App high cost ss t/a/l >100sq cm addl 100sq cm at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$2,889.00
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.
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What you pay up front if you don't use insurance.
$4,815.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$98.45 with UPMC Work Partners vs $4,092.75 with Humana — same scan, same building. Share
Negotiated rates by payer
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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 →
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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 Work Partners | Workers Comp | $98.45 | ↓ -97% |
| UPMC Health Plan | Commercial | $164.70 | ↓ -94% |
| UPMC Health Plan | CHIP | $294.00 | ↓ -90% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,136.90 | ↓ -61% |
| Aetna | Medicare | $1,203.75 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,400.80 | ↓ -52% |
| United Healthcare | Compass Exchange | $1,588.95 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $1,641.91 | ↓ -43% |
| Aetna | Neighborhood Network | $1,781.55 | ↓ -38% |
| Aetna | Home Depot Employer Group | $1,839.33 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $1,873.04 | ↓ -35% |
| United Healthcare | All Business | $1,877.85 | ↓ -35% |
| Cigna | New Business ASO | $1,877.85 | ↓ -35% |
| Cigna | NBR ASO/FI | $1,877.85 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,877.85 | ↓ -35% |
| Cigna | Commercial | $1,926.00 | ↓ -33% |
| Aetna | EBR ASO | $1,926.00 | ↓ -33% |
| Cigna | EBR | $1,926.00 | ↓ -33% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2,407.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,407.50 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,648.25 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $2,648.25 | ↓ -8% |
| Aetna | EBR FI | $2,889.00 | ↑ +0% |
| InterGroup | PPO | $3,129.75 | ↑ +8% |
| Coventry/First Health | Commercial | $3,177.90 | ↑ +10% |
| Health Coalition Partners | PPO | $3,370.50 | ↑ +17% |
| Private Health Care Systems | PPO | $3,852.00 | ↑ +33% |
| Prime Net | Commercial | $3,948.30 | ↑ +37% |
| Humana | Commercial | $4,092.75 | ↑ +42% |
Visitor-reported prices
Comments
App high cost ss t/a/l >100sq cm addl 100sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,772.40 | $45.56 – $2,510.90 |
| UPMC Hamot | Erie | $1,200.00 | $98.45 – $584.39 |
| UPMC Hanover | Hanover | $1,772.40 | $45.56 – $294.00 |
| UPMC Jameson | New Castle | $2,569.80 | $39.52 – $594.70 |
| UPMC Lititz | Lititz | $1,772.40 | $39.52 – $294.00 |
| UPMC McKeesport | Mckeesport | $2,927.40 | $43.47 – $589.95 |
| UPMC St. Margaret | Pittsburgh | $3,272.40 | $98.45 – $589.95 |
| UPMC Wellsboro | Wellsboro | $2,156.00 | $44.52 – $98.45 |