CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Prisma Health Greer Memorial Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$87
about 0.9× the $95 Medicare rate · typically $74–$108
modeled estimate · not a bill or quote
What this hospital charges insurers
$97
About the fair price
about $10 over the fair price · 1.0× Medicare
Medicare pays $95 Fair price $87 This hospital $97 Cash price $138 Hospital's list price $213

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Highest price of the 9 SC hospitals we have prices for — worth calling around.

Cheapest $65 Priciest $97

Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $87 (about 0.9× the $95 Medicare rate). Prisma Health Greer Memorial Hospital charges insurers about $97, or about $138 in cash — about the fair price. Located in Spartanburg, SC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $11 - $131 12%
Blue Cross Blue Shieldmajor $22 - $146 23%
Aetnamajor $45 - $187 47%
Cignamajor $91 - $170 96%
Humanamajor $49 - $170 51%
Ambetter (Centene) $168 - $234 176%
Molina $48 - $140 50%
SelectHealth $48 - $99 50%
WellCare $96 - $133 101%
+ 31 smaller / regional plans $16 - $213
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 10 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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