Kidney imag w/bld flow multi at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$933.00
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.
$1,555.00
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.
$262.35 with Aetna vs $1,321.75 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 |
|---|---|---|---|
| Aetna | Medicaid | $262.35 | ↓ -72% |
| UPMC Health Plan | Managed Medicaid | $262.35 | ↓ -72% |
| Geisinger | Medicaid/CHIP | $331.49 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicaid | $353.70 | ↓ -62% |
| UPMC Health Plan | Commercial | $358.02 | ↓ -62% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $359.66 | ↓ -61% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $372.32 | ↓ -60% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $406.45 | ↓ -56% |
| UPMC Health Plan | Managed Medicare | $459.45 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $481.17 | ↓ -48% |
| UPMC Work Partners | Workers Comp | $501.14 | ↓ -46% |
| United Healthcare | Compass Exchange | $513.15 | ↓ -45% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $528.47 | ↓ -43% |
| Aetna | Medicare | $528.58 | ↓ -43% |
| Anthem Blue Cross Blue Shield | Traditional | $530.25 | ↓ -43% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $538.84 | ↓ -42% |
| Aetna of PA | Medicare | $538.84 | ↓ -42% |
| United Healthcare Community Plan for Families | Unison Kids | $538.84 | ↓ -42% |
| United Healthcare | Medicare | $549.10 | ↓ -41% |
| Highmark Wholecare (prev Gateway) | Medicare | $554.18 | ↓ -41% |
| Cigna | Medicare | $554.23 | ↓ -41% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $554.23 | ↓ -41% |
| AmeriHealth Caritas | Medicare | $554.23 | ↓ -41% |
| Aetna | Neighborhood Network | $575.35 | ↓ -38% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $592.86 | ↓ -36% |
| Aetna | Home Depot Employer Group | $594.01 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $604.89 | ↓ -35% |
| Cigna | NBR ASO/FI | $606.45 | ↓ -35% |
| United Healthcare | All Business | $606.45 | ↓ -35% |
| Aetna | NBR ASO/FI | $606.45 | ↓ -35% |
| Cigna | New Business ASO | $606.45 | ↓ -35% |
| Aetna | EBR ASO | $622.00 | ↓ -33% |
| Cigna | Commercial | $622.00 | ↓ -33% |
| Cigna | EBR | $622.00 | ↓ -33% |
| UPMC Health Plan | CHIP | $771.06 | ↓ -17% |
| Aetna | EBR FI | $933.00 | ↑ +0% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $962.98 | ↑ +3% |
| InterGroup | PPO | $1,010.75 | ↑ +8% |
| Coventry/First Health | Commercial | $1,026.30 | ↑ +10% |
| Health Coalition Partners | PPO | $1,088.50 | ↑ +17% |
| Private Health Care Systems | PPO | $1,244.00 | ↑ +33% |
| Prime Net | Commercial | $1,275.10 | ↑ +37% |
| Humana | Commercial | $1,321.75 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Kidney imag w/bld flow multi at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $927.60 | $185.64 – $1,236.80 |
| UPMC Carlisle | Carlisle | $1,574.40 | $34.66 – $823.87 |
| UPMC Community Osteopathic | Harrisburg | $1,574.40 | $50.60 – $771.06 |
| UPMC East | Monroeville | $2,274.60 | $249.69 – $3,032.80 |
| UPMC Hamot | Erie | $1,749.60 | $247.33 – $700.71 |
| UPMC Hanover | Hanover | $1,574.40 | $243.19 – $822.74 |
| UPMC Lititz | Lititz | $1,574.40 | $243.19 – $827.18 |
| UPMC Magee | Pittsburgh | $1,094.40 | $249.69 – $554.23 |