Does Edgefield County Healthcare An Affiliate Of Self R publish its standard charges and chargemaster?

Yes. Edgefield County Healthcare An Affiliate Of Self R publishes a machine-readable file with 960 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of B. Browse the negotiated rates by procedure and payer on this page.

How much does Edgefield County Healthcare An Affiliate Of Self R charge for procedures?

Edgefield County Healthcare An Affiliate Of Self R (Edgefield, SC) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · SC · CCN 421304

Edgefield County Healthcare An Affiliate Of Self R

Edgefield, SC, 29824-

25 bedsCritical Access Hospitals9

Compliance grade

86/100

Rates published

960

last crawl 2026-05-24

Procedures tracked

144

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All SC hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://www.selfregional.org/media/570331865_Self-Regional-Healthcare_standardcharges_csv.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	0	—	—	—	—	—	—
Psychiatric diagnostic evaluation	CPT	90791	0	$20	$12	—	—	—	—
Psychotherapy 30 minutes	CPT	90832	0	$20	$12	—	—	—	—
Psychotherapy 45 minutes	CPT	90834	0	$20	$12	—	—	—	—
Psychotherapy 60 minutes	CPT	90837	0	$20	$12	—	—	—	—
emergency
ED visit level 1	CPT	99281	0	$170.16	$102.1	—	—	—	—
ED visit level 2	CPT	99282	0	$316.51	$189.91	—	—	—	—
ED visit level 3	CPT	99283	0	$588.69	$353.21	—	—	—	—
ED visit level 4	CPT	99284	0	$1,095	$657	—	—	—	—
ED visit level 5	CPT	99285	0	$2,036.64	$1,221.98	—	—	—	—
Critical care, first hour	CPT	99291	0	$3,168.54	$1,901.12	—	—	—	—
imaging
CT head without contrast	CPT	70450	0	$2,489.56	$1,493.74	—	—	—	—
CT head with contrast	CPT	70460	0	$2,077.03	$1,246.22	—	—	—	—
CT head with and without contrast	CPT	70470	0	$2,800	$1,680	—	—	—	—
CT neck with contrast	CPT	70491	0	$2,174.59	$1,304.75	—	—	—	—
MRI brain without contrast	CPT	70551	0	$2,815.96	$1,689.58	—	—	—	—
MRI brain with contrast	CPT	70552	0	$3,165.21	$1,899.13	—	—	—	—
MRI brain with and without contrast	CPT	70553	0	$4,063.3	$2,437.98	—	—	—	—
Chest X-ray single view	CPT	71045	0	$287.44	$172.46	—	—	—	—
Chest X-ray 2 views	CPT	71046	0	$350.51	$210.31	—	—	—	—
Chest X-ray 3 views	CPT	71047	0	$359.08	$215.45	—	—	—	—
CT chest without contrast	CPT	71250	0	$1,879.93	$1,127.96	—	—	—	—
CT chest with contrast	CPT	71260	0	$2,313.78	$1,388.27	—	—	—	—
CT chest with and without contrast	CPT	71270	0	$2,701.87	$1,621.12	—	—	—	—
MRI chest without contrast	CPT	71550	0	$2,700.81	$1,620.49	—	—	—	—
MRI chest with contrast	CPT	71551	0	$735	$441	—	—	—	—
MRI chest with and without contrast	CPT	71552	0	$3,862.19	$2,317.31	—	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$426.79	$256.07	—	—	—	—
CT cervical spine without contrast	CPT	72125	0	$2,116.22	$1,269.73	—	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$2,051.42	$1,230.85	—	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$2,119.41	$1,271.65	—	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$2,923.06	$1,753.84	—	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$2,891.73	$1,735.04	—	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$2,936.79	$1,762.07	—	—	—	—
MRI lumbar spine with and without contrast	CPT	72149	0	$3,198.86	$1,919.32	—	—	—	—
MRI cervical spine with and without contrast	CPT	72156	0	$4,117.62	$2,470.57	—	—	—	—
MRI lumbar spine with contrast	CPT	72158	0	$4,152.15	$2,491.29	—	—	—	—
CT pelvis without contrast	CPT	72192	0	$1,909.25	$1,145.55	—	—	—	—
CT pelvis with contrast	CPT	72193	0	$2,287.83	$1,372.7	—	—	—	—
Shoulder X-ray	CPT	73030	0	$384.76	$230.86	—	—	—	—
Humerus X-ray	CPT	73060	0	$339.79	$203.87	—	—	—	—
Hand X-ray 3 views	CPT	73130	0	$368.72	$221.23	—	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$2,763.04	$1,657.82	—	—	—	—
MRI upper extremity joint with and without contrast	CPT	73223	0	$3,685.47	$2,211.28	—	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$328.19	$196.91	—	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$370.9	$222.54	—	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$2,778.21	$1,666.93	—	—	—	—
MRI lower extremity joint with and without contrast	CPT	73723	0	$3,757.78	$2,254.67	—	—	—	—
CT abdomen without contrast	CPT	74150	0	$1,950.08	$1,170.05	—	—	—	—
CT abdomen with contrast	CPT	74160	0	$2,364.93	$1,418.96	—	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$2,783.56	$1,670.14	—	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$4,030.95	$2,418.57	—	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$4,449.9	$2,669.94	—	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$5,086.2	$3,051.72	—	—	—	—
MRI abdomen without contrast	CPT	74181	0	$2,772.27	$1,663.36	—	—	—	—
MRI abdomen with and without contrast	CPT	74183	0	$3,675	$2,205	—	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$997.52	$598.51	—	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$657.65	$394.59	—	—	—	—
Obstetric ultrasound first trimester	CPT	76801	0	$668.58	$401.15	—	—	—	—
Obstetric ultrasound after first trimester	CPT	76805	0	$791.91	$475.15	—	—	—	—
Obstetric ultrasound with fetal anatomy	CPT	76811	0	$747.42	$448.45	—	—	—	—
Transvaginal ultrasound	CPT	76830	0	$710.82	$426.49	—	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$831.09	$498.65	—	—	—	—
Scrotal ultrasound	CPT	76870	0	$741.8	$445.08	—	—	—	—
Diagnostic mammography unilateral	CPT	77065	0	$186.64	$111.98	—	—	—	—
Diagnostic mammography bilateral	CPT	77066	0	$232.45	$139.47	—	—	—	—
Screening mammography bilateral	CPT	77067	0	$232.45	$139.47	—	—	—	—
EKG tracing only	CPT	93005	0	$366.03	$219.62	—	—	—	—
Transthoracic echocardiogram complete	CPT	93306	0	$2,494.41	$1,496.65	—	—	—	—
Transthoracic echocardiogram	CPT	93307	0	$1,317.65	$790.59	—	—	—	—
Stress echocardiogram	CPT	93350	0	$2,520.35	$1,512.21	—	—	—	—
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	0	—	—	—	—	—	—
COPD w MCC	MS-DRG	190	0	—	—	—	—	—	—
COPD w CC	MS-DRG	191	0	—	—	—	—	—	—
Simple pneumonia & pleurisy w CC	MS-DRG	194	0	—	—	—	—	—	—
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	0	—	—	—	—	—	—
AMI discharged alive w MCC	MS-DRG	280	0	—	—	—	—	—	—
AMI discharged alive w CC	MS-DRG	281	0	—	—	—	—	—	—
AMI discharged alive w/o CC/MCC	MS-DRG	282	0	—	—	—	—	—	—
Heart failure & shock w MCC	MS-DRG	291	0	—	—	—	—	—	—
Heart failure & shock w CC	MS-DRG	292	0	—	—	—	—	—	—
Heart failure & shock w/o CC/MCC	MS-DRG	293	0	—	—	—	—	—	—
Cardiac arrhythmia w MCC	MS-DRG	308	0	—	—	—	—	—	—
Cardiac arrhythmia w CC	MS-DRG	309	0	—	—	—	—	—	—
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	0	—	—	—	—	—	—
GI hemorrhage w CC	MS-DRG	378	0	—	—	—	—	—	—
GI hemorrhage w/o CC/MCC	MS-DRG	379	0	—	—	—	—	—	—
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	0	—	—	—	—	—	—
Fractures of femur w/o MCC	MS-DRG	533	0	—	—	—	—	—	—
Kidney/UTI w MCC	MS-DRG	689	0	—	—	—	—	—	—
Kidney/UTI w/o MCC	MS-DRG	690	0	—	—	—	—	—	—
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	0	—	—	—	—	—	—
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	0	—	—	—	—	—	—
lab
Basic metabolic panel (BMP)	CPT	80048	0	$112.66	$67.6	—	—	—	—
General health panel	CPT	80050	0	$175	$105	—	—	—	—
Electrolyte panel	CPT	80051	0	$75.08	$45.05	—	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$149.59	$89.75	—	—	—	—
Lipid panel	CPT	80061	0	$149.59	$89.75	—	—	—	—
Renal function panel	CPT	80069	0	$248.46	$149.08	—	—	—	—
Hepatic function panel	CPT	80076	0	$90.13	$54.08	—	—	—	—
Urinalysis non-automated	CPT	81002	0	$39.16	$23.5	—	—	—	—
Urinalysis automated	CPT	81003	0	$80.92	$48.55	—	—	—	—
Glucose quantitative	CPT	82947	0	$61.97	$37.18	—	—	—	—
Hemoglobin A1c	CPT	83036	0	$46.34	$27.8	—	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$110.07	$66.04	—	—	—	—
Complete blood count with automated differential	CPT	85025	0	$99.95	$59.97	—	—	—	—
Complete blood count without differential	CPT	85027	0	$98.47	$59.08	—	—	—	—
Urine culture bacterial	CPT	87086	0	$151.23	$90.74	—	—	—	—
Urine culture identification	CPT	87088	0	$38.49	$23.09	—	—	—	—
Tissue exam by pathologist level IV	CPT	88305	0	$170.8	$102.48	—	—	—	—
maternity
Fetal non-stress test	CPT	59025	0	$433.26	$259.96	—	—	—	—
Vaginal delivery only	CPT	59409	0	$3,987.68	$2,392.61	—	—	—	—
office
Office visit, new patient, 15-29 min	CPT	99202	0	$260.96	$156.58	—	—	—	—
Office visit, new patient, 30-44 minutes	CPT	99203	0	$307.56	$184.54	—	—	—	—
Office visit, new patient, 45-59 min	CPT	99204	0	$332.32	$199.39	—	—	—	—
Office visit, new patient, 60-74 min	CPT	99205	0	$500.17	$300.1	—	—	—	—
Office visit, established patient, 5 min	CPT	99211	0	$131.27	$78.76	—	—	—	—
Office visit, established patient, 10-19 min	CPT	99212	0	$173.97	$104.38	—	—	—	—
Office visit, established patient, 20-29 minutes	CPT	99213	0	$205.04	$123.02	—	—	—	—
Office visit, established patient, 30-39 minutes	CPT	99214	0	$221.55	$132.93	—	—	—	—
Office visit, established patient, 40-54 min	CPT	99215	0	$289.82	$173.89	—	—	—	—
surgery
PCI w drug-eluting stent w MCC	MS-DRG	246	0	—	—	—	—	—	—
PCI w drug-eluting stent w/o MCC	MS-DRG	247	0	—	—	—	—	—	—
Major small/large bowel procedures w MCC	MS-DRG	329	0	—	—	—	—	—	—
Major small/large bowel procedures w CC	MS-DRG	330	0	—	—	—	—	—	—
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	0	—	—	—	—	—	—
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	0	—	—	—	—	—	—
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	0	—	—	—	—	—	—
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	0	—	—	—	—	—	—
Spinal fusion (non-cervical) w MCC	MS-DRG	459	0	—	—	—	—	—	—
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	0	—	—	—	—	—	—
Major joint replacement w MCC	MS-DRG	469	0	—	—	—	—	—	—
Major joint replacement w/o MCC	MS-DRG	470	0	—	—	—	—	—	—
Hip & femur procedures except major joint w MCC	MS-DRG	480	0	—	—	—	—	—	—
Hip & femur procedures except major joint w CC	MS-DRG	481	0	—	—	—	—	—	—
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	0	—	—	—	—	—	—
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	0	—	—	—	—	—	—
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	0	—	—	—	—	—	—
PCI single major coronary artery	CPT	92920	0	$9,159.88	$5,495.93	—	—	—	—
PCI with drug-eluting stent	CPT	92928	0	$13,888	$8,332.97	—	—	—	—
PCI bypass graft	CPT	92937	0	$13,888	$8,332.97	—	—	—	—
Left heart catheterization	CPT	93452	0	$9,819.54	$5,891.72	—	—	—	—
Coronary angiography with cath	CPT	93455	0	$13,087	$7,852.4	—	—	—	—
Coronary angiography with bypass cath	CPT	93458	0	$11,645	$6,986.99	—	—	—	—

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

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