Ho flex frejka w/cov pre cst at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$320.40
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.
$534.00
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.
$101.46 with Health Partners Plans (Jefferson Health Plan) vs $778.92 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 | $101.46 | ↓ -68% |
| Aetna | Medicare | $133.50 | ↓ -58% |
| Highmark Wholecare (prev Gateway) | Medicaid | $160.20 | ↓ -50% |
| United Healthcare | Compass Exchange | $176.22 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $176.22 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $182.09 | ↓ -43% |
| Aetna | Neighborhood Network | $197.58 | ↓ -38% |
| Aetna | Home Depot Employer Group | $203.99 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $207.73 | ↓ -35% |
| Cigna | NBR ASO/FI | $208.26 | ↓ -35% |
| United Healthcare | All Business | $208.26 | ↓ -35% |
| Aetna | NBR ASO/FI | $208.26 | ↓ -35% |
| Cigna | New Business ASO | $208.26 | ↓ -35% |
| Cigna | Commercial | $213.60 | ↓ -33% |
| Cigna | EBR | $213.60 | ↓ -33% |
| Aetna | EBR ASO | $213.60 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $222.89 | ↓ -30% |
| Highmark Wholecare (prev Gateway) | Medicare | $267.00 | ↓ -17% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $267.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $293.70 | ↓ -8% |
| Aetna | EBR FI | $320.40 | ↑ +0% |
| InterGroup | PPO | $347.10 | ↑ +8% |
| Coventry/First Health | Commercial | $352.44 | ↑ +10% |
| Health Coalition Partners | PPO | $373.80 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $397.79 | ↑ +24% |
| Private Health Care Systems | PPO | $427.20 | ↑ +33% |
| Prime Net | Commercial | $437.88 | ↑ +37% |
| Humana | Commercial | $453.90 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $490.07 | ↑ +53% |
| UPMC Health Plan | CHIP | $581.28 | ↑ +81% |
| UPMC Health Plan | Commercial | $778.92 | ↑ +143% |
Visitor-reported prices
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Ho flex frejka w/cov pre cst at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Jameson | New Castle | $33.00 | $69.92 – $581.28 |
| UPMC Muncy | Muncy | $48.60 | $78.08 – $238.44 |
| UPMC Presbyterian | Pittsburgh | $61.20 | $73.20 – $939.83 |
| UPMC St. Margaret | Pittsburgh | $342.00 | $157.57 – $713.27 |
| UPMC Wellsboro | Wellsboro | $58.80 | $78.08 – $222.89 |
| UPMC Williamsport | Williamsport | $48.60 | $78.08 – $246.21 |