Incision & drainage hematoma/seroma/fluid collection at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$1,399.20
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.
$2,332.00
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.
$25.85 with Aetna vs $2,898.63 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Aetna | Medicaid | $25.85 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $25.85 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $32.66 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $34.85 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $35.44 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $36.69 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $40.05 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $160.90 | ↓ -89% |
| UPMC Health Plan | Commercial | $345.70 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $397.78 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $490.12 | ↓ -65% |
| UPMC Health Plan | CHIP | $637.28 | ↓ -54% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $699.00 | ↓ -50% |
| United Healthcare | Compass Exchange | $769.56 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $795.21 | ↓ -43% |
| Aetna | Neighborhood Network | $862.84 | ↓ -38% |
| Aetna | Home Depot Employer Group | $890.82 | ↓ -36% |
| Aetna | NBR ASO/FI | $909.48 | ↓ -35% |
| Cigna | NBR ASO/FI | $909.48 | ↓ -35% |
| Cigna | New Business ASO | $909.48 | ↓ -35% |
| United Healthcare | All Business | $909.48 | ↓ -35% |
| Aetna | EBR ASO | $932.80 | ↓ -33% |
| Cigna | EBR | $932.80 | ↓ -33% |
| Cigna | Commercial | $932.80 | ↓ -33% |
| UPMC Health Plan | Managed Medicare | $1,382.97 | ↓ -1% |
| Aetna | EBR FI | $1,399.20 | ↑ +0% |
| InterGroup | PPO | $1,515.80 | ↑ +8% |
| Coventry/First Health | Commercial | $1,539.12 | ↑ +10% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,590.73 | ↑ +14% |
| Aetna | Medicare | $1,591.04 | ↑ +14% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $1,621.93 | ↑ +16% |
| Aetna of PA | Medicare | $1,621.93 | ↑ +16% |
| United Healthcare Community Plan for Families | Unison Kids | $1,621.93 | ↑ +16% |
| Health Coalition Partners | PPO | $1,632.40 | ↑ +17% |
| United Healthcare | Medicare | $1,652.83 | ↑ +18% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,668.12 | ↑ +19% |
| Cigna | Medicare | $1,668.28 | ↑ +19% |
| AmeriHealth Caritas | Medicare | $1,668.28 | ↑ +19% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,668.28 | ↑ +19% |
| Private Health Care Systems | PPO | $1,865.60 | ↑ +33% |
| Prime Net | Commercial | $1,912.24 | ↑ +37% |
| Humana | Commercial | $1,982.20 | ↑ +42% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2,898.63 | ↑ +107% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Incision & drainage hematoma/seroma/fluid collection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,198.80 | $23.50 – $1,598.40 |
| UPMC Bedford | Everett | $1,371.00 | $24.68 – $2,056.50 |
| UPMC Carlisle | Carlisle | $2,080.80 | $29.84 – $2,947.80 |
| UPMC Cole | Coudersport | $514.20 | $24.68 – $2,094.25 |
| UPMC Community Osteopathic | Harrisburg | $2,080.80 | $29.84 – $2,947.80 |
| UPMC East | Monroeville | $856.80 | $25.85 – $1,621.93 |
| UPMC Hamot | Erie | $1,216.80 | $25.85 – $2,246.66 |
| UPMC Northwest | Seneca | $1,223.40 | $25.85 – $1,621.93 |