12.95
  • Humana Medicaid Replacement — HMO: $12.33
  • Self Pay — PPO: $62.90
  • South Carolina Medicaid — HMO: $12.33
  • UHC Options PPO — PPO: $128.01
  • United Payers and United Providers (UP & UP) — PPO: $158.10
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: PTA THERAPY EX EA 15 MIN*KX $170 $62.90 $12.33 – $158.10
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans
  • Aetna Commercial — PPO: $115.09
  • BCBS Blue Choice — PPO: $114.75
  • Cigna Commercial — PPO: $135.49
  • Cigna Medicaid Replacement — HMO: $12.95
  • Humana Medicaid Replacement — HMO: $12.33
  • Self Pay — PPO: $62.90
  • South Carolina Medicaid — HMO: $12.33
  • UHC Options PPO — PPO: $128.01
  • United Payers and United Providers (UP & UP) — PPO: $158.10
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: THER EXCER EACH 15MIN (PT)*KX $170 $62.90 $12.33 – $158.10
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans
  • Aetna Commercial — PPO: $115.09
  • BCBS Blue Choice — PPO: $114.75
  • Cigna Commercial — PPO: $135.49
  • Cigna Medicaid Replacement — HMO: $12.95
  • Humana Medicaid Replacement — HMO: $12.33
  • Self Pay — PPO: $62.90
  • South Carolina Medicaid — HMO: $12.33
  • UHC Options PPO — PPO: $128.01
  • United Payers and United Providers (UP & UP) — PPO: $158.10
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: PT EVAL LOW COMPLEX*KX $279 $103.23 $49.04 – $259.47
Physical therapy evaluation (low complexity): rates for 9 insurance plans
  • Aetna Commercial — PPO: $188.88
  • BCBS Blue Choice — PPO: $188.33
  • Cigna Commercial — PPO: $222.36
  • Cigna Medicaid Replacement — HMO: $51.49
  • Humana Medicaid Replacement — HMO: $49.04
  • Self Pay — PPO: $103.23
  • South Carolina Medicaid — HMO: $49.04
  • UHC Options PPO — PPO: $210.09
  • United Payers and United Providers (UP & UP) — PPO: $259.47
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: PT EVAL LOW COMPLEX $279 $103.23 $49.04 – $259.47
Physical therapy evaluation (low complexity): rates for 9 insurance plans
  • Aetna Commercial — PPO: $188.88
  • BCBS Blue Choice — PPO: $188.33
  • Cigna Commercial — PPO: $222.36
  • Cigna Medicaid Replacement — HMO: $51.49
  • Humana Medicaid Replacement — HMO: $49.04
  • Self Pay — PPO: $103.23
  • South Carolina Medicaid — HMO: $49.04
  • UHC Options PPO — PPO: $210.09
  • United Payers and United Providers (UP & UP) — PPO: $259.47
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · modifier GP In the file: PT EVAL LOW COMPLEX*KX $279 $103.23 $79 – $259.47
Physical therapy evaluation (low complexity): rates for 8 insurance plans
  • Aetna Commercial — PPO: $188.88
  • BCBS Blue Choice — PPO: $162.66
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $179.82
  • Humana Medicaid Replacement — HMO: $179.82
  • Self Pay — PPO: $103.23
  • South Carolina Medicaid — HMO: $179.82
  • United Payers and United Providers (UP & UP) — PPO: $259.47
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: PT EVAL MOD COMPLEX*KX $321 $118.77 $49.04 – $298.53
Physical therapy evaluation (moderate complexity): rates for 9 insurance plans
  • Aetna Commercial — PPO: $217.32
  • BCBS Blue Choice — PPO: $216.68
  • Cigna Commercial — PPO: $255.84
  • Cigna Medicaid Replacement — HMO: $51.49
  • Humana Medicaid Replacement — HMO: $49.04
  • Self Pay — PPO: $118.77
  • South Carolina Medicaid — HMO: $49.04
  • UHC Options PPO — PPO: $241.71
  • United Payers and United Providers (UP & UP) — PPO: $298.53
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: PT EVAL MOD COMPLEX $321 $118.77 $49.04 – $298.53
Physical therapy evaluation (moderate complexity): rates for 9 insurance plans
  • Aetna Commercial — PPO: $217.32
  • BCBS Blue Choice — PPO: $216.68
  • Cigna Commercial — PPO: $255.84
  • Cigna Medicaid Replacement — HMO: $51.49
  • Humana Medicaid Replacement — HMO: $49.04
  • Self Pay — PPO: $118.77
  • South Carolina Medicaid — HMO: $49.04
  • UHC Options PPO — PPO: $241.71
  • United Payers and United Providers (UP & UP) — PPO: $298.53
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · modifier GP In the file: PT EVAL MOD COMPLEX*KX $321 $118.77 $79 – $298.53
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans
  • Aetna Commercial — PPO: $217.32
  • BCBS Blue Choice — PPO: $187.14
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $206.88
  • Humana Medicaid Replacement — HMO: $206.88
  • Self Pay — PPO: $118.77
  • South Carolina Medicaid — HMO: $206.88
  • United Payers and United Providers (UP & UP) — PPO: $298.53
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: PT EVAL HIGH COMPLEX*KX $373 $138.01 $49.04 – $346.89
Physical therapy evaluation (high complexity): rates for 9 insurance plans
  • Aetna Commercial — PPO: $252.52
  • BCBS Blue Choice — PPO: $251.78
  • Cigna Commercial — PPO: $297.28
  • Cigna Medicaid Replacement — HMO: $51.49
  • Humana Medicaid Replacement — HMO: $49.04
  • Self Pay — PPO: $138.01
  • South Carolina Medicaid — HMO: $49.04
  • UHC Options PPO — PPO: $280.87
  • United Payers and United Providers (UP & UP) — PPO: $346.89
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: PT EVAL HIGH COMPLEX $373 $138.01 $49.04 – $346.89
Physical therapy evaluation (high complexity): rates for 9 insurance plans
  • Aetna Commercial — PPO: $252.52
  • BCBS Blue Choice — PPO: $251.78
  • Cigna Commercial — PPO: $297.28
  • Cigna Medicaid Replacement — HMO: $51.49
  • Humana Medicaid Replacement — HMO: $49.04
  • Self Pay — PPO: $138.01
  • South Carolina Medicaid — HMO: $49.04
  • UHC Options PPO — PPO: $280.87
  • United Payers and United Providers (UP & UP) — PPO: $346.89
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · modifier GP In the file: PT EVAL HIGH COMPLEX*KX $373 $138.01 $79 – $346.89
Physical therapy evaluation (high complexity): rates for 8 insurance plans
  • Aetna Commercial — PPO: $252.52
  • BCBS Blue Choice — PPO: $217.46
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $240.40
  • Humana Medicaid Replacement — HMO: $240.40
  • Self Pay — PPO: $138.01
  • South Carolina Medicaid — HMO: $240.40
  • United Payers and United Providers (UP & UP) — PPO: $346.89
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: IND THER 20-30MIN LISW/LMSW PF $164 $60.68 $60.68 – $186.50
Psychotherapy, 30 minutes: 10 of 16 insurance plan rates
  • Aetna Commercial — PPO: $111.03
  • Aetna Medicare Advantage — HMO: $175.94
  • Ambetter Exchange — PPO: $184.74
  • BCBS Blue Choice — PPO: $110.70
  • BCBS Medicare Advantrage — HMO: $175.94
  • Cigna Commercial — PPO: $130.71
  • Devoted Health — PPO: $181.22
  • Humana Medicare Advantage — HMO: $181.22
  • Liberty Medicare Advantage — HMO: $186.50
  • Molina Marketplace — PPO: $184.74
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: IND THER 20-30 MIN LISW/LMSW $370 $136.90 $136.90 – $344.10
Psychotherapy, 30 minutes: 10 of 16 insurance plan rates
  • Aetna Commercial — PPO: $250.49
  • Aetna Medicare Advantage — HMO: $175.94
  • Ambetter Exchange — PPO: $184.74
  • BCBS Blue Choice — PPO: $249.75
  • BCBS Medicare Advantrage — HMO: $175.94
  • Cigna Commercial — PPO: $294.89
  • Devoted Health — PPO: $181.22
  • Humana Medicare Advantage — HMO: $181.22
  • Liberty Medicare Advantage — HMO: $186.50
  • Molina Marketplace — PPO: $184.74
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: IND THER 20-30MIN LISW/LMSW PF $164 $60.68 $60.68 – $152.52
Psychotherapy, 30 minutes: rates for 8 insurance plans
  • Aetna Commercial — PPO: $111.03
  • BCBS Blue Choice — PPO: $95.61
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $105.70
  • Humana Medicaid Replacement — HMO: $105.70
  • Self Pay — PPO: $60.68
  • South Carolina Medicaid — HMO: $105.70
  • United Payers and United Providers (UP & UP) — PPO: $152.52
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: IND THER 45-50MIN LISW/LMSW PF $205 $75.85 $75.85 – $190.65
Psychotherapy, 45 minutes: 10 of 16 insurance plan rates
  • Aetna Commercial — PPO: $138.79
  • Aetna Medicare Advantage — HMO: $175.94
  • Ambetter Exchange — PPO: $184.74
  • BCBS Blue Choice — PPO: $138.38
  • BCBS Medicare Advantrage — HMO: $175.94
  • Cigna Commercial — PPO: $163.39
  • Devoted Health — PPO: $181.22
  • Humana Medicare Advantage — HMO: $181.22
  • Liberty Medicare Advantage — HMO: $186.50
  • Molina Marketplace — PPO: $184.74
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: IND THER 45-50 MIN LISW/LMSW $537 $198.69 $175.94 – $499.41
Psychotherapy, 45 minutes: 10 of 16 insurance plan rates
  • Aetna Commercial — PPO: $363.55
  • Aetna Medicare Advantage — HMO: $175.94
  • Ambetter Exchange — PPO: $184.74
  • BCBS Blue Choice — PPO: $362.48
  • BCBS Medicare Advantrage — HMO: $175.94
  • Cigna Commercial — PPO: $427.99
  • Devoted Health — PPO: $181.22
  • Humana Medicare Advantage — HMO: $181.22
  • Liberty Medicare Advantage — HMO: $186.50
  • Molina Marketplace — PPO: $184.74
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: IND THER 45-50MIN LISW/LMSW PF $205 $75.85 $75.85 – $190.65
Psychotherapy, 45 minutes: rates for 8 insurance plans
  • Aetna Commercial — PPO: $138.79
  • BCBS Blue Choice — PPO: $119.52
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $132.12
  • Humana Medicaid Replacement — HMO: $132.12
  • Self Pay — PPO: $75.85
  • South Carolina Medicaid — HMO: $132.12
  • United Payers and United Providers (UP & UP) — PPO: $190.65
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY THERAPY LISW/LMSW P $278 $102.86 $102.86 – $258.54
Family psychotherapy, with the patient: 10 of 16 insurance plan rates
  • Aetna Commercial — PPO: $188.21
  • Aetna Medicare Advantage — HMO: $175.94
  • Ambetter Exchange — PPO: $184.74
  • BCBS Blue Choice — PPO: $187.65
  • BCBS Medicare Advantrage — HMO: $175.94
  • Cigna Commercial — PPO: $221.57
  • Devoted Health — PPO: $181.22
  • Humana Medicare Advantage — HMO: $181.22
  • Liberty Medicare Advantage — HMO: $186.50
  • Molina Marketplace — PPO: $184.74
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY THERAPY LISW/LMSW $604 $223.48 $175.94 – $561.72
Family psychotherapy, with the patient: 10 of 16 insurance plan rates
  • Aetna Commercial — PPO: $408.91
  • Aetna Medicare Advantage — HMO: $175.94
  • Ambetter Exchange — PPO: $184.74
  • BCBS Blue Choice — PPO: $407.70
  • BCBS Medicare Advantrage — HMO: $175.94
  • Cigna Commercial — PPO: $481.39
  • Devoted Health — PPO: $181.22
  • Humana Medicare Advantage — HMO: $181.22
  • Liberty Medicare Advantage — HMO: $186.50
  • Molina Marketplace — PPO: $184.74
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) In the file: FAMILY THERAPY LISW/LMSW P $278 $102.86 $79 – $258.54
Family psychotherapy, with the patient: rates for 8 insurance plans
  • Aetna Commercial — PPO: $188.21
  • BCBS Blue Choice — PPO: $162.07
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $179.17
  • Humana Medicaid Replacement — HMO: $179.17
  • Self Pay — PPO: $102.86
  • South Carolina Medicaid — HMO: $179.17
  • United Payers and United Providers (UP & UP) — PPO: $258.54
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: PROCESS GROUP LISW/LMSW $270 $99.90 $99.90 – $251.10
Group psychotherapy: 10 of 16 insurance plan rates
  • Aetna Commercial — PPO: $182.79
  • Aetna Medicare Advantage — HMO: $100.70
  • Ambetter Exchange — PPO: $105.74
  • BCBS Blue Choice — PPO: $182.25
  • BCBS Medicare Advantrage — HMO: $100.70
  • Cigna Commercial — PPO: $215.19
  • Devoted Health — PPO: $103.72
  • Humana Medicare Advantage — HMO: $103.72
  • Liberty Medicare Advantage — HMO: $106.74
  • Molina Marketplace — PPO: $105.74
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: PROCESS GROUP LIWS/LMSW PF $330 $122.10 $100.70 – $306.90
Group psychotherapy: 10 of 16 insurance plan rates
  • Aetna Commercial — PPO: $223.41
  • Aetna Medicare Advantage — HMO: $100.70
  • Ambetter Exchange — PPO: $105.74
  • BCBS Blue Choice — PPO: $222.75
  • BCBS Medicare Advantrage — HMO: $100.70
  • Cigna Commercial — PPO: $263.01
  • Devoted Health — PPO: $103.72
  • Humana Medicare Advantage — HMO: $103.72
  • Liberty Medicare Advantage — HMO: $106.74
  • Molina Marketplace — PPO: $105.74
Group psychotherapy CPT 90853 · Inpatient (hospital stay) In the file: PROCESS GROUP LISW/LMSW $270 $99.90 $79 – $251.10
Group psychotherapy: rates for 8 insurance plans
  • Aetna Commercial — PPO: $182.79
  • BCBS Blue Choice — PPO: $157.41
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $174.02
  • Humana Medicaid Replacement — HMO: $174.02
  • Self Pay — PPO: $99.90
  • South Carolina Medicaid — HMO: $174.02
  • United Payers and United Providers (UP & UP) — PPO: $251.10

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAG W/SPECIMEN COLLECTION $3,264 $1,207.68 $822.23 – $3,035.52
Upper GI endoscopy (diagnostic): 10 of 19 insurance plan rates
  • Aetna Commercial — PPO: $2,209.73
  • Aetna Medicare Advantage — HMO: $899.03
  • Ambetter Exchange — PPO: $943.98
  • BCBS Blue Choice — PPO: $2,203.20
  • BCBS Medicare Advantrage — HMO: $899.03
  • Cigna Commercial — PPO: $2,601.41
  • Cigna Medicaid Replacement — HMO: $863.34
  • Devoted Health — PPO: $926
  • Humana Medicaid Replacement — HMO: $822.23
  • Humana Medicare Advantage — HMO: $926
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: EGD DIAG W/SPECIMEN COLLECTION $3,264 $1,207.68 $79 – $3,035.52
Upper GI endoscopy (diagnostic): rates for 8 insurance plans
  • Aetna Commercial — PPO: $2,209.73
  • BCBS Blue Choice — PPO: $1,902.91
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $2,103.65
  • Humana Medicaid Replacement — HMO: $2,103.65
  • Self Pay — PPO: $1,207.68
  • South Carolina Medicaid — HMO: $2,103.65
  • United Payers and United Providers (UP & UP) — PPO: $3,035.52
Prostate biopsy CPT 55700 · Inpatient (hospital stay) In the file: US*PROSTATE B $4,639 $1,716.43 $79 – $4,314.27
Prostate biopsy: rates for 8 insurance plans
  • Aetna Commercial — PPO: $3,140.60
  • BCBS Blue Choice — PPO: $2,704.54
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $2,989.84
  • Humana Medicaid Replacement — HMO: $2,989.84
  • Self Pay — PPO: $1,716.43
  • South Carolina Medicaid — HMO: $2,989.84
  • United Payers and United Providers (UP & UP) — PPO: $4,314.27
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: US*PROSTATE B $4,639 $1,716.43 $1,716.43 – $4,314.27
Prostate biopsy: rates for 6 insurance plans
  • Aetna Commercial — PPO: $3,140.60
  • BCBS Blue Choice — PPO: $3,131.33
  • Cigna Commercial — PPO: $3,697.28
  • Self Pay — PPO: $1,716.43
  • UHC Options PPO — PPO: $3,493.17
  • United Payers and United Providers (UP & UP) — PPO: $4,314.27
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: EPIDURAL LUMBAR/SAC WITH IMAGE $2,688 $994.56 $184.41 – $2,499.84
Spinal injection, lower back (epidural), with imaging guidance: 10 of 19 insurance plan rates
  • Aetna Commercial — PPO: $1,819.78
  • Aetna Medicare Advantage — HMO: $699.68
  • Ambetter Exchange — PPO: $734.66
  • BCBS Blue Choice — PPO: $1,814.40
  • BCBS Medicare Advantrage — HMO: $699.68
  • Cigna Commercial — PPO: $2,142.34
  • Cigna Medicaid Replacement — HMO: $193.63
  • Devoted Health — PPO: $720.67
  • Humana Medicaid Replacement — HMO: $184.41
  • Humana Medicare Advantage — HMO: $720.67
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: ESI LUMBAR SPINE $2,688 $994.56 $184.41 – $2,499.84
Spinal injection, lower back (epidural), with imaging guidance: 10 of 19 insurance plan rates
  • Aetna Commercial — PPO: $1,819.78
  • Aetna Medicare Advantage — HMO: $699.68
  • Ambetter Exchange — PPO: $734.66
  • BCBS Blue Choice — PPO: $1,814.40
  • BCBS Medicare Advantrage — HMO: $699.68
  • Cigna Commercial — PPO: $2,142.34
  • Cigna Medicaid Replacement — HMO: $193.63
  • Devoted Health — PPO: $720.67
  • Humana Medicaid Replacement — HMO: $184.41
  • Humana Medicare Advantage — HMO: $720.67
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: EPIDURAL LUMBAR/SAC WITH IMAGE $2,688 $994.56 $79 – $2,499.84
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans
  • Aetna Commercial — PPO: $1,819.78
  • BCBS Blue Choice — PPO: $1,567.10
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $1,732.42
  • Humana Medicaid Replacement — HMO: $1,732.42
  • Self Pay — PPO: $994.56
  • South Carolina Medicaid — HMO: $1,732.42
  • United Payers and United Providers (UP & UP) — PPO: $2,499.84
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: CT GUIDED INJ. LS SPN SING. LV $2,688 $994.56 $293.65 – $2,499.84
Nerve root injection, lower back, with imaging guidance: 10 of 19 insurance plan rates
  • Aetna Commercial — PPO: $1,819.78
  • Aetna Medicare Advantage — HMO: $876.72
  • Ambetter Exchange — PPO: $920.56
  • BCBS Blue Choice — PPO: $1,814.40
  • BCBS Medicare Advantrage — HMO: $876.72
  • Cigna Commercial — PPO: $2,142.34
  • Cigna Medicaid Replacement — HMO: $308.33
  • Devoted Health — PPO: $903.02
  • Humana Medicaid Replacement — HMO: $293.65
  • Humana Medicare Advantage — HMO: $903.02
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: CT GUIDED INJ. LS SPN SING. LV $2,688 $994.56 $79 – $2,499.84
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans
  • Aetna Commercial — PPO: $1,819.78
  • BCBS Blue Choice — PPO: $1,567.10
  • Cigna Commercial — PPO: $79
  • Cigna Medicaid Replacement — HMO: $1,732.42
  • Humana Medicaid Replacement — HMO: $1,732.42
  • Self Pay — PPO: $994.56
  • South Carolina Medicaid — HMO: $1,732.42
  • United Payers and United Providers (UP & UP) — PPO: $2,499.84

Source: Newberry County Memorial Hospital’s standard charges file (newberryhealth.slicedhealth.io, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 30, 2026; retrieved November 1, 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 typeAcute Care Hospital
Address2669 Kinard St PO Box 497, Newberry, SC 29108
CountyNewberry County
StateSouth Carolina
Phone(803) 405‑7145
Emergency servicesYes
OwnershipVoluntary non-profit - Other
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number420053
Name in Medicare recordsNEWBERRY COUNTY MEMORIAL HOSPITAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(803) 276‑7570[4][5]
Name on the hospital’s websiteNewberry Health
Official websitenewberryhealth.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Newberry Health — newberryhealth.org
  2. Newberry Health Hospital — newberryhealth.org
  3. Emergency Department | Newberry County SC — newberryhealth.org
  4. Discharge Services | Newberry Health Hospital — newberryhealth.org
  5. Diagnostic Imaging & Radiology | Newberry County SC — newberryhealth.org
  6. Orthopedics | Newberry County SC — newberryhealth.org
  7. Surgical Services | Newberry County SC — newberryhealth.org
  8. Cardiac and Pulmonary Rehabilitation | Newberry County SC — newberryhealth.org
  9. Oncology and Infusion Center | Newberry County SC — newberryhealth.org
  10. Women's Healthcare Services | Newberry County SC — newberryhealth.org