Esoph endoscopy dilation at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$1,235.40
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.
?
What you pay up front if you don't use insurance.
$2,059.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$135.28 with UPMC Health Plan vs $3,393.74 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $135.28 | ↓ -89% |
| Aetna | Medicaid | $135.28 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $170.93 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $182.38 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $185.45 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $191.98 | ↓ -84% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $209.58 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $513.19 | ↓ -58% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $528.00 | ↓ -57% |
| United Healthcare | Compass Exchange | $679.47 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $702.12 | ↓ -43% |
| Aetna | Neighborhood Network | $761.83 | ↓ -38% |
| Aetna | Home Depot Employer Group | $786.54 | ↓ -36% |
| Aetna | NBR ASO/FI | $803.01 | ↓ -35% |
| United Healthcare | All Business | $803.01 | ↓ -35% |
| Cigna | NBR ASO/FI | $803.01 | ↓ -35% |
| Cigna | New Business ASO | $803.01 | ↓ -35% |
| Cigna | EBR | $823.60 | ↓ -33% |
| Cigna | Commercial | $823.60 | ↓ -33% |
| Aetna | EBR ASO | $823.60 | ↓ -33% |
| UPMC Health Plan | Commercial | $929.72 | ↓ -25% |
| Aetna | EBR FI | $1,235.40 | ↑ +0% |
| InterGroup | PPO | $1,338.35 | ↑ +8% |
| Coventry/First Health | Commercial | $1,358.94 | ↑ +10% |
| Health Coalition Partners | PPO | $1,441.30 | ↑ +17% |
| UPMC Health Plan | Managed Medicare | $1,619.19 | ↑ +31% |
| Private Health Care Systems | PPO | $1,647.20 | ↑ +33% |
| Prime Net | Commercial | $1,688.38 | ↑ +37% |
| UPMC Health Plan | CHIP | $1,713.88 | ↑ +39% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,746.59 | ↑ +41% |
| Humana | Commercial | $1,750.15 | ↑ +42% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,862.44 | ↑ +51% |
| Aetna | Medicare | $1,862.81 | ↑ +51% |
| Aetna of PA | Medicare | $1,898.98 | ↑ +54% |
| United Healthcare Community Plan for Families | Unison Kids | $1,898.98 | ↑ +54% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $1,898.98 | ↑ +54% |
| United Healthcare | Medicare | $1,935.15 | ↑ +57% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,953.05 | ↑ +58% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,953.23 | ↑ +58% |
| Cigna | Medicare | $1,953.23 | ↑ +58% |
| AmeriHealth Caritas | Medicare | $1,953.23 | ↑ +58% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $2,152.01 | ↑ +74% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,393.74 | ↑ +175% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Esoph endoscopy dilation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $256.80 | $118.64 – $771.51 |
| UPMC Passavant-McCandless | Pittsburgh | $5,461.80 | $135.28 – $1,989.40 |
| UPMC Presbyterian | Pittsburgh | $3,265.80 | $135.28 – $1,989.40 |
| UPMC Wellsboro | Wellsboro | $4,128.80 | $135.28 – $993.28 |
| UPMC Altoona | Altoona | not published | $122.98 – $1,953.23 |
| UPMC Carlisle | Carlisle | not published | $156.18 – $2,903.52 |
| UPMC Community Osteopathic | Harrisburg | not published | $166.02 – $3,135.30 |