Aortic dysfunction/dilation at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$9,289.20
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.
$15,482.00
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.
$451.23 with UPMC Health Plan vs $10,528.10 with Humana — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $451.23 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $498.11 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $516.81 | ↓ -94% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $519.02 | ↓ -94% |
| Aetna | Medicare | $519.12 | ↓ -94% |
| Aetna of PA | Medicare | $529.20 | ↓ -94% |
| United Healthcare Community Plan for Families | Unison Kids | $529.20 | ↓ -94% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $529.20 | ↓ -94% |
| United Healthcare | Medicare | $539.28 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $544.27 | ↓ -94% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $544.32 | ↓ -94% |
| Cigna | Medicare | $544.32 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $544.32 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $636.70 | ↓ -93% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $945.76 | ↓ -90% |
| UPMC Health Plan | Commercial | $1,217.21 | ↓ -87% |
| UPMC Health Plan | CHIP | $2,356.09 | ↓ -75% |
| United Healthcare | Compass Exchange | $4,087.38 | ↓ -56% |
| Anthem Blue Cross Blue Shield | Traditional | $4,223.63 | ↓ -55% |
| Aetna | Neighborhood Network | $4,582.82 | ↓ -51% |
| Aetna | Home Depot Employer Group | $4,731.45 | ↓ -49% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $4,818.15 | ↓ -48% |
| Cigna | NBR ASO/FI | $4,830.54 | ↓ -48% |
| Aetna | NBR ASO/FI | $4,830.54 | ↓ -48% |
| United Healthcare | All Business | $4,830.54 | ↓ -48% |
| Cigna | New Business ASO | $4,830.54 | ↓ -48% |
| Cigna | Commercial | $4,954.40 | ↓ -47% |
| Aetna | EBR ASO | $4,954.40 | ↓ -47% |
| Cigna | EBR | $4,954.40 | ↓ -47% |
| Geisinger | Medicaid/CHIP | $6,812.30 | ↓ -27% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $6,812.30 | ↓ -27% |
| Aetna | EBR FI | $7,431.60 | ↓ -20% |
| InterGroup | PPO | $8,050.90 | ↓ -13% |
| Coventry/First Health | Commercial | $8,174.76 | ↓ -12% |
| Health Coalition Partners | PPO | $8,670.20 | ↓ -7% |
| Private Health Care Systems | PPO | $9,908.80 | ↑ +7% |
| Prime Net | Commercial | $10,156.52 | ↑ +9% |
| Humana | Commercial | $10,528.10 | ↑ +13% |
Visitor-reported prices
Comments
Aortic dysfunction/dilation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $8,846.40 | $319.62 – $9,631.20 |
| UPMC Hamot | Erie | $9,243.00 | $319.62 – $544.32 |
| UPMC Magee | Pittsburgh | $9,324.60 | $322.66 – $554.40 |
| UPMC Muncy | Muncy | $6,552.00 | $393.52 – $532.86 |
| UPMC Passavant-McCandless | Pittsburgh | $9,101.40 | $322.66 – $579.20 |
| UPMC Presbyterian | Pittsburgh | $9,101.40 | $322.66 – $1,297.91 |
| UPMC St. Margaret | Pittsburgh | $7,431.60 | $322.66 – $554.40 |
| UPMC Wellsboro | Wellsboro | $8,320.00 | $393.52 – $498.11 |