Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$13.20
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.
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What you pay up front if you don't use insurance.
$16.50
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.
$0.02 with Cigna vs $3.57 with Aetna — 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 |
|---|---|---|---|
| Cigna | NBR ASO/FI | $0.02 | ↓ -100% |
| United Healthcare | Compass Exchange | $0.02 | ↓ -100% |
| United Healthcare | All Business | $0.02 | ↓ -100% |
| UPMC Health Plan | CHIP | $0.02 | ↓ -100% |
| Aetna | Medicare | $0.02 | ↓ -100% |
| Aetna | Home Depot Employer Group | $0.02 | ↓ -100% |
| Aetna | Neighborhood Network | $0.02 | ↓ -100% |
| Aetna | EBR ASO | $0.02 | ↓ -100% |
| Aetna | NBR ASO/FI | $0.02 | ↓ -100% |
| Anthem Blue Cross Blue Shield | Traditional | $0.02 | ↓ -100% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $0.02 | ↓ -100% |
| Cigna | EBR | $0.02 | ↓ -100% |
| Cigna | Commercial | $0.02 | ↓ -100% |
| Cigna | New Business ASO | $0.02 | ↓ -100% |
| UPMC Work Partners | Workers Comp | $0.03 | ↓ -100% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $0.03 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $0.03 | ↓ -100% |
| Coventry/First Health | Commercial | $0.04 | ↓ -100% |
| Aetna | EBR FI | $0.04 | ↓ -100% |
| Health Coalition Partners | PPO | $0.04 | ↓ -100% |
| InterGroup | PPO | $0.04 | ↓ -100% |
| Private Health Care Systems | PPO | $0.05 | ↓ -100% |
| Humana | Commercial | $0.05 | ↓ -100% |
| Prime Net | Commercial | $0.05 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $0.06 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $0.10 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $0.10 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.10 | ↓ -99% |
| UPMC Health Plan | Commercial | $0.12 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $0.43 | ↓ -97% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $0.53 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $3.24 | ↓ -75% |
| Aetna | Medicaid | $3.57 | ↓ -73% |
Visitor-reported prices
Comments
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $8.00 | $0.02 – $0.46 |
| UPMC Carlisle | Carlisle | $22.80 | $0.10 – $2.72 |
| UPMC Cole | Coudersport | $63.00 | $0.10 – $4.80 |
| UPMC Community Osteopathic | Harrisburg | $22.80 | $0.10 – $2.72 |
| UPMC Hamot | Erie | $36.80 | $0.06 – $3.89 |
| UPMC Hanover | Hanover | $22.80 | $0.10 – $2.72 |
| UPMC Kane | Kane | $34.20 | $0.10 – $0.48 |
| UPMC Lititz | Lititz | $22.80 | $0.10 – $2.72 |