CMS Price Transparency Data

X-ray, shoulder

Facility: Prisma Health Greer Memorial Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $101
Cash Discount Price: $369
vs. Medicare Baseline: 1.14x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Prisma Health Greer Memorial Hospital is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $369. 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

$369

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: $369 (415%)

Insurance Median: $101 (114%)

Cash: $369 (415% 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	$19 - $40	21%
Medicaid / KanCare	$21 - $43	24%
Bluechoice Healthplan Of Sc	$22 - $240	25%
Humana	$22 - $76	25%
Molina	$22 - $86	25%
Select Health	$22 - $84	25%
Tricare	$32 - $80	36%
Choicecare Network	$33 - $482	37%
Wellpath Select Inc	$44 - $109	49%
Sc Workers Compensation	$45 - $112	51%
Blue Cross Blue Shield	$70 - $229	79%
Medicare (plans)	$78 - $170	88%
Veterans Administration	$80	90%
Cigna	$82 - $454	92%
Liberty Advantage	$82	92%
UnitedHealthcare	$82 - $403	92%
Absolute Total Care Prime	$84	94%
Aetna	$84 - $499	94%
Windsor Health Plan	$84	94%
Prisma Health Seniorcare Pace-Upstate	$137	154%
Celtic Insurance Company	$139	156%
Value Options	$284	319%
Promise Health Plan	$340	382%
Preferred Care, Inc	$397	447%
Chp Direct Supermed Network	$408	459%
Medcost	$420	472%
Atlantic Packaging	$425	478%
Aps Healthcare Bethesda Inc	$454	511%
Medcost Preferred	$465	523%
Multiplan	$505	568%
Companion Benefit Alternatives	$567	638%
Miscellaneous	$567	638%
Self Pay	$567	638%

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 $369.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73030.

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 73030.
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.