Amputation of midtarsal 28800 at Prisma Health Greer Memorial Hospital

830 S BUNCOMBE ROAD, GREER, SC · · · NPI 1982150009

Source: hospital's published price file ↗ · Published unknown · Ingested unknown

$6,182.80

Cash price

?

Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$9,512.00

Gross charge

?

Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$1,464.85 with MEDICAID NC-HEALTHY BLUE [3227] vs $8,846.16 with FURMAN INT/ALLEN UNIVERSITY STUDENT [2951] — same scan, same building. Share

Negotiated rates by payer
?

Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
?

Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
?

Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
MEDICAID NC-HEALTHY BLUE [3227] PH North Carolina Medicaid $1,464.85 ↓ -76%
MEDICAID NORTH CAROLINA [310] PH North Carolina Medicaid $1,464.85 ↓ -76%
MEDICAID NC-WELLCARE [3224] PH North Carolina Medicaid $1,464.85 ↓ -76%
MEDICAID NC-UHC COMMUNITY PLAN [3226] PH North Carolina Medicaid $1,464.85 ↓ -76%
MEDICAID NC-AMERIHEALTH [3225] PH North Carolina Medicaid $1,464.85 ↓ -76%
MEDICAID NC-CAROLINA COMPLETE [3229] PH North Carolina Medicaid $1,464.85 ↓ -76%
MEDICAID FLORIDA [315] PHU HB 100% OF MEDICAID - GRMH $2,140.74 ↓ -65%
CELTIC LIFE MEDICARE SUPPLEMENT [3045] PHU HB 100% OF MEDICAID - GRMH $2,140.74 ↓ -65%
MEDICAID GEORGIA-AMERIGROUP [3009] PHU HB 100% OF MEDICAID - GRMH $2,140.74 ↓ -65%
MEDICAID NEW YORK [320] PHU HB 100% OF MEDICAID - GRMH $2,140.74 ↓ -65%
MEDICAID TENNESSEE [325] PHU HB 100% OF MEDICAID - GRMH $2,140.74 ↓ -65%
FIRST CHOICE BENEFITS MGMT [3074] PHU HB 100% OF MEDICAID - GRMH $2,140.74 ↓ -65%
MEDICAID GEORGIA-CARESOURCE [3228] PHU HB 100% OF MEDICAID - GRMH $2,140.74 ↓ -65%
MEDICAID SC [300] PHU HB SC MEDICAID - GRMH $2,156.59 ↓ -65%
PENDING MEDICAID DET [333] PHU HB SC MEDICAID - GRMH $2,156.59 ↓ -65%
PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] PH HB SENIORCARE PACE $2,206.78 ↓ -64%
PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] PH HB SENIORCARE PACE $2,206.78 ↓ -64%
MEDICAID MOLINA HEALTHCARE SC [440] PHU HB 103% OF MEDICAID - GRMH $2,221.29 ↓ -64%
MEDICAID SELECT HEALTH OF SC [400] PHU HB 103% OF MEDICAID - GRMH $2,221.29 ↓ -64%
MEDICAID BLUECHOICE [420] PHU HB BLUECHOICE MEDICAID 104% - GRMH $2,226.36 ↓ -64%
MEDICAID ABSOLUTE TOTAL CARE [410] PHU HB ABSOLUTE TOTAL CARE MEDICAID - GRMH $2,264.42 ↓ -63%
MEDICAID HUMANA HEALTHY HORIZONS [6110] PHU HB 107% OF MEDICAID - GRMH $2,307.55 ↓ -63%
PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE PRISMA EMPLOYEE PLAN $3,329.20 ↓ -46%
ORANGEBURG SENIOR HELPING CENTER PACE [5401] PH OAKS PACE $3,804.80 ↓ -38%
BCBS [800] PHU HB BCBS STATE GRMH $4,056.47 ↓ -34%
SCDC-SC DEPT OF CORRECTIONS [7232] PHU HB BCBS STATE GRMH $4,056.47 ↓ -34%
SC DEPT OF CORRECTIONS [2998] PHU HB BCBS STATE GRMH $4,056.47 ↓ -34%
BOB JONES UNIV-PAI [821] GHS HB MyHFN BOB JONES PAI $5,707.20 ↓ -8%
PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE HEALTHCARE $5,707.20 ↓ -8%
AETNA [2000] PHU HB AETNA SC PREFERRED $6,087.68 ↓ -2%
MERITAIN HEALTH CONTRACTED [2200] PHU HB AETNA SC PREFERRED $6,087.68 ↓ -2%
EVERNORTH BEHAVIORAL CONTRACTED [2982] PHU HB CIGNA $6,601.33 ↑ +7%
MVP HEALTH CARE [3037] PHU HB CIGNA $6,601.33 ↑ +7%
CIGNA [2800] PHU HB CIGNA $6,601.33 ↑ +7%
PREFERRED ADMINISTRATORS CONTRACTED [2839] PH HB PREFERRED ADMINISTRATORS $6,658.40 ↑ +8%
MEDCOST [2940] PH HB MEDCOST BENEFIT SERVICES $7,038.88 ↑ +14%
ATLANTIC PACKAGING CONTRACTED [4833] PH HB ATLANTIC PACKAGING $7,134.00 ↑ +15%
AETNA [2000] PHU HB AETNA $7,514.48 ↑ +22%
MERITAIN HEALTH CONTRACTED [2200] PHU HB AETNA $7,514.48 ↑ +22%
AETNA-LUMINARE CONTRACTED [2400] PHU HB AETNA $7,514.48 ↑ +22%
APS HEALTHCARE SYSTEM [2981] GHS HB AMERICAN PSYCH SERVICES (APS) $7,609.60 ↑ +23%
MEDCOST [2940] PH HB MEDCOST $7,894.96 ↑ +28%
MULTIPLAN/PHCS CONTRACTED [2950] PH HB MULTIPLAN $8,465.68 ↑ +37%
VSP VISION CARE [2986] GHS HB VISION SERVICE PLAN (VSP) $8,560.80 ↑ +38%
QUIKTRIP-FIRST HEALTH [3067] PHU HB AETNA FIRST HEALTH (AKA RENTAL NETWORK) $8,846.16 ↑ +43%
FIRST HEALTH CONTRACTED [2952] PHU HB AETNA FIRST HEALTH (AKA RENTAL NETWORK) $8,846.16 ↑ +43%
FURMAN INT/ALLEN UNIVERSITY STUDENT [2951] PHU HB AETNA FIRST HEALTH (AKA RENTAL NETWORK) $8,846.16 ↑ +43%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Amputation of midtarsal 28800 at other South-carolina hospitals

Hospital City Cash price Negotiated range
HCA HEALTHCARE BRIGHTON PARK ER MONCKS CORNER not published $4,056.47 – $4,056.47
LIVE OAK MENTAL HEALTH AND WELLNESS Ladson not published $4,056.47 – $4,056.47

All South-carolina hospitals for this procedure →