▸ Hospital · SC · CCN 420030

Colleton Medical Center

501 ROBERTSON ROAD, WALTERBORO, SC, 29488-

102 bedsAcute Care Hospitals4

Compliance grade

100/100

Procedures tracked

193

of 209 target codes

Payers

with negotiated rates

Rates published

27,124

last crawl 2026-05-23

▸ Compare with other hospitals All SC hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://core.secure.ehc.com/src/util/json-detail-price-list/57-0712623_colleton-medical-center_standardcharges.json · JSON

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	39	—	—	$45	$1,067.15	$25,227
Psychiatric diagnostic evaluation	CPT	90791	3	—	—	$304.42	$328.42	$649
Psychiatric eval with medical services	CPT	90792	3	—	—	$304.42	$328.42	$649
Psychotherapy 30 minutes	CPT	90832	3	—	—	$244.31	$246.41	$486.94
Psychotherapy 45 minutes	CPT	90834	3	—	—	$304.42	$328.42	$649
Psychotherapy 60 minutes	CPT	90837	3	—	—	$304.42	$328.42	$649
Crisis psychotherapy 60 minutes	CPT	90839	3	—	—	$304.42	$328.42	$649
emergency
ED visit level 1	CPT	99281	22	$1,212	$1,212	$45	$90	$3,615
ED visit level 2	CPT	99282	22	$1,053	$1,053	$45	$90	$3,615
ED visit level 3	CPT	99283	22	$1,869	$1,869	$45	$90	$3,615
ED visit level 4	CPT	99284	22	$2,623	$2,623	$45	$90	$4,513
ED visit level 5	CPT	99285	22	$4,031	$4,031	$45	$90	$4,530
Critical care, first hour	CPT	99291	22	$4,336	$4,336	$45	$85	$4,530
imaging
CT head without contrast	CPT	70450	24	$4,458	$4,458	$18	$80	$1,165
CT head with contrast	CPT	70460	24	$4,954	$4,954	$18	$80	$1,581.96
CT head with and without contrast	CPT	70470	24	$5,193	$5,193	$18	$80	$1,881.69
CT neck with contrast	CPT	70491	24	$7,051	$7,051	$18	$80	$1,581.96
MRI brain without contrast	CPT	70551	24	$6,222	$6,222	$18	$80	$2,162.74
MRI brain with contrast	CPT	70552	24	$6,222	$6,222	$18	$80	$2,297.77
MRI brain with and without contrast	CPT	70553	24	$10,459	$10,459	$18	$80	$3,135.49
Chest X-ray single view	CPT	71045	25	$429	$429	$9.65	$70.7	$280.35
Chest X-ray 2 views	CPT	71046	25	$534	$534	$15.2	$70.7	$280.35
Chest X-ray 3 views	CPT	71047	25	$642	$642	$15.2	$70.7	$280.35
CT chest without contrast	CPT	71250	24	$4,655	$4,655	$18	$80	$1,165
CT chest with contrast	CPT	71260	24	$5,537	$5,537	$18	$80	$1,581.96
CT chest with and without contrast	CPT	71270	24	$4,986	$4,986	$18	$80	$1,881.69
MRI chest without contrast	CPT	71550	24	$5,554	$5,554	$18	$80	$2,254.65
MRI chest with contrast	CPT	71551	24	$8,645	$8,645	$18	$80	$2,395.42
MRI chest with and without contrast	CPT	71552	24	$10,635	$10,635	$18	$80	$3,135.49
Lumbosacral spine X-ray	CPT	72100	25	$1,155	$1,155	$15.2	$70.7	$280.35
CT cervical spine without contrast	CPT	72125	24	$4,995	$4,995	$18	$80	$1,165
CT thoracic spine without contrast	CPT	72128	24	$5,290	$5,290	$18	$80	$1,165
CT lumbar spine without contrast	CPT	72131	24	$5,290	$5,290	$18	$80	$1,165
MRI cervical spine without contrast	CPT	72141	24	$6,286	$6,286	$18	$80	$2,162.74
MRI thoracic spine without contrast	CPT	72146	24	$6,286	$6,286	$18	$80	$2,162.74
MRI lumbar spine without contrast	CPT	72148	24	$6,286	$6,286	$18	$80	$2,162.74
MRI lumbar spine with and without contrast	CPT	72149	24	$6,790	$6,790	$18	$80	$2,395.42
MRI cervical spine with and without contrast	CPT	72156	24	$10,635	$10,635	$18	$80	$3,135.49
MRI lumbar spine with contrast	CPT	72158	24	$10,635	$10,635	$18	$80	$3,135.49
CT pelvis without contrast	CPT	72192	24	$4,739	$4,739	$18	$80	$1,165
CT pelvis with contrast	CPT	72193	24	$5,004	$5,004	$18	$80	$1,581.96
Shoulder X-ray	CPT	73030	25	$1,620	$1,620	$15.2	$69.09	$280.35
Humerus X-ray	CPT	73060	25	$1,354	$1,354	$15.2	$67.7	$280.35
Hand X-ray 3 views	CPT	73130	25	$1,354	$1,354	$15.2	$68.63	$280.35
MRI upper extremity joint without contrast	CPT	73221	24	$13,092	$13,092	$18	$80	$2,162.74
MRI upper extremity joint with and without contrast	CPT	73223	24	$14,622	$14,622	$18	$80	$3,135.49
Knee X-ray 1-2 views	CPT	73560	25	$1,104	$1,104	$15.2	$67.7	$280.35
Ankle X-ray 3 views	CPT	73610	25	$1,395	$1,395	$15.2	$68.44	$280.35
MRI lower extremity joint without contrast	CPT	73721	24	$13,092	$13,092	$18	$80	$2,162.74
MRI lower extremity joint with and without contrast	CPT	73723	24	$14,622	$14,622	$18	$80	$3,135.49
CT abdomen without contrast	CPT	74150	24	$4,611	$4,611	$18	$80	$1,165
CT abdomen with contrast	CPT	74160	24	$4,887	$4,887	$18	$80	$1,581.96
CT abdomen with and without contrast	CPT	74170	24	$5,459	$5,459	$18	$80	$1,881.69
CT abdomen and pelvis without contrast	CPT	74176	24	$9,347	$9,347	$18	$80	$2,132.86
CT abdomen and pelvis with contrast	CPT	74177	24	$9,650	$9,650	$18	$80	$3,056.08
CT abdomen and pelvis with and without contrast	CPT	74178	24	$11,021	$11,021	$18	$80	$3,056.08
MRI abdomen without contrast	CPT	74181	24	$5,554	$5,554	$18	$80	$2,162.74
MRI abdomen with and without contrast	CPT	74183	24	$6,715	$6,715	$18	$80	$3,135.49
Abdominal ultrasound complete	CPT	76700	25	$3,617	$3,617	$15.2	$77.5	$610.29
Abdominal ultrasound limited	CPT	76705	25	$2,439	$2,439	$15.2	$77.5	$610.29
Retroperitoneal ultrasound complete	CPT	76770	25	$1,737	$1,737	$15.2	$77.5	$610.29
Obstetric ultrasound first trimester	CPT	76801	25	$928	$928	$15.2	$72.86	$610.29
Obstetric ultrasound after first trimester	CPT	76805	25	$1,776	$1,776	$15.2	$77.5	$610.29
Obstetric ultrasound with fetal anatomy	CPT	76811	25	$2,231	$2,231	$15.2	$77.5	$981.47
Transvaginal ultrasound	CPT	76830	25	$2,231	$2,231	$15.2	$77.5	$610.29
Pelvic ultrasound complete	CPT	76856	25	$2,419	$2,419	$15.2	$77.5	$610.29
Scrotal ultrasound	CPT	76870	25	$910	$910	$15.2	$77.5	$610.29
Diagnostic mammography unilateral	CPT	77065	41	$799	$799	$15.2	$79.79	$205.7
Diagnostic mammography bilateral	CPT	77066	41	$839	$839	$15.2	$90	$263
Screening mammography bilateral	CPT	77067	41	$643	$643	$15.2	$84.15	$217.46
EKG complete	CPT	93000	2	—	—	$11.13	$59.4	$59.4
EKG tracing only	CPT	93005	25	$496	$496	$15.2	$67.7	$149.16
EKG interpretation only	CPT	93010	3	—	—	$24.6	$34.4	$59.4
Transthoracic echocardiogram complete	CPT	93306	25	$4,701	$4,701	$18	$67.7	$1,256.99
Transthoracic echocardiogram	CPT	93307	25	$3,309	$3,309	$18	$67.7	$1,256.99
Stress echocardiogram	CPT	93350	4	—	—	$59.4	$636.11	$1,256.99
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	43	—	—	$45	$13,178	$35,601
Intracranial hemorrhage/CVA w CC	MS-DRG	065	43	—	—	$45	$6,737.74	$29,340
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	43	—	—	$45	$4,560.06	$29,340
Respiratory infections & inflammations w MCC	MS-DRG	177	43	—	—	$45	$10,709	$43,313
COPD w MCC	MS-DRG	190	43	—	—	$45	$7,441.98	$24,841
COPD w CC	MS-DRG	191	43	—	—	$45	$5,691.63	$24,841
COPD w/o CC/MCC	MS-DRG	192	43	—	—	$45	$4,287.77	$24,841
Simple pneumonia & pleurisy w CC	MS-DRG	194	43	—	—	$45	$5,432.59	$38,548
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	43	—	—	$45	$4,126.12	$38,548
AMI discharged alive w MCC	MS-DRG	280	43	—	—	$45	$10,875	$39,009
AMI discharged alive w CC	MS-DRG	281	43	—	—	$45	$6,107.03	$34,098
AMI discharged alive w/o CC/MCC	MS-DRG	282	43	—	—	$45	$4,803.87	$28,877
Heart failure & shock w MCC	MS-DRG	291	43	—	—	$45	$8,645.1	$24,683
Heart failure & shock w CC	MS-DRG	292	43	—	—	$45	$5,706.21	$24,683
Heart failure & shock w/o CC/MCC	MS-DRG	293	43	—	—	$45	$3,637.18	$24,683
Cardiac arrhythmia w MCC	MS-DRG	308	43	—	—	$45	$7,989.88	$21,585
Cardiac arrhythmia w CC	MS-DRG	309	43	—	—	$45	$4,897.94	$19,764
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	43	—	—	$45	$3,706.75	$18,137
GI hemorrhage w CC	MS-DRG	378	43	—	—	$45	$6,531.69	$25,168
GI hemorrhage w/o CC/MCC	MS-DRG	379	43	—	—	$45	$4,217.54	$25,168
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	43	—	—	$45	$5,169.57	$21,962
Fractures of femur w/o MCC	MS-DRG	533	43	—	—	$45	$10,102	$27,291
Kidney/UTI w MCC	MS-DRG	689	43	—	—	$45	$7,754.03	$38,548
Kidney/UTI w/o MCC	MS-DRG	690	43	—	—	$45	$5,317.31	$21,962
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	43	—	—	$45	$13,000	$54,410
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	43	—	—	$45	$6,830.49	$54,410
lab
Basic metabolic panel (BMP)	CPT	80048	41	$544	$544	$7.22	$18	$164.02
General health panel	CPT	80050	25	$1,580	$1,580	$15.2	$65	$129.86
Electrolyte panel	CPT	80051	41	$275	$275	$5.98	$18	$95
Comprehensive metabolic panel	CPT	80053	41	$595	$595	$9.01	$19	$181.73
Lipid panel	CPT	80061	41	$517	$517	$11.43	$23.43	$158.84
Renal function panel	CPT	80069	41	$453	$453	$7.41	$18.23	$95.7
Hepatic function panel	CPT	80076	41	$531	$531	$6.97	$18	$162.53
Urinalysis non-automated	CPT	81002	26	—	—	$2.97	$3.57	$27.36
Urinalysis automated	CPT	81003	41	$163	$163	$1.92	$6.75	$95
Glucose quantitative	CPT	82947	41	$248	$248	$3.36	$11.79	$95
Hemoglobin A1c	CPT	83036	41	$559	$559	$8.28	$19	$170.64
Thyroid stimulating hormone (TSH)	CPT	84443	41	$629	$629	$14.34	$29.4	$192.09
Complete blood count with automated differential	CPT	85025	26	—	—	$6.63	$8.16	$107.13
Complete blood count without differential	CPT	85027	41	$356	$356	$5.52	$18	$95
Urine culture bacterial	CPT	87086	26	—	—	$6.89	$8.47	$68.34
Urine culture identification	CPT	87088	41	$653	$653	$6.91	$18	$199.48
Tissue exam by pathologist level IV	CPT	88305	26	$453	$453	$15.2	$66.35	$180.21
maternity
Fetal non-stress test	CPT	59025	26	$770	$770	$9.02	$80	$4,256
Routine obstetric care including vaginal delivery	CPT	59400	5	—	—	$24.6	$34.4	$2,550
Vaginal delivery only	CPT	59409	8	—	—	$1,966.31	$2,940.6	$9,036
Vaginal delivery with postpartum	CPT	59410	5	—	—	$24.6	$34.4	$2,550
Routine obstetric care with C-section	CPT	59510	5	—	—	$24.6	$34.4	$2,550
C-section delivery only	CPT	59514	5	—	—	$24.6	$34.4	$2,550
C-section with postpartum	CPT	59515	5	—	—	$24.6	$34.4	$2,550
office
Office visit, new patient, 15-29 min	CPT	99202	24	$757	$757	$15.2	$67.7	$174.98
Office visit, new patient, 30-44 minutes	CPT	99203	24	$1,153	$1,153	$15.2	$67.7	$229.06
Office visit, new patient, 45-59 min	CPT	99204	24	$1,828	$1,828	$15.2	$67.7	$292.52
Office visit, new patient, 60-74 min	CPT	99205	24	$2,808	$2,808	$15.2	$67.7	$414.5
Office visit, established patient, 5 min	CPT	99211	24	$599	$599	$15.2	$59.4	$135.28
Office visit, established patient, 10-19 min	CPT	99212	24	$757	$757	$15.2	$59.4	$172.9
Office visit, established patient, 20-29 minutes	CPT	99213	24	$1,369	$1,369	$15.2	$67.7	$175.95
Office visit, established patient, 30-39 minutes	CPT	99214	24	$2,173	$2,173	$15.2	$67.7	$230.15
Office visit, established patient, 40-54 min	CPT	99215	24	$3,335	$3,335	$15.2	$67.7	$292.63
preventive
Upper GI endoscopy diagnostic	CPT	43235	8	—	—	$743.4	$2,082.74	$6,342
Upper GI endoscopy with biopsy	CPT	43239	8	—	—	$814.62	$2,520.32	$6,342
Sigmoidoscopy diagnostic	CPT	45330	8	—	—	$943.01	$1,696.43	$5,469
Sigmoidoscopy with biopsy	CPT	45331	8	—	—	$744.63	$1,696.43	$5,469
Colonoscopy diagnostic	CPT	45378	8	—	—	$814.62	$2,132.06	$6,342
Colonoscopy with biopsy	CPT	45380	8	—	—	$814.62	$2,132.06	$6,342
Colonoscopy with polyp removal	CPT	45385	8	—	—	$814.62	$2,520.32	$6,342
surgery
Total shoulder arthroplasty	CPT	23472	13	—	—	$24.6	$4,950	$52,917
PCI w drug-eluting stent w/o MCC	MS-DRG	247	1	—	—	$53,553	$53,553	$53,553
Hip hemiarthroplasty	CPT	27125	11	—	—	$24.6	$2,550	$24,079
Total hip replacement	CPT	27130	15	—	—	$24.6	$12,000	$52,917
Total knee replacement	CPT	27447	15	—	—	$24.6	$10,500	$52,917
Knee revision arthroplasty single component	CPT	27486	11	—	—	$24.6	$12,300	$52,917
Knee revision arthroplasty all components	CPT	27487	12	—	—	$24.6	$10,600	$52,917
Shoulder arthroscopy with decompression	CPT	29826	10	—	—	$1,966.31	$4,950	$11,109
Shoulder arthroscopy with rotator cuff repair	CPT	29827	10	—	—	$1,660.42	$4,950	$17,496
Knee arthroscopy with meniscectomy	CPT	29881	10	—	—	$1,966.31	$4,950	$11,109
ACL reconstruction	CPT	29888	10	—	—	$1,660.42	$4,950	$17,238
Major small/large bowel procedures w MCC	MS-DRG	329	43	—	—	$45	$30,421	$105,442
Major small/large bowel procedures w CC	MS-DRG	330	43	—	—	$45	$15,660	$103,139
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	43	—	—	$45	$10,938	$63,786
CABG single arterial graft	CPT	33533	8	—	—	$24.6	$2,550	$8,214
CABG 2 arterial grafts	CPT	33534	8	—	—	$24.6	$2,550	$8,214
CABG 3 arterial grafts	CPT	33535	8	—	—	$24.6	$2,550	$8,214
CABG 4+ arterial grafts	CPT	33536	8	—	—	$24.6	$2,550	$8,214
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	43	—	—	$45	$10,988	$54,932
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	43	—	—	$45	$8,729.24	$31,494
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	43	—	—	$45	$23,381	$63,166
Open appendectomy	CPT	44950	8	—	—	$1,966.31	$3,474.13	$9,845
Laparoscopic appendectomy	CPT	44970	10	—	—	$1,966.31	$5,492	$17,038
Major joint replacement w MCC	MS-DRG	469	43	—	—	$45	$21,654	$86,430
Major joint replacement w/o MCC	MS-DRG	470	43	—	—	$45	$12,492	$74,008
Laparoscopic cholecystectomy	CPT	47562	9	—	—	$1,019.57	$4,950	$17,038
Lap cholecystectomy with cholangiography	CPT	47563	9	—	—	$1,019.57	$4,950	$17,038
Hip & femur procedures except major joint w MCC	MS-DRG	480	43	—	—	$45	$19,484	$65,129
Hip & femur procedures except major joint w CC	MS-DRG	481	43	—	—	$45	$13,746	$60,952
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	43	—	—	$45	$10,510	$50,030
Lap inguinal hernia repair	CPT	49650	10	—	—	$1,660.42	$5,492	$17,038
Total abdominal hysterectomy	CPT	58150	6	—	—	$24.6	$2,550	$9,845
Vaginal hysterectomy	CPT	58260	9	—	—	$1,966.31	$4,950	$10,605
Lap-assisted vaginal hysterectomy	CPT	58550	11	—	—	$1,966.31	$5,734	$25,205
Lap-assisted vaginal hysterectomy >250g	CPT	58552	11	—	—	$1,966.31	$5,734	$17,038
Lap salpingo-oophorectomy	CPT	58661	10	—	—	$1,660.42	$5,492	$17,038
OR procedure for obesity w MCC	MS-DRG	619	43	—	—	$45	$18,063	$56,024
OR procedure for obesity w CC	MS-DRG	620	43	—	—	$45	$10,580	$56,024
OR procedure for obesity w/o CC/MCC	MS-DRG	621	43	—	—	$45	$9,683.92	$56,024
Complex cataract surgery	CPT	66982	8	—	—	$2,076.48	$4,670.13	$9,228.7
Cataract surgery with lens implant	CPT	66984	8	—	—	$2,076.48	$4,670.13	$9,228.7
Intravitreal injection	CPT	67028	9	—	—	$364.13	$1,030.21	$4,950
Vitrectomy mechanical	CPT	67042	10	—	—	$1,660.42	$4,950	$14,595
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	43	—	—	$45	$7,940.86	$22,971
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	43	—	—	$45	$12,945	$34,971
PCI single major coronary artery	CPT	92920	11	—	—	$1,660.42	$8,170.5	$21,876
PCI with drug-eluting stent	CPT	92928	11	—	—	$1,660.42	$8,170.5	$31,972
PCI bypass graft	CPT	92937	11	—	—	$1,660.42	$8,170.5	$31,972
Left heart catheterization	CPT	93452	11	—	—	$59.4	$3,850	$14,995
Coronary angiography with cath	CPT	93455	11	—	—	$59.4	$3,787	$14,995
Coronary angiography with bypass cath	CPT	93458	11	—	—	$59.4	$3,850	$14,995

Payer mix (top 30)

Payer	Codes covered	Median rate
blue choice health plan	191	$1,022.46
Blue Cross Blue Shield	191	$943.01
sc state employees	179	$3,432.31
UnitedHealthcare	178	$841.64
nhc advantage	174	$995
apex health	174	$995
pruitt health	171	$995
absolute total care	161	$644.75
Humana	143	$90
Aetna	142	$59.4
Cigna	141	$67.7
prime health	136	$85
vocational rehab	133	$54
north american administrators	133	$85
employers health network	133	$45
medcost	133	$65.3
novanet	133	$90
Multiplan	133	$85
First Health	133	$90
galaxy health network	133	$90
healthsmart preferred care	133	$80
evernorth	132	$80
blue choice	108	$945.47
value option	90	$50
Molina	85	$5,482.45
select health	74	$8,214
eon health	65	$995
clover	65	$5,423.66
devoted health	64	$5,348.31
WellCare	61	$4,995.9