MUSC Health · Charleston, SC
28
In-network payers
309
Disclosed rate categories
713
Beds
3
Care quality
Musc Health University Medical Center is a 713-bed government - state hospital in Charleston, SC, affiliated with MUSC Health. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 309 disclosed rate categories.
CCN (Medicare provider number)
420004
NPI
1073605879
Type
Short Term Acute Care Hospital
Ownership
Government - State
Beds
713
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Musc Health University Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$8,878 - $10,722
from 4 insurers · median $9,629
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$11,148 - $14,814
from 4 insurers · median $13,125
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Gynecology
CPT 58558
$2,309 - $10,147
from 3 insurers · median $8,769
77 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Digestive procedures
CPT 43239
$1,022 - $6,573
from 3 insurers · median $4,579
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$268 - $2,920
from 3 insurers · median $1,262
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$8,402 - $19,258
from 3 insurers · median $17,003
332 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$960 - $6,109
from 3 insurers · median $4,579
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$51,429 - $71,742
from 4 insurers · median $61,516
70 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 45380
$1,017 - $5,268
from 3 insurers · median $4,579
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$860 - $5,497
from 3 insurers · median $4,579
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$1,817 - $6,238
from 3 insurers · median $4,579
76 Medicare claims in Level 3 ENT Procedures (CMS 2024)
Medicine & Surgery
CPT 66984
$3,411 - $10,147
from 3 insurers · median $9,923
949 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Gynecology
CPT 58571
$10,048 - $31,341
from 3 insurers · median $19,258
123 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$1,093 - $1,234
from 2 insurers · median $1,163
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$143,802 - $212,668
from 4 insurers · median $164,206
13 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 70450
$80 - $901
from 3 insurers · median $478
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$29,676 - $45,620
from 4 insurers · median $32,895
44 Medicare discharges for this DRG in CMS hospital data
Mammography
CPT 77067
$84 - $411
from 3 insurers · median $148
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 30520
$2,853 - $10,147
from 3 insurers · median $9,354
57 Medicare claims in Level 4 ENT Procedures (CMS 2024)
CT imaging
CPT 74176
$184 - $2,044
from 3 insurers · median $898
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$268 - $2,453
from 3 insurers · median $1,580
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$8,878 - $10,722
from 4 insurers · median $9,629
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 71275
$135 - $925
from 3 insurers · median $899
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$996 - $2,389
from 3 insurers · median $1,973
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 465% | 18 | 2 |
| Insurer B* | 23 | 289% | 4 | 16 |
| Insurer C* | 24 | 140% | 0 | 19 |
| Insurer D* | 6 | - | 1 | 2 |
How we chose these services: 9 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 3 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Musc Health University Medical Center.
169 Ashley Avenue, Charleston, SC 29425
(843) 792-2300
The nearest hospitals of similar type and size. Their rates are compared with Musc Health University Medical Center for the same insurers and services above.
Memorial Health University Medical Center
▼ Rates typically 30% lower than Musc Health University Medical Center (21 services)
Grand Strand Regional Center
▲ Rates typically 52% higher than Musc Health University Medical Center (21 services)
Mcleod Regional Medical Center
▲ Rates typically 70% higher than Musc Health University Medical Center (21 services)
Lexington Medical Center
▲ Rates typically 42% higher than Musc Health University Medical Center (21 services)
Palmetto Richland
▲ Rates typically 63% higher than Musc Health University Medical Center (21 services)
Piedmont Augusta
▼ Rates typically 27% lower than Musc Health University Medical Center (21 services)
Roper Hospital
Trident Medical Center
Bon Secours St Francis Hospital (Roper St Francis)
Kershaw Health
About Musc Health University Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Musc Health University Medical Center range from $268 to $2,453 across 3 insurers. Blue Cross Blue Shield's rate is $1,580. The median at nearby comparable hospitals is $1,044. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Musc Health University Medical Center range from $268 to $2,920 across 3 insurers. UnitedHealthcare's rate is $268. The median at nearby comparable hospitals is $1,622. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Musc Health University Medical Center range from $960 to $6,109 across 3 insurers. Blue Cross Blue Shield's rate is $960. The median at nearby comparable hospitals is $4,347. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Musc Health University Medical Center range from $8,878 to $10,722 across 4 insurers. Cigna's rate is $10,722. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Musc Health University Medical Center range from $84 to $411 across 3 insurers. UnitedHealthcare's rate is $84. The median at nearby comparable hospitals is $194. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Musc Health University Medical Center range from $29,676 to $45,620 across 4 insurers. Aetna's rate is $33,324. The median at nearby comparable hospitals is $48,119. What a patient pays depends on their plan's deductible, coinsurance and network status.
Musc Health University Medical Center has 713 beds. Facility type: Short Term Acute Care Hospital.
Musc Health University Medical Center is located at 169 Ashley Avenue, Charleston, SC 29425. Its main phone number is (843) 792-2300.
Musc Health University Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 420004.
The National Provider Identifier (NPI) on file for Musc Health University Medical Center is 1073605879.
Musc Health University Medical Center is affiliated with MUSC Health.
Musc Health University Medical Center lists 28 in-network payers, including Aetna, Ambetter, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
309 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers