CMS Price Transparency Data

Blood test, sodium

Facility: Prisma Health Greer Memorial Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $7
  • Cash Discount Price: $45
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Prisma Health Greer Memorial Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.46x the Medicare baseline. Located in 1413 John B White Sr Blvd Suite D, Spartanburg, SC.
Cash / Self-Pay
$45

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.81 (100%)
Cash / Self-Pay: $45 (936%)
Insurance Median: $7 (146%)
Cash: $45 (936% of Medicare)
Ins. Median: $7 (146% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Humana $4 - $6 83%
Tricare $4 83%
UnitedHealthcare $4 - $5 83%
Absolute Total Care Prime $5 104%
Aetna $5 - $61 104%
Blue Choice Healthplan Of Sc $5 - $6 104%
Blue Cross Blue Shield $5 - $18 104%
Bluechoice Healthplan Of Sc $5 - $12 104%
Choicecare Network $5 - $59 104%
Cigna $5 - $55 104%
Liberty Advantage $5 104%
Medicaid / KanCare $5 - $6 104%
Medicare (plans) $5 - $21 104%
Molina $5 - $6 104%
Select Health $5 - $6 104%
Veterans Administration $5 104%
Windsor Health Plan $5 104%
Sc Workers Compensation $7 146%
Wellpath Select Inc $7 146%
Celtic Insurance Company $8 166%
Prisma Health Seniorcare Pace-Upstate $17 353%
Promise Health Plan $34 707%
Value Options $34 707%
Preferred Care, Inc $48 998%
Chp Direct Supermed Network $50 1040%
Medcost $51 1060%
Atlantic Packaging $52 1081%
Aps Healthcare Bethesda Inc $55 1143%
Medcost Preferred $57 1185%
Multiplan $61 1268%
Companion Benefit Alternatives $69 1435%
Miscellaneous $69 1435%
Self Pay $69 1435%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1413 John B White Sr Blvd Suite D, Spartanburg, SC 29306
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals