Spartanburg Medical Center - Mary Black Campus
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Spartanburg Medical Center - Mary Black Campus. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN420083
Procedures & prices
Hospital-published price lines. These are billing-code items from the hospital transparency file, not a personalized estimate. Cash is the self-pay price; gross is the pre-discount list price.
Price definitions
- Cash
- — self-pay price (no insurance)
- Gross
- — chargemaster list price; the pre-discount sticker rate, rarely what anyone pays
- Negotiated range
- — min–max of rates the hospital negotiated with insurers
- Payers
- — number of insurers with a published rate (“0” / “—” = none)
Available here:CashGross listInsurer-negotiated rates were not published for these rows.
- Catheter, UreteralProcedureHCPCS C1758Hospital-published line item$11cashGross $18
- Wet Mounts, Including Preparations Of Vaginal, Cervical OR Skin SpecimensDrugHCPCS Q0111Hospital-published line item$12cashGross $36
- iiv4 Vacc No Prsv 0.5 Ml IMProcedureCPT 90686Hospital-published line item$13cashGross $40
- Electrocardiogram CompleteProcedureCPT 93000Hospital-published line item$13cashGross $146
- Ia Nfct Ab sarscov2 covid19Lab testCPT 86328Hospital-published line item$14cashGross $23
- Injection, Diphenhydramine Hcl, Up To 50 MgDrugHCPCS J1200Hospital-published line item$14cashGross $42
- Injection, Promethazine Hcl, Up To 50 MgDrugHCPCS J2550Hospital-published line item$14cashGross $42
- App Topical Fluoride VarnishProcedureCPT 99188Hospital-published line item$14cashGross $50
- Non-Pvc (polyvinyl Chloride) Intravenous Administration Set, For Use With Drugs That Are Not Stable In Pvc E.g., PaclitaxelProcedureHCPCS S1016Hospital-published line item$14cashGross $24
- Glycosylated a1c Home DevLab testCPT 83037Hospital-published line item$15cashGross $47
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Catheter, Ureteral ProcedureHCPCS C1758Hospital-published line item | $11 | $18 |
Wet Mounts, Including Preparations Of Vaginal, Cervical OR Skin Specimens DrugHCPCS Q0111Hospital-published line item | $12 | $36 |
iiv4 Vacc No Prsv 0.5 Ml IM ProcedureCPT 90686Hospital-published line item | $13 | $40 |
Electrocardiogram Complete ProcedureCPT 93000Hospital-published line item | $13 | $146 |
Ia Nfct Ab sarscov2 covid19 Lab testCPT 86328Hospital-published line item | $14 | $23 |
Injection, Diphenhydramine Hcl, Up To 50 Mg DrugHCPCS J1200Hospital-published line item | $14 | $42 |
Injection, Promethazine Hcl, Up To 50 Mg DrugHCPCS J2550Hospital-published line item | $14 | $42 |
App Topical Fluoride Varnish ProcedureCPT 99188Hospital-published line item | $14 | $50 |
Non-Pvc (polyvinyl Chloride) Intravenous Administration Set, For Use With Drugs That Are Not Stable In Pvc E.g., Paclitaxel ProcedureHCPCS S1016Hospital-published line item | $14 | $24 |
Glycosylated a1c Home Dev Lab testCPT 83037Hospital-published line item | $15 | $47 |
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