Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$454.20
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.
$757.00
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.
$249.81 with United Healthcare vs $3,298.34 with UPMC Health Plan — 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 |
|---|---|---|---|
| United Healthcare | Compass Exchange | $249.81 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $258.14 | ↓ -43% |
| Aetna | Neighborhood Network | $280.09 | ↓ -38% |
| Aetna | Home Depot Employer Group | $289.17 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $294.47 | ↓ -35% |
| Cigna | NBR ASO/FI | $295.23 | ↓ -35% |
| United Healthcare | All Business | $295.23 | ↓ -35% |
| Aetna | NBR ASO/FI | $295.23 | ↓ -35% |
| Cigna | New Business ASO | $295.23 | ↓ -35% |
| Cigna | EBR | $302.80 | ↓ -33% |
| Aetna | EBR ASO | $302.80 | ↓ -33% |
| Cigna | Commercial | $302.80 | ↓ -33% |
| UPMC Health Plan | Managed Medicare | $373.14 | ↓ -18% |
| UPMC Work Partners | Workers Comp | $411.91 | ↓ -9% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $416.35 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $416.35 | ↓ -8% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $429.20 | ↓ -6% |
| Aetna | Medicare | $429.28 | ↓ -5% |
| Aetna of PA | Medicare | $437.62 | ↓ -4% |
| United Healthcare Community Plan for Families | Unison Kids | $437.62 | ↓ -4% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $437.62 | ↓ -4% |
| United Healthcare | Medicare | $445.95 | ↓ -2% |
| Highmark Wholecare (prev Gateway) | Medicare | $450.08 | ↓ -1% |
| AmeriHealth Caritas | Medicare | $450.12 | ↓ -1% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $450.12 | ↓ -1% |
| Cigna | Medicare | $450.12 | ↓ -1% |
| Aetna | EBR FI | $454.20 | ↑ +0% |
| InterGroup | PPO | $492.05 | ↑ +8% |
| Coventry/First Health | Commercial | $499.62 | ↑ +10% |
| Health Coalition Partners | PPO | $529.90 | ↑ +17% |
| Private Health Care Systems | PPO | $605.60 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $619.90 | ↑ +36% |
| Prime Net | Commercial | $620.74 | ↑ +37% |
| Humana | Commercial | $643.45 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $763.70 | ↑ +68% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $782.09 | ↑ +72% |
| UPMC Health Plan | Commercial | $1,704.01 | ↑ +275% |
| UPMC Health Plan | CHIP | $3,298.34 | ↑ +626% |
Visitor-reported prices
Comments
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $438.00 | $365.00 – $584.00 |
| UPMC Carlisle | Carlisle | $876.60 | $200.16 – $1,241.85 |
| UPMC Community Osteopathic | Harrisburg | $876.60 | $292.20 – $3,298.34 |
| UPMC East | Monroeville | $454.20 | $249.81 – $605.60 |
| UPMC Hamot | Erie | $462.00 | $383.38 – $450.12 |
| UPMC Northwest | Seneca | $454.20 | $377.98 – $450.12 |
| UPMC Hanover | Hanover | $876.60 | $316.19 – $3,298.34 |
| UPMC Jameson | New Castle | $454.20 | $292.38 – $450.12 |