How many shoppable procedure prices are published for Coastal Carolina Hospital?

Coastal Carolina Hospital in Hardeeville, SC currently has 142 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Coastal Carolina Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Coastal Carolina Hospital's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Coastal Carolina Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Coastal Carolina Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary Updated: 2026-03-10

Coastal Carolina Hospital

1000 Medical Center Drive, Hardeeville, SC 29927 · 142 Priced Procedures · 61% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Good Deal · Below Fair Market

0.90×vs. Fair Market Price

Typical commercial prices here are 10% below the fair benchmark (0.90×) after accounting for local nurse/doctor wages and patient complexity.

83/100 · Corroborated

83/100Self-Pay Cash Beats Insurance 40% of the Time

File Completeness66

Price Logic99

Peer Alignment65

Clean Billing81

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.90× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Coastal Carolina Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (1.2× Medicare, p50 0.90× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.99× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#8 of 52 in SC · 13th State Percentile#673 of 3,385 in U.S. · 19th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 10% below peer Fair BaseRate (0.90×)
Self-pay cash beats commercial insurance on 40% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 61% patient recommendation (65/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
Commercial insurance median sits at 0.90× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (0.90× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Consolidated metro market (HHI 4,049) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.2× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.83× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+10% Upper Tail

Q25 0.78× · Q50 0.90× · Q75 0.99×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.9× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

40% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 65/100Fair

Procedure Prices at Coastal Carolina Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 142 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$53,264	$26,188	$30,775	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$16,887	$15,747	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$28,606	$15,637	$19,432	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$36,767	$14,292	$17,936	0.8×
Total hip replacement CPT Code: `27130`	$27,052	$12,180	$13,413	0.9×
Total knee replacement CPT Code: `27447`	$21,564	$12,180	$13,523	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$8,909	$6,320	$8,223	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$6,900	$5,848	$6,109	1.0×
Breast lump removal CPT Code: `19120`	$4,573	$3,722	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	$1,926	$3,430	$3,629	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,614	$3,165	$3,372	0.9×
Bunion correction surgery CPT Code: `28296`	$1,772	$3,135	$3,446	0.9×
Cataract surgery with lens implant CPT Code: `66984`	$2,145	$2,254	$2,540	0.9×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,150	$2,680	0.8×
C-section delivery (full package) CPT Code: `59510`	—	$2,150	$2,975	0.7×
Trauma team activation HCPCS Code: `G0390`	$3,013	$1,289	$1,453	0.9×
Colonoscopy with biopsy CPT Code: `45380`	$833	$1,146	$1,256	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$833	$891	$981	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$833	$886	$987	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,430	$819	$1,021	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$796	$689	$855	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$964	$529	$583	0.9×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$482	$269	unverified
Blood transfusion CPT Code: `36430`	$714	$431	$498	0.9×
Psychological testing by technician CPT Code: `96138`	$388	$424	$395	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$873	$358	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,132	$368	$511	0.7×
Behavioral health residential care HCPCS Code: `H0011`	—	$314	$364	0.9×
Residential mental health treatment HCPCS Code: `H2036`	—	$322	$406	0.8×
Rabies immune globulin HCPCS Code: `90375`	$403	$268	$322	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$265	$25	unverified
Neurobehavioral status check CPT Code: `96116`	$520	$211	$231	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$274	$233	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$534	$231	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$660	$231	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$622	$231	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$622	$231	$369	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$85	$204	$201	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$348	$172	$166	1.0×
Family therapy session CPT Code: `90847`	$529	$172	$173	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$348	$172	$181	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$348	$172	$185	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$608	$179	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$597	$179	$258	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$136	$104	$110	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$146	$111	$123	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$250	$127	$151	0.8×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$112	$257	0.4×
Behavioral health day treatment HCPCS Code: `H0010`	—	$121	$343	0.4×
Speech therapy (language evaluation) CPT Code: `92507`	$129	$137	$86	unverified
Psychological testing evaluation CPT Code: `96136`	$161	$129	$128	unverified
Speech therapy (group session) CPT Code: `92508`	$52	$82	$27	3.0×
Group therapy session CPT Code: `90853`	$208	$98	$100	1.0×
X-ray, pelvis CPT Code: `72170`	$59	$100	$110	0.9×
X-ray, lower back CPT Code: `72110`	$107	$101	$112	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$112	$148	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$421	$109	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$492	$109	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$365	$109	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$475	$109	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$527	$109	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$491	$109	$169	0.6×
X-ray, chest (two views) CPT Code: `71046`	$110	$83	$93	0.9×
X-ray, hip CPT Code: `73502`	$122	$83	$93	0.9×
X-ray, shoulder CPT Code: `73030`	$63	$81	$92	0.9×
X-ray, foot CPT Code: `73630`	$62	$81	$92	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$64	$81	$93	0.9×
X-ray, hand CPT Code: `73130`	$63	$81	$93	0.9×
X-ray, ankle CPT Code: `73610`	$62	$81	$93	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$145	$101	$126	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$148	$97	$123	0.8×
Ultrasound, pelvis CPT Code: `76856`	$150	$101	$130	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$210	$103	$134	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$216	$101	$132	0.8×
X-ray, chest (single view) CPT Code: `71045`	$110	$83	$92	unverified
Typhoid vaccine HCPCS Code: `90675`	$297	$297	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$189	$203	0.9×
Drug screening test HCPCS Code: `G0480`	—	$114	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$82	$121	$140	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$109	$79	$87	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$93	$111	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$38	$46	$35	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$37	$49	$38	1.3×
Physical therapy (gait training) CPT Code: `97116`	$34	$40	$33	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$52	$40	$34	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$32	$42	$38	1.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$37	$41	$40	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$84	$58	$64	0.9×
Care planning with family CPT Code: `90887`	—	$76	$107	0.7×
Blood antibody screen CPT Code: `86850`	$21	$48	$46	1.0×
Review of medical records for care CPT Code: `90889`	—	$67	$114	0.6×
Blood test, basic metabolic panel CPT Code: `80048`	$31	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$36	$11	$11	1.0×
Blood test, liver function panel CPT Code: `80076`	$38	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$12	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$23	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	$77	$31	$31	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$32	$27	$27	1.0×
Orthotic fitting and training CPT Code: `97760`	$47	$49	$51	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$80	$45	$48	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$58	$45	$49	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$40	$56	0.7×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$60	$88	0.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$56	$34	$38	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	—	$52	$86	0.6×
Blood test, clotting time (PTT) CPT Code: `85730`	$22	$6	$6	1.0×
Culture, blood CPT Code: `87040`	$40	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$33	$9	$9	1.0×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$14	$16	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$40	$31	$37	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$19	$20	$25	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$29	$39	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$25	$35	0.7×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$22	$33	0.7×
Prosthetic fitting and training CPT Code: `97761`	$40	$28	$45	0.6×
Behavioral health living support HCPCS Code: `H2019`	—	$13	$34	0.4×
Behavioral health day program HCPCS Code: `H2012`	—	$36	$100	0.4×
Behavioral health assessment HCPCS Code: `H0001`	—	$44	$157	0.3×
Mental health services (assessment) HCPCS Code: `H0031`	—	$28	$140	0.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$80	$45	$49	unverified
Blood test, calcium CPT Code: `82310`	$18	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$19	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$68	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$54	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$14	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$37	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$21	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$24	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$18	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$77	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$16	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$16	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$27	$8	$8	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$60	$17	$18	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$18	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$11	$2	$3	0.7×
Mental health services (therapy) HCPCS Code: `H0032`	—	$11	$65	0.2×
Community mental health services HCPCS Code: `H0038`	—	$2	$16	0.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$42	$14	$14	unverified
Hepatitis C antibody test CPT Code: `86803`	$60	$15	$15	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$51	$20	$20	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$11	$11	$14	unverified

Showing top 25 high-impact procedures of 142 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Coastal Carolina Hospital (Zero PHI Required)

CMS CCN: 420101

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $53,264

Insurer Median $26,188

1. Amount on Your Bill or Quote ($) Pre-filled with Coastal Carolina Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $9,587 Paying Cash

Self-Pay Cash Rate ($53,264) Beats Your Bill

Coastal Carolina Hospital's published 45 CFR § 180 self-pay cash rate is $53,264 (vs. $26,188 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$32,076 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($62,851) is $32,076 above the denoised Fair BaseRate ($30,775) and 2.7× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Coastal Carolina Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite65/100

Would Recommend61%

Rated 9 or 10 (HCAHPS)61%

Median ER Wait126 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (457 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Coastal Carolina Hospital.

Price Index: 0.95× regional baseline

Quality: 56/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Cigna

-47.6%

Median Household Income$63,503U.S. Census ACS

Local Uninsured Share12.9%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 83/100 · Corroborated CMS CCN 420101

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 420101) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-10

Validated Rate Rows3,342 (CMS v3.0.0)

File Integrity DigestVerified · CCN 420101

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy