Clozapine, 25 mg at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$1.60
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.
$2.00
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.
$0.27 with Health Partners Plans (Jefferson Health Plan) vs $7.43 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 | $0.27 | ↓ -83% |
| Aetna | Medicaid | $0.29 | ↓ -82% |
| Aetna | Medicare | $0.50 | ↓ -69% |
| Anthem Blue Cross Blue Shield | Traditional | $0.68 | ↓ -58% |
| United Healthcare | Compass Exchange | $0.68 | ↓ -58% |
| Aetna | Neighborhood Network | $0.74 | ↓ -54% |
| Aetna | Home Depot Employer Group | $0.76 | ↓ -53% |
| Cigna | NBR ASO/FI | $0.78 | ↓ -51% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $0.78 | ↓ -51% |
| Aetna | NBR ASO/FI | $0.78 | ↓ -51% |
| Cigna | New Business ASO | $0.78 | ↓ -51% |
| Aetna | EBR ASO | $0.80 | ↓ -50% |
| United Healthcare | All Business | $0.80 | ↓ -50% |
| Cigna | Commercial | $0.80 | ↓ -50% |
| Cigna | EBR | $0.80 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicare | $1.00 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1.00 | ↓ -38% |
| UPMC Work Partners | Workers Comp | $1.02 | ↓ -36% |
| Geisinger | Medicaid/CHIP | $1.10 | ↓ -31% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1.10 | ↓ -31% |
| Aetna | EBR FI | $1.20 | ↓ -25% |
| InterGroup | PPO | $1.30 | ↓ -19% |
| Coventry/First Health | Commercial | $1.32 | ↓ -18% |
| Health Coalition Partners | PPO | $1.40 | ↓ -13% |
| Private Health Care Systems | PPO | $1.60 | ↑ +0% |
| Prime Net | Commercial | $1.64 | ↑ +3% |
| Humana | Commercial | $1.70 | ↑ +6% |
| UPMC Health Plan | CHIP | $5.54 | ↑ +246% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $5.92 | ↑ +270% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $7.30 | ↑ +356% |
| UPMC Health Plan | Commercial | $7.43 | ↑ +364% |
Visitor-reported prices
Comments
Clozapine, 25 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1.00 | $0.27 – $5.54 |
| UPMC Bedford | Everett | $6.80 | $0.58 – $7.65 |
| UPMC East | Monroeville | $6.80 | $0.24 – $5.54 |
| UPMC Hamot | Erie | $7.60 | $0.27 – $0.74 |
| UPMC Northwest | Seneca | $17.40 | $0.28 – $6.71 |
| UPMC Jameson | New Castle | $1.20 | $0.66 – $5.54 |
| UPMC Magee | Pittsburgh | $22.80 | $0.29 – $5.54 |
| UPMC McKeesport | Mckeesport | $6.20 | $0.29 – $5.54 |