Inf lwr xtr fscl pln blk uni w/wo image at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$135.00
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.
$225.00
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.
$56.25 with Aetna vs $228.96 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 | Medicare | $56.25 | ↓ -58% |
| United Healthcare | Compass Exchange | $74.25 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $76.72 | ↓ -43% |
| UPMC Health Plan | CHIP | $78.75 | ↓ -42% |
| Aetna | Neighborhood Network | $83.25 | ↓ -38% |
| Aetna | Home Depot Employer Group | $85.95 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $87.53 | ↓ -35% |
| United Healthcare | All Business | $87.75 | ↓ -35% |
| Aetna | NBR ASO/FI | $87.75 | ↓ -35% |
| Cigna | NBR ASO/FI | $87.75 | ↓ -35% |
| Cigna | New Business ASO | $87.75 | ↓ -35% |
| Cigna | EBR | $90.00 | ↓ -33% |
| Aetna | EBR ASO | $90.00 | ↓ -33% |
| Cigna | Commercial | $90.00 | ↓ -33% |
| UPMC Health Plan | Commercial | $110.36 | ↓ -18% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $112.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $112.50 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $123.75 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $123.75 | ↓ -8% |
| Aetna | EBR FI | $135.00 | ↑ +0% |
| InterGroup | PPO | $146.25 | ↑ +8% |
| Coventry/First Health | Commercial | $148.50 | ↑ +10% |
| Health Coalition Partners | PPO | $157.50 | ↑ +17% |
| Private Health Care Systems | PPO | $180.00 | ↑ +33% |
| Prime Net | Commercial | $184.50 | ↑ +37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $185.84 | ↑ +38% |
| Humana | Commercial | $191.25 | ↑ +42% |
| UPMC Work Partners | Workers Comp | $200.76 | ↑ +49% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $228.96 | ↑ +70% |
Visitor-reported prices
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Inf lwr xtr fscl pln blk uni w/wo image at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Jameson | New Castle | $135.00 | $60.55 – $200.76 |
| UPMC Mercy | Pittsburgh | $135.00 | $72.92 – $223.52 |
| UPMC Passavant-McCandless | Pittsburgh | $135.00 | $200.76 – $233.44 |
| UPMC Presbyterian | Pittsburgh | $179.40 | $73.62 – $259.91 |
| UPMC St. Margaret | Pittsburgh | $135.00 | $200.76 – $211.98 |
| UPMC Williamsport | Williamsport | $133.80 | $200.76 – $221.77 |