Graft patch felt ptfe 2x2 at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$2,420.40
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.
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What you pay up front if you don't use insurance.
$4,034.00
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.
$349.03 with Health Partners Plans (Jefferson Health Plan) vs $2,209.48 with UPMC Health Plan — 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $349.03 | ↓ -86% |
| Aetna | Medicare | $459.25 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $551.10 | ↓ -77% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $606.21 | ↓ -75% |
| United Healthcare | Compass Exchange | $606.21 | ↓ -75% |
| Geisinger | Medicaid/CHIP | $606.21 | ↓ -75% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $621.46 | ↓ -74% |
| Anthem Blue Cross Blue Shield | Traditional | $626.42 | ↓ -74% |
| Aetna | Neighborhood Network | $679.69 | ↓ -72% |
| Aetna | Home Depot Employer Group | $701.73 | ↓ -71% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $714.59 | ↓ -70% |
| Aetna | NBR ASO/FI | $716.43 | ↓ -70% |
| Cigna | NBR ASO/FI | $716.43 | ↓ -70% |
| Cigna | New Business ASO | $716.43 | ↓ -70% |
| United Healthcare | All Business | $716.43 | ↓ -70% |
| Cigna | EBR | $734.80 | ↓ -70% |
| Cigna | Commercial | $734.80 | ↓ -70% |
| Aetna | EBR ASO | $734.80 | ↓ -70% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $918.50 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicare | $918.50 | ↓ -62% |
| Aetna | EBR FI | $1,102.20 | ↓ -54% |
| InterGroup | PPO | $1,194.05 | ↓ -51% |
| Coventry/First Health | Commercial | $1,212.42 | ↓ -50% |
| Health Coalition Partners | PPO | $1,285.90 | ↓ -47% |
| Private Health Care Systems | PPO | $1,469.60 | ↓ -39% |
| Prime Net | Commercial | $1,506.34 | ↓ -38% |
| Humana | Commercial | $1,561.45 | ↓ -35% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,622.10 | ↓ -33% |
| UPMC Health Plan | CHIP | $1,648.86 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,998.41 | ↓ -17% |
| UPMC Health Plan | Commercial | $2,209.48 | ↓ -9% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Graft patch felt ptfe 2x2 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $50,063.40 | $95.95 – $1,648.86 |
| UPMC East | Monroeville | $7,483.80 | $56.81 – $1,648.86 |
| UPMC Hamot | Erie | $27,435.60 | $636.47 – $636.47 |
| UPMC Northwest | Seneca | $2,249.40 | $1,651.89 – $1,995.27 |
| UPMC Jameson | New Castle | $8,838.60 | $322.77 – $1,648.86 |
| UPMC Magee | Pittsburgh | $6,523.20 | $355.05 – $1,648.86 |
| UPMC McKeesport | Mckeesport | $4,300.80 | $355.05 – $1,648.86 |
| UPMC Mercy | Pittsburgh | $7,958.40 | $636.47 – $1,302.01 |