CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Prisma Health Greer Memorial Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $2,699
  • Cash Discount Price: $3,461
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Prisma Health Greer Memorial Hospital is $2,699. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,461. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.14x the Medicare baseline. Located in 1413 John B White Sr Blvd Suite D, Spartanburg, SC.
Cash / Self-Pay
$3,461

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,699

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$2,357.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,357.81 (100%)
Cash / Self-Pay: $3,461 (147%)
Insurance Median: $2,699 (114%)
Cash: $3,461 (147% of Medicare)
Ins. Median: $2,699 (114% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2,357.81 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
Blue Choice Healthplan Of Sc $435 - $3,904 18%
Medicaid / KanCare $474 - $4,193 20%
Humana $485 - $4,273 21%
Bluechoice Healthplan Of Sc $493 - $7,275 21%
Molina $503 - $4,114 21%
Select Health $503 - $4,114 21%
Tricare $510 - $2,043 22%
Choicecare Network $520 - $4,525 22%
Wellpath Select Inc $700 - $2,803 30%
Sc Workers Compensation $714 - $2,860 30%
Medicare (plans) $1,135 - $2,145 48%
Prisma Health Seniorcare Pace-Upstate $1,283 54%
Aetna $1,863 - $4,685 79%
Celtic Insurance Company $1,960 83%
Veterans Administration $2,043 87%
Promise Health Plan $2,072 88%
Blue Cross Blue Shield $2,076 - $6,933 88%
Cigna $2,111 - $4,259 90%
Liberty Advantage $2,111 90%
UnitedHealthcare $2,114 - $10,342 90%
Absolute Total Care Prime $2,145 91%
Windsor Health Plan $2,145 91%
Value Options $2,662 113%
Preferred Care, Inc $3,727 158%
Chp Direct Supermed Network $3,833 163%
Medcost $3,940 167%
Atlantic Packaging $3,993 169%
Aps Healthcare Bethesda Inc $4,259 181%
Medcost Preferred $4,366 185%
Multiplan $4,738 201%
Companion Benefit Alternatives $5,324 226%
Miscellaneous $5,324 226%
Self Pay $5,324 226%

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