CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Prisma Health Greer Memorial Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $156
  • Cash Discount Price: $645
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Prisma Health Greer Memorial Hospital is $156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $645. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.46x the Medicare baseline. Located in 1413 John B White Sr Blvd Suite D, Spartanburg, SC.
Cash / Self-Pay
$645

Average discount available for prompt cash payment at this facility.

Insurance Median
$156

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: $645 (604%)
Insurance Median: $156 (146%)
Cash: $645 (604% of Medicare)
Ins. Median: $156 (146% 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.

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 $71 - $99 66%
Medicaid / KanCare $78 - $106 73%
Bluechoice Healthplan Of Sc $81 - $520 76%
Molina $82 - $110 77%
Select Health $82 - $108 77%
Humana $83 - $108 78%
Medicare (plans) $95 - $298 89%
Tricare $96 - $102 90%
Veterans Administration $96 90%
Blue Cross Blue Shield $98 - $495 92%
Choicecare Network $98 - $843 92%
Cigna $100 - $794 94%
Liberty Advantage $100 94%
UnitedHealthcare $100 - $488 94%
Absolute Total Care Prime $101 95%
Aetna $101 - $873 95%
Windsor Health Plan $101 95%
Wellpath Select Inc $132 - $140 124%
Sc Workers Compensation $135 - $143 126%
Celtic Insurance Company $169 158%
Prisma Health Seniorcare Pace-Upstate $239 224%
Value Options $496 464%
Promise Health Plan $595 557%
Preferred Care, Inc $694 650%
Chp Direct Supermed Network $714 668%
Medcost $734 687%
Atlantic Packaging $744 697%
Aps Healthcare Bethesda Inc $794 743%
Medcost Preferred $813 761%
Multiplan $883 827%
Companion Benefit Alternatives $992 929%
Miscellaneous $992 929%
Self Pay $992 929%

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