Ins picad w subq port 5yr> at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$4,444.80
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.
$7,408.00
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.
$604.16 with UPMC Health Plan vs $6,296.80 with Humana — 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 | Commercial | $604.16 | ↓ -86% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $808.00 | ↓ -82% |
| UPMC Health Plan | CHIP | $1,113.73 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,741.24 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $2,145.42 | ↓ -52% |
| United Healthcare | Compass Exchange | $2,444.64 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $2,526.13 | ↓ -43% |
| UPMC Health Plan | Managed Medicare | $2,686.58 | ↓ -40% |
| Aetna | Neighborhood Network | $2,740.96 | ↓ -38% |
| UPMC Work Partners | Workers Comp | $2,755.22 | ↓ -38% |
| Aetna | Home Depot Employer Group | $2,829.86 | ↓ -36% |
| Cigna | New Business ASO | $2,889.12 | ↓ -35% |
| Aetna | NBR ASO/FI | $2,889.12 | ↓ -35% |
| Cigna | NBR ASO/FI | $2,889.12 | ↓ -35% |
| United Healthcare | All Business | $2,889.12 | ↓ -35% |
| Aetna | EBR ASO | $2,963.20 | ↓ -33% |
| Cigna | Commercial | $2,963.20 | ↓ -33% |
| Cigna | EBR | $2,963.20 | ↓ -33% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,090.18 | ↓ -30% |
| Aetna | Medicare | $3,090.78 | ↓ -30% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $3,150.80 | ↓ -29% |
| United Healthcare Community Plan for Families | Unison Kids | $3,150.80 | ↓ -29% |
| Aetna of PA | Medicare | $3,150.80 | ↓ -29% |
| United Healthcare | Medicare | $3,210.81 | ↓ -28% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,240.52 | ↓ -27% |
| AmeriHealth Caritas | Medicare | $3,240.82 | ↓ -27% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,240.82 | ↓ -27% |
| Cigna | Medicare | $3,240.82 | ↓ -27% |
| Geisinger | Medicaid/CHIP | $4,074.40 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4,074.40 | ↓ -8% |
| Aetna | EBR FI | $4,444.80 | ↑ +0% |
| InterGroup | PPO | $4,815.20 | ↑ +8% |
| Coventry/First Health | Commercial | $4,889.28 | ↑ +10% |
| Health Coalition Partners | PPO | $5,185.60 | ↑ +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 | $5,630.93 | ↑ +27% |
| Private Health Care Systems | PPO | $5,926.40 | ↑ +33% |
| Prime Net | Commercial | $6,074.56 | ↑ +37% |
| Humana | Commercial | $6,296.80 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Ins picad w subq port 5yr> at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,757.00 | $895.03 – $7,676.00 |
| UPMC Carlisle | Carlisle | $4,201.80 | $959.41 – $5,952.55 |
| UPMC Cole | Coudersport | $2,153.40 | $994.87 – $2,871.20 |
| UPMC Community Osteopathic | Harrisburg | $4,201.80 | $1,016.56 – $5,952.55 |
| UPMC East | Monroeville | $3,746.40 | $903.55 – $4,995.20 |
| UPMC Hamot | Erie | $2,346.00 | $895.03 – $4,364.40 |
| UPMC Hanover | Hanover | $4,201.80 | $1,016.56 – $4,810.90 |
| UPMC Jameson | New Castle | $1,380.00 | $892.40 – $4,051.03 |