CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Prisma Health Greenville Memorial Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$26,943
about 1.1× the $23,504 Medicare rate · typically $18,308–$34,626
modeled estimate · not a bill or quote
What this hospital charges insurers
$31,581
Above the fair price
about $4,638 over the fair price · 1.3× Medicare
Medicare pays $23,504 Fair price $26,943 This hospital $31,581 Cash price $108,396

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Highest price of the 9 SC hospitals we have prices for — worth calling around.

Cheapest $18,320 Priciest $31,581

Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Spinal fusion, single level (inpatient stay) is about $26,943 (about 1.1× the $23,504 Medicare rate). Prisma Health Greenville Memorial Hospital charges insurers about $31,581, or about $108,396 in cash — above the fair price. Located in Greenville, SC.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $26,943. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $26,468 - $82,246 113%
Blue Cross Blue Shieldmajor $25,949 - $72,175 110%
Aetnamajor $27,246 116%
Cignamajor $25,949 - $65,981 110%
Humanamajor $21,269 - $21,686 90%
Ambetter (Centene) $73,209 311%
Molina $28,544 121%
MVP Health Care $65,981 281%
WellCare $27,246 116%
+ 14 smaller / regional plans $9,803 - $82,246
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 701 Grove Road, Greenville, SC 29605
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals