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Emergency Department Visit with High Level of Medical Decision Making Cost in South Carolina
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 40 South Carolina hospitals. CPT 99285. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $1,724
📉 Low $219
📈 High $8,131
🏥 40 hospitals
🏛️ 19 with insurance contracts
🇺🇸 Medicare $167
Hospital comparison — South Carolina
Sorted by cash price (lowest first). Showing top 40 of 40 hospitals.
Billed more than $1,724 for this? That gap is evidence.
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| Hospital | Cash | UHC | BCBS | Aetna | Humana | Molina | Cigna | Devoted | MultiPlan |
|---|---|---|---|---|---|---|---|---|---|
| CONWAY MEDICAL CENTER SINGLETON RIDGE RD CONWAY |
$219 | $164 | $164 | $73.69 | $164 | $164 | — | $164 | — |
| ANMED HEALTH MEDICAL CENTER ANDERSON |
$236 | — | — | — | — | — | — | — | — |
| ANMED HEALTH PIEDMONT PIEDMONT |
$236 | — | — | — | — | — | — | — | — |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL GEORGETOWN |
$500 | $4,557 | — | — | — | — | — | — | — |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL MURRELLS INLET |
$500 | $4,557 | — | — | — | — | — | — | — |
| NEWBERRY COUNTY MEMORIAL HOSPITAL NEWBERRY |
$676 | $1,376 | $590 | $590 | $608 | $620 | $79.00 | $608 | — |
| PELHAM MEDICAL CENTER GREER |
$719 | — | — | — | — | — | — | — | — |
| NOVANT HEALTH HILTON HEAD MEDICAL CENTER HILTON HEAD ISLAND |
$1,043 | $554 | $1,043 | $554 | $554 | $565 | $571 | $554 | — |
| NOVANT HEALTH EAST COOPER MEDICAL CENTER MOUNT PLEASANT |
$1,043 | $559 | $1,043 | $554 | $554 | $565 | $571 | $554 | — |
| NOVANT HEALTH COASTAL CAROLINA HOSPITAL HARDEEVILLE |
$1,043 | $554 | $1,043 | $554 | $554 | $565 | $571 | $554 | — |
| LEXINGTON MEDICAL CENTER WEST COLUMBIA |
$1,503 | $1,439 | $576 | $616 | $610 | $691 | — | — | — |
| BON SECOURS ST FRANCIS DOWNTOWN GREENVILLE |
$1,514 | — | — | — | — | — | — | — | — |
| BON SECOURS ST FRANCIS EASTSIDE GREENVILLE |
$1,514 | — | — | — | — | — | — | — | — |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE |
$1,724 | — | — | — | — | — | — | — | — |
| PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE |
$1,724 | — | — | — | — | — | — | — | — |
| PRISMA HEALTH BAPTIST HOSPITAL COLUMBIA |
$1,724 | — | — | — | — | — | — | — | — |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY |
$1,724 | — | — | — | — | — | — | — | — |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA |
$1,724 | — | — | — | — | — | — | — | — |
| PRISMA HEALTH HILLCREST HOSPITAL SIMPSONVILLE |
$1,724 | — | — | — | — | — | — | — | — |
| PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA |
$1,724 | — | — | — | — | — | — | — | — |
| PRISMA HEALTH NORTH GREENVILLE HOSPITAL TRAVELERS REST |
$1,724 | — | — | — | — | — | — | — | — |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL CLINTON |
$1,724 | — | — | — | — | — | — | — | — |
| PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA |
$1,724 | — | — | — | — | — | — | — | — |
| PRISMA HEALTH TUOMEY HOSPITAL SUMTER |
$1,724 | — | — | — | — | — | — | — | — |
| AIKEN REGIONAL MEDICAL CENTER WASHINGTON |
$1,744 | — | — | — | $3,169 | — | — | — | $3,705 |
| SPARTANBURG MEDICAL CENTER SPARTANBURG |
$2,181 | — | $578 | $597 | $574 | — | $614 | $591 | — |
| UNION MEDICAL CENTER UNION |
$2,181 | $593 | $573 | — | — | — | $613 | $590 | — |
| CHEROKEE MEDICAL CENTER GAFFNEY |
$2,181 | — | $563 | $586 | — | — | $602 | $580 | — |
| ROPER HOSPITAL CHARLESTON |
$2,542 | — | — | — | — | — | — | — | — |
| ROPER ST FRANCIS BERKELEY HOSPITAL SUMMERVILLE |
$2,542 | — | — | — | — | — | — | — | — |
| BON SECOURS ST FRANCIS HOSPITAL CHARLESTON |
$2,542 | — | — | — | — | — | — | — | — |
| ROPER ST. FRANCIS MOUNT PLEASANT HOSPITAL MOUNT PLEASANT |
$2,542 | — | — | — | — | — | — | — | — |
| PIEDMONT MEDICAL CENTER ROCK HILL |
$2,762 | — | — | — | — | — | — | — | — |
| PIEDMONT MEDICAL CENTER FORT MILL FORT MILL |
$2,762 | $1,994 | — | — | — | — | — | — | — |
| HCA HEALTHCARE COLLETON HOSPITAL WALTERBORO |
$4,353 | $1,959 | $1,429 | $4,739 | $2,829 | $895 | $2,812 | — | $3,700 |
| HCA HEALTHCARE TRIDENT HOSPITAL CHARLESTON |
$5,735 | $2,294 | $1,422 | $5,895 | $3,615 | $895 | — | — | $4,875 |
| HCA HEALTHCARE LIVE OAK MENTAL HEALTH AND WELLNESS LADSON |
$5,735 | $2,294 | $1,422 | $5,895 | $3,615 | $895 | — | — | $4,875 |
| HCA HEALTHCARE SUMMERVILLE HOSPITAL SUMMERVILLE |
$5,735 | $2,294 | $1,422 | $5,895 | $3,615 | $895 | — | — | $4,875 |
| CAROLINA FOREST ER MYRTLE BEACH |
$8,131 | $3,464 | $1,511 | $9,015 | $3,615 | $895 | $1,285 | — | $6,911 |
| CAROLINA FOREST ER MYRTLE BEACH |
$8,131 | $3,464 | $1,511 | $9,015 | $3,615 | $895 | $1,285 | — | $6,911 |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99285, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $1,180 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $1,724 for this?
That is the median of what the 40 South Carolina hospitals above publish for Emergency department visit with high level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 99285 in South Carolina, Medicare reimburses about $167 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in South Carolina range from $219 to $8,131 — that means hospital cash prices are typically 10.3x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit with high level of medical decision making cost in South Carolina?
- Cash prices for emergency department visit with high level of medical decision making (CPT 99285) in South Carolina range from $219 to $8,131, with a median of $1,724. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with high level of medical decision making in South Carolina?
- The cheapest South Carolina hospital published cash price for this procedure is $219. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Emergency department visit with high level of medical decision making in nearby states
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Methodology. Cash prices and insurance-negotiated rates published by each South Carolina facility under federal price transparency rules (45 CFR § 180). CPT code 99285 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.