▸ Hospital · SC · CCN 420080

HILTON HEAD HOSPITAL

25 HOSPITAL CENTER BLVD, HILTON HEAD ISLAND, SC, 29926

93 bedsAcute Care Hospitals4

Compliance grade

96/100

Procedures tracked

194

of 209 target codes

Payers

with negotiated rates

Rates published

12,167

last crawl 2026-05-23

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

Source MRF: https://www2.novanthealth.org/Public_Files/regulatory/934604680_hilton-head-medical-center-llc-dba-hilton-head-hospital_standardcharges.json · JSON

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	14	—	—	$18.1	$12,463	$71,981
Psychiatric diagnostic evaluation	CPT	90791	14	—	$347.82	$13.6	$165.08	$551.5
Psychiatric eval with medical services	CPT	90792	14	—	$347.82	$13.6	$165.08	$551.5
Psychotherapy 30 minutes	CPT	90832	14	—	$279.15	$13.6	$165.08	$442.66
Psychotherapy 45 minutes	CPT	90834	14	—	$347.82	$13.6	$165.08	$551.5
Psychotherapy 60 minutes	CPT	90837	14	—	$347.82	$13.6	$165.08	$551.5
Crisis psychotherapy 60 minutes	CPT	90839	14	—	$347.82	$13.6	$165.08	$551.5
emergency
ED visit level 1	CPT	99281	14	—	$169.48	$16.9	$78.43	$1,199
ED visit level 2	CPT	99282	14	—	$278.04	$16.9	$116.41	$1,199
ED visit level 3	CPT	99283	14	—	$440.87	$16.9	$171.95	$4,989
ED visit level 4	CPT	99284	14	—	$702.29	$16.9	$239.05	$5,913
ED visit level 5	CPT	99285	14	—	$1,043.47	$16.9	$321.95	$5,913
Critical care, first hour	CPT	99291	14	—	$1,564.1	$16.9	$429.14	$6,762
imaging
CT head without contrast	CPT	70450	14	—	$421.37	$32.2	$99.18	$1,436.62
CT head with contrast	CPT	70460	14	—	$608.16	$32.2	$166.4	$2,274.81
CT head with and without contrast	CPT	70470	14	—	$597.3	$32.2	$166.4	$2,519.91
CT neck with contrast	CPT	70491	14	—	$454.98	$32.2	$166.4	$2,274.81
MRI brain without contrast	CPT	70551	14	—	$622.39	$32.2	$226.36	$1,978.72
MRI brain with contrast	CPT	70552	14	—	$905.29	$32.2	$330.97	$2,186.86
MRI brain with and without contrast	CPT	70553	14	—	$1,131.61	$32.2	$330.97	$3,062.51
Chest X-ray single view	CPT	71045	14	—	$109.66	$7.78	$80.94	$254.14
Chest X-ray 2 views	CPT	71046	14	—	$109.66	$14.34	$80.94	$254.14
Chest X-ray 3 views	CPT	71047	14	—	$109.66	$18.28	$80.94	$330.38
CT chest without contrast	CPT	71250	14	—	$474.58	$32.2	$99.18	$1,436.62
CT chest with contrast	CPT	71260	14	—	$591	$32.2	$166.4	$2,274.81
CT chest with and without contrast	CPT	71270	14	—	$684.18	$32.2	$166.4	$2,519.91
MRI chest without contrast	CPT	71550	14	—	$678.97	$32.2	$226.36	$1,780.84
MRI chest with contrast	CPT	71551	14	—	$623.46	$32.2	$729.11	$2,186.86
MRI chest with and without contrast	CPT	71552	14	—	$1,124.82	$32.2	$330.97	$2,756.27
Lumbosacral spine X-ray	CPT	72100	14	—	$67.34	$32.2	$97.24	$254.14
CT cervical spine without contrast	CPT	72125	14	—	$490.87	$32.2	$99.18	$1,436.62
CT thoracic spine without contrast	CPT	72128	14	—	$422.45	$32.2	$99.18	$1,436.62
CT lumbar spine without contrast	CPT	72131	14	—	$526.71	$32.2	$99.18	$1,436.62
MRI cervical spine without contrast	CPT	72141	14	—	$622.39	$32.2	$226.36	$2,572.35
MRI thoracic spine without contrast	CPT	72146	14	—	$678.97	$32.2	$226.36	$2,572.35
MRI lumbar spine without contrast	CPT	72148	14	—	$659.73	$32.2	$226.36	$2,572.35
MRI lumbar spine with and without contrast	CPT	72149	14	—	$860.03	$32.2	$330.97	$2,186.86
MRI cervical spine with and without contrast	CPT	72156	14	—	$1,131.61	$32.2	$330.97	$3,062.51
MRI lumbar spine with contrast	CPT	72158	14	—	$1,131.61	$32.2	$330.97	$3,062.51
CT pelvis without contrast	CPT	72192	14	—	$491.96	$32.2	$99.18	$1,436.62
CT pelvis with contrast	CPT	72193	14	—	$527.8	$32.2	$166.4	$2,274.81
Shoulder X-ray	CPT	73030	14	—	$62.75	$29.77	$80.94	$254.14
Humerus X-ray	CPT	73060	14	—	$59.98	$12.67	$80.94	$254.14
Hand X-ray 3 views	CPT	73130	14	—	$62.71	$27.91	$80.94	$254.14
MRI upper extremity joint without contrast	CPT	73221	14	—	$622.39	$32.2	$226.36	$2,572.35
MRI upper extremity joint with and without contrast	CPT	73223	14	—	$1,118.04	$32.2	$330.97	$3,062.51
Knee X-ray 1-2 views	CPT	73560	14	—	$59.98	$27.4	$80.94	$330.38
Ankle X-ray 3 views	CPT	73610	14	—	$61.81	$27.91	$80.94	$254.14
MRI lower extremity joint without contrast	CPT	73721	14	—	$622.39	$32.2	$226.36	$1,978.72
MRI lower extremity joint with and without contrast	CPT	73723	14	—	$1,118.04	$32.2	$330.97	$3,062.51
CT abdomen without contrast	CPT	74150	14	—	$456.12	$32.2	$99.18	$1,436.62
CT abdomen with contrast	CPT	74160	14	—	$688.52	$32.2	$166.4	$2,274.81
CT abdomen with and without contrast	CPT	74170	14	—	$775.4	$32.2	$166.4	$2,519.91
CT abdomen and pelvis without contrast	CPT	74176	14	—	$533.75	$32.2	$226.36	$2,873.23
CT abdomen and pelvis with contrast	CPT	74177	14	—	$873.07	$32.2	$330.97	$4,549.61
CT abdomen and pelvis with and without contrast	CPT	74178	14	—	$957.06	$32.2	$330.97	$5,039.83
MRI abdomen without contrast	CPT	74181	14	—	$678.97	$32.2	$226.36	$1,978.72
MRI abdomen with and without contrast	CPT	74183	14	—	$1,037.83	$32.2	$330.97	$3,062.51
Abdominal ultrasound complete	CPT	76700	14	—	$210.48	$32.2	$99.18	$722.58
Abdominal ultrasound limited	CPT	76705	14	—	$145.41	$32.2	$97.24	$555.84
Retroperitoneal ultrasound complete	CPT	76770	14	—	$176.1	$32.2	$99.18	$722.58
Obstetric ultrasound first trimester	CPT	76801	14	—	$230.41	$32.2	$97.24	$500.24
Obstetric ultrasound after first trimester	CPT	76805	14	—	$148.18	$32.2	$99.18	$722.58
Obstetric ultrasound with fetal anatomy	CPT	76811	14	—	$428.69	$32.2	$221.92	$783.67
Transvaginal ultrasound	CPT	76830	14	—	$263.9	$32.2	$97.24	$722.58
Pelvic ultrasound complete	CPT	76856	14	—	$150.05	$32.2	$97.24	$722.58
Scrotal ultrasound	CPT	76870	14	—	$215.01	$32.2	$97.24	$722.58
Diagnostic mammography unilateral	CPT	77065	15	—	—	$25	$50	$141.03
Diagnostic mammography bilateral	CPT	77066	15	—	—	$25	$50	$231.08
Screening mammography bilateral	CPT	77067	14	—	$148.42	$25	$58.66	$148.42
EKG complete	CPT	93000	13	—	—	$16.54	$50	$451
EKG tracing only	CPT	93005	14	—	$84.19	$25.34	$57.06	$451
EKG interpretation only	CPT	93010	14	—	—	$8.55	$30.6	$90
Transthoracic echocardiogram complete	CPT	93306	14	—	$963.72	$25.34	$508.21	$2,207.09
Transthoracic echocardiogram	CPT	93307	14	—	$347.99	$25.34	$221.92	$1,449.98
Stress echocardiogram	CPT	93350	14	—	$1,390.19	$25.34	$508.21	$2,207.11
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	14	—	$14,941	$32.2	$13,943	$83,990
COPD w MCC	MS-DRG	190	14	—	$9,882	$32.2	$9,883.22	$57,083
COPD w CC	MS-DRG	191	14	—	$8,467	$32.2	$7,521.49	$43,442
COPD w/o CC/MCC	MS-DRG	192	14	—	$7,432	$32.2	$5,728.11	$33,084
Simple pneumonia & pleurisy w CC	MS-DRG	194	14	—	$8,763	$32.2	$7,190.47	$41,530
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	14	—	$5,792	$32.2	$5,607.66	$32,388
AMI discharged alive w MCC	MS-DRG	280	14	—	$17,187	$32.2	$14,312	$82,664
AMI discharged alive w CC	MS-DRG	281	14	—	$12,691	$32.2	$8,200.48	$47,364
AMI discharged alive w/o CC/MCC	MS-DRG	282	14	—	$11,261	$32.2	$6,451.71	$37,264
Heart failure & shock w MCC	MS-DRG	291	14	—	$10,686	$32.2	$11,454	$66,158
Heart failure & shock w CC	MS-DRG	292	14	—	$7,933	$32.2	$7,575.02	$43,752
Heart failure & shock w/o CC/MCC	MS-DRG	293	14	—	$6,085	$32.2	$5,050.02	$29,168
Cardiac arrhythmia w MCC	MS-DRG	308	14	—	$12,667	$32.2	$10,742	$62,046
Cardiac arrhythmia w CC	MS-DRG	309	14	—	$7,691	$32.2	$6,564.13	$37,913
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	14	—	$6,428	$32.2	$5,050.91	$29,173
GI hemorrhage w CC	MS-DRG	378	14	—	$11,022	$32.2	$8,750.09	$50,538
GI hemorrhage w/o CC/MCC	MS-DRG	379	14	—	$8,089	$32.2	$5,624.61	$32,486
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	14	—	$8,121	$32.2	$6,955.82	$40,175
Fractures of femur w/o MCC	MS-DRG	533	14	—	$26,265	$32.2	$13,987	$80,788
Kidney/UTI w MCC	MS-DRG	689	14	—	$11,295	$32.2	$10,353	$59,794
Kidney/UTI w/o MCC	MS-DRG	690	14	—	$7,957	$32.2	$7,222.59	$41,716
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	14	—	$15,394	$32.2	$17,332	$100,103
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	14	—	$9,516	$32.2	$9,130.18	$52,734
Initial hospital care, low complexity	CPT	99221	15	—	—	$16.3	$42.8	$96.66
Initial hospital care, moderate complexity	CPT	99222	15	—	—	$16.3	$42.8	$131.11
Initial hospital care, high complexity	CPT	99223	15	—	—	$16.3	$42.8	$194.01
Hospital discharge, <30 min	CPT	99238	15	—	—	$16.3	$42.8	$90
Hospital discharge, >30 min	CPT	99239	15	—	—	$16.3	$42.8	$102.7
lab
Basic metabolic panel (BMP)	CPT	80048	14	—	$31.25	$8.46	$12.71	$136.55
General health panel	CPT	80050	14	—	$52.72	$25	$47.68	$334.91
Electrolyte panel	CPT	80051	14	—	$26.78	$7.01	$10.54	$127.17
Comprehensive metabolic panel	CPT	80053	14	—	$35.71	$10.56	$15.18	$185.23
Lipid panel	CPT	80061	14	—	$41.9	$12.64	$18.08	$209.63
Renal function panel	CPT	80069	14	—	$35.68	$8.68	$13.04	$231.01
Hepatic function panel	CPT	80076	14	—	$38.3	$8.17	$12.27	$185.61
Urinalysis non-automated	CPT	81002	14	—	$9.81	$3.29	$4.7	$90
Urinalysis automated	CPT	81003	14	—	$10.69	$2.25	$3.38	$90
Glucose quantitative	CPT	82947	14	—	$14.29	$3.93	$5.9	$90
Hemoglobin A1c	CPT	83036	14	—	$37.48	$9.71	$14.58	$144.68
Thyroid stimulating hormone (TSH)	CPT	84443	14	—	$59.85	$16.8	$25.23	$157.45
Complete blood count with automated differential	CPT	85025	14	—	$26.8	$7.77	$11.43	$121.23
Complete blood count without differential	CPT	85027	14	—	$21.44	$6.47	$9.37	$99.04
Urine culture bacterial	CPT	87086	14	—	$27.7	$8.07	$12.13	$142.33
Urine culture identification	CPT	87088	14	—	$30.35	$8.09	$12.16	$90
Tissue exam by pathologist level IV	CPT	88305	14	—	$107.45	$27.63	$50	$196.4
maternity
Fetal non-stress test	CPT	59025	14	—	$271.03	$32.2	$188.03	$1,147
Routine obstetric care including vaginal delivery	CPT	59400	15	—	—	$13.6	$32.2	$2,150
Vaginal delivery only	CPT	59409	14	—	$4,210.44	$32.2	$3,010.78	$21,295
Vaginal delivery with postpartum	CPT	59410	15	—	—	$13.6	$32.2	$1,232.41
Routine obstetric care with C-section	CPT	59510	15	—	—	$13.6	$32.2	$2,150
C-section delivery only	CPT	59514	15	—	—	$13.6	$32.2	$1,081.17
C-section with postpartum	CPT	59515	15	—	—	$13.6	$32.2	$1,492.45
office
Office visit, new patient, 15-29 min	CPT	99202	14	—	$93.65	$13.6	$31.4	$93.65
Office visit, new patient, 30-44 minutes	CPT	99203	14	—	$136.36	$13.6	$31.4	$136.36
Office visit, new patient, 45-59 min	CPT	99204	14	—	$188.7	$13.6	$31.4	$188.7
Office visit, new patient, 60-74 min	CPT	99205	14	—	$255.41	$13.6	$31.4	$255.41
Office visit, established patient, 5 min	CPT	99211	14	—	$47.77	$8.9	$30.6	$90
Office visit, established patient, 10-19 min	CPT	99212	14	—	$81.66	$13.6	$30.6	$90
Office visit, established patient, 20-29 minutes	CPT	99213	14	—	$108.5	$13.6	$31.4	$108.5
Office visit, established patient, 30-39 minutes	CPT	99214	14	—	$145.87	$13.6	$31.4	$145.87
Office visit, established patient, 40-54 min	CPT	99215	14	—	$198.55	$13.6	$31.4	$198.55
preventive
Upper GI endoscopy diagnostic	CPT	43235	14	—	$759.47	$32.2	$843.57	$12,538
Upper GI endoscopy with biopsy	CPT	43239	14	—	$832.93	$32.2	$852.01	$12,538
Sigmoidoscopy diagnostic	CPT	45330	14	—	$1,104.9	$32.2	$864.93	$7,993
Sigmoidoscopy with biopsy	CPT	45331	14	—	$795.91	$32.2	$864.93	$7,993
Colonoscopy diagnostic	CPT	45378	14	—	$832.93	$32.2	$864.93	$12,538
Colonoscopy with biopsy	CPT	45380	14	—	$832.93	$32.2	$1,112.97	$12,538
Colonoscopy with polyp removal	CPT	45385	14	—	$832.93	$32.2	$1,124.1	$12,538
surgery
Total shoulder arthroplasty	CPT	23472	14	—	$21,927	$16.9	$2,101.96	$36,530
Hip hemiarthroplasty	CPT	27125	14	—	$17,649	$16.9	$4,777.5	$26,748
Total hip replacement	CPT	27130	14	—	$27,052	$16.9	$5,294.05	$27,052
Total knee replacement	CPT	27447	14	—	$21,564	$16.9	$5,346.54	$26,748
Knee revision arthroplasty single component	CPT	27486	14	—	$23,346	$16.9	$4,846.5	$26,748
Knee revision arthroplasty all components	CPT	27487	14	—	$23,346	$16.9	$4,846.5	$36,530
Shoulder arthroscopy with decompression	CPT	29826	14	—	—	$25	$60	$16,634
Shoulder arthroscopy with rotator cuff repair	CPT	29827	14	—	$3,614.35	$32.2	$6,748.84	$24,729
Knee arthroscopy with meniscectomy	CPT	29881	14	—	$3,614.35	$32.2	$3,043.22	$30,105
ACL reconstruction	CPT	29888	14	—	$3,614.35	$32.2	$6,748.84	$24,729
Major small/large bowel procedures w MCC	MS-DRG	329	14	—	$47,382	$32.2	$41,011	$236,871
Major small/large bowel procedures w CC	MS-DRG	330	14	—	$31,561	$32.2	$21,389	$123,535
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	14	—	$25,526	$32.2	$15,015	$86,725
CABG single arterial graft	CPT	33533	15	—	—	$16.9	$50	$7,695
CABG 2 arterial grafts	CPT	33534	15	—	—	$16.9	$50	$7,695
CABG 3 arterial grafts	CPT	33535	15	—	—	$16.9	$50	$7,695
CABG 4+ arterial grafts	CPT	33536	15	—	—	$16.9	$50	$7,695
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	14	—	$24,700	$32.2	$15,093	$87,173
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	14	—	$21,612	$32.2	$12,186	$70,384
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	14	—	$43,829	$32.2	$30,399	$175,578
Open appendectomy	CPT	44950	14	—	$4,562.7	$16.9	$3,113.86	$30,105
Laparoscopic appendectomy	CPT	44970	14	—	$9,859.82	$32.2	$5,622.81	$24,729
Major joint replacement w MCC	MS-DRG	469	14	—	$39,471	$32.2	$27,063	$156,310
Major joint replacement w/o MCC	MS-DRG	470	14	—	$26,077	$32.2	$17,210	$99,402
Laparoscopic cholecystectomy	CPT	47562	14	—	$6,899.93	$32.2	$5,622.81	$24,729
Lap cholecystectomy with cholangiography	CPT	47563	14	—	$9,859.82	$32.2	$5,622.81	$24,729
Hip & femur procedures except major joint w MCC	MS-DRG	480	14	—	$40,801	$32.2	$25,984	$150,080
Hip & femur procedures except major joint w CC	MS-DRG	481	14	—	$30,620	$32.2	$18,688	$107,936
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	14	—	$22,049	$32.2	$14,552	$84,050
Lap inguinal hernia repair	CPT	49650	14	—	$6,805.46	$32.2	$5,622.81	$24,729
Total abdominal hysterectomy	CPT	58150	15	—	—	$16.9	$50	$30,105
Vaginal hysterectomy	CPT	58260	14	—	$7,171.38	$32.2	$4,652.67	$30,105
Lap-assisted vaginal hysterectomy	CPT	58550	14	—	$14,883	$32.2	$5,622.81	$24,729
Lap-assisted vaginal hysterectomy >250g	CPT	58552	14	—	$9,859.82	$32.2	$9,873.2	$24,729
Lap salpingo-oophorectomy	CPT	58661	14	—	$9,859.82	$32.2	$5,622.81	$24,729
OR procedure for obesity w MCC	MS-DRG	619	14	—	$36,041	$32.2	$25,762	$148,796
OR procedure for obesity w CC	MS-DRG	620	14	—	$23,880	$32.2	$14,278	$82,468
OR procedure for obesity w/o CC/MCC	MS-DRG	621	14	—	$21,717	$32.2	$13,458	$77,732
Complex cataract surgery	CPT	66982	14	—	$2,145.3	$32.2	$2,167.93	$21,295
Cataract surgery with lens implant	CPT	66984	14	—	$2,145.3	$32.2	$2,167.93	$21,295
Intravitreal injection	CPT	67028	14	—	$671.28	$32.2	$307.21	$1,147
Vitrectomy mechanical	CPT	67042	14	—	$3,614.35	$32.2	$3,844.4	$32,456
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	14	—	$15,741	$32.2	$11,070	$63,937
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	14	—	$18,463	$32.2	$18,283	$105,596
PCI single major coronary artery	CPT	92920	14	—	$10,293	$32.2	$5,293.6	$24,543
PCI with drug-eluting stent	CPT	92928	14	—	$18,167	$32.2	$10,737	$28,848
PCI bypass graft	CPT	92937	14	—	$18,167	$32.2	$10,737	$28,848
Left heart catheterization	CPT	93452	14	—	$8,357.75	$32.2	$3,015.25	$32,456
Coronary angiography with cath	CPT	93455	14	—	$8,357.75	$32.2	$3,015.25	$32,456
Coronary angiography with bypass cath	CPT	93458	14	—	$8,357.75	$32.2	$3,015.25	$32,456

Payer mix (top 15)

Payer	Codes covered	Median rate
UnitedHealthcare	194	$368.12
Aetna	194	$50
select health	194	$407.49
absolute total care	194	$366.17
Cigna	194	$34
clover insurance company	194	$230.8
devoted health plan	194	$221.92
Humana	194	$295.89
medcost - sc	194	$58.51
Molina	194	$369.82
Multiplan	194	$90
phcs	194	$90
plotkin health	194	$60
Blue Cross Blue Shield	193	$1,147.43
Self-Pay (Cash)	17	$50