Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$75.00
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.
?
What you pay up front if you don't use insurance.
$125.00
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.
$35.49 with Health Partners Plans (Jefferson Health Plan) vs $190.06 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $35.49 | ↓ -53% |
| Aetna | Medicaid | $39.04 | ↓ -48% |
| UPMC Health Plan | Managed Medicaid | $39.04 | ↓ -48% |
| United Healthcare | Compass Exchange | $41.25 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $42.62 | ↓ -43% |
| UPMC Health Plan | Managed Medicare | $45.94 | ↓ -39% |
| Aetna | Neighborhood Network | $46.25 | ↓ -38% |
| Aetna | Home Depot Employer Group | $47.75 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $48.62 | ↓ -35% |
| United Healthcare | All Business | $48.75 | ↓ -35% |
| Aetna | NBR ASO/FI | $48.75 | ↓ -35% |
| Cigna | New Business ASO | $48.75 | ↓ -35% |
| Cigna | NBR ASO/FI | $48.75 | ↓ -35% |
| Geisinger | Medicaid/CHIP | $49.33 | ↓ -34% |
| Aetna | EBR ASO | $50.00 | ↓ -33% |
| Cigna | Commercial | $50.00 | ↓ -33% |
| Cigna | EBR | $50.00 | ↓ -33% |
| UPMC Health Plan | Commercial | $50.63 | ↓ -32% |
| UPMC Work Partners | Workers Comp | $50.71 | ↓ -32% |
| Highmark Wholecare (prev Gateway) | Medicaid | $52.63 | ↓ -30% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $52.84 | ↓ -30% |
| Aetna | Medicare | $52.85 | ↓ -30% |
| United Healthcare Community Plan for Families | Unison Kids | $53.88 | ↓ -28% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $53.88 | ↓ -28% |
| Aetna of PA | Medicare | $53.88 | ↓ -28% |
| United Healthcare | Medicare | $54.90 | ↓ -27% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $55.40 | ↓ -26% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $55.41 | ↓ -26% |
| Highmark Wholecare (prev Gateway) | Medicare | $55.41 | ↓ -26% |
| Cigna | Medicare | $55.41 | ↓ -26% |
| AmeriHealth Caritas | Medicare | $55.41 | ↓ -26% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $60.48 | ↓ -19% |
| Aetna | EBR FI | $75.00 | ↑ +0% |
| InterGroup | PPO | $81.25 | ↑ +8% |
| Coventry/First Health | Commercial | $82.50 | ↑ +10% |
| Health Coalition Partners | PPO | $87.50 | ↑ +17% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $96.28 | ↑ +28% |
| UPMC Health Plan | CHIP | $98.00 | ↑ +31% |
| Private Health Care Systems | PPO | $100.00 | ↑ +33% |
| Prime Net | Commercial | $102.50 | ↑ +37% |
| Humana | Commercial | $106.25 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $154.28 | ↑ +106% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $190.06 | ↑ +153% |
Visitor-reported prices
Comments
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $75.00 | $35.49 – $100.00 |
| UPMC Bedford | Everett | $75.00 | $18.51 – $112.50 |
| UPMC Carlisle | Carlisle | $75.00 | $17.12 – $106.25 |
| UPMC Cole | Coudersport | $93.00 | $37.26 – $124.00 |
| UPMC Community Osteopathic | Harrisburg | $75.00 | $25.00 – $106.25 |
| UPMC East | Monroeville | $75.00 | $35.49 – $100.00 |
| UPMC Hamot | Erie | $75.00 | $35.49 – $95.41 |
| UPMC Northwest | Seneca | $75.00 | $39.04 – $55.41 |