Cystoscopy prostatic imp 1-3 at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$6,010.20
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.
$10,017.00
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.
$979.00 with Anthem Blue Cross Blue Shield vs $9,094.68 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 |
|---|---|---|---|
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $979.00 | ↓ -84% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,903.23 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $2,469.43 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3,005.10 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $3,042.64 | ↓ -49% |
| United Healthcare | Compass Exchange | $3,305.61 | ↓ -45% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,305.61 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $3,305.61 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3,388.75 | ↓ -44% |
| Anthem Blue Cross Blue Shield | Traditional | $3,415.80 | ↓ -43% |
| UPMC Health Plan | CHIP | $3,505.95 | ↓ -42% |
| Aetna | Neighborhood Network | $3,706.29 | ↓ -38% |
| Aetna | Home Depot Employer Group | $3,826.49 | ↓ -36% |
| Cigna | New Business ASO | $3,906.63 | ↓ -35% |
| United Healthcare | All Business | $3,906.63 | ↓ -35% |
| Cigna | NBR ASO/FI | $3,906.63 | ↓ -35% |
| Aetna | NBR ASO/FI | $3,906.63 | ↓ -35% |
| Cigna | Commercial | $4,006.80 | ↓ -33% |
| Cigna | EBR | $4,006.80 | ↓ -33% |
| Aetna | EBR ASO | $4,006.80 | ↓ -33% |
| UPMC Health Plan | Managed Medicare | $4,339.18 | ↓ -28% |
| UPMC Health Plan | Commercial | $4,913.34 | ↓ -18% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $4,991.05 | ↓ -17% |
| Aetna | Medicare | $4,992.02 | ↓ -17% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $5,088.95 | ↓ -15% |
| United Healthcare Community Plan for Families | Unison Kids | $5,088.95 | ↓ -15% |
| Aetna of PA | Medicare | $5,088.95 | ↓ -15% |
| United Healthcare | Medicare | $5,185.88 | ↓ -14% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,233.86 | ↓ -13% |
| AmeriHealth Caritas | Medicare | $5,234.35 | ↓ -13% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,234.35 | ↓ -13% |
| Cigna | Medicare | $5,234.35 | ↓ -13% |
| Aetna | EBR FI | $6,010.20 | ↑ +0% |
| InterGroup | PPO | $6,511.05 | ↑ +8% |
| Coventry/First Health | Commercial | $6,611.22 | ↑ +10% |
| Health Coalition Partners | PPO | $7,011.90 | ↑ +17% |
| Private Health Care Systems | PPO | $8,013.60 | ↑ +33% |
| Prime Net | Commercial | $8,213.94 | ↑ +37% |
| Humana | Commercial | $8,514.45 | ↑ +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 | $9,094.68 | ↑ +51% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Cystoscopy prostatic imp 1-3 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $1,266.60 | $401.09 – $1,688.80 |
| UPMC Muncy | Muncy | $5,953.80 | $3,671.46 – $3,671.46 |
| UPMC Presbyterian | Pittsburgh | $8,013.60 | $1,281.42 – $5,331.28 |
| Uniontown Hospital | Uniontown | $712.50 | $5,196.96 – $12,108.92 |
| UPMC Community Osteopathic | Harrisburg | not published | $3,757.51 – $5,400.71 |
| UPMC Northwest | Seneca | not published | $3,294.42 – $5,234.35 |
| UPMC Hanover | Hanover | not published | $3,757.51 – $7,770.21 |
| UPMC Memorial | York | not published | $1,034.56 – $7,799.49 |