Ghs flow volume loop at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$276.00
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.
$460.00
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.
$34.62 with UPMC Health Plan vs $557.10 with Highmark BCBS of PA — 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 | $34.62 | ↓ -87% |
| Aetna | Medicaid | $34.62 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $43.74 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $46.67 | ↓ -83% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $47.46 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $49.13 | ↓ -82% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $53.63 | ↓ -81% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $74.48 | ↓ -73% |
| UPMC Health Plan | CHIP | $85.79 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $91.75 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $102.49 | ↓ -63% |
| UPMC Health Plan | Commercial | $114.96 | ↓ -58% |
| United Healthcare | Compass Exchange | $151.80 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $156.86 | ↓ -43% |
| Aetna | Neighborhood Network | $170.20 | ↓ -38% |
| Aetna | Home Depot Employer Group | $175.72 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $178.94 | ↓ -35% |
| Cigna | NBR ASO/FI | $179.40 | ↓ -35% |
| United Healthcare | All Business | $179.40 | ↓ -35% |
| Aetna | NBR ASO/FI | $179.40 | ↓ -35% |
| Cigna | New Business ASO | $179.40 | ↓ -35% |
| Cigna | Commercial | $184.00 | ↓ -33% |
| Cigna | EBR | $184.00 | ↓ -33% |
| Aetna | EBR ASO | $184.00 | ↓ -33% |
| UPMC Health Plan | Managed Medicare | $265.80 | ↓ -4% |
| Aetna | EBR FI | $276.00 | ↑ +0% |
| InterGroup | PPO | $299.00 | ↑ +8% |
| Coventry/First Health | Commercial | $303.60 | ↑ +10% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $305.73 | ↑ +11% |
| Aetna | Medicare | $305.79 | ↑ +11% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $311.72 | ↑ +13% |
| United Healthcare Community Plan for Families | Unison Kids | $311.72 | ↑ +13% |
| Aetna of PA | Medicare | $311.72 | ↑ +13% |
| United Healthcare | Medicare | $317.66 | ↑ +15% |
| Highmark Wholecare (prev Gateway) | Medicare | $320.60 | ↑ +16% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $320.63 | ↑ +16% |
| AmeriHealth Caritas | Medicare | $320.63 | ↑ +16% |
| Cigna | Medicare | $320.63 | ↑ +16% |
| Health Coalition Partners | PPO | $322.00 | ↑ +17% |
| Private Health Care Systems | PPO | $368.00 | ↑ +33% |
| Prime Net | Commercial | $377.20 | ↑ +37% |
| Humana | Commercial | $391.00 | ↑ +42% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $557.10 | ↑ +102% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Ghs flow volume loop at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $163.80 | $18.04 – $218.40 |
| UPMC Community Osteopathic | Harrisburg | $366.60 | $16.60 – $327.76 |
| UPMC Hamot | Erie | $169.80 | $30.71 – $375.76 |
| UPMC Northwest | Seneca | $145.80 | $34.62 – $311.72 |
| UPMC Hanover | Hanover | $129.00 | $23.63 – $475.97 |
| UPMC Jameson | New Castle | $276.00 | $20.75 – $371.10 |
| UPMC Lititz | Lititz | $129.00 | $23.63 – $478.54 |
| UPMC Magee | Pittsburgh | $213.00 | $31.00 – $320.63 |