Charleston Area Medical Center — price list

← Hospital overviewVerified from Charleston Area Medical Center’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

235 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
12052-FACE/EAR/EYE/NOSE/LIP 2.6-5.0 CM Outpatient	12052 CPT	$824	$824	$105 – $824	—
13132 - PF REPAIR COMPLEX FOREHEAD/CHEEKS/CHIN/MOUTH/NECK/AXILLAE/GENITALIA/HANDS/FEET 2.6-7.5CM Inpatient & outpatient	13132 CPT	$858	$858	$225 – $849	—
16000 - INITIAL TREATMENT FIRST DEGREE BURN LOCAL Outpatient	16000 CPT	$130	$130	$31.53 – $129	—
23076 - EXC TUMOR/SOFT TISSUE SHOULDER AREA SUBFASCIAL LESS THAN 5CM Outpatient	23076 CPT	$4,969	$4,969	$418 – $4,969	—
25025 - PF DECOMPRESSION FASCIOTOMY FOREARM/WRIST/FLEXOR AND EXTENSOR COMPARTMENT W/DEBRIDEMENT Inpatient & outpatient	25025 CPT	$3,308	$3,308	$937 – $3,275	—
25125 - PF EXCISION/CURETTAGE BONE CYST/BENIGN TUMOR RADIUS/ULNA W/AUTOGRAFT Inpatient & outpatient	25125 CPT	$1,567	$1,567	$454 – $1,551	—
25526 - PF OPEN TX RADIAL SHAFT FX AND DISTAL RADIOULNAR JOINT DISLOCATION W/FIBROCARTILAGE REPAIR Inpatient & outpatient	25526 CPT	$2,579	$2,579	$729 – $2,553	—
26700 - CLOSED TX OF METACARPOPHALANGEAL DISLOCATION SINGLE W/MANIPULATION W/O ANESTHESIA Outpatient	26700 CPT	$798	$798	$243 – $790	—
27301 - PF INCISION/DRAINAGE DEEP ABSCESS/BURSA/HEMATOMA THIGH OR KNEE REGION Inpatient & outpatient	27301 CPT	$1,363	$1,363	$388 – $1,349	—
27619 - PF EXCISION TUMOR SOFT TISSUE LEG OR ANKLE AREA SUBFASCIAL LESS THAN 5CM Inpatient & outpatient	27619 CPT	$1,282	$1,282	$355 – $1,269	—
27635 - PF EXC/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA Inpatient & outpatient	27635 CPT	$1,594	$1,594	$437 – $1,578	—
29881 - PF ARTHROSCOPY KNEE W/MENISCECTOMY MEDIAL OR LATERAL W/SHAVING Inpatient & outpatient	29881 CPT	$1,460	$1,460	$411 – $1,445	—
3.0MM TI C 04.905.014 Inpatient & outpatient	C1713 HCPCS	$660	$660	$156 – $647	—
3.0MM TI C 04.905.015 Inpatient & outpatient	C1713 HCPCS	$660	$660	$156 – $647	—
3.0MM TI V 04.908.026 Inpatient & outpatient	C1713 HCPCS	$1,899	$1,899	$449 – $1,861	—
33285 - INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PROGRAMMING Outpatient	33285 CPT	$12,093	$12,093	$70.68 – $12,093	—
36 CENTERE 906-3600 Inpatient & outpatient	C1776 HCPCS	$2,120	$2,120	$501 – $2,078	—
40525 - PF EXCISION OF LIP FULL THICKNESS RECONSTRUCTION W/LOCAL FLAP Inpatient & outpatient	40525 CPT	$1,512	$1,512	$412 – $1,497	—
44604 - PF COLORRHAPHY FOR PERFORATED ULCER/DIVERTICULUM/WOUND/INJURY/RUPTURE W/O COLOSTOMY Inpatient & outpatient	44604 CPT	$2,926	$2,926	$818 – $2,897	—
45000 - PF TRANSRECTAL DRAINAGE PELVIC ABSCESS Inpatient & outpatient	45000 CPT	$1,437	$1,437	$325 – $1,423	—
48520 - PF INTERNAL ANASTOMOSIS PANCREATIC CYST TO GASTROINTESTINAL TRACT DIRECT Inpatient & outpatient	48520 CPT	$3,097	$3,097	$857 – $3,066	—
51600 - INJECTION FOR CYSTOGRAPHY OR VOIDING URETHROCYSTOGRAPHY Outpatient	51600 CPT	$962	$962	$34.78 – $943	—
52346 - PF CYSTOURETHROSCOPY W/URETEROSCOPY W/TX INTRA-RENAL STRICTURE Inpatient & outpatient	52346 CPT	$1,313	$1,313	$336 – $1,300	—
54530 - PF ORCHIECTOMY RADICAL TUMOR INGUINAL APPROACH Inpatient & outpatient	54530 CPT	$1,371	$1,371	$385 – $1,357	—
55831 - PF PROSTATECTOMY RETROPUBIC SUBTOTAL Inpatient & outpatient	55831 CPT	$3,617	$3,617	$651 – $3,581	—
57421 - COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT W/BX VAGINA/CERVIX Outpatient	57421 CPT	$346	$346	$93.93 – $343	—
57456 - COLPOSCOPY CERVIX/UPPER/ADJACENT VAGINA W/ENDOCERVICAL CURETTAGE Outpatient	57456 CPT	$539	$539	$80.21 – $539	—
61322 - PF CRANIECTOMY/CRANIOTOME DECOMPRESSIVE W/WO DURAPLASTY W/O LOBECTOMY Inpatient & outpatient	61322 CPT	$7,264	$7,264	$1,716 – $7,191	—
65205 - PF REMOVAL FB EXTERNAL EYE CONJUNCTIVAL SUPERFICIAL Inpatient & outpatient	65205 CPT	$119	$119	$21.11 – $118	—
76821 - PF DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ARTERY Inpatient & outpatient	76821 CPT	$95.00	$95.00	$26.60 – $95.00	—