Impl neurostim electr perc at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
not published by hospital
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.
not published by hospital
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.
$410.25 with Aetna vs $11,741.15 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Aetna | Medicaid | $410.25 | — |
| UPMC Health Plan | Managed Medicaid | $410.25 | — |
| Geisinger | Medicaid/CHIP | $518.36 | — |
| Highmark Wholecare (prev Gateway) | Medicaid | $553.08 | — |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $562.41 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $582.21 | — |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $635.58 | — |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $699.00 | — |
| UPMC Health Plan | Commercial | $1,256.95 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,419.79 | — |
| UPMC Work Partners | Workers Comp | $1,564.44 | — |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,749.36 | — |
| UPMC Health Plan | CHIP | $2,317.11 | — |
| UPMC Health Plan | Managed Medicare | $5,601.84 | — |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $6,443.40 | — |
| Aetna | Medicare | $6,444.65 | — |
| Aetna of PA | Medicare | $6,569.79 | — |
| United Healthcare Community Plan for Families | Unison Kids | $6,569.79 | — |
| United Healthcare Community Plan for Families | Unison MedPLUS | $6,569.79 | — |
| United Healthcare | Medicare | $6,694.93 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $6,756.87 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $6,757.50 | — |
| Cigna | Medicare | $6,757.50 | — |
| AmeriHealth Caritas | Medicare | $6,757.50 | — |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $11,741.15 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Impl neurostim electr perc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $12,736.80 | $473.65 – $18,043.80 |
| UPMC Cole | Coudersport | $785.40 | $362.85 – $1,545.57 |
| UPMC Community Osteopathic | Harrisburg | $12,736.80 | $503.48 – $18,043.80 |
| UPMC East | Monroeville | $3,768.60 | $410.25 – $6,569.79 |
| UPMC Northwest | Seneca | $4,795.80 | $410.25 – $6,569.79 |
| UPMC Hanover | Hanover | $12,736.80 | $473.65 – $10,031.26 |
| UPMC Kane | Kane | $5,749.20 | $410.25 – $9,493.47 |
| UPMC Lititz | Lititz | $12,736.80 | $473.65 – $10,085.44 |