Decalcification at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$134.40
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.
$224.00
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.
$16.72 with Health Partners Plans (Jefferson Health Plan) vs $190.40 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $16.72 | ↓ -88% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $17.56 | ↓ -87% |
| Aetna | Medicaid | $18.39 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $18.39 | ↓ -86% |
| United Healthcare Community Plan for Families | Unison Kids | $19.23 | ↓ -86% |
| UPMC Health Plan | Commercial | $23.07 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $23.24 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $24.80 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $26.10 | ↓ -81% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $28.49 | ↓ -79% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $52.00 | ↓ -61% |
| Aetna | Medicare | $56.00 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $64.06 | ↓ -52% |
| United Healthcare | Compass Exchange | $73.92 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $76.38 | ↓ -43% |
| UPMC Health Plan | CHIP | $82.82 | ↓ -38% |
| Aetna | Neighborhood Network | $82.88 | ↓ -38% |
| Aetna | Home Depot Employer Group | $85.57 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $87.14 | ↓ -35% |
| United Healthcare | All Business | $87.36 | ↓ -35% |
| Cigna | NBR ASO/FI | $87.36 | ↓ -35% |
| Aetna | NBR ASO/FI | $87.36 | ↓ -35% |
| Cigna | New Business ASO | $87.36 | ↓ -35% |
| Aetna | EBR ASO | $89.60 | ↓ -33% |
| Cigna | Commercial | $89.60 | ↓ -33% |
| Cigna | EBR | $89.60 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $112.00 | ↓ -17% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $112.00 | ↓ -17% |
| Aetna | EBR FI | $134.40 | ↑ +0% |
| UPMC Work Partners | Workers Comp | $141.30 | ↑ +5% |
| InterGroup | PPO | $145.60 | ↑ +8% |
| Coventry/First Health | Commercial | $147.84 | ↑ +10% |
| Health Coalition Partners | PPO | $156.80 | ↑ +17% |
| Private Health Care Systems | PPO | $179.20 | ↑ +33% |
| Prime Net | Commercial | $183.68 | ↑ +37% |
| Humana | Commercial | $190.40 | ↑ +42% |
Visitor-reported prices
Comments
Decalcification at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $127.80 | $16.72 – $170.40 |
| UPMC Bedford | Everett | $83.40 | $16.72 – $141.08 |
| UPMC Carlisle | Carlisle | $124.80 | $8.11 – $176.80 |
| UPMC Cole | Coudersport | $80.40 | $17.56 – $141.08 |
| UPMC Community Osteopathic | Harrisburg | $124.80 | $8.11 – $176.80 |
| UPMC East | Monroeville | $250.20 | $16.72 – $333.60 |
| UPMC Hamot | Erie | $272.40 | $12.71 – $142.12 |
| UPMC Northwest | Seneca | $102.00 | $18.39 – $141.30 |