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Lower Back (Lumbar Spine) MRI (with contrast) at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$1,771.80
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.
$2,953.00
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.
$304.83 with UPMC Health Plan vs $2,510.05 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 | Managed Medicare | $304.83 | ↓ -83% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $350.63 | ↓ -80% |
| Aetna | Medicare | $350.69 | ↓ -80% |
| United Healthcare Community Plan for Families | Unison Kids | $357.50 | ↓ -80% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $357.50 | ↓ -80% |
| Aetna of PA | Medicare | $357.50 | ↓ -80% |
| United Healthcare | Medicare | $364.31 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicare | $367.68 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $367.72 | ↓ -79% |
| Cigna | Medicare | $367.72 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $367.72 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $372.90 | ↓ -79% |
| Aetna | Medicaid | $372.90 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $471.18 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $502.74 | ↓ -72% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $511.21 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $529.21 | ↓ -70% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $577.72 | ↓ -67% |
| UPMC Health Plan | Commercial | $602.21 | ↓ -66% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $638.91 | ↓ -64% |
| United Healthcare | Compass Exchange | $974.49 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $1,006.97 | ↓ -43% |
| Aetna | Neighborhood Network | $1,092.61 | ↓ -38% |
| Aetna | Home Depot Employer Group | $1,128.05 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $1,148.72 | ↓ -35% |
| Cigna | NBR ASO/FI | $1,151.67 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,151.67 | ↓ -35% |
| Cigna | New Business ASO | $1,151.67 | ↓ -35% |
| United Healthcare | All Business | $1,151.67 | ↓ -35% |
| Cigna | EBR | $1,181.20 | ↓ -33% |
| Cigna | Commercial | $1,181.20 | ↓ -33% |
| Aetna | EBR ASO | $1,181.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,325.45 | ↓ -25% |
| UPMC Work Partners | Workers Comp | $1,371.07 | ↓ -23% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,633.11 | ↓ -8% |
| Aetna | EBR FI | $1,771.80 | ↑ +0% |
| InterGroup | PPO | $1,919.45 | ↑ +8% |
| Coventry/First Health | Commercial | $1,948.98 | ↑ +10% |
| Health Coalition Partners | PPO | $2,067.10 | ↑ +17% |
| UPMC Health Plan | CHIP | $2,162.05 | ↑ +22% |
| Private Health Care Systems | PPO | $2,362.40 | ↑ +33% |
| Prime Net | Commercial | $2,421.46 | ↑ +37% |
| Humana | Commercial | $2,510.05 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) MRI (with contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $4,621.20 | $316.41 – $6,546.70 |
| UPMC East | Monroeville | $5,074.20 | $341.40 – $6,765.60 |
| UPMC Hamot | Erie | $1,546.80 | $220.65 – $1,804.60 |
| UPMC Carlisle | Carlisle | $2,713.80 | $338.22 – $3,844.55 |
| UPMC Bedford | Everett | $4,017.60 | $122.85 – $6,026.40 |
| UPMC Altoona | Altoona | $1,810.80 | $269.00 – $2,414.40 |
| UPMC Cole | Coudersport | $1,237.80 | $320.31 – $1,650.40 |
| UPMC Community Osteopathic | Harrisburg | $2,713.80 | $347.79 – $3,844.55 |