CMS Price Transparency Data

Prosthetic fitting and training

Facility: Prisma Health Greer Memorial Hospital

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $42
Cash Discount Price: $76
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at Prisma Health Greer Memorial Hospital is $42. 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 $40.41, this hospital’s rate is 1.04x 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

$42

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$40.41

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $40.41 (100%)

Cash / Self-Pay: $76 (188%)

Insurance Median: $42 (104%)

Cash: $76 (188% of Medicare)

Ins. Median: $42 (104% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $40.41 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	$16 - $19	40%
Bluechoice Healthplan Of Sc	$17 - $93	42%
Medicaid / KanCare	$17 - $21	42%
Molina	$17 - $43	42%
Select Health	$17 - $42	42%
Humana	$18 - $37	45%
Prisma Health Seniorcare Pace-Upstate	$28	69%
Medicare (plans)	$35 - $41	87%
Tricare	$37 - $39	92%
Veterans Administration	$39	97%
Blue Cross Blue Shield	$40 - $89	99%
Choicecare Network	$40 - $99	99%
Absolute Total Care Prime	$41	101%
Aetna	$41 - $103	101%
Cigna	$41 - $174	101%
Liberty Advantage	$41	101%
UnitedHealthcare	$41 - $42	101%
Windsor Health Plan	$41	101%
Wellpath Select Inc	$54	134%
Sc Workers Compensation	$55	136%
Value Options	$58	144%
Celtic Insurance Company	$69	171%
Promise Health Plan	$70	173%
Preferred Care, Inc	$82	203%
Chp Direct Supermed Network	$84	208%
Medcost	$87	215%
Atlantic Packaging	$88	218%
Aps Healthcare Bethesda Inc	$94	233%
Medcost Preferred	$96	238%
Multiplan	$104	257%
Companion Benefit Alternatives	$117	290%
Miscellaneous	$117	290%
Self Pay	$117	290%

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: 97761.

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 97761.
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.