Epidural/lumbar/sacral/ea add level64484 at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$1,861.80
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.
$3,103.00
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.
$62.58 with United Healthcare Community Plan for Families vs $2,637.55 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | Unison MedPLUS | $62.58 | ↓ -97% |
| Aetna | Medicaid | $65.56 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $65.56 | ↓ -96% |
| United Healthcare Community Plan for Families | Unison Kids | $68.54 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $82.84 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $88.39 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $89.88 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $93.04 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $101.57 | ↓ -95% |
| UPMC Health Plan | Commercial | $201.80 | ↓ -89% |
| UPMC Health Plan | CHIP | $372.01 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $379.88 | ↓ -80% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $528.00 | ↓ -72% |
| Aetna | Medicare | $775.75 | ↓ -58% |
| United Healthcare | Compass Exchange | $1,023.99 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $1,058.12 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,140.40 | ↓ -39% |
| Aetna | Neighborhood Network | $1,148.11 | ↓ -38% |
| Aetna | Home Depot Employer Group | $1,185.35 | ↓ -36% |
| Cigna | NBR ASO/FI | $1,210.17 | ↓ -35% |
| United Healthcare | All Business | $1,210.17 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,210.17 | ↓ -35% |
| Cigna | New Business ASO | $1,210.17 | ↓ -35% |
| Cigna | Commercial | $1,241.20 | ↓ -33% |
| Aetna | EBR ASO | $1,241.20 | ↓ -33% |
| Cigna | EBR | $1,241.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,405.12 | ↓ -25% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,551.50 | ↓ -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 | $1,551.50 | ↓ -17% |
| Aetna | EBR FI | $1,861.80 | ↑ +0% |
| InterGroup | PPO | $2,016.95 | ↑ +8% |
| Coventry/First Health | Commercial | $2,047.98 | ↑ +10% |
| Health Coalition Partners | PPO | $2,172.10 | ↑ +17% |
| Private Health Care Systems | PPO | $2,482.40 | ↑ +33% |
| Prime Net | Commercial | $2,544.46 | ↑ +37% |
| Humana | Commercial | $2,637.55 | ↑ +42% |
Visitor-reported prices
Comments
Epidural/lumbar/sacral/ea add level64484 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,398.80 | $75.69 – $9,539.00 |
| UPMC Cole | Coudersport | $193.20 | $28.55 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $2,398.80 | $78.08 – $3,398.30 |
| UPMC Northwest | Seneca | $1,897.80 | $65.56 – $1,521.39 |
| UPMC Hanover | Hanover | $2,398.80 | $75.69 – $397.55 |
| UPMC Kane | Kane | $84.60 | $65.56 – $465.18 |
| UPMC Lititz | Lititz | $2,398.80 | $44.37 – $397.55 |
| UPMC Magee | Pittsburgh | $3,192.60 | $48.81 – $591.77 |