CMS Price Transparency Data

X-ray, pelvis

Facility: Prisma Health Greer Memorial Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $102
  • Cash Discount Price: $243
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Prisma Health Greer Memorial Hospital is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $243. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.95x the Medicare baseline. Located in 1413 John B White Sr Blvd Suite D, Spartanburg, SC.
Cash / Self-Pay
$243

Average discount available for prompt cash payment at this facility.

Insurance Median
$102

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: $243 (228%)
Insurance Median: $102 (95%)
Cash: $243 (228% of Medicare)
Ins. Median: $102 (95% 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 $17 - $36 16%
Medicaid / KanCare $18 - $39 17%
Bluechoice Healthplan Of Sc $19 - $240 18%
Humana $19 - $92 18%
Molina $19 - $104 18%
Select Health $19 - $102 18%
Choicecare Network $26 - $318 24%
Tricare $26 - $96 24%
Sc Workers Compensation $36 - $135 34%
Wellpath Select Inc $36 - $132 34%
Blue Cross Blue Shield $66 - $229 62%
Prisma Health Seniorcare Pace-Upstate $90 84%
Medicare (plans) $95 - $112 89%
Veterans Administration $96 90%
Cigna $100 - $490 94%
Liberty Advantage $100 94%
UnitedHealthcare $100 - $488 94%
Absolute Total Care Prime $101 95%
Aetna $101 - $329 95%
Windsor Health Plan $101 95%
Celtic Insurance Company $169 158%
Value Options $187 175%
Promise Health Plan $224 210%
Preferred Care, Inc $262 245%
Chp Direct Supermed Network $269 252%
Medcost $277 259%
Atlantic Packaging $280 262%
Aps Healthcare Bethesda Inc $299 280%
Medcost Preferred $307 287%
Multiplan $333 312%
Companion Benefit Alternatives $374 350%
Miscellaneous $374 350%
Self Pay $374 350%

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