Spartanburg Regional Healthcare System · Greer, SC
28
In-network payers
452
Disclosed rate categories
48
Beds
5
Care quality
Pelham Medical Center is a 48-bed government - hospital district or authority hospital in Greer, SC, affiliated with Spartanburg Regional Healthcare System. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 452 disclosed rate categories.
CCN (Medicare provider number)
420103
NPI
1982800397
Type
Short Term Acute Care Hospital
Ownership
Government - Hospital District Or Authority
Beds
48
Care Quality
5
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Pelham Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Medicine & Surgery · Inpatient
MS-DRG 460
$73,705 - $89,428
from 3 insurers · median $81,681
58 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 47562
$2,885 - $22,852
from 3 insurers · median $17,969
72 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 473
$62,745 - $76,325
from 3 insurers · median $73,630
11 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 49650
$14,244 - $22,852
from 2 insurers · median $18,548
72 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$275 - $1,797
from 4 insurers · median $1,476
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$2,922 - $22,852
from 3 insurers · median $19,654
72 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$202 - $2,296
from 4 insurers · median $1,672
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$10,920 - $22,852
from 2 insurers · median $16,886
123 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 45385
$2,240 - $5,029
from 3 insurers · median $2,369
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$2,508 - $5,440
from 3 insurers · median $4,067
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$3,052 - $22,852
from 3 insurers · median $21,186
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,385 - $4,404
from 3 insurers · median $1,528
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$234 - $660
from 4 insurers · median $487
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$87 - $276
from 4 insurers · median $172
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$234 - $1,216
from 4 insurers · median $956
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$4,665 - $22,852
from 3 insurers · median $19,577
Typical for a hospital with this service line
MRI imaging
CPT 70553
$321 - $1,797
from 4 insurers · median $1,536
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$709 - $10,834
from 3 insurers · median $5,863
Typical for a hospital with this service line
Gynecology
CPT 58662
$1,710 - $22,852
from 3 insurers · median $22,287
Typical for a hospital with this service line
CT imaging
CPT 71260
$234 - $896
from 4 insurers · median $799
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$25 - $366
from 4 insurers · median $208
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$6,068 - $14,667
from 2 insurers · median $10,367
Typical for a hospital with this service line
Urology
CPT 50590
$2,344 - $17,065
from 3 insurers · median $16,109
Typical for a hospital with this service line
Orthopedics and pain
CPT 27446
$44,433 - $52,750
from 2 insurers · median $48,591
142 Medicare claims in Level 5 Musculoskeletal Procedures (CMS 2024)
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 411% | 4 | 10 |
| Insurer B* | 24 | 304% | 4 | 10 |
| Insurer C* | 19 | 194% | 1 | 11 |
| Insurer D* | 9 | 90% | 0 | 9 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Pelham Medical Center.
250 Westmoreland Road, Greer, SC 29651
(864) 560-6554
The nearest hospitals of similar type and size. Their rates are compared with Pelham Medical Center for the same insurers and services above.
Prisma Health Greer Memorial Hospital
▲ Rates typically 19% higher than Pelham Medical Center (24 services)
Ghs Patewood Memorial Hospital
▲ Rates typically 59% higher than Pelham Medical Center (13 services)
Ghs Hillcrest Memorial Hospital
▲ Rates typically 49% higher than Pelham Medical Center (13 services)
Anmed Health Cannon
▼ Rates typically 23% lower than Pelham Medical Center (23 services)
Prisma Health Laurens County Hospital
▲ Rates typically 61% higher than Pelham Medical Center (13 services)
Atrium Health Kings Mountain
▲ Rates typically 339% higher than Pelham Medical Center (11 services)
Spartanburg Medical Center
Union Medical Center
Cherokee Medical Center
About Pelham Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Pelham Medical Center range from $321 to $1,797 across 4 insurers. Aetna's rate is $321. The median at nearby comparable hospitals is $2,474. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Pelham Medical Center range from $275 to $1,797 across 4 insurers. Aetna's rate is $275. The median at nearby comparable hospitals is $2,361. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Pelham Medical Center range from $2,240 to $5,029 across 3 insurers. UnitedHealthcare's rate is $5,029. The median at nearby comparable hospitals is $2,760. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Pelham Medical Center range from $87 to $276 across 4 insurers. Cigna's rate is $276. The median at nearby comparable hospitals is $247. What a patient pays depends on their plan's deductible, coinsurance and network status.
Pelham Medical Center has 48 beds. Facility type: Short Term Acute Care Hospital.
Pelham Medical Center is located at 250 Westmoreland Road, Greer, SC 29651. Its main phone number is (864) 560-6554.
Pelham Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 420103.
The National Provider Identifier (NPI) on file for Pelham Medical Center is 1982800397.
Pelham Medical Center is affiliated with Spartanburg Regional Healthcare System.
Pelham Medical Center lists 28 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
452 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers