Bld prd mix at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$109.20
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.
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What you pay up front if you don't use insurance.
$182.00
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.
$36.33 with UPMC Health Plan vs $306.56 with Highmark BCBS of PA — 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 Health Plan | Commercial | $36.33 | ↓ -67% |
| United Healthcare | Compass Exchange | $60.06 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $62.06 | ↓ -43% |
| Aetna | Neighborhood Network | $67.34 | ↓ -38% |
| Aetna | Home Depot Employer Group | $69.52 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $70.80 | ↓ -35% |
| United Healthcare | All Business | $70.98 | ↓ -35% |
| Cigna | New Business ASO | $70.98 | ↓ -35% |
| Aetna | NBR ASO/FI | $70.98 | ↓ -35% |
| Cigna | NBR ASO/FI | $70.98 | ↓ -35% |
| Cigna | Commercial | $72.80 | ↓ -33% |
| Aetna | EBR ASO | $72.80 | ↓ -33% |
| Cigna | EBR | $72.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $77.21 | ↓ -29% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $95.12 | ↓ -13% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $100.10 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $100.10 | ↓ -8% |
| Aetna | EBR FI | $109.20 | ↑ +0% |
| InterGroup | PPO | $118.30 | ↑ +8% |
| Coventry/First Health | Commercial | $120.12 | ↑ +10% |
| Health Coalition Partners | PPO | $127.40 | ↑ +17% |
| UPMC Health Plan | CHIP | $130.42 | ↑ +19% |
| Private Health Care Systems | PPO | $145.60 | ↑ +33% |
| UPMC Health Plan | Managed Medicare | $146.27 | ↑ +34% |
| Prime Net | Commercial | $149.24 | ↑ +37% |
| Humana | Commercial | $154.70 | ↑ +42% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $168.24 | ↑ +54% |
| Aetna | Medicare | $168.27 | ↑ +54% |
| Aetna of PA | Medicare | $171.54 | ↑ +57% |
| United Healthcare Community Plan for Families | Unison Kids | $171.54 | ↑ +57% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $171.54 | ↑ +57% |
| United Healthcare | Medicare | $174.81 | ↑ +60% |
| Highmark Wholecare (prev Gateway) | Medicare | $176.42 | ↑ +62% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $176.44 | ↑ +62% |
| AmeriHealth Caritas | Medicare | $176.44 | ↑ +62% |
| Cigna | Medicare | $176.44 | ↑ +62% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $306.56 | ↑ +181% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Bld prd mix at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $201.60 | $46.03 – $285.60 |
| UPMC Community Osteopathic | Harrisburg | $201.60 | $67.20 – $285.60 |
| UPMC East | Monroeville | $369.60 | $35.88 – $492.80 |
| UPMC Hanover | Hanover | $201.60 | $88.20 – $261.92 |
| UPMC Jameson | New Castle | $109.20 | $2.44 – $176.44 |
| UPMC Lititz | Lititz | $201.60 | $88.20 – $263.33 |
| UPMC Magee | Pittsburgh | $187.20 | $37.97 – $179.71 |
| UPMC McKeesport | Mckeesport | $236.40 | $36.83 – $179.71 |