CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Prisma Health Greer Memorial Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $143
Cash Discount Price: $178
vs. Medicare Baseline: 1.22x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Prisma Health Greer Memorial Hospital is $143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $178. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.22x the Medicare baseline. Located in 1413 John B White Sr Blvd Suite D, Spartanburg, SC.

Cash / Self-Pay

$178

Average discount available for prompt cash payment at this facility.

Insurance Median

$143

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)

Cash / Self-Pay: $178 (151%)

Insurance Median: $143 (122%)

Cash: $178 (151% of Medicare)

Ins. Median: $143 (122% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $117.57 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$62 - $94	53%
Prisma Health Seniorcare Pace-Upstate	$66	56%
Medicaid / KanCare	$67 - $101	57%
Bluechoice Healthplan Of Sc	$70 - $100	60%
Molina	$71 - $115	60%
Select Health	$71 - $112	60%
Humana	$72 - $219	61%
Medicare (plans)	$82	70%
Blue Cross Blue Shield	$95 - $187	81%
Aetna	$96 - $241	82%
Tricare	$106 - $219	90%
Choicecare Network	$108 - $233	92%
Value Options	$137	117%
Wellpath Select Inc	$145	123%
Sc Workers Compensation	$148	126%
Promise Health Plan	$164	139%
Preferred Care, Inc	$192	163%
Chp Direct Supermed Network	$197	168%
Medcost	$203	173%
Atlantic Packaging	$206	175%
Aps Healthcare Bethesda Inc	$219	186%
Cigna	$219	186%
Medcost Preferred	$225	191%
Multiplan	$244	208%
Companion Benefit Alternatives	$274	233%
Miscellaneous	$274	233%
Self Pay	$274	233%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $178.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99203.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Prisma Health Greer Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 99203.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.