healthcosts.net
Treat ankle dislocation at Prisma Health Greer Memorial Hospital
830 S BUNCOMBE ROAD, GREER, SC · · · NPI 1982150009
$3,250.00
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.
$5,000.00
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.
$770.00 with MEDICAID NC-WELLCARE [3224] vs $5,725.51 with BLUECHOICE [810] — 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 |
|---|---|---|---|
| MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $770.00 | ↓ -76% |
| MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $770.00 | ↓ -76% |
| MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $770.00 | ↓ -76% |
| MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $770.00 | ↓ -76% |
| MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $770.00 | ↓ -76% |
| MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $770.00 | ↓ -76% |
| MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - GRMH | $1,110.01 | ↓ -66% |
| MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - GRMH | $1,110.01 | ↓ -66% |
| MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - GRMH | $1,110.01 | ↓ -66% |
| MEDICAID FLORIDA [315] | PHU HB 100% OF MEDICAID - GRMH | $1,110.01 | ↓ -66% |
| MEDICAID NEW YORK [320] | PHU HB 100% OF MEDICAID - GRMH | $1,110.01 | ↓ -66% |
| CELTIC LIFE MEDICARE SUPPLEMENT [3045] | PHU HB 100% OF MEDICAID - GRMH | $1,110.01 | ↓ -66% |
| FIRST CHOICE BENEFITS MGMT [3074] | PHU HB 100% OF MEDICAID - GRMH | $1,110.01 | ↓ -66% |
| PENDING MEDICAID DET [333] | PHU HB SC MEDICAID - GRMH | $1,118.23 | ↓ -66% |
| MEDICAID SC [300] | PHU HB SC MEDICAID - GRMH | $1,118.23 | ↓ -66% |
| MEDICAID MOLINA HEALTHCARE SC [440] | PHU HB 103% OF MEDICAID - GRMH | $1,151.78 | ↓ -65% |
| MEDICAID SELECT HEALTH OF SC [400] | PHU HB 103% OF MEDICAID - GRMH | $1,151.78 | ↓ -65% |
| MEDICAID BLUECHOICE [420] | PHU HB BLUECHOICE MEDICAID 104% - GRMH | $1,154.41 | ↓ -64% |
| PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] | PH HB SENIORCARE PACE | $1,160.00 | ↓ -64% |
| PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] | PH HB SENIORCARE PACE | $1,160.00 | ↓ -64% |
| MEDICAID ABSOLUTE TOTAL CARE [410] | PHU HB ABSOLUTE TOTAL CARE MEDICAID - GRMH | $1,174.14 | ↓ -64% |
| MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHU HB 107% OF MEDICAID - GRMH | $1,196.51 | ↓ -63% |
| PROMISE HEALTH PLAN CONTRACTED [2401] | PH HB PROMISE PRISMA EMPLOYEE PLAN | $1,750.00 | ↓ -46% |
| ORANGEBURG SENIOR HELPING CENTER PACE [5401] | PH OAKS PACE | $2,000.00 | ↓ -38% |
| BCBS [800] | PHU HB UPSTATE BLUE EXCHANGE REEDY - GRMH | $2,279.30 | ↓ -30% |
| BCBS [800] | PHU HB BLUES EXCHANGE GRMH | $2,718.53 | ↓ -16% |
| BLUECHOICE [810] | PHU HB BLUES EXCHANGE GRMH | $2,718.53 | ↓ -16% |
| PROMISE HEALTH PLAN CONTRACTED [2401] | PH HB PROMISE HEALTHCARE | $3,000.00 | ↓ -8% |
| BOB JONES UNIV-PAI [821] | GHS HB MyHFN BOB JONES PAI | $3,000.00 | ↓ -8% |
| AETNA [2000] | PHU HB AETNA SC PREFERRED | $3,200.00 | ↓ -2% |
| MERITAIN HEALTH CONTRACTED [2200] | PHU HB AETNA SC PREFERRED | $3,200.00 | ↓ -2% |
| BCBS [800] | PHU HB BCBS STATE GRMH | $3,313.19 | ↑ +2% |
| SCDC-SC DEPT OF CORRECTIONS [7232] | PHU HB BCBS STATE GRMH | $3,313.19 | ↑ +2% |
| SC DEPT OF CORRECTIONS [2998] | PHU HB BCBS STATE GRMH | $3,313.19 | ↑ +2% |
| MVP HEALTH CARE [3037] | PHU HB CIGNA | $3,470.00 | ↑ +7% |
| EVERNORTH BEHAVIORAL CONTRACTED [2982] | PHU HB CIGNA | $3,470.00 | ↑ +7% |
| CIGNA [2800] | PHU HB CIGNA | $3,470.00 | ↑ +7% |
| PREFERRED ADMINISTRATORS CONTRACTED [2839] | PH HB PREFERRED ADMINISTRATORS | $3,500.00 | ↑ +8% |
| MEDCOST [2940] | PH HB MEDCOST BENEFIT SERVICES | $3,700.00 | ↑ +14% |
| ATLANTIC PACKAGING CONTRACTED [4833] | PH HB ATLANTIC PACKAGING | $3,750.00 | ↑ +15% |
| MERITAIN HEALTH CONTRACTED [2200] | PHU HB AETNA | $3,950.00 | ↑ +22% |
| AETNA [2000] | PHU HB AETNA | $3,950.00 | ↑ +22% |
| AETNA-LUMINARE CONTRACTED [2400] | PHU HB AETNA | $3,950.00 | ↑ +22% |
| APS HEALTHCARE SYSTEM [2981] | GHS HB AMERICAN PSYCH SERVICES (APS) | $4,000.00 | ↑ +23% |
| MEDCOST [2940] | PH HB MEDCOST | $4,150.00 | ↑ +28% |
| MULTIPLAN/PHCS CONTRACTED [2950] | PH HB MULTIPLAN | $4,450.00 | ↑ +37% |
| VSP VISION CARE [2986] | GHS HB VISION SERVICE PLAN (VSP) | $4,500.00 | ↑ +38% |
| FURMAN INT/ALLEN UNIVERSITY STUDENT [2951] | PHU HB AETNA FIRST HEALTH (AKA RENTAL NETWORK) | $4,650.00 | ↑ +43% |
| FIRST HEALTH CONTRACTED [2952] | PHU HB AETNA FIRST HEALTH (AKA RENTAL NETWORK) | $4,650.00 | ↑ +43% |
| QUIKTRIP-FIRST HEALTH [3067] | PHU HB AETNA FIRST HEALTH (AKA RENTAL NETWORK) | $4,650.00 | ↑ +43% |
| BCBS [800] | PHU HB BCBS PPC GRMH | $5,456.60 | ↑ +68% |
| PLANNED ADMINISTRATORS [820] | PHU HB BCBS PPC GRMH | $5,456.60 | ↑ +68% |
| BLUECHOICE [810] | PHU HB BLUECHOICE GRMH | $5,725.51 | ↑ +76% |