Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$243.00
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.
?
What you pay up front if you don't use insurance.
$405.00
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.
$33.31 with UPMC Health Plan vs $344.25 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 | $33.31 | ↓ -86% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $43.49 | ↓ -82% |
| UPMC Health Plan | CHIP | $52.22 | ↓ -79% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $53.58 | ↓ -78% |
| UPMC Health Plan | Commercial | $64.88 | ↓ -73% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $76.95 | ↓ -68% |
| Aetna | Medicare | $101.25 | ↓ -58% |
| Highmark Wholecare (prev Gateway) | Medicaid | $121.50 | ↓ -50% |
| United Healthcare | Compass Exchange | $133.65 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $133.65 | ↓ -45% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $133.65 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $137.01 | ↓ -44% |
| Anthem Blue Cross Blue Shield | Traditional | $138.10 | ↓ -43% |
| Aetna | Neighborhood Network | $149.85 | ↓ -38% |
| Aetna | Home Depot Employer Group | $154.71 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $157.54 | ↓ -35% |
| Cigna | NBR ASO/FI | $157.95 | ↓ -35% |
| United Healthcare | All Business | $157.95 | ↓ -35% |
| Aetna | NBR ASO/FI | $157.95 | ↓ -35% |
| Cigna | New Business ASO | $157.95 | ↓ -35% |
| Cigna | Commercial | $162.00 | ↓ -33% |
| Cigna | EBR | $162.00 | ↓ -33% |
| Aetna | EBR ASO | $162.00 | ↓ -33% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $202.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $202.50 | ↓ -17% |
| Aetna | EBR FI | $243.00 | ↑ +0% |
| InterGroup | PPO | $263.25 | ↑ +8% |
| Coventry/First Health | Commercial | $267.30 | ↑ +10% |
| Health Coalition Partners | PPO | $283.50 | ↑ +17% |
| Private Health Care Systems | PPO | $324.00 | ↑ +33% |
| Prime Net | Commercial | $332.10 | ↑ +37% |
| Humana | Commercial | $344.25 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,468.00 | $17.06 – $315.20 |
| UPMC Bedford | Everett | $243.00 | $33.31 – $364.50 |
| UPMC Northwest | Seneca | $5,533.20 | $33.31 – $44.29 |
| UPMC Jameson | New Castle | $1,612.20 | $17.36 – $53.28 |
| UPMC Muncy | Muncy | $2,568.60 | $58.03 – $58.03 |
| WellSpan Chambersburg Hospital | Chambersburg | $46.40 | $41.76 – $181.27 |
| WellSpan Ephrata Community Hospital | Ephrata | $69.60 | $50.69 – $181.27 |
| Uniontown Hospital | Uniontown | $1,909.30 | $98.00 – $294.79 |