Does Novant Health Hilton Head Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Novant Health Hilton Head Medical Center. In a medical emergency, call 911.

Where is Novant Health Hilton Head Medical Center?

25 Hospital Center Blvd, Hilton Head Island, SC 29926, in Beaufort County, South Carolina.

What is the phone number of Novant Health Hilton Head Medical Center?

(843) 681-6122, as listed by Medicare (CMS).

What is the Medicare star rating of Novant Health Hilton Head Medical Center?

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

Novant Health Hilton Head Medical Center

Quick answers

Does Novant Health Hilton Head Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Novant Health Hilton Head Medical Center. In a medical emergency, call 911.
Where is Novant Health Hilton Head Medical Center?: 25 Hospital Center Blvd, Hilton Head Island, SC 29926, in Beaufort County, South Carolina.
What is the phone number of Novant Health Hilton Head Medical Center?: (843) 681-6122, as listed by Medicare (CMS).
What is the Medicare star rating of Novant Health Hilton Head Medical Center?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[5]

Emergency care (hospital website)^[5]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Some units set their own visiting hours. Bring government-issued ID for a visitor badge. Overnight guests are allowed in some areas^[7]

Doctors and clinicians (413)

413 doctors and other clinicians list Novant Health Hilton Head 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 389 more: the button below opens the full list.

Other emergency rooms nearby

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

Beaufort County Memorial Hospital13 mi · Beaufort, SC · Acute Care Hospital
Coastal Carolina Hospital20 mi · Hardeeville, SC · Acute Care Hospital
Savannah Health Services LLC dba Memorial Health University Medical Center26 mi · Savannah, GA · Acute Care Hospital
Georgia Regional Hosp Savannah27 mi · Savannah, GA · Psychiatric Hospital
Candler Hospital30 mi · Savannah, GA · Acute Care Hospital

Other hospitals nearby

Encompass Health Rehab Hospital of Bluffton11 mi · Bluffton, SC · Inpatient Rehabilitation Hospital
NH Beaufort12 mi · Beaufort, SC · Military Hospital (Department of Defense)
Select Specialty Hospital - Savannah, Inc26 mi · Savannah, GA · Long-Term Acute Care 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

Life Care Center of Hilton Head0.2 mi · Hilton Head Island, SC · 1 of 5 stars
The Preston Health Center1.5 mi · Hilton Head Island, SC · 5 of 5 stars
Broad Creek Care Center5.2 mi · Hilton Head Island, SC · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Crescent Hospice11 mi · Bluffton, SC · 3 of 5 stars
Hospice Care of the Lowcountry11 mi · Bluffton, SC · 3 of 5 stars
Pruitthealth Hospice-Beaufort11 mi · Bluffton, SC

All hospice providers in the state →

Home health agencies

Amedisys Home Health of Bluffton11 mi · Bluffton, SC
Enhabit Home Health Bluffton11 mi · Bluffton, SC · 3 of 5 stars
Pruitthealth Home Health-Low Country11 mi · Bluffton, SC

All home health agencies in the state →

Dialysis facilities

FMC BMA of Beaufort Inc Low Country Dialysis11 mi · Port Royal, SC · 3 of 5 stars
DaVita Bluffton Dialysis11 mi · Bluffton, SC · 4 of 5 stars
Fresenius Kidney Care Port Royal15 mi · Beaufort, 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.

Laser and Skin Surgery Center1.5 mi · Hilton Head Island, SC
Outpatient Surgery Center of Hilton Head1.5 mi · Hilton Head Island, SC
Bluffton Okatie Outpatient Center11 mi · Bluffton, 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

Port Royal Medical Center II11 mi · Port Royal, SC · Community health center
Port Royal Medical Center12 mi · Port Royal, SC · Community health center
Port Royal Medical Center II12 mi · Port Royal, SC · Community health center

Clinics and urgent care

David E Dorsner MD PA1.5 mi · Hilton Head, SC · Urgent care center
Beaufort County Memorial Hospital4.6 mi · Hilton Head Island, SC · Urgent care center
Sea Pines Circle Immediate Care, LLC4.6 mi · Hilton Head, SC · Urgent care center

Pharmacies

Dap Inc1.5 mi · Hilton Head Island, SC · Pharmacy
Publix Super Markets Inc1.5 mi · Hilton Head Island, SC · Community/retail pharmacy
Wal-Mart Stores East LP1.5 mi · Hilton Head Island, SC · Community/retail pharmacy

Assisted living nearby

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

Bayshore on Hilton Head Island1.5 mi · Hilton Head Island, SC
Harbor Cove Memory Care1.5 mi · Hilton Head Island, SC
Pines at Hilton Head1.5 mi · Hilton Head Island, SC
Village Cove Assisted Living1.5 mi · Hilton Head Island, 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 Novant Health Hilton Head 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)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	1 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	56%National average: 72%
Would definitely recommend the hospital	55%National average: 71%
Nurses “always” communicated well	74%National average: 80%
Doctors “always” communicated well	77%National average: 80%
Staff “always” explained medicines before giving them	57%National average: 62%
Were given information about recovery at home	81%National average: 86%
Room and bathroom “always” clean	61%National average: 74%
Area around the room “always” quiet at night	44%National average: 60%
Completed surveys	524Response rate: 29%

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	1.083No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0.301Better than 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	13.2%
Deaths within 30 days: heart failure patients	9.8%
Deaths within 30 days: pneumonia patients	17.8%
Deaths within 30 days: COPD patients	10.6%
Deaths within 30 days: stroke patients	14.2%
Deaths within 30 days: coronary bypass surgery (CABG)	2.4%
Serious complications (patient safety indicator PSI-90)	0.88No different from the national rate
Complications after hip or knee replacement	4.5%

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	14.9%
Readmitted within 30 days: heart failure	22.9%
Readmitted within 30 days: pneumonia	19.2%
Readmitted within 30 days: COPD	20.4%
Readmitted within 30 days: coronary bypass surgery	11.4%
Readmitted within 30 days: hip or knee replacement	5.7%

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)	166 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	48%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 86 common services exactly as Novant Health Hilton Head 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 O/P NEW LOW 30 MIN	Not listed in the file	$136.36	$72.62 – $136.36
New patient office visit (about 30–44 minutes): 10 of 30 insurance plan rates Aetna — Medicare Advantage: $72.62 BlueCross BlueShield of South Carolina — State Health Plan: $136.36 Absolute Total Care — Medicaid: 26.61% (a percentage in the contract, not a dollar amount) Aetna — ACA: 50% (a percentage in the contract, not a dollar amount) Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount) Aetna — ASA: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 36% (a percentage in the contract, not a dollar amount) Aetna — FH: 58.8% (a percentage in the contract, not a dollar amount) Aetna — NAP: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 50% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	$188.70	$123.38 – $188.70
New patient office visit (about 45–59 minutes): 10 of 30 insurance plan rates Aetna — Medicare Advantage: $123.38 BlueCross BlueShield of South Carolina — State Health Plan: $188.70 Absolute Total Care — Medicaid: 26.61% (a percentage in the contract, not a dollar amount) Aetna — ACA: 50% (a percentage in the contract, not a dollar amount) Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount) Aetna — ASA: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 36% (a percentage in the contract, not a dollar amount) Aetna — FH: 58.8% (a percentage in the contract, not a dollar amount) Aetna — NAP: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 50% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	$255.41	$161.05 – $255.41
New patient office visit (about 60–74 minutes): 10 of 30 insurance plan rates Aetna — Medicare Advantage: $161.05 BlueCross BlueShield of South Carolina — State Health Plan: $255.41 Absolute Total Care — Medicaid: 26.61% (a percentage in the contract, not a dollar amount) Aetna — ACA: 50% (a percentage in the contract, not a dollar amount) Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount) Aetna — ASA: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 36% (a percentage in the contract, not a dollar amount) Aetna — FH: 58.8% (a percentage in the contract, not a dollar amount) Aetna — NAP: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 50% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	$108.50	$49.01 – $108.50
Established patient office visit (about 20–29 minutes): 10 of 30 insurance plan rates Aetna — Medicare Advantage: $49.01 BlueCross BlueShield of South Carolina — State Health Plan: $108.50 Absolute Total Care — Medicaid: 26.61% (a percentage in the contract, not a dollar amount) Aetna — ACA: 50% (a percentage in the contract, not a dollar amount) Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount) Aetna — ASA: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 36% (a percentage in the contract, not a dollar amount) Aetna — FH: 58.8% (a percentage in the contract, not a dollar amount) Aetna — NAP: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 50% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	$145.87	$75.67 – $145.87
Established patient office visit (about 30–39 minutes): 10 of 30 insurance plan rates Aetna — Medicare Advantage: $75.67 BlueCross BlueShield of South Carolina — State Health Plan: $145.87 Absolute Total Care — Medicaid: 26.61% (a percentage in the contract, not a dollar amount) Aetna — ACA: 50% (a percentage in the contract, not a dollar amount) Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount) Aetna — ASA: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 36% (a percentage in the contract, not a dollar amount) Aetna — FH: 58.8% (a percentage in the contract, not a dollar amount) Aetna — NAP: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 50% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$93.28
Office consultation with a specialist (moderate): 10 of 31 insurance plan rates Aetna — Medicare Advantage: $93.28 Absolute Total Care — Medicaid: 26.61% (a percentage in the contract, not a dollar amount) Aetna — ACA: 50% (a percentage in the contract, not a dollar amount) Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount) Aetna — ASA: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 36% (a percentage in the contract, not a dollar amount) Aetna — FH: 58.8% (a percentage in the contract, not a dollar amount) Aetna — NAP: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 50% (a percentage in the contract, not a dollar amount) BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): 16.9% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$149.89
Office consultation with a specialist (moderate to high): 10 of 31 insurance plan rates Aetna — Medicare Advantage: $149.89 Absolute Total Care — Medicaid: 26.61% (a percentage in the contract, not a dollar amount) Aetna — ACA: 50% (a percentage in the contract, not a dollar amount) Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount) Aetna — ASA: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 36% (a percentage in the contract, not a dollar amount) Aetna — FH: 58.8% (a percentage in the contract, not a dollar amount) Aetna — NAP: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 50% (a percentage in the contract, not a dollar amount) BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): 16.9% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$95.38
Preventive checkup, new patient, age 18–39: 10 of 27 insurance plan rates Aetna — Medicare Advantage: $95.38 Absolute Total Care — Medicaid: 26.61% (a percentage in the contract, not a dollar amount) Aetna — ACA: 50% (a percentage in the contract, not a dollar amount) Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount) Aetna — ASA: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 36% (a percentage in the contract, not a dollar amount) Aetna — FH: 58.8% (a percentage in the contract, not a dollar amount) Aetna — NAP: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 50% (a percentage in the contract, not a dollar amount) BlueCross BlueShield of South Carolina — State Health Plan: 50% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$116.01
Preventive checkup, new patient, age 40–64: 10 of 27 insurance plan rates Aetna — Medicare Advantage: $116.01 Absolute Total Care — Medicaid: 26.61% (a percentage in the contract, not a dollar amount) Aetna — ACA: 50% (a percentage in the contract, not a dollar amount) Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount) Aetna — ASA: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 36% (a percentage in the contract, not a dollar amount) Aetna — FH: 58.8% (a percentage in the contract, not a dollar amount) Aetna — NAP: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 50% (a percentage in the contract, not a dollar amount) BlueCross BlueShield of South Carolina — State Health Plan: 50% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM	Not listed in the file	$440.87	$253.89 – $568.71
Emergency room visit (moderate): 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $418.92 Absolute Total Care — Medicare Advantage: $253.89 Absolute Total Care — MMP: $253.89 Aetna — Medicare Advantage: $253.89 BlueCross BlueShield of South Carolina — State Health Plan: $440.87 Cigna — HealthSpring: $261.51 Clover Insurance Company — HMO MA: $264.05 Clover Insurance Company — PPO MA: $264.05 Devoted Health Plan — HMO MA: $253.89 Devoted Health Plan — PPO MA: $253.89
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM	Not listed in the file	$702.29	$388.09 – $869.32
Emergency room visit (moderately high): 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $640.35 Absolute Total Care — Medicare Advantage: $388.09 Absolute Total Care — MMP: $388.09 Aetna — Medicare Advantage: $388.09 BlueCross BlueShield of South Carolina — State Health Plan: $702.29 Cigna — HealthSpring: $399.73 Clover Insurance Company — HMO MA: $403.61 Clover Insurance Company — PPO MA: $403.61 Devoted Health Plan — HMO MA: $388.09 Devoted Health Plan — PPO MA: $388.09
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM	Not listed in the file	$1,043.47	$553.89 – $1,240.71
Emergency room visit (high): 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $913.92 Absolute Total Care — Medicare Advantage: $553.89 Absolute Total Care — MMP: $553.89 Aetna — Medicare Advantage: $553.89 BlueCross BlueShield of South Carolina — State Health Plan: $1,043.47 Cigna — HealthSpring: $570.51 Clover Insurance Company — HMO MA: $576.05 Clover Insurance Company — PPO MA: $576.05 Devoted Health Plan — HMO MA: $553.89 Devoted Health Plan — PPO MA: $553.89

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	$31.25	$8.46 – $136.55
Basic metabolic panel (blood test): 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $13.96 Absolute Total Care — Medicaid: $11.46 Absolute Total Care — Medicare Advantage: $8.46 Absolute Total Care — MMP: $8.46 Aetna — Medicare Advantage: $8.46 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $75.35 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $136.55 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $75.35 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $136.55 BlueCross BlueShield of South Carolina — State Health Plan: $31.25
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	$35.71	$10.56 – $185.23
Comprehensive metabolic panel (blood test): 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $17.42 Absolute Total Care — Medicaid: $12.94 Absolute Total Care — Medicare Advantage: $10.56 Absolute Total Care — MMP: $10.56 Aetna — Medicare Advantage: $10.56 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $102.21 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $185.23 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $102.21 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $185.23 BlueCross BlueShield of South Carolina — State Health Plan: $35.71
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	$58.99	$30.02 – $107.09
Obstetric blood test panel: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $78.89 Absolute Total Care — Medicaid: $31.52 Absolute Total Care — Medicare Advantage: $47.81 Absolute Total Care — MMP: $47.81 Aetna — Medicare Advantage: $47.81 BlueCross BlueShield of South Carolina — State Health Plan: $58.99 Cigna — HealthSpring: $49.24 Clover Insurance Company — HMO MA: $49.72 Clover Insurance Company — PPO MA: $49.72 Devoted Health Plan — HMO MA: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	Not listed in the file	$41.90	$12.64 – $209.63
Cholesterol panel (lipid panel): 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $22.09 Absolute Total Care — Medicaid: $13.27 Absolute Total Care — Medicare Advantage: $13.39 Absolute Total Care — MMP: $13.39 Aetna — Medicare Advantage: $13.39 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $115.68 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $209.63 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $115.68 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $209.63 BlueCross BlueShield of South Carolina — State Health Plan: $41.90
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	Not listed in the file	$35.68	$8.68 – $231.01
Kidney function panel: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $14.32 Absolute Total Care — Medicaid: $11.75 Absolute Total Care — Medicare Advantage: $8.68 Absolute Total Care — MMP: $8.68 Aetna — Medicare Advantage: $8.68 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $127.47 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $231.01 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $127.47 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $231.01 BlueCross BlueShield of South Carolina — State Health Plan: $35.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	Not listed in the file	$38.30	$8.17 – $185.61
Liver function panel: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $13.48 Absolute Total Care — Medicaid: $11.06 Absolute Total Care — Medicare Advantage: $8.17 Absolute Total Care — MMP: $8.17 Aetna — Medicare Advantage: $8.17 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $102.42 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $185.61 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $102.42 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $185.61 BlueCross BlueShield of South Carolina — State Health Plan: $38.30
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	$12.49	$3.17 – $104.02
Urine test (automated, with microscope): 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $5.23 Absolute Total Care — Medicaid: $4.27 Absolute Total Care — Medicare Advantage: $3.17 Absolute Total Care — MMP: $3.17 Aetna — Medicare Advantage: $3.17 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $57.40 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $104.02 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $57.40 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $104.02 BlueCross BlueShield of South Carolina — State Health Plan: $12.49
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	$9.81	$3.29 – $9.81
Urine test (manual, without microscope): 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $5.74 Absolute Total Care — Medicaid: $3.45 Absolute Total Care — Medicare Advantage: $3.48 Absolute Total Care — MMP: $3.48 Aetna — Medicare Advantage: $3.48 BlueCross BlueShield of South Carolina — State Health Plan: $9.81 Cigna — HealthSpring: $3.58 Clover Insurance Company — HMO MA: $3.62 Clover Insurance Company — PPO MA: $3.62 Devoted Health Plan — HMO MA: $3.48
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	$10.69	$2.25 – $56.04
Urine test (automated, without microscope): 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $3.71 Absolute Total Care — Medicaid: $3.05 Absolute Total Care — Medicare Advantage: $2.25 Absolute Total Care — MMP: $2.25 Aetna — Medicare Advantage: $2.25 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $30.92 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $56.04 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $30.92 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $56.04 BlueCross BlueShield of South Carolina — State Health Plan: $10.69
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	$76.68	$18.39 – $146.20
PSA (prostate specific antigen) blood test: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $30.34 Absolute Total Care — Medicaid: $24.90 Absolute Total Care — Medicare Advantage: $18.39 Absolute Total Care — MMP: $18.39 Aetna — Medicare Advantage: $18.39 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $80.67 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $146.20 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $80.67 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $146.20 BlueCross BlueShield of South Carolina — State Health Plan: $76.68
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	$59.85	$16.80 – $157.45
Thyroid stimulating hormone (TSH) test: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $27.72 Absolute Total Care — Medicaid: $22.73 Absolute Total Care — Medicare Advantage: $16.80 Absolute Total Care — MMP: $16.80 Aetna — Medicare Advantage: $16.80 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $86.88 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $157.45 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $86.88 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $157.45 BlueCross BlueShield of South Carolina — State Health Plan: $59.85
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	$26.80	$7.77 – $121.23
Complete blood count (CBC) with differential: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $12.82 Absolute Total Care — Medicaid: $10.04 Absolute Total Care — Medicare Advantage: $7.77 Absolute Total Care — MMP: $7.77 Aetna — Medicare Advantage: $7.77 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $66.89 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $121.23 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $66.89 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $121.23 BlueCross BlueShield of South Carolina — State Health Plan: $26.80
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	$21.44	$6.47 – $99.04
Complete blood count (CBC), automated: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $10.68 Absolute Total Care — Medicaid: $8.06 Absolute Total Care — Medicare Advantage: $6.47 Absolute Total Care — MMP: $6.47 Aetna — Medicare Advantage: $6.47 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $54.65 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $99.04 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $54.65 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $99.04 BlueCross BlueShield of South Carolina — State Health Plan: $21.44
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	$17.82	$4.29 – $116.52
Blood clotting time test (prothrombin time, PT): 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $7.08 Absolute Total Care — Medicaid: $5.31 Absolute Total Care — Medicare Advantage: $4.29 Absolute Total Care — MMP: $4.29 Aetna — Medicare Advantage: $4.29 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $64.30 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $116.52 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $64.30 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $116.52 BlueCross BlueShield of South Carolina — State Health Plan: $17.82
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	$22.32	$6.01 – $131.94
Blood clotting test (partial thromboplastin time, PTT): 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $9.92 Absolute Total Care — Medicaid: $8.13 Absolute Total Care — Medicare Advantage: $6.01 Absolute Total Care — MMP: $6.01 Aetna — Medicare Advantage: $6.01 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $72.81 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $131.94 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $72.81 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $131.94 BlueCross BlueShield of South Carolina — State Health Plan: $22.32

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	$421.37	$97.24 – $1,436.62
CT scan of the head or brain, without contrast: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $160.45 Absolute Total Care — Medicaid: $259.32 Absolute Total Care — Medicare Advantage: $97.24 Absolute Total Care — MMP: $97.24 Aetna — Medicare Advantage: $97.24 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $792.73 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $1,436.62 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $792.73 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $1,436.62 BlueCross BlueShield of South Carolina — State Health Plan: $421.37
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	$1,131.61	$324.48 – $3,062.51
MRI of the brain, before and after contrast: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $535.39 Absolute Total Care — Medicaid: $1,365.95 Absolute Total Care — Medicare Advantage: $324.48 Absolute Total Care — MMP: $324.48 Aetna — Medicare Advantage: $324.48 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $1,689.92 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $3,062.51 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $1,689.92 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $3,062.51 BlueCross BlueShield of South Carolina — State Health Plan: $1,131.61
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	$109.66	$14.34 – $254.14
Chest X-ray, 2 views: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $133.55 Absolute Total Care — Medicaid: $15.06 Absolute Total Care — Medicare Advantage: $80.94 Absolute Total Care — MMP: $80.94 Aetna — Medicare Advantage: $80.94 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $140.24 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $254.14 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $140.24 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $254.14 BlueCross BlueShield of South Carolina — State Health Plan: $109.66
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	$106.69	$47.83 – $423.21
X-ray of the lower spine, at least 4 views: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $160.45 Absolute Total Care — Medicaid: $50.22 Absolute Total Care — Medicare Advantage: $97.24 Absolute Total Care — MMP: $97.24 Aetna — Medicare Advantage: $97.24 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $233.53 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $423.21 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $233.53 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $423.21 BlueCross BlueShield of South Carolina — State Health Plan: $106.69
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	$659.73	$221.92 – $2,572.35
MRI of the lower back (lumbar spine), without contrast: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $366.17 Absolute Total Care — Medicaid: $686.41 Absolute Total Care — Medicare Advantage: $221.92 Absolute Total Care — MMP: $221.92 Aetna — Medicare Advantage: $221.92 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $1,419.44 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $2,572.35 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $1,419.44 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $2,572.35 BlueCross BlueShield of South Carolina — State Health Plan: $659.73
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	$527.80	$163.14 – $2,274.81
CT scan of the pelvis, with contrast: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $269.18 Absolute Total Care — Medicaid: $375.48 Absolute Total Care — Medicare Advantage: $163.14 Absolute Total Care — MMP: $163.14 Aetna — Medicare Advantage: $163.14 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $1,255.26 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $2,274.81 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $1,255.26 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $2,274.81 BlueCross BlueShield of South Carolina — State Health Plan: $527.80
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	$622.39	$221.92 – $1,978.72
MRI of a leg joint (such as the knee), without contrast: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $366.17 Absolute Total Care — Medicaid: $614.99 Absolute Total Care — Medicare Advantage: $221.92 Absolute Total Care — MMP: $221.92 Aetna — Medicare Advantage: $221.92 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $1,091.88 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $1,978.72 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $1,091.88 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $1,978.72 BlueCross BlueShield of South Carolina — State Health Plan: $622.39
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	$873.07	$324.48 – $4,549.61
CT scan of the abdomen and pelvis, with contrast: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $535.39 Absolute Total Care — Medicaid: $375.48 Absolute Total Care — Medicare Advantage: $324.48 Absolute Total Care — MMP: $324.48 Aetna — Medicare Advantage: $324.48 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $2,510.52 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $4,549.61 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $2,510.52 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $4,549.61 BlueCross BlueShield of South Carolina — State Health Plan: $873.07
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	$210.48	$97.24 – $722.58
Ultrasound of the abdomen, complete: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $160.45 Absolute Total Care — Medicaid: $108.31 Absolute Total Care — Medicare Advantage: $97.24 Absolute Total Care — MMP: $97.24 Aetna — Medicare Advantage: $97.24 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $398.73 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $722.58 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $398.73 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $722.58 BlueCross BlueShield of South Carolina — State Health Plan: $210.48
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	$148.18	$97.24 – $722.58
Pregnancy ultrasound (after the first trimester): 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $160.45 Absolute Total Care — Medicaid: $115.30 Absolute Total Care — Medicare Advantage: $97.24 Absolute Total Care — MMP: $97.24 Aetna — Medicare Advantage: $97.24 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $398.73 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $722.58 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $398.73 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $722.58 BlueCross BlueShield of South Carolina — State Health Plan: $148.18
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB	Not listed in the file	$263.90	$79.74 – $722.58
Transvaginal ultrasound: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $160.45 Absolute Total Care — Medicaid: $83.73 Absolute Total Care — Medicare Advantage: $97.24 Absolute Total Care — MMP: $97.24 Aetna — Medicare Advantage: $97.24 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $398.73 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $722.58 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $398.73 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $722.58 BlueCross BlueShield of South Carolina — State Health Plan: $263.90
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$31.34 – $141.03
Diagnostic mammogram, one breast: 10 of 31 insurance plan rates Absolute Total Care — Medicaid: $32.91 Aetna — Medicare Advantage: $106.85 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $77.83 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $141.03 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $77.83 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $141.03 Humana — Medicaid: $31.34 Molina — Medicaid: $31.34 Select Health — Medicaid: $31.34 United Healthcare — All Other Plans: $91.42
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$39.39 – $231.08
Diagnostic mammogram, both breasts: 10 of 31 insurance plan rates Absolute Total Care — Medicaid: $41.36 Aetna — Medicare Advantage: $135.19 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $127.51 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $231.08 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $127.51 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $231.08 Humana — Medicaid: $39.39 Molina — Medicaid: $39.39 Select Health — Medicaid: $39.39 United Healthcare — All Other Plans: $116.89
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	$148.42	$33.92 – $148.42
Screening mammogram, both breasts: 10 of 30 insurance plan rates Absolute Total Care — Medicaid: $35.62 Aetna — Medicare Advantage: $108.78 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $77.81 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $141 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $77.81 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $141 BlueCross BlueShield of South Carolina — State Health Plan: $148.42 Humana — Medicaid: $33.92 Molina — Medicaid: $33.92 Select Health — Medicaid: $33.92

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$16.54
Electrocardiogram (ECG/EKG) with reading: 10 of 25 insurance plan rates Aetna — Medicare Advantage: $16.54 United Healthcare — All Other Plans: $357 United Healthcare — Exchange: $172 United Healthcare — Options PPO: $451 Absolute Total Care — Medicaid: 26.61% (a percentage in the contract, not a dollar amount) Aetna — ACA: 50% (a percentage in the contract, not a dollar amount) Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount) Aetna — ASA: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 36% (a percentage in the contract, not a dollar amount) Aetna — FH: 58.8% (a percentage in the contract, not a dollar amount)
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	$8,357.75	$2,936.54 – $14,746.30
Left heart catheterization (diagnostic): 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $4,975.16 Absolute Total Care — Medicaid: $3,083.37 Absolute Total Care — Medicare Advantage: $3,015.25 Absolute Total Care — MMP: $3,015.25 Aetna — Medicare Advantage: $3,015.25 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $8,137.13 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $14,746.30 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $8,137.13 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $14,746.30 BlueCross BlueShield of South Carolina — State Health Plan: $8,357.75
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION	Not listed in the file	$10,504.51	$1,339.05 – $16,679.85
Heart rhythm study (electrophysiology evaluation): 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $11,969.58 Absolute Total Care — Medicaid: $1,406 Absolute Total Care — Medicare Advantage: $7,254.29 Absolute Total Care — MMP: $7,254.29 Aetna — Medicare Advantage: $7,254.29 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $9,204.08 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $16,679.85 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $9,204.08 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $16,679.85 BlueCross BlueShield of South Carolina — State Health Plan: $10,504.51
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	$21,314.75	$1,339.05 – $54,454.94
Heart rhythm study with ablation for atrial fibrillation: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $40,111.90 Absolute Total Care — Medicaid: $1,406 Absolute Total Care — Medicare Advantage: $24,310.24 Absolute Total Care — MMP: $24,310.24 Aetna — Medicare Advantage: $24,310.24 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $18,677.42 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $33,847.66 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $18,677.42 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $33,847.66 BlueCross BlueShield of South Carolina — State Health Plan: $21,314.75
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	$2,430.34	$361.45 – $3,859.93
Sleep study (overnight, in a sleep lab): 10 of 39 insurance plan rates Absolute Total Care — Marketplace: $1,317.86 Absolute Total Care — Medicaid: $379.52 Absolute Total Care — Medicare Advantage: $798.70 Absolute Total Care — MMP: $798.70 Aetna — Medicare Advantage: $798.70 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $2,129.94 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $3,859.93 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $2,129.94 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $3,859.93 BlueCross BlueShield of South Carolina — State Health Plan: $2,430.34

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	$38.40	$12.33 – $100.19
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 30 insurance plan rates Absolute Total Care — Medicaid: $12.95 Aetna — Medicare Advantage: $20.83 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $55.28 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $100.19 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $55.28 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $100.19 BlueCross BlueShield of South Carolina — State Health Plan: $38.40 Humana — Medicaid: $12.33 Molina — Medicaid: $12.33 Select Health — Medicaid: $12.33
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	$102.22	$49.04 – $341.84
Physical therapy evaluation (low complexity): 10 of 30 insurance plan rates Absolute Total Care — Medicaid: $51.49 Aetna — Medicare Advantage: $57.43 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $188.63 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $341.84 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $188.63 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $341.84 BlueCross BlueShield of South Carolina — State Health Plan: $102.22 Humana — Medicaid: $49.04 Molina — Medicaid: $49.04 Select Health — Medicaid: $49.04
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	$102.22	$49.04 – $341.84
Physical therapy evaluation (moderate complexity): 10 of 30 insurance plan rates Absolute Total Care — Medicaid: $51.49 Aetna — Medicare Advantage: $57.43 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $188.63 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $341.84 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $188.63 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $341.84 BlueCross BlueShield of South Carolina — State Health Plan: $102.22 Humana — Medicaid: $49.04 Molina — Medicaid: $49.04 Select Health — Medicaid: $49.04
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	$102.22	$49.04 – $341.84
Physical therapy evaluation (high complexity): 10 of 30 insurance plan rates Absolute Total Care — Medicaid: $51.49 Aetna — Medicare Advantage: $57.43 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $188.63 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $341.84 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $188.63 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $341.84 BlueCross BlueShield of South Carolina — State Health Plan: $102.22 Humana — Medicaid: $49.04 Molina — Medicaid: $49.04 Select Health — Medicaid: $49.04
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	$279.15	$165.08 – $442.66
Psychotherapy, 30 minutes: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $272.38 Absolute Total Care — Medicare Advantage: $165.08 Absolute Total Care — MMP: $165.08 Aetna — Medicare Advantage: $165.08 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $244.27 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $442.66 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $244.27 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $442.66 BlueCross BlueShield of South Carolina — State Health Plan: $279.15 Cigna — HealthSpring: $170.03
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	$347.82	$165.08 – $551.50
Psychotherapy, 45 minutes: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $272.38 Absolute Total Care — Medicare Advantage: $165.08 Absolute Total Care — MMP: $165.08 Aetna — Medicare Advantage: $165.08 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $304.33 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $551.50 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $304.33 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $551.50 BlueCross BlueShield of South Carolina — State Health Plan: $347.82 Cigna — HealthSpring: $170.03
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	$347.82	$165.08 – $551.50
Psychotherapy, 60 minutes: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $272.38 Absolute Total Care — Medicare Advantage: $165.08 Absolute Total Care — MMP: $165.08 Aetna — Medicare Advantage: $165.08 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $304.33 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $551.50 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $304.33 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $551.50 BlueCross BlueShield of South Carolina — State Health Plan: $347.82 Cigna — HealthSpring: $170.03
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	$529.49	$165.08 – $840.21
Family psychotherapy, without the patient: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $272.38 Absolute Total Care — Medicare Advantage: $165.08 Absolute Total Care — MMP: $165.08 Aetna — Medicare Advantage: $165.08 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $463.64 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $840.21 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $463.64 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $840.21 BlueCross BlueShield of South Carolina — State Health Plan: $529.49 Cigna — HealthSpring: $170.03
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	$529.49	$165.08 – $840.21
Family psychotherapy, with the patient: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $272.38 Absolute Total Care — Medicare Advantage: $165.08 Absolute Total Care — MMP: $165.08 Aetna — Medicare Advantage: $165.08 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $463.64 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $840.21 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $463.64 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $840.21 BlueCross BlueShield of South Carolina — State Health Plan: $529.49 Cigna — HealthSpring: $170.03
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	$208.25	$94.49 – $331.24
Group psychotherapy: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $155.91 Absolute Total Care — Medicare Advantage: $94.49 Absolute Total Care — MMP: $94.49 Aetna — Medicare Advantage: $94.49 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $182.78 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $331.24 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $182.78 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $331.24 BlueCross BlueShield of South Carolina — State Health Plan: $208.25 Cigna — HealthSpring: $97.32

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	$4,572.67	$822.23 – $8,157.32
Removal of breast growth (open surgery): 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $6,008.74 Absolute Total Care — Medicaid: $863.34 Absolute Total Care — Medicare Advantage: $3,641.66 Absolute Total Care — MMP: $3,641.66 Aetna — Medicare Advantage: $3,641.66 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $4,452.37 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $8,068.69 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $4,452.37 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $8,068.69 BlueCross BlueShield of South Carolina — State Health Plan: $4,572.67
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	$27,052.48	$938.18 – $27,052.48
Total hip replacement: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $19,702.60 Absolute Total Care — Medicaid: $985.09 Absolute Total Care — Medicare Advantage: $11,940.97 Absolute Total Care — MMP: $11,940.97 Aetna — Medicare Advantage: $11,940.97 BlueCross BlueShield of South Carolina — State Health Plan: $27,052.48 Cigna — HealthSpring: $12,299.20 Clover Insurance Company — HMO MA: $12,418.61 Clover Insurance Company — PPO MA: $12,418.61 Devoted Health Plan — HMO MA: $11,940.97
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	$21,564.37	$1,038.17 – $26,747.77
Total knee replacement: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $19,702.60 Absolute Total Care — Medicaid: $1,090.08 Absolute Total Care — Medicare Advantage: $11,940.97 Absolute Total Care — MMP: $11,940.97 Aetna — Medicare Advantage: $11,940.97 BlueCross BlueShield of South Carolina — State Health Plan: $21,564.37 Cigna — HealthSpring: $12,299.20 Clover Insurance Company — HMO MA: $12,418.61 Clover Insurance Company — PPO MA: $12,418.61 Devoted Health Plan — HMO MA: $11,940.97
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$202.38 – $16,634.41
Shoulder arthroscopy: shaving of shoulder bone: 10 of 29 insurance plan rates Absolute Total Care — Medicaid: $1,665.02 Aetna — Medicare Advantage: $202.38 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $9,179 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $16,634.41 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $9,179 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $16,634.41 Humana — Medicaid: $1,585.73 Molina — Medicaid: $1,585.73 Select Health — Medicaid: $1,585.73 United Healthcare — All Other Plans: $911
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	$3,614.35	$1,585.73 – $11,046.70
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $5,021.31 Absolute Total Care — Medicaid: $1,665.02 Absolute Total Care — Medicare Advantage: $3,043.22 Absolute Total Care — MMP: $3,043.22 Aetna — Medicare Advantage: $3,043.22 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $6,095.66 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $11,046.70 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $6,095.66 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $11,046.70 BlueCross BlueShield of South Carolina — State Health Plan: $3,614.35
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	$2,230.62	$1,339.05 – $12,333.22
Removal of tonsils and adenoids (under age 12): 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $9,084.74 Absolute Total Care — Medicaid: $1,406 Absolute Total Care — Medicare Advantage: $5,505.90 Absolute Total Care — MMP: $5,505.90 Aetna — Medicare Advantage: $5,505.90 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $4,617.11 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $8,367.24 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $4,617.11 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $8,367.24 BlueCross BlueShield of South Carolina — State Health Plan: $2,230.62
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	$759.47	$759.47 – $3,249.48
Upper GI endoscopy (diagnostic): 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $1,391.89 Absolute Total Care — Medicaid: $863.34 Absolute Total Care — Medicare Advantage: $843.57 Absolute Total Care — MMP: $843.57 Aetna — Medicare Advantage: $843.57 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $1,793.09 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $3,249.48 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $1,793.09 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $3,249.48 BlueCross BlueShield of South Carolina — State Health Plan: $759.47
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	$832.93	$832.93 – $3,249.48
Upper GI endoscopy with biopsy: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $1,391.89 Absolute Total Care — Medicaid: $1,406 Absolute Total Care — Medicare Advantage: $843.57 Absolute Total Care — MMP: $843.57 Aetna — Medicare Advantage: $843.57 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $1,793.09 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $3,249.48 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $1,793.09 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $3,249.48 BlueCross BlueShield of South Carolina — State Health Plan: $832.93
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	$832.93	$822.23 – $3,038.01
Colonoscopy (diagnostic): 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $1,427.13 Absolute Total Care — Medicaid: $863.34 Absolute Total Care — Medicare Advantage: $864.93 Absolute Total Care — MMP: $864.93 Aetna — Medicare Advantage: $864.93 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $1,676.40 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $3,038.01 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $1,676.40 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $3,038.01 BlueCross BlueShield of South Carolina — State Health Plan: $832.93
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	$832.93	$822.23 – $3,375.58
Colonoscopy with biopsy: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $1,836.40 Absolute Total Care — Medicaid: $863.34 Absolute Total Care — Medicare Advantage: $1,112.97 Absolute Total Care — MMP: $1,112.97 Aetna — Medicare Advantage: $1,112.97 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $1,862.67 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $3,375.58 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $1,862.67 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $3,375.58 BlueCross BlueShield of South Carolina — State Health Plan: $832.93
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	$832.93	$832.93 – $3,375.58
Colonoscopy with removal of polyps (snare): 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $1,836.40 Absolute Total Care — Medicaid: $1,406 Absolute Total Care — Medicare Advantage: $1,112.97 Absolute Total Care — MMP: $1,112.97 Aetna — Medicare Advantage: $1,112.97 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $1,862.67 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $3,375.58 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $1,862.67 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $3,375.58 BlueCross BlueShield of South Carolina — State Health Plan: $832.93
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	$840.87	$822.23 – $3,038.01
Ultrasound of the lower bowel by endoscope: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $1,836.40 Absolute Total Care — Medicaid: $863.34 Absolute Total Care — Medicare Advantage: $1,112.97 Absolute Total Care — MMP: $1,112.97 Aetna — Medicare Advantage: $1,112.97 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $1,676.40 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $3,038.01 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $1,676.40 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $3,038.01 BlueCross BlueShield of South Carolina — State Health Plan: $840.87
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	$1,127.78	$822.23 – $3,002.26
Screening colonoscopy (not high risk): 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $1,427.13 Absolute Total Care — Medicaid: $863.34 Absolute Total Care — Medicare Advantage: $864.93 Absolute Total Care — MMP: $864.93 Aetna — Medicare Advantage: $864.93 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $1,656.67 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $3,002.26 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $1,656.67 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $3,002.26 BlueCross BlueShield of South Carolina — State Health Plan: $1,127.78
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	$6,899.93	$822.23 – $17,396.79
Gallbladder removal by laparoscope: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $9,277.64 Absolute Total Care — Medicaid: $863.34 Absolute Total Care — Medicare Advantage: $5,622.81 Absolute Total Care — MMP: $5,622.81 Aetna — Medicare Advantage: $5,622.81 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $9,599.70 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $17,396.79 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $9,599.70 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $17,396.79 BlueCross BlueShield of South Carolina — State Health Plan: $6,899.93
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	$1,925.78	$1,339.05 – $10,701.80
Groin (inguinal) hernia repair, age 5 or older: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $5,494.58 Absolute Total Care — Medicaid: $1,406 Absolute Total Care — Medicare Advantage: $3,330.05 Absolute Total Care — MMP: $3,330.05 Aetna — Medicare Advantage: $3,330.05 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $5,905.34 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $10,701.80 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $5,905.34 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $10,701.80 BlueCross BlueShield of South Carolina — State Health Plan: $1,925.78
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	Not listed in the file	$872.90	$163 – $4,336.71
Prostate biopsy: 10 of 30 insurance plan rates Absolute Total Care — Medicaid: $863.34 Aetna — Medicare Advantage: $163 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $2,393.03 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $4,336.71 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $2,393.03 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $4,336.71 BlueCross BlueShield of South Carolina — State Health Plan: $872.90 Humana — Medicaid: $822.23 Molina — Medicaid: $822.23 Select Health — Medicaid: $822.23
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	$12,766.47	$1,204 – $22,145.92
Prostate removal by laparoscope (radical prostatectomy): 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $16,312.84 Absolute Total Care — Medicaid: $1,264.20 Absolute Total Care — Medicare Advantage: $9,886.57 Absolute Total Care — MMP: $9,886.57 Aetna — Medicare Advantage: $9,886.57 BlueCross BlueShield of South Carolina — State Health Plan: $12,766.47 Cigna — HealthSpring: $10,183.17 Clover Insurance Company — HMO MA: $10,282.03 Clover Insurance Company — PPO MA: $10,282.03 Devoted Health Plan — HMO MA: $9,886.57
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	$1,771.80	$822.23 – $8,270.55
Hysteroscopy with biopsy of the uterus lining: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $4,967.79 Absolute Total Care — Medicaid: $863.34 Absolute Total Care — Medicare Advantage: $3,010.78 Absolute Total Care — MMP: $3,010.78 Aetna — Medicare Advantage: $3,010.78 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $4,563.76 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $8,270.55 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $4,563.76 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $8,270.55 BlueCross BlueShield of South Carolina — State Health Plan: $1,771.80
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: INJ EPID LUMB/CAUD	$4,455	$795.91	$184.41 – $7,993
Spinal injection, lower back (epidural), with imaging guidance: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $1,083.26 Absolute Total Care — Medicaid: $193.63 Absolute Total Care — Medicare Advantage: $656.52 Absolute Total Care — MMP: $656.52 Aetna — ACA: $2,227.50 Aetna — Aetna Whole Health: $2,227.50 Aetna — ASA: $2,619.54 Aetna — Commercial: $1,603.80 Aetna — FH: $2,619.54 Aetna — Medicare Advantage: $656.52
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	$3,060 – $7,993
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans United Healthcare — All Other Plans: $6,344 United Healthcare — Exchange: $3,060 United Healthcare — Options PPO: $7,993
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	$795.91	$293.65 – $2,424.12
Nerve root injection, lower back, with imaging guidance: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $1,357.34 Absolute Total Care — Medicaid: $308.33 Absolute Total Care — Medicare Advantage: $822.63 Absolute Total Care — MMP: $822.63 Aetna — Medicare Advantage: $822.63 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $1,337.65 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $2,424.12 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $1,337.65 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $2,424.12 BlueCross BlueShield of South Carolina — State Health Plan: $795.91
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	$872.90	$872.90 – $6,951.71
Carpal tunnel release: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $2,996.71 Absolute Total Care — Medicaid: $1,406 Absolute Total Care — Medicare Advantage: $1,816.19 Absolute Total Care — MMP: $1,816.19 Aetna — Medicare Advantage: $1,816.19 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $3,836.02 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $6,951.71 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $3,836.02 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $6,951.71 BlueCross BlueShield of South Carolina — State Health Plan: $872.90
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	$872.90	$511.54 – $1,779.42
Laser treatment of clouding after cataract surgery: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $844.04 Absolute Total Care — Medicaid: $1,406 Absolute Total Care — Medicare Advantage: $511.54 Absolute Total Care — MMP: $511.54 Aetna — Medicare Advantage: $511.54 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $981.89 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $1,779.42 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $981.89 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $1,779.42 BlueCross BlueShield of South Carolina — State Health Plan: $872.90
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	$2,145.30	$2,145.30 – $8,211.70
Cataract removal with lens implant: 10 of 42 insurance plan rates Absolute Total Care — Marketplace: $3,541.66 Absolute Total Care — Medicaid: $3,083.37 Absolute Total Care — Medicare Advantage: $2,146.46 Absolute Total Care — MMP: $2,146.46 Aetna — Medicare Advantage: $2,146.46 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $4,531.28 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $8,211.70 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $4,531.28 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $8,211.70 BlueCross BlueShield of South Carolina — State Health Plan: $2,145.30

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	$2,150
Vaginal delivery, with care before and after: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $2,150 Absolute Total Care — Medicaid: 26.61% (a percentage in the contract, not a dollar amount) Aetna — ACA: 50% (a percentage in the contract, not a dollar amount) Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount) Aetna — ASA: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 36% (a percentage in the contract, not a dollar amount) Aetna — FH: 58.8% (a percentage in the contract, not a dollar amount) Aetna — NAP: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 50% (a percentage in the contract, not a dollar amount) BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): 16.9% (a percentage in the contract, not a dollar amount)
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	$2,150
Cesarean delivery (C-section), with care before and after: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $2,150 Absolute Total Care — Medicaid: 26.61% (a percentage in the contract, not a dollar amount) Aetna — ACA: 50% (a percentage in the contract, not a dollar amount) Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount) Aetna — ASA: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 36% (a percentage in the contract, not a dollar amount) Aetna — FH: 58.8% (a percentage in the contract, not a dollar amount) Aetna — NAP: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 50% (a percentage in the contract, not a dollar amount) BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): 16.9% (a percentage in the contract, not a dollar amount)
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	$2,150
Vaginal delivery after a previous C-section, with care before and after: 10 of 31 insurance plan rates Aetna — Medicare Advantage: $2,150 Absolute Total Care — Medicaid: 26.61% (a percentage in the contract, not a dollar amount) Aetna — ACA: 50% (a percentage in the contract, not a dollar amount) Aetna — Aetna Whole Health: 50% (a percentage in the contract, not a dollar amount) Aetna — ASA: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 36% (a percentage in the contract, not a dollar amount) Aetna — FH: 58.8% (a percentage in the contract, not a dollar amount) Aetna — NAP: 58.8% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 50% (a percentage in the contract, not a dollar amount) BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): 16.9% (a percentage in the contract, not a dollar amount)

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	$136,301	$87,284.98 – $504,137.03
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 38 insurance plan rates Absolute Total Care — Marketplace: $152,748.72 Absolute Total Care — Medicare Advantage: $87,284.98 Absolute Total Care — MMP: $87,284.98 Aetna — Medicare Advantage: $87,284.98 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $165,620.11 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $301,513.85 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $165,620.11 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $301,513.85 BlueCross BlueShield of South Carolina — State Health Plan: $136,301 Cigna — HealthSpring: $89,903.53
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	$26,077	$17,210.21 – $99,402
Hip or knee replacement (major joint of the leg), without major complications: 10 of 38 insurance plan rates Absolute Total Care — Marketplace: $30,117.87 Absolute Total Care — Medicare Advantage: $17,210.21 Absolute Total Care — MMP: $17,210.21 Aetna — Medicare Advantage: $17,210.21 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $28,577.79 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $52,026.28 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $28,577.79 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $52,026.28 BlueCross BlueShield of South Carolina — State Health Plan: $26,077 Cigna — HealthSpring: $17,726.52
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	$29,689	$21,781.99 – $125,807.51
Neck (cervical) spinal fusion, without complications: 10 of 38 insurance plan rates Absolute Total Care — Marketplace: $38,118.48 Absolute Total Care — Medicare Advantage: $21,781.99 Absolute Total Care — MMP: $21,781.99 Aetna — Medicare Advantage: $21,781.99 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $33,666.65 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $61,290.63 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $33,666.65 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $61,290.63 BlueCross BlueShield of South Carolina — State Health Plan: $29,689 Cigna — HealthSpring: $22,435.45
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	$15,741	$11,069.89 – $63,936.99
Uterus and ovary surgery (not for cancer), without complications: 10 of 38 insurance plan rates Absolute Total Care — Marketplace: $19,372.31 Absolute Total Care — Medicare Advantage: $11,069.89 Absolute Total Care — MMP: $11,069.89 Aetna — Medicare Advantage: $11,069.89 BlueCross BlueShield of South Carolina — Blue Choice Blue Option HIX (BCBO): $17,617.10 BlueCross BlueShield of South Carolina — Blue Choice Health Plan Commercial (BCHP): $32,072.19 BlueCross BlueShield of South Carolina — Blue Cross Blue Essentials HIX (BCBE): $17,617.10 BlueCross BlueShield of South Carolina — Preferred Blue Commercial (PB): $32,072.19 BlueCross BlueShield of South Carolina — State Health Plan: $15,741 Cigna — HealthSpring: $11,401.99

Source: Novant Health Hilton Head Medical Center’s standard charges file (www2.novanthealth.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 12, 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	25 Hospital Center Blvd, Hilton Head Island, SC 29926
County	Beaufort County
State	South Carolina
Phone	(843) 681‑6122
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	420080
Name in Medicare records	NOVANT HEALTH HILTON HEAD MEDICAL CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	Hilton Head Medical Center
Official website	novanthealth.org
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.

Services | Hilton Head Medical Center | Novant Health — novanthealth.org
Visitors | Hilton Head Medical Center | Novant Health — novanthealth.org