Ghs i and d pilonidal cyst complex at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$1,486.20
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.
$2,477.00
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.
$123.75 with UPMC Health Plan vs $2,105.45 with Humana — 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 | $123.75 | ↓ -92% |
| Aetna | Medicaid | $123.75 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $156.36 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $166.84 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $169.65 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $175.62 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $191.72 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $348.35 | ↓ -77% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $528.00 | ↓ -64% |
| UPMC Health Plan | Commercial | $568.22 | ↓ -62% |
| UPMC Health Plan | Managed Medicare | $600.56 | ↓ -60% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $650.92 | ↓ -56% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $690.78 | ↓ -54% |
| Aetna | Medicare | $690.91 | ↓ -54% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $704.33 | ↓ -53% |
| Aetna of PA | Medicare | $704.33 | ↓ -53% |
| United Healthcare Community Plan for Families | Unison Kids | $704.33 | ↓ -53% |
| United Healthcare | Medicare | $717.75 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicare | $724.39 | ↓ -51% |
| AmeriHealth Caritas | Medicare | $724.45 | ↓ -51% |
| Cigna | Medicare | $724.45 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $724.45 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $802.01 | ↓ -46% |
| United Healthcare | Compass Exchange | $817.41 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $844.66 | ↓ -43% |
| Aetna | Neighborhood Network | $916.49 | ↓ -38% |
| Aetna | Home Depot Employer Group | $946.21 | ↓ -36% |
| Cigna | NBR ASO/FI | $966.03 | ↓ -35% |
| United Healthcare | All Business | $966.03 | ↓ -35% |
| Aetna | NBR ASO/FI | $966.03 | ↓ -35% |
| Cigna | New Business ASO | $966.03 | ↓ -35% |
| Aetna | EBR ASO | $990.80 | ↓ -33% |
| Cigna | Commercial | $990.80 | ↓ -33% |
| Cigna | EBR | $990.80 | ↓ -33% |
| UPMC Health Plan | CHIP | $1,047.48 | ↓ -30% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,258.74 | ↓ -15% |
| Aetna | EBR FI | $1,486.20 | ↑ +0% |
| InterGroup | PPO | $1,610.05 | ↑ +8% |
| Coventry/First Health | Commercial | $1,634.82 | ↑ +10% |
| Health Coalition Partners | PPO | $1,733.90 | ↑ +17% |
| Private Health Care Systems | PPO | $1,981.60 | ↑ +33% |
| Prime Net | Commercial | $2,031.14 | ↑ +37% |
| Humana | Commercial | $2,105.45 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs i and d pilonidal cyst complex at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $2,243.40 | $118.12 – $3,365.10 |
| UPMC Carlisle | Carlisle | $1,341.60 | $142.88 – $1,900.60 |
| UPMC Cole | Coudersport | $293.40 | $118.12 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $1,341.60 | $142.88 – $1,900.60 |
| UPMC East | Monroeville | $1,401.60 | $123.75 – $1,868.80 |
| UPMC Hanover | Hanover | $1,341.60 | $142.88 – $1,075.42 |
| UPMC Lititz | Lititz | $1,341.60 | $142.88 – $1,081.23 |
| UPMC Magee | Pittsburgh | $1,724.40 | $123.75 – $724.45 |