Immunology procedure at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$31.20
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.
$52.00
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.
$8.67 with UPMC Health Plan vs $44.20 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 | Commercial | $8.67 | ↓ -72% |
| Aetna | Medicare | $13.00 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $13.34 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $16.44 | ↓ -47% |
| United Healthcare | Compass Exchange | $17.16 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $17.73 | ↓ -43% |
| Aetna | Neighborhood Network | $19.24 | ↓ -38% |
| Aetna | Home Depot Employer Group | $19.86 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $20.23 | ↓ -35% |
| Cigna | NBR ASO/FI | $20.28 | ↓ -35% |
| United Healthcare | All Business | $20.28 | ↓ -35% |
| Cigna | New Business ASO | $20.28 | ↓ -35% |
| Aetna | NBR ASO/FI | $20.28 | ↓ -35% |
| Cigna | Commercial | $20.80 | ↓ -33% |
| Cigna | EBR | $20.80 | ↓ -33% |
| Aetna | EBR ASO | $20.80 | ↓ -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 | $26.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $26.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $28.60 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $28.60 | ↓ -8% |
| UPMC Health Plan | CHIP | $31.14 | ↓ -0% |
| Aetna | EBR FI | $31.20 | ↑ +0% |
| InterGroup | PPO | $33.80 | ↑ +8% |
| Coventry/First Health | Commercial | $34.32 | ↑ +10% |
| Health Coalition Partners | PPO | $36.40 | ↑ +17% |
| Private Health Care Systems | PPO | $41.60 | ↑ +33% |
| Prime Net | Commercial | $42.64 | ↑ +37% |
| Humana | Commercial | $44.20 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Immunology procedure at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $42.60 | $8.25 – $56.80 |
| UPMC Carlisle | Carlisle | $605.40 | $31.14 – $857.65 |
| UPMC Community Osteopathic | Harrisburg | $605.40 | $31.14 – $857.65 |
| UPMC Northwest | Seneca | $43.80 | $8.64 – $21.42 |
| UPMC Hanover | Hanover | $605.40 | $31.14 – $478.46 |
| UPMC Lititz | Lititz | $605.40 | $31.14 – $478.46 |
| UPMC Magee | Pittsburgh | $28.80 | $8.33 – $9.06 |
| UPMC Memorial | York | $605.40 | $6.73 – $478.46 |