Inj, abilify maintena, 1 mg at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$16.60
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.
$20.75
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.
$4.59 with UPMC Health Plan vs $3,055.69 with Aetna — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $4.59 | ↓ -72% |
| UPMC Health Plan | Managed Medicare | $6.52 | ↓ -61% |
| United Healthcare | Compass Exchange | $6.80 | ↓ -59% |
| Anthem Blue Cross Blue Shield | Traditional | $6.82 | ↓ -59% |
| UPMC Health Plan | CHIP | $7.00 | ↓ -58% |
| United Healthcare | All Business | $7.07 | ↓ -57% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $7.28 | ↓ -56% |
| Geisinger | Medicaid/CHIP | $7.28 | ↓ -56% |
| Highmark Wholecare (prev Gateway) | Medicaid | $7.28 | ↓ -56% |
| Aetna | Neighborhood Network | $7.40 | ↓ -55% |
| Aetna | Medicare | $7.50 | ↓ -55% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $7.50 | ↓ -55% |
| United Healthcare Community Plan for Families | Unison Kids | $7.64 | ↓ -54% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $7.64 | ↓ -54% |
| Aetna of PA | Medicare | $7.64 | ↓ -54% |
| Aetna | Home Depot Employer Group | $7.64 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $7.77 | ↓ -53% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $7.78 | ↓ -53% |
| United Healthcare | Medicare | $7.79 | ↓ -53% |
| Aetna | NBR ASO/FI | $7.80 | ↓ -53% |
| Cigna | NBR ASO/FI | $7.80 | ↓ -53% |
| Cigna | New Business ASO | $7.80 | ↓ -53% |
| Cigna | Medicare | $7.86 | ↓ -53% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $7.86 | ↓ -53% |
| Highmark Wholecare (prev Gateway) | Medicare | $7.86 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $7.86 | ↓ -53% |
| Cigna | EBR | $8.00 | ↓ -52% |
| Cigna | Commercial | $8.00 | ↓ -52% |
| Aetna | EBR ASO | $8.00 | ↓ -52% |
| UPMC Health Plan | Commercial | $8.95 | ↓ -46% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $9.57 | ↓ -42% |
| UPMC Work Partners | Workers Comp | $10.25 | ↓ -38% |
| Aetna | EBR FI | $12.00 | ↓ -28% |
| InterGroup | PPO | $13.00 | ↓ -22% |
| Coventry/First Health | Commercial | $13.20 | ↓ -20% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $13.66 | ↓ -18% |
| Health Coalition Partners | PPO | $14.00 | ↓ -16% |
| Private Health Care Systems | PPO | $16.00 | ↓ -4% |
| Prime Net | Commercial | $16.40 | ↓ -1% |
| Humana | Commercial | $17.00 | ↑ +2% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2,777.90 | ↑ +16634% |
| Aetna | Medicaid | $3,055.69 | ↑ +18308% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Inj, abilify maintena, 1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC McKeesport | Mckeesport | $8,046.00 | $3.08 – $2,293.72 |
| UPMC Mercy | Pittsburgh | $2,848.80 | $3.05 – $3,194.59 |
| UPMC Muncy | Muncy | $7,107.60 | $7.28 – $8.00 |
| UPMC Presbyterian | Pittsburgh | $13,261.20 | $3.08 – $943.94 |
| UPMC St. Margaret | Pittsburgh | $4,402.80 | $3.08 – $3,055.69 |
| UPMC Wellsboro | Wellsboro | $7,107.60 | $7.28 – $2,777.90 |
| UPMC Williamsport | Williamsport | $7,107.60 | $7.28 – $7.79 |