Elec analys infus pump w/reprog 62368 at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$2,457.00
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.
$4,095.00
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.
$36.32 with UPMC Health Plan vs $3,480.75 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 | $36.32 | ↓ -99% |
| Aetna | Medicaid | $36.32 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $45.89 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $48.97 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $49.79 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $51.55 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $56.27 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $155.00 | ↓ -94% |
| UPMC Health Plan | Managed Medicare | $255.99 | ↓ -90% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $294.45 | ↓ -88% |
| Aetna | Medicare | $294.51 | ↓ -88% |
| Aetna of PA | Medicare | $300.23 | ↓ -88% |
| United Healthcare Community Plan for Families | Unison Kids | $300.23 | ↓ -88% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $300.23 | ↓ -88% |
| United Healthcare | Medicare | $305.95 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $308.78 | ↓ -87% |
| Cigna | Medicare | $308.80 | ↓ -87% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $308.80 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $308.80 | ↓ -87% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $528.00 | ↓ -79% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $536.55 | ↓ -78% |
| UPMC Health Plan | Commercial | $1,246.50 | ↓ -49% |
| United Healthcare | Compass Exchange | $1,351.35 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $1,396.39 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,419.79 | ↓ -42% |
| Aetna | Neighborhood Network | $1,515.15 | ↓ -38% |
| Aetna | Home Depot Employer Group | $1,564.29 | ↓ -36% |
| Cigna | NBR ASO/FI | $1,597.05 | ↓ -35% |
| United Healthcare | All Business | $1,597.05 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,597.05 | ↓ -35% |
| Cigna | New Business ASO | $1,597.05 | ↓ -35% |
| Aetna | EBR ASO | $1,638.00 | ↓ -33% |
| Cigna | Commercial | $1,638.00 | ↓ -33% |
| Cigna | EBR | $1,638.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,749.36 | ↓ -29% |
| UPMC Health Plan | CHIP | $2,297.85 | ↓ -6% |
| Aetna | EBR FI | $2,457.00 | ↑ +0% |
| InterGroup | PPO | $2,661.75 | ↑ +8% |
| Coventry/First Health | Commercial | $2,702.70 | ↑ +10% |
| Health Coalition Partners | PPO | $2,866.50 | ↑ +17% |
| Private Health Care Systems | PPO | $3,276.00 | ↑ +33% |
| Prime Net | Commercial | $3,357.90 | ↑ +37% |
| Humana | Commercial | $3,480.75 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Elec analys infus pump w/reprog 62368 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $54.00 | $10.53 – $1,041.88 |
| UPMC Hamot | Erie | $3,098.40 | $36.32 – $729.80 |
| UPMC Jameson | New Castle | $2,457.00 | $36.32 – $742.68 |
| UPMC Magee | Pittsburgh | $4,046.40 | $36.32 – $736.75 |
| UPMC Mercy | Pittsburgh | $2,065.20 | $36.32 – $729.80 |
| UPMC Presbyterian | Pittsburgh | $3,958.20 | $36.32 – $736.75 |
| UPMC St. Margaret | Pittsburgh | $1,750.80 | $36.32 – $736.75 |
| WellSpan Ephrata Community Hospital | Ephrata | $418.40 | $41.27 – $506.89 |