Colonoscopy with biopsy at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$2,486.40
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.
$4,144.00
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.
$177.36 with UPMC Health Plan vs $3,522.40 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 Health Plan | Managed Medicaid | $177.36 | ↓ -93% |
| Aetna | Medicaid | $177.36 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $224.11 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $239.12 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $243.15 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $251.71 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $274.79 | ↓ -89% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $528.00 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $822.47 | ↓ -67% |
| UPMC Health Plan | Commercial | $939.96 | ↓ -62% |
| UPMC Health Plan | Managed Medicare | $1,006.42 | ↓ -60% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,060.34 | ↓ -57% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,157.61 | ↓ -53% |
| Aetna | Medicare | $1,157.83 | ↓ -53% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $1,180.32 | ↓ -53% |
| Aetna of PA | Medicare | $1,180.32 | ↓ -53% |
| United Healthcare Community Plan for Families | Unison Kids | $1,180.32 | ↓ -53% |
| United Healthcare | Medicare | $1,202.80 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,213.93 | ↓ -51% |
| AmeriHealth Caritas | Medicare | $1,214.04 | ↓ -51% |
| Cigna | Medicare | $1,214.04 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,214.04 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,306.47 | ↓ -47% |
| United Healthcare | Compass Exchange | $1,367.52 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $1,413.10 | ↓ -43% |
| Aetna | Neighborhood Network | $1,533.28 | ↓ -38% |
| Aetna | Home Depot Employer Group | $1,583.01 | ↓ -36% |
| Cigna | NBR ASO/FI | $1,616.16 | ↓ -35% |
| United Healthcare | All Business | $1,616.16 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,616.16 | ↓ -35% |
| Cigna | New Business ASO | $1,616.16 | ↓ -35% |
| Aetna | EBR ASO | $1,657.60 | ↓ -33% |
| Cigna | Commercial | $1,657.60 | ↓ -33% |
| Cigna | EBR | $1,657.60 | ↓ -33% |
| UPMC Health Plan | CHIP | $1,732.75 | ↓ -30% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2,109.39 | ↓ -15% |
| Aetna | EBR FI | $2,486.40 | ↑ +0% |
| InterGroup | PPO | $2,693.60 | ↑ +8% |
| Coventry/First Health | Commercial | $2,735.04 | ↑ +10% |
| Health Coalition Partners | PPO | $2,900.80 | ↑ +17% |
| Private Health Care Systems | PPO | $3,315.20 | ↑ +33% |
| Prime Net | Commercial | $3,398.08 | ↑ +37% |
| Humana | Commercial | $3,522.40 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Colonoscopy with biopsy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,032.80 | $161.24 – $2,710.40 |
| UPMC Bedford | Everett | $3,373.80 | $169.30 – $5,060.70 |
| UPMC Cole | Coudersport | $520.80 | $169.30 – $837.42 |
| UPMC East | Monroeville | $2,281.20 | $177.36 – $3,041.60 |
| UPMC Hamot | Erie | $2,337.60 | $177.36 – $1,634.95 |
| UPMC Northwest | Seneca | $1,555.20 | $177.36 – $1,180.32 |
| UPMC Jameson | New Castle | $2,486.40 | $177.36 – $1,517.55 |
| UPMC Magee | Pittsburgh | $2,274.00 | $177.36 – $1,214.04 |