Bln press regulation 71-80cm at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$11,097.00
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.
$18,495.00
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.
$1,804.05 with Health Partners Plans (Jefferson Health Plan) vs $16,675.76 with UPMC Health Plan — 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,804.05 | ↓ -84% |
| Aetna | Medicare | $2,373.75 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,848.50 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $3,133.35 | ↓ -72% |
| United Healthcare | Compass Exchange | $3,133.35 | ↓ -72% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,133.35 | ↓ -72% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3,212.16 | ↓ -71% |
| Anthem Blue Cross Blue Shield | Traditional | $3,237.80 | ↓ -71% |
| Aetna | Neighborhood Network | $3,513.15 | ↓ -68% |
| Aetna | Home Depot Employer Group | $3,627.09 | ↓ -67% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $3,693.55 | ↓ -67% |
| Cigna | NBR ASO/FI | $3,703.05 | ↓ -67% |
| United Healthcare | All Business | $3,703.05 | ↓ -67% |
| Cigna | New Business ASO | $3,703.05 | ↓ -67% |
| Aetna | NBR ASO/FI | $3,703.05 | ↓ -67% |
| Aetna | EBR ASO | $3,798.00 | ↓ -66% |
| Cigna | Commercial | $3,798.00 | ↓ -66% |
| Cigna | EBR | $3,798.00 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $4,557.60 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $4,557.60 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicare | $4,747.50 | ↓ -57% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $4,747.50 | ↓ -57% |
| Aetna | EBR FI | $5,697.00 | ↓ -49% |
| InterGroup | PPO | $6,171.75 | ↓ -44% |
| Coventry/First Health | Commercial | $6,266.70 | ↓ -44% |
| Health Coalition Partners | PPO | $6,646.50 | ↓ -40% |
| Private Health Care Systems | PPO | $7,596.00 | ↓ -32% |
| Prime Net | Commercial | $7,785.90 | ↓ -30% |
| Humana | Commercial | $8,070.75 | ↓ -27% |
| UPMC Health Plan | CHIP | $12,444.60 | ↑ +12% |
| UPMC Health Plan | Commercial | $16,675.76 | ↑ +50% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Bln press regulation 71-80cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $14,169.00 | $1,701.83 – $12,444.60 |
| UPMC Magee | Pittsburgh | $15,621.00 | $2,637.80 – $12,444.60 |
| UPMC Mercy | Pittsburgh | $16,708.20 | $9,826.79 – $9,826.79 |
| UPMC Muncy | Muncy | $8,839.20 | $886.50 – $5,319.00 |
| UPMC Wellsboro | Wellsboro | $10,689.60 | $964.98 – $4,824.90 |
| Uniontown Hospital | Uniontown | $1,741.88 | not published |