CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Prisma Health Greer Memorial Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $1,654
  • Cash Discount Price: $4,056
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Prisma Health Greer Memorial Hospital is $1,654. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,056. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.89x the Medicare baseline. Located in 1413 John B White Sr Blvd Suite D, Spartanburg, SC.
Cash / Self-Pay
$4,056

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,654

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$877.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $877.34 (100%)
Cash / Self-Pay: $4,056 (462%)
Insurance Median: $1,654 (189%)
Cash: $4,056 (462% of Medicare)
Ins. Median: $1,654 (189% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $877.34 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
Medicaid / KanCare $348 - $840 40%
Blue Choice Healthplan Of Sc $410 47%
Bluechoice Healthplan Of Sc $464 - $4,280 53%
Molina $473 - $992 54%
Select Health $473 - $972 54%
Humana $477 - $871 54%
Tricare $575 - $917 66%
Choicecare Network $587 - $5,304 67%
Wellpath Select Inc $789 - $1,257 90%
Sc Workers Compensation $806 - $1,283 92%
Medicare (plans) $902 - $1,872 103%
Veterans Administration $917 105%
Blue Cross Blue Shield $935 - $4,079 107%
Cigna $947 - $4,992 108%
Liberty Advantage $947 108%
UnitedHealthcare $949 - $4,640 108%
Absolute Total Care Prime $962 110%
Aetna $962 - $5,491 110%
Windsor Health Plan $962 110%
Prisma Health Seniorcare Pace-Upstate $1,504 171%
Celtic Insurance Company $1,604 183%
Value Options $3,120 356%
Promise Health Plan $3,744 427%
Preferred Care, Inc $4,368 498%
Chp Direct Supermed Network $4,493 512%
Medcost $4,618 526%
Atlantic Packaging $4,680 533%
Aps Healthcare Bethesda Inc $4,992 569%
Medcost Preferred $5,117 583%
Multiplan $5,554 633%
Companion Benefit Alternatives $6,240 711%
Miscellaneous $6,240 711%
Self Pay $6,240 711%

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