Ambl bp mntr w/sw a/r at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$76.20
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$127.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$34.08 with Highmark BCBS of PA vs $293.03 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $34.08 | ↓ -55% |
| United Healthcare | Compass Exchange | $41.91 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $41.99 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $43.31 | ↓ -43% |
| Aetna | Neighborhood Network | $46.99 | ↓ -38% |
| Aetna | Home Depot Employer Group | $48.51 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $49.40 | ↓ -35% |
| Aetna | NBR ASO/FI | $49.53 | ↓ -35% |
| United Healthcare | All Business | $49.53 | ↓ -35% |
| Cigna | NBR ASO/FI | $49.53 | ↓ -35% |
| Cigna | New Business ASO | $49.53 | ↓ -35% |
| Aetna | EBR ASO | $50.80 | ↓ -33% |
| Cigna | Commercial | $50.80 | ↓ -33% |
| Cigna | EBR | $50.80 | ↓ -33% |
| Geisinger | Medicaid/CHIP | $69.85 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $69.85 | ↓ -8% |
| Aetna | EBR FI | $76.20 | ↑ +0% |
| InterGroup | PPO | $82.55 | ↑ +8% |
| Coventry/First Health | Commercial | $83.82 | ↑ +10% |
| Health Coalition Partners | PPO | $88.90 | ↑ +17% |
| Private Health Care Systems | PPO | $101.60 | ↑ +33% |
| Prime Net | Commercial | $104.14 | ↑ +37% |
| Humana | Commercial | $107.95 | ↑ +42% |
| UPMC Health Plan | Managed Medicare | $110.02 | ↑ +44% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $126.55 | ↑ +66% |
| Aetna | Medicare | $126.58 | ↑ +66% |
| United Healthcare Community Plan for Families | Unison Kids | $129.03 | ↑ +69% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $129.03 | ↑ +69% |
| Aetna of PA | Medicare | $129.03 | ↑ +69% |
| United Healthcare | Medicare | $131.49 | ↑ +73% |
| Highmark Wholecare (prev Gateway) | Medicare | $132.71 | ↑ +74% |
| Cigna | Medicare | $132.72 | ↑ +74% |
| AmeriHealth Caritas | Medicare | $132.72 | ↑ +74% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $132.72 | ↑ +74% |
| UPMC Health Plan | CHIP | $218.68 | ↑ +187% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $230.60 | ↑ +203% |
| UPMC Health Plan | Commercial | $293.03 | ↑ +285% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ambl bp mntr w/sw a/r at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $18.60 | $5.76 – $24.80 |
| UPMC East | Monroeville | $85.20 | $14.19 – $132.72 |
| UPMC Hamot | Erie | $76.80 | $13.27 – $161.87 |
| UPMC Hanover | Hanover | $258.60 | $92.79 – $218.68 |
| UPMC Jameson | New Castle | $84.60 | $14.30 – $153.61 |
| UPMC Memorial | York | $258.60 | $11.45 – $218.68 |
| UPMC Passavant-McCandless | Pittsburgh | $91.20 | $14.19 – $135.18 |
| UPMC Presbyterian | Pittsburgh | $544.20 | $14.19 – $353.57 |