CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Prisma Health Greer Memorial Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $101
Cash Discount Price: $359
vs. Medicare Baseline: 1.14x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Prisma Health Greer Memorial Hospital is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $359. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.14x the Medicare baseline. Located in 1413 John B White Sr Blvd Suite D, Spartanburg, SC.

Cash / Self-Pay

$359

Average discount available for prompt cash payment at this facility.

Insurance Median

$101

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $359 (404%)

Insurance Median: $101 (114%)

Cash: $359 (404% of Medicare)

Ins. Median: $101 (114% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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	$24 - $42	27%
Medicaid / KanCare	$26 - $45	29%
Bluechoice Healthplan Of Sc	$27 - $240	30%
Humana	$27 - $76	30%
Molina	$27 - $86	30%
Select Health	$27 - $84	30%
Choicecare Network	$37 - $469	42%
Tricare	$37 - $80	42%
Wellpath Select Inc	$50 - $109	56%
Sc Workers Compensation	$51 - $112	57%
Blue Cross Blue Shield	$71 - $229	80%
Medicare (plans)	$78 - $166	88%
Veterans Administration	$80	90%
Cigna	$82 - $442	92%
Liberty Advantage	$82	92%
UnitedHealthcare	$82 - $403	92%
Absolute Total Care Prime	$84	94%
Aetna	$84 - $486	94%
Windsor Health Plan	$84	94%
Prisma Health Seniorcare Pace-Upstate	$133	150%
Celtic Insurance Company	$139	156%
Value Options	$276	310%
Promise Health Plan	$331	372%
Preferred Care, Inc	$386	434%
Chp Direct Supermed Network	$397	447%
Medcost	$408	459%
Atlantic Packaging	$414	466%
Aps Healthcare Bethesda Inc	$442	497%
Medcost Preferred	$453	510%
Multiplan	$491	552%
Companion Benefit Alternatives	$552	621%
Miscellaneous	$552	621%
Self Pay	$552	621%

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 $359.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72040.

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 72040.
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.