Biopsy of rectum wall anal approach 45100 at Prisma Health Greer Memorial Hospital

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

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

$3,524.95

Cash price

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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.

$5,423.00

Gross charge

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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.

$287.38 with ALTERNATE MEDICARE RAILROAD [41801] vs $13,463.07 with OXFORD HEALTH PLANS [2992] — same scan, same building. Share

Negotiated rates by payer
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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
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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
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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
ALTERNATE MEDICARE RAILROAD [41801] PHU HB 100% OF MEDICARE - GRMH $287.38 ↓ -92%
MEDICAID NC-WELLCARE [3224] PH North Carolina Medicaid $835.14 ↓ -76%
MEDICAID NC-AMERIHEALTH [3225] PH North Carolina Medicaid $835.14 ↓ -76%
MEDICAID NC-UHC COMMUNITY PLAN [3226] PH North Carolina Medicaid $835.14 ↓ -76%
MEDICAID NORTH CAROLINA [310] PH North Carolina Medicaid $835.14 ↓ -76%
MEDICAID NC-HEALTHY BLUE [3227] PH North Carolina Medicaid $835.14 ↓ -76%
MEDICAID NC-CAROLINA COMPLETE [3229] PH North Carolina Medicaid $835.14 ↓ -76%
PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] PH HB SENIORCARE PACE $1,258.14 ↓ -64%
PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] PH HB SENIORCARE PACE $1,258.14 ↓ -64%
PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE PRISMA EMPLOYEE PLAN $1,898.05 ↓ -46%
ORANGEBURG SENIOR HELPING CENTER PACE [5401] PH OAKS PACE $2,169.20 ↓ -38%
TRICARE [900] PHU HB TRICARE - GRMH $2,550.37 ↓ -28%
MEDICARE ALTERNATE [20103] PHU HB 100% OF MEDICARE - GRMH $2,645.73 ↓ -25%
MEDICARE ADVANTAGE PLAN GENERIC [265] PHU HB 100% OF MEDICARE - GRMH $2,645.73 ↓ -25%
CHAMPVA [3049] PHU HB 100% OF MEDICARE - GRMH $2,645.73 ↓ -25%
MEDICARE HEALTHSPRING FKA CIGNA [250] PHU HB 100% OF MEDICARE - GRMH $2,645.73 ↓ -25%
COVID19 HRSA UNINSURED TESTING & TREATMENT FUND [904] PHU HB MEDICARE - GREER $2,645.73 ↓ -25%
DESERET MUTUAL INS CO [3066] PHU HB 100% OF MEDICARE - GRMH $2,645.73 ↓ -25%
FORETHOUGHT MEDICARE SUPPLEMENT [3075] PHU HB 100% OF MEDICARE - GRMH $2,645.73 ↓ -25%
MEDICARE ADV [26501] PHU HB 100% OF MEDICARE - GRMH $2,645.73 ↓ -25%
GENERIC SKILLED NURSING [3196] PHU HB 100% OF MEDICARE - GRMH $2,645.73 ↓ -25%
HEALTHSPRING/CIGNA MEDICARE SUPPLEMENT [3051] PHU HB 100% OF MEDICARE - GRMH $2,645.73 ↓ -25%
MEDICARE [200] PHU HB MEDICARE - GREER $2,645.73 ↓ -25%
HOP MEDICARE SUPPLEMENT [3089] PHU HB 100% OF MEDICARE - GRMH $2,645.73 ↓ -25%
HOSPICE CONTRACTED [1500] PHU HB 100% OF MEDICARE - GRMH $2,645.73 ↓ -25%
HOSPICE NON CONTRACTED [3190] PHU HB 100% OF MEDICARE - GRMH $2,645.73 ↓ -25%
MEDICARE MVP PPO [240] PHU HB 100% OF MEDICARE - GRMH $2,645.73 ↓ -25%
MEDICARE DEVOTED HEALTH [2045] PHU HB 100% OF MEDICARE - GRMH $2,645.73 ↓ -25%
MEDICARE BCBS OUT OF STATE [270] PHU HB 100% OF MEDICARE - GRMH $2,645.73 ↓ -25%
ALTERNATE MEDICARE [201] PHU HB 100% OF MEDICARE - GRMH $2,645.73 ↓ -25%
ALTERNATE MEDICARE COVID [20102] PHU HB 100% OF MEDICARE - GRMH $2,645.73 ↓ -25%
VETERANS ADMINISTRATION [3194] PHU HB 100% OF MEDICARE - GRMH $2,645.73 ↓ -25%
VA COMMUNITY CARE NETWORK-VACCN [903] PHU HB VACCN - GRMH $2,645.73 ↓ -25%
MEDICARE BCBS [210] PHU HB 100% OF MEDICARE - GRMH $2,645.73 ↓ -25%
UNITED WORLD LIFE MEDICARE SUPPLEMENT [3179] PHU HB 100% OF MEDICARE - GRMH $2,645.73 ↓ -25%
TRIWEST HEALTHCARE ALLIANCE VCP [902] PHU HB VACCN - GRMH $2,645.73 ↓ -25%
MEDICARE AMERICAS 1ST CHOICE SC [225] PHU HB 100% OF MEDICARE - GRMH $2,645.73 ↓ -25%
MEDICARE AMERICAS 1ST CHOICE NC [260] PHU HB 100% OF MEDICARE - GRMH $2,645.73 ↓ -25%
MEDICARE RAILROAD [4180] PHU HB 100% OF MEDICARE - GRMH $2,645.73 ↓ -25%
MEDICARE ADV [26501] PHU HB HUMANA MEDICARE PFFS - GREER $2,661.15 ↓ -25%
MEDICARE HUMANA [205] PHU HB HUMANA MEDICARE PFFS - GREER $2,661.15 ↓ -25%
MEDICARE ADV [26501] PHU HB 102% OF MEDICARE - GRMH $2,698.64 ↓ -23%
MEDICARE BCBS [210] PHU HB 102% OF MEDICARE - GRMH $2,698.64 ↓ -23%
MEDICARE ADV [26501] PHU HB 104% HUMANA MEDICARE - GREER $2,713.33 ↓ -23%
MEDICARE HUMANA [205] PHU HB 104% HUMANA MEDICARE - GREER $2,713.33 ↓ -23%
MEDICARE UNITED HEALTHCARE [230] PHU HB UHC MEDICARE - GRMH $2,738.33 ↓ -22%
MEDICARE ADVANTAGE [26503] PHU HB UHC MEDICARE - GRMH $2,738.33 ↓ -22%
MEDICARE ADV [26501] PHU HB UHC MEDICARE - GRMH $2,738.33 ↓ -22%
MEDICARE MOLINA COMPLETE CARE [203] PHU HB 105% OF MEDICARE - GRMH $2,778.01 ↓ -21%
HEALTHY CONN PRIME-WELLCARE PRIME BY ATC [5310] PHU HB 105% OF MEDICARE - GRMH $2,778.01 ↓ -21%
MEDICARE LIBERTY ADVANTAGE [3325] PHU HB 105% OF MEDICARE - GRMH $2,778.01 ↓ -21%
MEDICARE NHC ADVANTAGE [226] PHU HB 105% OF MEDICARE - GRMH $2,778.01 ↓ -21%
MEDICARE WELLCARE [255] PHU HB ABSOLUTE TOTAL CARE MEDICARE GRMH $2,778.01 ↓ -21%
MEDICARE WELLCARE BY ALLWELL [276] PHU HB ABSOLUTE TOTAL CARE MEDICARE GRMH $2,778.01 ↓ -21%
MEDICARE HEALTHSPRING FKA CIGNA [250] PHU HB 105% OF MEDICARE - GRMH $2,778.01 ↓ -21%
MEDICARE ADV [26501] PHU HB AETNA PPO/HMO MEDICARE - GRMH $2,778.01 ↓ -21%
MEDICARE ADV [26501] PHU HB AETNA PRIME HMO MEDICARE - GRMH $2,778.01 ↓ -21%
MEDICARE AETNA [235] PHU HB AETNA PPO/HMO MEDICARE - GRMH $2,778.01 ↓ -21%
MEDICARE AETNA [235] PHU HB AETNA PRIME HMO MEDICARE - GRMH $2,778.01 ↓ -21%
MEDICARE ALLWELL-ABSOLUTE TOTAL CARE [275] PHU HB ABSOLUTE TOTAL CARE MEDICARE GRMH $2,778.01 ↓ -21%
MEDICARE ADV [26501] PHU HB SELECT HEALTH DUAL ELIGIBLE - GRMH $2,804.47 ↓ -20%
HEALTHY CONN PRIME-FIRST CHOICE VIP CARE [5300] PHU HB SELECT HEALTH DUAL ELIGIBLE - GRMH $2,804.47 ↓ -20%
HEALTHY CONN PRIME-MOLINA HEALTHCARE [5330] PHU HB MOLINA DUAL ELIGIBLE GRMH $2,910.30 ↓ -17%
MEDICARE ADV [26501] PHU HB MOLINA DUAL ELIGIBLE GRMH $2,910.30 ↓ -17%
BOB JONES UNIV-PAI [821] GHS HB MyHFN BOB JONES PAI $3,253.80 ↓ -8%
PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE HEALTHCARE $3,253.80 ↓ -8%
AETNA [2000] PHU HB AETNA SC PREFERRED $3,470.72 ↓ -2%
MERITAIN HEALTH CONTRACTED [2200] PHU HB AETNA SC PREFERRED $3,470.72 ↓ -2%
BCBS [800] PHU HB UPSTATE BLUE EXCHANGE REEDY - GRMH $3,572.76 ↑ +1%
WORKERS COMP [600] PHU HB GENERIC WORKERS COMP - GRMH $3,704.02 ↑ +5%
CIGNA [2800] PHU HB CIGNA $3,763.56 ↑ +7%
MVP HEALTH CARE [3037] PHU HB CIGNA $3,763.56 ↑ +7%
EVERNORTH BEHAVIORAL CONTRACTED [2982] PHU HB CIGNA $3,763.56 ↑ +7%
PREFERRED ADMINISTRATORS CONTRACTED [2839] PH HB PREFERRED ADMINISTRATORS $3,796.10 ↑ +8%
MEDCOST [2940] PH HB MEDCOST BENEFIT SERVICES $4,013.02 ↑ +14%
ATLANTIC PACKAGING CONTRACTED [4833] PH HB ATLANTIC PACKAGING $4,067.25 ↑ +15%
BCBS [800] PHU HB BLUES EXCHANGE GRMH $4,261.24 ↑ +21%
BLUECHOICE [810] PHU HB BLUES EXCHANGE GRMH $4,261.24 ↑ +21%
AETNA [2000] PHU HB AETNA $4,284.17 ↑ +22%
AETNA-LUMINARE CONTRACTED [2400] PHU HB AETNA $4,284.17 ↑ +22%
MERITAIN HEALTH CONTRACTED [2200] PHU HB AETNA $4,284.17 ↑ +22%
APS HEALTHCARE SYSTEM [2981] GHS HB AMERICAN PSYCH SERVICES (APS) $4,338.40 ↑ +23%
MEDCOST [2940] PH HB MEDCOST $4,501.09 ↑ +28%
MULTIPLAN/PHCS CONTRACTED [2950] PH HB MULTIPLAN $4,826.47 ↑ +37%
AMBETTER EXCHANGE-ALL STATES CONTRACTED [4121] PHU HB AMBETTER HIX ATC MEDICARE - GRMH $4,868.14 ↑ +38%
VSP VISION CARE [2986] GHS HB VISION SERVICE PLAN (VSP) $4,880.70 ↑ +38%
SCDC-SC DEPT OF CORRECTIONS [7232] PHU HB BCBS STATE GRMH $4,934.89 ↑ +40%
SC DEPT OF CORRECTIONS [2998] PHU HB BCBS STATE GRMH $4,934.89 ↑ +40%
BCBS [800] PHU HB BCBS STATE GRMH $4,934.89 ↑ +40%
QUIKTRIP-FIRST HEALTH [3067] PHU HB AETNA FIRST HEALTH (AKA RENTAL NETWORK) $5,043.39 ↑ +43%
FURMAN INT/ALLEN UNIVERSITY STUDENT [2951] PHU HB AETNA FIRST HEALTH (AKA RENTAL NETWORK) $5,043.39 ↑ +43%
FIRST HEALTH CONTRACTED [2952] PHU HB AETNA FIRST HEALTH (AKA RENTAL NETWORK) $5,043.39 ↑ +43%
MEDICAID TENNESSEE [325] PHU HB 100% OF MEDICAID - GRMH $5,423.00 ↑ +54%
MEDICAID NEW YORK [320] PHU HB 100% OF MEDICAID - GRMH $5,423.00 ↑ +54%
MEDICAID MOLINA HEALTHCARE SC [440] PHU HB 103% OF MEDICAID - GRMH $5,423.00 ↑ +54%
MEDICAID HUMANA HEALTHY HORIZONS [6110] PHU HB 107% OF MEDICAID - GRMH $5,423.00 ↑ +54%
MEDICAID GEORGIA-CARESOURCE [3228] PHU HB 100% OF MEDICAID - GRMH $5,423.00 ↑ +54%
MEDICAID GEORGIA-AMERIGROUP [3009] PHU HB 100% OF MEDICAID - GRMH $5,423.00 ↑ +54%
MEDICAID FLORIDA [315] PHU HB 100% OF MEDICAID - GRMH $5,423.00 ↑ +54%
MEDICAID BLUECHOICE [420] PHU HB BLUECHOICE MEDICAID 104% - GRMH $5,423.00 ↑ +54%
MEDICAID ABSOLUTE TOTAL CARE [410] PHU HB ABSOLUTE TOTAL CARE MEDICAID - GRMH $5,423.00 ↑ +54%
FIRST CHOICE BENEFITS MGMT [3074] PHU HB 100% OF MEDICAID - GRMH $5,423.00 ↑ +54%
CELTIC LIFE MEDICARE SUPPLEMENT [3045] PHU HB 100% OF MEDICAID - GRMH $5,423.00 ↑ +54%
MEDICAID SELECT HEALTH OF SC [400] PHU HB 103% OF MEDICAID - GRMH $5,423.00 ↑ +54%
PENDING MEDICAID DET [333] PHU HB SC MEDICAID - GRMH $7,375.28 ↑ +109%
MEDICAID SC [300] PHU HB SC MEDICAID - GRMH $7,375.28 ↑ +109%
BCBS [800] PHU HB BCBS PPC GRMH $8,553.14 ↑ +143%
PLANNED ADMINISTRATORS [820] PHU HB BCBS PPC GRMH $8,553.14 ↑ +143%
BLUECHOICE [810] PHU HB BLUECHOICE GRMH $8,974.64 ↑ +155%
UMR-UNITED HEALTHCARE [2971] PHU HB UNITED HEALTHCARE $13,463.07 ↑ +282%
UNITED HEALTHCARE [2970] PHU HB UNITED HEALTHCARE $13,463.07 ↑ +282%
UNITED HEALTHCARE RIVER VALLEY [2994] PHU HB UNITED HEALTHCARE $13,463.07 ↑ +282%
UNITED HEALTH SHARED/INTEGRATED SERVICES [2997] PHU HB UNITED HEALTHCARE $13,463.07 ↑ +282%
GOLDEN RULE INSURANCE COMPANY [2991] PHU HB UNITED HEALTHCARE $13,463.07 ↑ +282%
ZZUMR-SALT LAKE CITY UT [3169] PHU HB UNITED HEALTHCARE $13,463.07 ↑ +282%
MEDICA UNITED HEALTHCARE [2987] PHU HB UNITED HEALTHCARE $13,463.07 ↑ +282%
BIND-SUREST BENEFITS ON DEMAND-UHC [2972] PHU HB UNITED HEALTHCARE $13,463.07 ↑ +282%
ALL SAVERS - UHC [2980] PHU HB UNITED HEALTHCARE $13,463.07 ↑ +282%
OXFORD HEALTH PLANS [2992] PHU HB UNITED HEALTHCARE $13,463.07 ↑ +282%

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Biopsy of rectum wall anal approach 45100 at other South-carolina hospitals

Hospital City Cash price Negotiated range
HCA HEALTHCARE BRIGHTON PARK ER MONCKS CORNER not published $1,660.42 – $4,934.89
LIVE OAK MENTAL HEALTH AND WELLNESS Ladson not published $1,660.42 – $4,934.89

All South-carolina hospitals for this procedure →