Fl exam g/colon tube w contrast at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$705.60
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.
$1,176.00
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.
$26.11 with UPMC Health Plan vs $999.60 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 | $26.11 | ↓ -96% |
| Aetna | Medicaid | $26.11 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $33.00 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $35.21 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $35.80 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $37.06 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $40.46 | ↓ -94% |
| UPMC Health Plan | Managed Medicare | $206.32 | ↓ -71% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $237.32 | ↓ -66% |
| Aetna | Medicare | $237.36 | ↓ -66% |
| Aetna of PA | Medicare | $241.97 | ↓ -66% |
| United Healthcare Community Plan for Families | Unison Kids | $241.97 | ↓ -66% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $241.97 | ↓ -66% |
| United Healthcare | Medicare | $246.58 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicare | $248.86 | ↓ -65% |
| AmeriHealth Caritas | Medicare | $248.89 | ↓ -65% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $248.89 | ↓ -65% |
| Cigna | Medicare | $248.89 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $255.42 | ↓ -64% |
| United Healthcare | Compass Exchange | $388.08 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $401.02 | ↓ -43% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $432.44 | ↓ -39% |
| Aetna | Neighborhood Network | $435.12 | ↓ -38% |
| Aetna | Home Depot Employer Group | $449.23 | ↓ -36% |
| Cigna | NBR ASO/FI | $458.64 | ↓ -35% |
| United Healthcare | All Business | $458.64 | ↓ -35% |
| Aetna | NBR ASO/FI | $458.64 | ↓ -35% |
| Cigna | New Business ASO | $458.64 | ↓ -35% |
| Aetna | EBR ASO | $470.40 | ↓ -33% |
| Cigna | EBR | $470.40 | ↓ -33% |
| Cigna | Commercial | $470.40 | ↓ -33% |
| UPMC Health Plan | Commercial | $509.47 | ↓ -28% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $528.00 | ↓ -25% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $569.33 | ↓ -19% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $701.49 | ↓ -1% |
| Aetna | EBR FI | $705.60 | ↑ +0% |
| InterGroup | PPO | $764.40 | ↑ +8% |
| Coventry/First Health | Commercial | $776.16 | ↑ +10% |
| Health Coalition Partners | PPO | $823.20 | ↑ +17% |
| UPMC Health Plan | CHIP | $909.44 | ↑ +29% |
| Private Health Care Systems | PPO | $940.80 | ↑ +33% |
| Prime Net | Commercial | $964.32 | ↑ +37% |
| Humana | Commercial | $999.60 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Fl exam g/colon tube w contrast at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $934.20 | $23.74 – $1,245.60 |
| UPMC Carlisle | Carlisle | $1,728.00 | $30.15 – $2,448.00 |
| UPMC Community Osteopathic | Harrisburg | $1,728.00 | $31.10 – $2,448.00 |
| UPMC East | Monroeville | $1,223.40 | $26.11 – $1,631.20 |
| UPMC Hamot | Erie | $684.60 | $26.11 – $335.18 |
| UPMC Northwest | Seneca | $602.40 | $26.11 – $255.42 |
| UPMC Hanover | Hanover | $1,728.00 | $30.15 – $369.47 |
| UPMC Lititz | Lititz | $1,728.00 | $30.15 – $371.46 |