healthcosts.net
Colonoscopy (with biopsy) at Prisma Health Greer Memorial Hospital
830 S BUNCOMBE ROAD, GREER, SC · · · NPI 1982150009
$2,438.80
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.
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What you pay up front if you don't use insurance.
$3,752.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$608.17 with MEDICARE WELLCARE [255] vs $924.04 with PLANNED ADMINISTRATORS [820] — 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 →
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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 ?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 |
|---|---|---|---|
| MEDICARE WELLCARE [255] | PHU HB ABSOLUTE TOTAL CARE MEDICARE GRMH | $608.17 | ↓ -75% |
| BCBS [800] | PHU HB BLUES EXCHANGE GRMH | $904.47 | ↓ -63% |
| BLUECHOICE [810] | PHU HB BLUES EXCHANGE GRMH | $904.47 | ↓ -63% |
| BLUECHOICE [810] | PHU HB BLUECHOICE GRMH | $924.04 | ↓ -62% |
| PLANNED ADMINISTRATORS [820] | PHU HB BCBS PPC GRMH | $924.04 | ↓ -62% |