CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Prisma Health Greer Memorial Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$131

about 1.0× the $136 Medicare rate · typically $109–$139

modeled estimate · not a bill or quote

What this hospital charges insurers

$131

About the fair price

1.0× Medicare

Medicare pays $136 Fair price $131 This hospital $131 Cash price $181 Hospital's list price $278

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 $79 Priciest $131

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 (30-39 min) is about $131 (about 1.0× the $136 Medicare rate). Prisma Health Greer Memorial Hospital charges insurers about $131, or about $181 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	$16 - $134	12%
Blue Cross Blue Shieldmajor	$33 - $193	24%
Aetnamajor	$66 - $245	49%
Cignamajor	$127 - $222	94%
Humanamajor	$73 - $222	54%
Ambetter (Centene)	$234 - $239	173%
Molina	$73 - $143	54%
SelectHealth	$73 - $129	54%
WellCare	$133 - $136	98%
+ 31 smaller / regional plans	$24 - $278

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.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 181), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99214.

Insurance Before you use insurance

Call your insurance company to confirm Prisma Health Greer Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 99214.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Prisma Health Greer Memorial Hospital

Compare: Office visit, established patient (30-39 min) at other SC hospitals

Insurance negotiated median for the same procedure, sorted lowest first.