Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$2,267.40
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.
$3,779.00
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.
$50.42 with United Healthcare Community Plan for Families vs $4,989.94 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | Unison MedPLUS | $50.42 | ↓ -98% |
| Aetna | Medicaid | $52.82 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $52.82 | ↓ -98% |
| United Healthcare Community Plan for Families | Unison Kids | $55.22 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $66.74 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $71.21 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $72.41 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $74.96 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $81.84 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $257.11 | ↓ -89% |
| Aetna | Medicare | $944.75 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,207.96 | ↓ -47% |
| United Healthcare | Compass Exchange | $1,247.07 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $1,288.64 | ↓ -43% |
| Aetna | Neighborhood Network | $1,398.23 | ↓ -38% |
| Aetna | Home Depot Employer Group | $1,443.58 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $1,470.03 | ↓ -35% |
| Cigna | NBR ASO/FI | $1,473.81 | ↓ -35% |
| United Healthcare | All Business | $1,473.81 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,473.81 | ↓ -35% |
| Cigna | New Business ASO | $1,473.81 | ↓ -35% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,488.35 | ↓ -34% |
| Aetna | EBR ASO | $1,511.60 | ↓ -33% |
| Cigna | EBR | $1,511.60 | ↓ -33% |
| Cigna | Commercial | $1,511.60 | ↓ -33% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,889.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,889.50 | ↓ -17% |
| Aetna | EBR FI | $2,267.40 | ↑ +0% |
| InterGroup | PPO | $2,456.35 | ↑ +8% |
| Coventry/First Health | Commercial | $2,494.14 | ↑ +10% |
| Health Coalition Partners | PPO | $2,645.30 | ↑ +17% |
| UPMC Health Plan | Commercial | $2,706.86 | ↑ +19% |
| Private Health Care Systems | PPO | $3,023.20 | ↑ +33% |
| Prime Net | Commercial | $3,098.78 | ↑ +37% |
| Humana | Commercial | $3,212.15 | ↑ +42% |
| UPMC Health Plan | CHIP | $4,989.94 | ↑ +120% |
Visitor-reported prices
Comments
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,224.80 | $60.99 – $9,539.00 |
| UPMC Cole | Coudersport | $133.20 | $50.42 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $2,224.80 | $62.91 – $4,989.94 |
| UPMC East | Monroeville | $3,205.20 | $52.82 – $4,273.60 |
| UPMC Northwest | Seneca | $4,393.20 | $52.82 – $1,611.51 |
| UPMC Hanover | Hanover | $2,224.80 | $60.99 – $269.06 |
| UPMC Jameson | New Castle | $2,267.40 | $50.87 – $631.87 |
| UPMC Kane | Kane | $236.40 | $52.82 – $1,000.23 |