CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Prisma Health Greer Memorial Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $126
  • Cash Discount Price: $269
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Prisma Health Greer Memorial Hospital is $126. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $269. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.00x the Medicare baseline. Located in 1413 John B White Sr Blvd Suite D, Spartanburg, SC.
Cash / Self-Pay
$269

Average discount available for prompt cash payment at this facility.

Insurance Median
$126

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $269 (213%)
Insurance Median: $126 (100%)
Cash: $269 (213% of Medicare)
Ins. Median: $126 (100% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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.

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 $45 - $92 36%
Medicaid / KanCare $46 - $100 36%
Bluechoice Healthplan Of Sc $48 - $234 38%
Molina $48 - $128 38%
Select Health $48 - $126 38%
Humana $49 - $113 39%
Tricare $80 - $119 63%
Medicare (plans) $82 - $124 65%
Veterans Administration $84 67%
Blue Cross Blue Shield $86 - $223 68%
Choicecare Network $86 - $352 68%
Cigna $87 - $434 69%
Liberty Advantage $87 69%
UnitedHealthcare $87 - $92 69%
Absolute Total Care Prime $88 70%
Aetna $88 - $364 70%
Windsor Health Plan $88 70%
Prisma Health Seniorcare Pace-Upstate $100 79%
Wellpath Select Inc $115 - $163 91%
Sc Workers Compensation $118 - $166 93%
Celtic Insurance Company $147 116%
Value Options $207 164%
Promise Health Plan $248 196%
Preferred Care, Inc $290 230%
Chp Direct Supermed Network $298 236%
Medcost $306 242%
Atlantic Packaging $310 246%
Aps Healthcare Bethesda Inc $331 262%
Medcost Preferred $339 269%
Multiplan $368 291%
Companion Benefit Alternatives $414 328%
Miscellaneous $414 328%
Self Pay $414 328%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

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