Home/res vst new mod mdm 60 at Prisma Health Greer Memorial Hospital

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

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

$115.23

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.

$177.27

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.

$56.90 with BCBS [800] vs $284.76 with ATLANTIC PACKAGING CONTRACTED [4833] — 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
BCBS [800] PHU HB UPSTATE BLUE EXCHANGE REEDY - GRMH $56.90 ↓ -51%
FIRST CHOICE BENEFITS MGMT [3074] PHU HB 100% OF MEDICAID - GRMH $104.63 ↓ -9%
CELTIC LIFE MEDICARE SUPPLEMENT [3045] PHU HB 100% OF MEDICAID - GRMH $104.63 ↓ -9%
AETNA [2000] PHU HB AETNA SC PREFERRED $113.45 ↓ -2%
MERITAIN HEALTH CONTRACTED [2200] PHU HB AETNA SC PREFERRED $113.45 ↓ -2%
TRICARE [900] PHU HB TRICARE - GRMH $131.85 ↑ +14%
AETNA [2000] PHU HB AETNA $140.04 ↑ +22%
AETNA-LUMINARE CONTRACTED [2400] PHU HB AETNA $140.04 ↑ +22%
MERITAIN HEALTH CONTRACTED [2200] PHU HB AETNA $140.04 ↑ +22%
UNITED WORLD LIFE MEDICARE SUPPLEMENT [3179] PHU HB 100% OF MEDICARE - GRMH $142.38 ↑ +24%
HOP MEDICARE SUPPLEMENT [3089] PHU HB 100% OF MEDICARE - GRMH $142.38 ↑ +24%
FORETHOUGHT MEDICARE SUPPLEMENT [3075] PHU HB 100% OF MEDICARE - GRMH $142.38 ↑ +24%
TRIWEST HEALTHCARE ALLIANCE VCP [902] PHU HB VACCN - GRMH $142.38 ↑ +24%
DESERET MUTUAL INS CO [3066] PHU HB 100% OF MEDICARE - GRMH $142.38 ↑ +24%
CHAMPVA [3049] PHU HB 100% OF MEDICARE - GRMH $142.38 ↑ +24%
HOSPICE CONTRACTED [1500] PHU HB 100% OF MEDICARE - GRMH $142.38 ↑ +24%
HEALTHSPRING/CIGNA MEDICARE SUPPLEMENT [3051] PHU HB 100% OF MEDICARE - GRMH $142.38 ↑ +24%
VETERANS ADMINISTRATION [3194] PHU HB 100% OF MEDICARE - GRMH $142.38 ↑ +24%
VA COMMUNITY CARE NETWORK-VACCN [903] PHU HB VACCN - GRMH $142.38 ↑ +24%
GENERIC SKILLED NURSING [3196] PHU HB 100% OF MEDICARE - GRMH $142.38 ↑ +24%
HOSPICE NON CONTRACTED [3190] PHU HB 100% OF MEDICARE - GRMH $142.38 ↑ +24%
VSP VISION CARE [2986] GHS HB VISION SERVICE PLAN (VSP) $159.54 ↑ +38%
QUIKTRIP-FIRST HEALTH [3067] PHU HB AETNA FIRST HEALTH (AKA RENTAL NETWORK) $164.86 ↑ +43%
FURMAN INT/ALLEN UNIVERSITY STUDENT [2951] PHU HB AETNA FIRST HEALTH (AKA RENTAL NETWORK) $164.86 ↑ +43%
FIRST HEALTH CONTRACTED [2952] PHU HB AETNA FIRST HEALTH (AKA RENTAL NETWORK) $164.86 ↑ +43%
BLUECHOICE [810] PHU HB BLUECHOICE GRMH $168.91 ↑ +47%
BCBS [800] PHU HB BCBS PPC GRMH $168.91 ↑ +47%
BCBS [800] PHU HB BCBS STATE GRMH $168.91 ↑ +47%
SCDC-SC DEPT OF CORRECTIONS [7232] PHU HB BCBS STATE GRMH $168.91 ↑ +47%
PLANNED ADMINISTRATORS [820] PHU HB BCBS PPC GRMH $168.91 ↑ +47%
SC DEPT OF CORRECTIONS [2998] PHU HB BCBS STATE GRMH $168.91 ↑ +47%
PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE HEALTHCARE $216.65 ↑ +88%
PREFERRED ADMINISTRATORS CONTRACTED [2839] PH HB PREFERRED ADMINISTRATORS $227.33 ↑ +97%
PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE PRISMA EMPLOYEE PLAN $227.81 ↑ +98%
CIGNA [2800] PHU HB CIGNA $233.17 ↑ +102%
EVERNORTH BEHAVIORAL CONTRACTED [2982] PHU HB CIGNA $233.17 ↑ +102%
MVP HEALTH CARE [3037] PHU HB CIGNA $233.17 ↑ +102%
MEDCOST [2940] PH HB MEDCOST BENEFIT SERVICES $240.11 ↑ +108%
MEDCOST [2940] PH HB MEDCOST $240.11 ↑ +108%
AMBETTER EXCHANGE-ALL STATES CONTRACTED [4121] PHU HB AMBETTER HIX ATC MEDICARE - GRMH $261.98 ↑ +127%
MULTIPLAN/PHCS CONTRACTED [2950] PH HB MULTIPLAN $263.70 ↑ +129%
OXFORD HEALTH PLANS [2992] PHU HB UNITED HEALTHCARE $270.49 ↑ +135%
MEDICA UNITED HEALTHCARE [2987] PHU HB UNITED HEALTHCARE $270.49 ↑ +135%
GOLDEN RULE INSURANCE COMPANY [2991] PHU HB UNITED HEALTHCARE $270.49 ↑ +135%
UMR-UNITED HEALTHCARE [2971] PHU HB UNITED HEALTHCARE $270.49 ↑ +135%
UNITED HEALTHCARE RIVER VALLEY [2994] PHU HB UNITED HEALTHCARE $270.49 ↑ +135%
BIND-SUREST BENEFITS ON DEMAND-UHC [2972] PHU HB UNITED HEALTHCARE $270.49 ↑ +135%
ALL SAVERS - UHC [2980] PHU HB UNITED HEALTHCARE $270.49 ↑ +135%
ZZUMR-SALT LAKE CITY UT [3169] PHU HB UNITED HEALTHCARE $270.49 ↑ +135%
UNITED HEALTHCARE [2970] PHU HB UNITED HEALTHCARE $270.49 ↑ +135%
UNITED HEALTH SHARED/INTEGRATED SERVICES [2997] PHU HB UNITED HEALTHCARE $270.49 ↑ +135%
ATLANTIC PACKAGING CONTRACTED [4833] PH HB ATLANTIC PACKAGING $284.76 ↑ +147%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post