CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Prisma Health Greer Memorial Hospital

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $63
Cash Discount Price: $76
vs. Medicare Baseline: 1.87x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Prisma Health Greer Memorial Hospital is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.87x the Medicare baseline. Located in 1413 John B White Sr Blvd Suite D, Spartanburg, SC.

Cash / Self-Pay

$76

Average discount available for prompt cash payment at this facility.

Insurance Median

$63

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$33.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $33.73 (100%)

Cash / Self-Pay: $76 (225%)

Insurance Median: $63 (187%)

Cash: $76 (225% of Medicare)

Ins. Median: $63 (187% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $33.73 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
Prisma Health Seniorcare Pace-Upstate	$28	83%
Humana	$31 - $72	92%
Tricare	$31 - $32	92%
Medicare (plans)	$32 - $35	95%
Veterans Administration	$32	95%
Blue Cross Blue Shield	$33 - $99	98%
Choicecare Network	$33 - $99	98%
Cigna	$33 - $174	98%
Liberty Advantage	$33	98%
UnitedHealthcare	$33 - $34	98%
Absolute Total Care Prime	$34	101%
Aetna	$34 - $103	101%
Select Health	$34 - $69	101%
Windsor Health Plan	$34	101%
Molina	$35 - $69	104%
Wellpath Select Inc	$44	130%
Sc Workers Compensation	$45	133%
Celtic Insurance Company	$56	166%
Value Options	$58	172%
Blue Choice Healthplan Of Sc	$66	196%
Medicaid / KanCare	$67 - $70	199%
Bluechoice Healthplan Of Sc	$70 - $104	208%
Promise Health Plan	$70	208%
Preferred Care, Inc	$82	243%
Chp Direct Supermed Network	$84	249%
Medcost	$87	258%
Atlantic Packaging	$88	261%
Aps Healthcare Bethesda Inc	$94	279%
Medcost Preferred	$96	285%
Multiplan	$104	308%
Companion Benefit Alternatives	$117	347%
Miscellaneous	$117	347%
Self Pay	$117	347%

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 $76.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97750.

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 97750.
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.