▸ Hospital · SC · CCN 420104
Mount Pleasant Hospital
3500 HIGHWAY 17 NORTH, MT. PLEASANT, SC, 29466
58 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
158
of 209 target codes
Payers
13
with negotiated rates
Rates published
6,643
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 10 | — | — | $2,070 | $11,404 | $27,485 |
| Psychotherapy 30 minutes | CPT | 90832 | 0 | $1,103 | $716.95 | — | — | — |
| Psychotherapy 45 minutes | CPT | 90834 | 0 | $754 | $490.1 | — | — | — |
| Psychotherapy 60 minutes | CPT | 90837 | 0 | $862 | $560.3 | — | — | — |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 0 | $660 | $429 | — | — | — |
| ED visit level 2 | CPT | 99282 | 0 | $987 | $641.55 | — | — | — |
| ED visit level 3 | CPT | 99283 | 0 | $1,556 | $1,011.4 | — | — | — |
| ED visit level 4 | CPT | 99284 | 0 | $2,334 | $1,517.1 | — | — | — |
| ED visit level 5 | CPT | 99285 | 0 | $3,911 | $2,542.15 | — | — | — |
| Critical care, first hour | CPT | 99291 | 0 | $4,946 | $3,214.9 | — | — | — |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 0 | $2,762 | $1,795.3 | — | — | — |
| CT head with contrast | CPT | 70460 | 0 | $2,630 | $1,709.5 | — | — | — |
| CT head with and without contrast | CPT | 70470 | 0 | $1,973 | $1,282.45 | — | — | — |
| CT neck with contrast | CPT | 70491 | 0 | $2,388 | $1,552.2 | — | — | — |
| MRI brain without contrast | CPT | 70551 | 0 | $5,059 | $3,288.35 | — | — | — |
| MRI brain with contrast | CPT | 70552 | 0 | $4,146 | $2,694.9 | — | — | — |
| MRI brain with and without contrast | CPT | 70553 | 0 | $3,486 | $2,265.9 | — | — | — |
| Chest X-ray single view | CPT | 71045 | 0 | $270 | $175.5 | — | — | — |
| Chest X-ray 2 views | CPT | 71046 | 0 | $718 | $466.7 | — | — | — |
| Chest X-ray 3 views | CPT | 71047 | 0 | $827 | $537.55 | — | — | — |
| CT chest without contrast | CPT | 71250 | 0 | $1,973 | $1,282.45 | — | — | — |
| CT chest with contrast | CPT | 71260 | 0 | $1,973 | $1,282.45 | — | — | — |
| CT chest with and without contrast | CPT | 71270 | 0 | $2,630 | $1,709.5 | — | — | — |
| MRI chest without contrast | CPT | 71550 | 0 | $4,190 | $2,723.5 | — | — | — |
| MRI chest with contrast | CPT | 71551 | 0 | $4,190 | $2,723.5 | — | — | — |
| MRI chest with and without contrast | CPT | 71552 | 0 | $4,696 | $3,052.4 | — | — | — |
| Lumbosacral spine X-ray | CPT | 72100 | 0 | $471 | $306.15 | — | — | — |
| CT cervical spine without contrast | CPT | 72125 | 0 | $1,973 | $1,282.45 | — | — | — |
| CT thoracic spine without contrast | CPT | 72128 | 0 | $2,630 | $1,709.5 | — | — | — |
| CT lumbar spine without contrast | CPT | 72131 | 0 | $1,973 | $1,282.45 | — | — | — |
| MRI cervical spine without contrast | CPT | 72141 | 0 | $3,143 | $2,042.95 | — | — | — |
| MRI thoracic spine without contrast | CPT | 72146 | 0 | $5,225 | $3,396.25 | — | — | — |
| MRI lumbar spine without contrast | CPT | 72148 | 0 | $4,976 | $3,234.4 | — | — | — |
| MRI lumbar spine with and without contrast | CPT | 72149 | 0 | $4,146 | $2,694.9 | — | — | — |
| MRI cervical spine with and without contrast | CPT | 72156 | 0 | $3,486 | $2,265.9 | — | — | — |
| MRI lumbar spine with contrast | CPT | 72158 | 0 | $3,486 | $2,265.9 | — | — | — |
| CT pelvis without contrast | CPT | 72192 | 0 | $1,973 | $1,282.45 | — | — | — |
| CT pelvis with contrast | CPT | 72193 | 0 | $2,630 | $1,709.5 | — | — | — |
| Shoulder X-ray | CPT | 73030 | 0 | $425 | $276.25 | — | — | — |
| Humerus X-ray | CPT | 73060 | 0 | $386 | $250.9 | — | — | — |
| Hand X-ray 3 views | CPT | 73130 | 0 | $623 | $404.95 | — | — | — |
| MRI upper extremity joint without contrast | CPT | 73221 | 0 | $3,764 | $2,446.6 | — | — | — |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 0 | $4,220 | $2,743 | — | — | — |
| Knee X-ray 1-2 views | CPT | 73560 | 0 | $424 | $275.6 | — | — | — |
| Ankle X-ray 3 views | CPT | 73610 | 0 | $558 | $362.7 | — | — | — |
| MRI lower extremity joint without contrast | CPT | 73721 | 0 | $3,764 | $2,446.6 | — | — | — |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 0 | $4,220 | $2,743 | — | — | — |
| CT abdomen without contrast | CPT | 74150 | 0 | $1,973 | $1,282.45 | — | — | — |
| CT abdomen with contrast | CPT | 74160 | 0 | $1,973 | $1,282.45 | — | — | — |
| CT abdomen with and without contrast | CPT | 74170 | 0 | $1,973 | $1,282.45 | — | — | — |
| CT abdomen and pelvis without contrast | CPT | 74176 | 0 | $4,901 | $3,185.65 | — | — | — |
| CT abdomen and pelvis with contrast | CPT | 74177 | 0 | $4,901 | $3,185.65 | — | — | — |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 0 | $3,757 | $2,442.05 | — | — | — |
| MRI abdomen without contrast | CPT | 74181 | 0 | $3,764 | $2,446.6 | — | — | — |
| MRI abdomen with and without contrast | CPT | 74183 | 0 | $4,220 | $2,743 | — | — | — |
| Abdominal ultrasound complete | CPT | 76700 | 0 | $1,432 | $930.8 | — | — | — |
| Abdominal ultrasound limited | CPT | 76705 | 0 | $1,336 | $868.4 | — | — | — |
| Retroperitoneal ultrasound complete | CPT | 76770 | 0 | $1,764 | $1,146.6 | — | — | — |
| Obstetric ultrasound first trimester | CPT | 76801 | 0 | $1,288 | $837.2 | — | — | — |
| Obstetric ultrasound after first trimester | CPT | 76805 | 0 | $1,288 | $837.2 | — | — | — |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 0 | $1,366 | $887.9 | — | — | — |
| Transvaginal ultrasound | CPT | 76830 | 0 | $1,439 | $935.35 | — | — | — |
| Pelvic ultrasound complete | CPT | 76856 | 0 | $1,227 | $797.55 | — | — | — |
| Scrotal ultrasound | CPT | 76870 | 0 | $1,745 | $1,134.25 | — | — | — |
| Diagnostic mammography unilateral | CPT | 77065 | 0 | $629 | $408.85 | — | — | — |
| Diagnostic mammography bilateral | CPT | 77066 | 0 | $710 | $461.5 | — | — | — |
| Screening mammography bilateral | CPT | 77067 | 0 | $480 | $312 | — | — | — |
| EKG tracing only | CPT | 93005 | 3 | $29,925 | $17,955 | $55.22 | $124.62 | $3,611.96 |
| Transthoracic echocardiogram complete | CPT | 93306 | 0 | $3,365 | $2,187.25 | — | — | — |
| Transthoracic echocardiogram | CPT | 93307 | 0 | $1,896 | $1,232.4 | — | — | — |
| Stress echocardiogram | CPT | 93350 | 0 | $1,944 | $1,263.6 | — | — | — |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 11 | — | — | $15,564 | $37,793 | $41,838 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 11 | — | — | $8,786.76 | $18,987 | $25,682 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 11 | — | — | $6,579.76 | $10,904 | $20,084 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 11 | — | — | $12,528 | $29,368 | $29,918 |
| COPD w MCC | MS-DRG | 190 | 11 | — | — | $9,446.38 | $19,604 | $21,796 |
| COPD w CC | MS-DRG | 191 | 11 | — | — | $6,965 | $9,019.77 | $16,613 |
| COPD w/o CC/MCC | MS-DRG | 192 | 7 | — | — | $6,292.63 | $11,012 | $12,754 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 13 | — | — | $7,402.56 | $15,145 | $23,380 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 11 | — | — | $5,937.41 | $11,168 | $12,367 |
| AMI discharged alive w MCC | MS-DRG | 280 | 13 | — | — | $1,969.25 | $18,510 | $33,398 |
| AMI discharged alive w CC | MS-DRG | 281 | 10 | — | — | $8,169.15 | $17,273 | $23,859 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 11 | — | — | $1,920.06 | $7,994 | $21,167 |
| Heart failure & shock w MCC | MS-DRG | 291 | 11 | — | — | $10,639 | $21,855 | $25,261 |
| Heart failure & shock w CC | MS-DRG | 292 | 9 | — | — | $5,502 | $15,550 | $16,706 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 11 | — | — | $5,065 | $6,818.58 | $12,559 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 11 | — | — | $10,099 | $22,627 | $24,259 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 7 | — | — | $5,055.77 | $6,965 | $14,547 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 11 | — | — | $5,778.62 | $6,965 | $11,681 |
| GI hemorrhage w CC | MS-DRG | 378 | 8 | — | — | $8,586.33 | $18,430 | $20,845 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 10 | — | — | $6,214.05 | $11,847 | $15,319 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 11 | — | — | $6,965 | $8,312.1 | $15,340 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 11 | — | — | $6,852 | $24,147 | $49,490 |
| Kidney/UTI w MCC | MS-DRG | 689 | 10 | — | — | $9,802.58 | $22,418 | $22,831 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 11 | — | — | $7,426.94 | $14,626 | $15,929 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 11 | — | — | $7,605 | $21,258 | $39,154 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 11 | — | — | $8,874.81 | $19,231 | $20,553 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 0 | $330 | $214.5 | — | — | — |
| General health panel | CPT | 80050 | 0 | $137 | $89.05 | — | — | — |
| Electrolyte panel | CPT | 80051 | 0 | $317 | $206.05 | — | — | — |
| Comprehensive metabolic panel | CPT | 80053 | 0 | $477 | $310.05 | — | — | — |
| Lipid panel | CPT | 80061 | 0 | $191 | $124.15 | — | — | — |
| Renal function panel | CPT | 80069 | 0 | $109 | $70.85 | — | — | — |
| Hepatic function panel | CPT | 80076 | 0 | $317 | $206.05 | — | — | — |
| Urinalysis non-automated | CPT | 81002 | 0 | $14 | $9.1 | — | — | — |
| Urinalysis automated | CPT | 81003 | 0 | $96 | $62.4 | — | — | — |
| Glucose quantitative | CPT | 82947 | 0 | $125 | $81.25 | — | — | — |
| Hemoglobin A1c | CPT | 83036 | 0 | $141 | $91.65 | — | — | — |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 0 | $293 | $190.45 | — | — | — |
| Complete blood count with automated differential | CPT | 85025 | 0 | $180 | $117 | — | — | — |
| Complete blood count without differential | CPT | 85027 | 0 | $116 | $75.4 | — | — | — |
| Urine culture bacterial | CPT | 87086 | 0 | $150 | $97.5 | — | — | — |
| Tissue exam by pathologist level IV | CPT | 88305 | 0 | $968 | $629.2 | — | — | — |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 3 | $3,921.67 | $2,353 | $189.24 | $195.86 | $198.7 |
| Vaginal delivery only | CPT | 59409 | 0 | $3,074 | $1,998.1 | — | — | — |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 3 | — | — | $7,555.2 | $13,532 | $20,089 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 3 | — | — | $24,471 | $25,083 | $25,695 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 0 | $365 | $237.25 | — | — | — |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 0 | $498 | $323.7 | — | — | — |
| Office visit, new patient, 45-59 min | CPT | 99204 | 0 | $654 | $425.1 | — | — | — |
| Office visit, new patient, 60-74 min | CPT | 99205 | 0 | $802 | $521.3 | — | — | — |
| Office visit, established patient, 5 min | CPT | 99211 | 0 | $180 | $117 | — | — | — |
| Office visit, established patient, 10-19 min | CPT | 99212 | 0 | $302 | $196.3 | — | — | — |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 0 | $393 | $255.45 | — | — | — |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 0 | $522 | $339.3 | — | — | — |
| Office visit, established patient, 40-54 min | CPT | 99215 | 0 | $672 | $436.8 | — | — | — |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 3 | $9,545.25 | $5,727.15 | $848.96 | $878.67 | $891.41 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 3 | $15,296 | $9,177.86 | $848.96 | $1,796.14 | $1,885.95 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 3 | $7,047.73 | $4,228.64 | $870.46 | $900.93 | $913.99 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 3 | $10,021 | $6,012.69 | $870.46 | $900.93 | $913.99 |
| Colonoscopy diagnostic | CPT | 45378 | 3 | $11,067 | $6,640.01 | $870.46 | $900.93 | $913.99 |
| Colonoscopy with biopsy | CPT | 45380 | 3 | $16,072 | $9,643.34 | $1,120.09 | $1,159.29 | $1,176.09 |
| Colonoscopy with polyp removal | CPT | 45385 | 3 | $19,830 | $11,898 | $1,120.09 | $1,159.29 | $1,176.09 |
| surgery | ||||||||
| Shoulder arthroscopy with decompression | CPT | 29826 | 3 | $52,629 | $31,577 | $6,791.99 | $7,029.71 | $7,131.59 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 2 | $56,340 | $33,804 | $6,791.99 | $6,961.79 | $7,131.59 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 3 | $49,061 | $29,437 | $3,062.67 | $5,003.9 | $7,131.59 |
| ACL reconstruction | CPT | 29888 | 3 | $78,681 | $47,209 | $6,791.99 | $9,574.45 | $12,618 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 10 | — | — | $33,073 | $86,382 | $90,445 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 11 | — | — | $18,179 | $45,051 | $54,764 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 11 | — | — | $13,342 | $31,627 | $42,586 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 9 | — | — | $13,401 | $31,790 | $39,885 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 11 | — | — | $11,194 | $25,667 | $36,094 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 3 | — | — | $2,103.71 | $5,275.1 | $10,364 |
| Laparoscopic appendectomy | CPT | 44970 | 3 | $79,982 | $47,989 | $5,658.76 | $5,757.79 | $5,941.7 |
| Laparoscopic cholecystectomy | CPT | 47562 | 3 | $31,749 | $19,050 | $5,658.76 | $5,856.81 | $5,941.7 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 3 | $55,308 | $33,185 | $5,658.76 | $5,856.81 | $5,941.7 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 11 | — | — | $8,972 | $40,630 | $81,524 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 11 | — | — | $16,129 | $39,362 | $59,610 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 11 | — | — | $9,888 | $22,903 | $43,399 |
| Lap inguinal hernia repair | CPT | 49650 | 3 | $57,191 | $34,315 | $5,658.76 | $5,856.81 | $5,941.7 |
| Vaginal hysterectomy | CPT | 58260 | 3 | $41,231 | $24,739 | $4,682.41 | $4,846.3 | $4,916.53 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 3 | $42,675 | $25,605 | $5,658.76 | $5,899.26 | $5,941.7 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 2 | $47,558 | $28,535 | $9,949.78 | $9,949.78 | $10,298 |
| Lap salpingo-oophorectomy | CPT | 58661 | 3 | $72,044 | $43,226 | $5,658.76 | $5,856.81 | $5,941.7 |
| OR procedure for obesity w CC | MS-DRG | 620 | 11 | — | — | $12,782 | $30,074 | $43,754 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 11 | — | — | $12,160 | $28,347 | $36,670 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 11 | — | — | $10,347 | $23,316 | $28,821 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 11 | — | — | $15,822 | $36,856 | $40,320 |
Payer mix (top 13)
| Payer | Codes covered | Median rate |
|---|---|---|
| Humana | 62 | $7,513.61 |
| UnitedHealthcare | 60 | $10,347 |
| Aetna | 57 | $7,477.31 |
| Cigna | 39 | $16,465 |
| Blue Cross Blue Shield | 39 | $22,418 |
| pai [3082] | 37 | $24,259 |
| Medicare | 37 | $10,852 |
| select health of sc [4877] | 37 | $17,672 |
| devoted health plan [4501] | 35 | $10,347 |
| first choice vip care plus [4833] | 34 | $11,018 |
| umr [3113] | 34 | $19,109 |
| select health of sc [4890] | 6 | $9,167.63 |
| Medicaid | 6 | $8,731.07 |