Circumcise/surg/28 days or < 54160 at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$593.40
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.
$989.00
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.
$31.88 with UPMC Health Plan vs $4,426.77 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 |
|---|---|---|---|
| UPMC Health Plan | CHIP | $31.88 | ↓ -95% |
| Aetna | Medicaid | $140.80 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $140.80 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $177.91 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicaid | $189.82 | ↓ -68% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $193.02 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $199.82 | ↓ -66% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $218.14 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $253.13 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $311.89 | ↓ -47% |
| United Healthcare | Compass Exchange | $326.37 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $337.25 | ↓ -43% |
| Aetna | Neighborhood Network | $365.93 | ↓ -38% |
| Aetna | Home Depot Employer Group | $377.80 | ↓ -36% |
| Aetna | NBR ASO/FI | $385.71 | ↓ -35% |
| United Healthcare | All Business | $385.71 | ↓ -35% |
| Cigna | New Business ASO | $385.71 | ↓ -35% |
| Cigna | NBR ASO/FI | $385.71 | ↓ -35% |
| Aetna | EBR ASO | $395.60 | ↓ -33% |
| Cigna | Commercial | $395.60 | ↓ -33% |
| Cigna | EBR | $395.60 | ↓ -33% |
| UPMC Health Plan | Managed Medicare | $569.72 | ↓ -4% |
| Aetna | EBR FI | $593.40 | ↑ +0% |
| InterGroup | PPO | $642.85 | ↑ +8% |
| Coventry/First Health | Commercial | $652.74 | ↑ +10% |
| Aetna | Medicare | $655.44 | ↑ +10% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $668.17 | ↑ +13% |
| Aetna of PA | Medicare | $668.17 | ↑ +13% |
| United Healthcare Community Plan for Families | Unison Kids | $668.17 | ↑ +13% |
| United Healthcare | Medicare | $680.89 | ↑ +15% |
| Highmark Wholecare (prev Gateway) | Medicare | $687.19 | ↑ +16% |
| AmeriHealth Caritas | Medicare | $687.26 | ↑ +16% |
| Cigna | Medicare | $687.26 | ↑ +16% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $687.26 | ↑ +16% |
| Health Coalition Partners | PPO | $692.30 | ↑ +17% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $699.00 | ↑ +18% |
| Private Health Care Systems | PPO | $791.20 | ↑ +33% |
| Prime Net | Commercial | $810.98 | ↑ +37% |
| Humana | Commercial | $840.65 | ↑ +42% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,194.11 | ↑ +101% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $2,966.47 | ↑ +400% |
| UPMC Health Plan | Commercial | $4,426.77 | ↑ +646% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Circumcise/surg/28 days or < 54160 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,219.20 | $162.56 – $1,727.20 |
| UPMC Hanover | Hanover | $1,219.20 | $162.56 – $1,020.21 |
| UPMC Lititz | Lititz | $1,219.20 | $162.56 – $1,025.73 |
| UPMC Memorial | York | $1,219.20 | $106.05 – $1,024.06 |
| WellSpan Chambersburg Hospital | Chambersburg | $433.60 | $160.00 – $3,069.77 |
| WellSpan Ephrata Community Hospital | Ephrata | $433.60 | $160.00 – $435.20 |
| Uniontown Hospital | Uniontown | $801.50 | $140.80 – $1,403.76 |
| WellSpan Good Samaritan Hospital | Lebanon | $433.60 | $160.00 – $5,670.70 |