CMS Price Transparency Data

Ultrasound, pelvis

Facility: Prisma Health Greer Memorial Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $152
Cash Discount Price: $723
vs. Medicare Baseline: 1.42x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at Prisma Health Greer Memorial Hospital is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $723. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.42x the Medicare baseline. Located in 1413 John B White Sr Blvd Suite D, Spartanburg, SC.

Cash / Self-Pay

$723

Average discount available for prompt cash payment at this facility.

Insurance Median

$152

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $723 (677%)

Insurance Median: $152 (142%)

Cash: $723 (677% of Medicare)

Ins. Median: $152 (142% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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	$78 - $106	73%
Medicaid / KanCare	$85 - $114	80%
Bluechoice Healthplan Of Sc	$88 - $520	82%
Molina	$90 - $112	84%
Select Health	$90 - $112	84%
Humana	$91 - $116	85%
Medicare (plans)	$95 - $334	89%
Tricare	$96 - $98	90%
Veterans Administration	$96	90%
Blue Cross Blue Shield	$98 - $495	92%
Choicecare Network	$98 - $946	92%
Cigna	$100 - $890	94%
Liberty Advantage	$100	94%
UnitedHealthcare	$100 - $488	94%
Absolute Total Care Prime	$101	95%
Aetna	$101 - $979	95%
Windsor Health Plan	$101	95%
Wellpath Select Inc	$132 - $134	124%
Sc Workers Compensation	$135 - $137	126%
Celtic Insurance Company	$169	158%
Prisma Health Seniorcare Pace-Upstate	$268	251%
Value Options	$556	521%
Promise Health Plan	$668	625%
Preferred Care, Inc	$779	729%
Chp Direct Supermed Network	$801	750%
Medcost	$824	771%
Atlantic Packaging	$835	782%
Aps Healthcare Bethesda Inc	$890	833%
Medcost Preferred	$913	855%
Multiplan	$991	928%
Companion Benefit Alternatives	$1,113	1042%
Miscellaneous	$1,113	1042%
Self Pay	$1,113	1042%

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 $723.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76856.

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 76856.
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.