healthcosts.net

Marker biop eviva buckle ss at Prisma Health Greer Memorial Hospital

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

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

$405.60

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.

$624.00

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.

$60.37 with MEDICAID NC-UHC COMMUNITY PLAN [3226] vs $364.56 with QUIKTRIP-FIRST HEALTH [3067] — 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-UHC COMMUNITY PLAN [3226] PH North Carolina Medicaid $60.37 ↓ -85%
MEDICAID NC-CAROLINA COMPLETE [3229] PH North Carolina Medicaid $60.37 ↓ -85%
MEDICAID NC-HEALTHY BLUE [3227] PH North Carolina Medicaid $60.37 ↓ -85%
MEDICAID NORTH CAROLINA [310] PH North Carolina Medicaid $60.37 ↓ -85%
MEDICAID NC-WELLCARE [3224] PH North Carolina Medicaid $60.37 ↓ -85%
MEDICAID NC-AMERIHEALTH [3225] PH North Carolina Medicaid $60.37 ↓ -85%
PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] PH HB SENIORCARE PACE $90.94 ↓ -78%
PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] PH HB SENIORCARE PACE $90.94 ↓ -78%
BCBS [800] PHU HB UPSTATE BLUE EXCHANGE REEDY - GRMH $125.83 ↓ -69%
PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE PRISMA EMPLOYEE PLAN $137.20 ↓ -66%
BCBS [800] PHU HB BLUES EXCHANGE GRMH $149.35 ↓ -63%
BLUECHOICE [810] PHU HB BLUES EXCHANGE GRMH $149.35 ↓ -63%
ORANGEBURG SENIOR HELPING CENTER PACE [5401] PH OAKS PACE $156.80 ↓ -61%
PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE HEALTHCARE $235.20 ↓ -42%
BOB JONES UNIV-PAI [821] GHS HB MyHFN BOB JONES PAI $235.20 ↓ -42%
MERITAIN HEALTH CONTRACTED [2200] PHU HB AETNA SC PREFERRED $250.88 ↓ -38%
AETNA [2000] PHU HB AETNA SC PREFERRED $250.88 ↓ -38%
MVP HEALTH CARE [3037] PHU HB CIGNA $272.05 ↓ -33%
CIGNA [2800] PHU HB CIGNA $272.05 ↓ -33%
EVERNORTH BEHAVIORAL CONTRACTED [2982] PHU HB CIGNA $272.05 ↓ -33%
PREFERRED ADMINISTRATORS CONTRACTED [2839] PH HB PREFERRED ADMINISTRATORS $274.40 ↓ -32%
BCBS [800] PHU HB BCBS PPC GRMH $287.73 ↓ -29%
PLANNED ADMINISTRATORS [820] PHU HB BCBS PPC GRMH $287.73 ↓ -29%
MEDCOST [2940] PH HB MEDCOST BENEFIT SERVICES $290.08 ↓ -28%
ATLANTIC PACKAGING CONTRACTED [4833] PH HB ATLANTIC PACKAGING $294.00 ↓ -28%
BLUECHOICE [810] PHU HB BLUECHOICE GRMH $298.31 ↓ -26%
AETNA [2000] PHU HB AETNA $309.68 ↓ -24%
AETNA-LUMINARE CONTRACTED [2400] PHU HB AETNA $309.68 ↓ -24%
MERITAIN HEALTH CONTRACTED [2200] PHU HB AETNA $309.68 ↓ -24%
APS HEALTHCARE SYSTEM [2981] GHS HB AMERICAN PSYCH SERVICES (APS) $313.60 ↓ -23%
MEDCOST [2940] PH HB MEDCOST $325.36 ↓ -20%
MULTIPLAN/PHCS CONTRACTED [2950] PH HB MULTIPLAN $348.88 ↓ -14%
VSP VISION CARE [2986] GHS HB VISION SERVICE PLAN (VSP) $352.80 ↓ -13%
FIRST HEALTH CONTRACTED [2952] PHU HB AETNA FIRST HEALTH (AKA RENTAL NETWORK) $364.56 ↓ -10%
FURMAN INT/ALLEN UNIVERSITY STUDENT [2951] PHU HB AETNA FIRST HEALTH (AKA RENTAL NETWORK) $364.56 ↓ -10%
QUIKTRIP-FIRST HEALTH [3067] PHU HB AETNA FIRST HEALTH (AKA RENTAL NETWORK) $364.56 ↓ -10%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post